The care of the older person has classically been a high-touch person-centered endeavor, but times are a-changin’.1 New technologies are developing rapidly, and although uptake has been slow, they are starting to be incorporated into nursing homes. Nurses and doctors have been slow to embrace these technologies, citing difficulties in using them and lack of relevance to residents as major reaso...

The aim of the study was to investigate the extent to which the symptoms experienced by advanced cancer patients were covered by the nursing records. On the day of the first contact with our palliative care department, a nursing record was taken, and on this or the following day, 56 patients filled in the questionnaires EORTC Quality of Life Questionnaire (EORTC QLQ-C30), Edmonton Symptom Asses...

Background:Learning the key issues in providing nursing care requires new instructional strategies that prevent superficial learning of students and improve meaningful and high level learning in them. The aim of this study was to determine effect of teaching the nursing process in composing method on nursing students and their clinical learning. Methods: In a quasi-experimental study with two g...

PURPOSE To present the Norwegian documentation KPO model (quality assurance, problem solving, and caring). To present the requirements and multiple electronic patient record (EPR) functions the model is designed to address. METHODS The model's professional substance, a conceptual framework for nursing practice is developed by examining, reorganizing, and completing existing frameworks. The mo...

OBJECTIVE The objective of this study was to determine whether the Minimum Data Set (MDS) 3.0 discharge record accurately identifies hospitalizations and deaths of nursing home residents. DESIGN We merged date of death from Medicare enrollment data and hospital inpatient claims with MDS discharge records to check whether the same information can be verified from both the sources. We examined ...

THE LAST decade has seen a shift of attitude within the nursing profession towards the importance of record keeping. This change has been brought about predominantly by the promotion of patients’ rights and the empowerment of patients and relatives to be involved in their care, through the Patient’s Charter (DoH 1991). This has now been superseded by Patient Focus and Public Involvement (Scotti...

Aim The study assessed the documentation of nursing care before, during and after the Standardized Nursing Language Continuing Education Programme (SNLCEP). It evaluates the differences in documentation of nursing care in different nursing specialty areas and assessed the influence of work experience on the quality of documentation of nursing care with a view to provide information on documenta...

OBJECTIVE We aimed to assess documentation completeness of the operative record for mesh implanted at the time of midurethral sling surgery and to identify modifiable predictors of documentation completeness. METHODS A retrospective cross-sectional study of women with stress incontinence who underwent midurethral sling placement between January 2009 and December 2011 was conducted. Data from ...

In health care organizations, numerous policies address topics such as personnel, the work environment, and nursing care of the patient. Nursing students must complete hospital site requirements that may include certifi cation for basic life support, mastery of the hospital electronic health record, and familiarity with the regulations and policies. But, as novices, students view policies as be...