![]() | Only 14 pages are availabe for public view |
Abstract Nursing documentation is an important component of nursing practice and the interprofessional documentation that occurs within the client1 health record. Documentation — whether paper, electronic, audio or visual — is used to monitor a client’s progress and communicate with other care providers. It also reflects the nursing care that is provided to a client. College of Nurses of Ontario, (2008). Nurses must document their interventions in a manner that demonstrates their care of the patient. Karkkainen, Eriksson. (2005). The oral, rather than written, culture of nursing encourages nurses to discuss their interactions and interventions with patients in a complex and sophisticated manner with other nursing colleagues. However, this information is rarely recorded in the nursing documentation. Hyde, Treacy, Scott et al. (2005). Nurses must be mindful that they record all instances of psychosocial support or patient education to demonstrate how their work as a nurse has assisted the patient. Friberg, Bergh, Lepp. (2006). Nursing documentation should be structured to demonstrate the benefit of these interventions, showing why such interventions were necessary, what was done and the outcome for the patient/client. Jefferies, Johnson, Griffiths. (2010). This study aims to assess of the quality of nursing documentation in intensive care units in Ismailia hospitals. In this study a descriptive explorative research design was used at the intensive care units in Suez Canal University Hospitals and Ismailia general hospital. |