This paper discusses the importance of problems with nursing documentation.
Written in 2008; 1,482 words; 5 sources; APA; $ 48.95
Paper Summary:
The paper explains why accurate nursing documentation is vital for quality care. The paper explores the problems with documentation, some of which are based on a distorted nursing perspective and others that are of a systemic nature. The paper provides a number of solutions and recommendations to these problems.
From the Paper:
"Nursing documentation is a highly significant issue since documentation is a fundamental feature of nursing care. Patient records are legally valid, and need to be accurate and comprehensive so that care can be communicated effectively to the health care team. Unless the content of documentation provides an accurate depiction of patient and family care, quality of care may not be possible. Many nurses do not realize that what they document or fail to record can produce an enormous effect on the care that is provided by other members of the health care team. More importantly, the nurse's attitude as documentation proceeds, determines how other members of the interdisciplinary team will react to the patient and/or family."
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