AIMS One aim was to compare the quality and comprehensiveness in nursing documentation of pressure ulcers before and after implementation of an electronic health record in a hospital setting. Another aim was to investigate the use of preformulated templates for pressure ulcer recording in the electronic health record. BACKGROUND With the possibilities of the electronic health record to provid...

Work sampling measured nurse documentation time before and after the implementation of an electronic medical record on a medical-surgical nursing unit. Documentation was separated into subprocesses of admissions, discharges, and routine/daily documentations. Production rate of documentation time is defined and measured. The results indicate that there is no difference in documentation time betw...

BACKGROUND Nursing homes are increasingly introducing electronic health record (EHR) systems into nursing practice; however, there is limited evidence about the effect of these systems on nursing staff time. AIMS To investigate the effect of introducing an EHR system on time spent on activities by nursing staff in a nursing home. METHOD An observational work sampling study was undertaken wi...

This research used a text data mining technique to extract useful information from nursing records within Electronic Medical Records. Although nursing records provide a complete account of a patient’s information, they are not being fully utilized. Such relevant information as laboratory results and remarks made by doctors and nurses is not always considered. Knowledge concerning the condition ...

It is an important research assignment in the field of medical information to make effective use of the treatment information and administrative information that the care card manages. One example of this is the use of the text mining technique shown in this text. In this research, the in-patients’ nursing record in the internal medicine, managed by the electronic medical record system of the U...

BACKGROUND Quality in nursing documentation facilitates continuity of care and patient safety. Lack of communication between healthcare providers is associated with errors and adverse events. Shortcomings are identified in nursing documentation in several clinical specialties, but very little is known about the quality of how nurses document in the field of psychiatry. Therefore, the aim of thi...

With the continued shortage of nursing faculty, schools of nursing need short yet effective means of preparing educators to teach in their programs. One such strategy is a post-master's certificate in nursing education. This article describes the courses, learning activities, and outcomes of a post-master's certificate program in nursing education. Twenty-five graduates, randomly selected from ...

been awarded as a result. Those attending the classes have included lawyers, merchants, tradesmen, and boy scouts, and many have passed into the St. John Ambulance Brigade. The past year's work includes 1-i classes in First Aid and home nursing, and 187 certificates, &c., were granted. Mrs. Panthaki, who has been working for the Association for eleven years, has, during that time, organised 77 ...

An investigation was undertaken with the aim of establishing standards for the documentation of nursing care. Nursing care records in the medical and surgical units of private and general hospitals in the PWV-area and the Cape Peninsula were audited. A considerable number of deficiencies were identified in the daily record keeping of nursing care.

BACKGROUND This paper reports a study about the effect of knowledge sources, such as handbooks, an assessment format and a predefined record structure for diagnostic documentation, as well as the influence of knowledge, disposition toward critical thinking and reasoning skills, on the accuracy of nursing diagnoses.Knowledge sources can support nurses in deriving diagnoses. A nurse's disposition...