الفهرس 
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Abstract
Quality nursing documentation facilitates continuity and individuality of
care, and safety of patients. The aim of this study was to assess the quality
of nursing documentation in critical adult care units in Suez Canal
. University hospitals. This descriptive cross-sectional study was conducted
in the adult critical care units at Suez Canal University hospitals on 50
bed side nurses and 90 nursing records. The data collection tools
consisted of an audit checklist for patients’ records and a self-
administered questionnaire for nurses. The fieldwork lasted from October
to January 2013. The study revealed thatthe nursing documentation in the
study setting is generally deficient. Some of the areas of documentation
demonstrate high performance such as patient’s demographic data, general
rules, admission assessment, vital signs, blood glucose, syringe pump, TV
fluids intake, tube feeding, oral intake, and patient’s turn position record.
Other areas show deficiencies such as total fluid balance, total
assessment, and blood transfusion. The most common problems from
nurses’ viewpoints are the time constraints, and thus the underlying
factors are nurses’ shortage and high workload. For improvement, there
should be periodic review of nursing formats and orientation about
nursing documentation for new nurses. The study recommends revision of
the workload, review of the documentation formats, and staff
development programs, with a procedure manual. Close supervision with
periodic checks and audits need to be done. The use of electronic medical
records and documentation should be thought in future plans. Further
research is suggested to test the effectiveness of educational and training
interventions on the quality of nursing documentation in ICUs.