background: the aim of present study was to determine the quality of nursing documents in medical-surgical wards and factors affected this quality. methods: in this descriptive study the quality of nurses' documents in medical-surgical wards of teaching hospitals related to tabriz university of medical sciences was assessed. for data gathering, four checklists assessed four parts of nursing doc...

recording nursing reports is considered as a quality assurance tool for patients and nurses. nowadays, the presence of electronic health record systems is an indicator of development. studies on advantages and disadvantages of the electronic and manual recording methods have shown different results. in this study, electronic and manual recording of nursing reports were compared from the perspec...

This study was conducted to evaluate nursing documentation on patient hygienic care and to analyze the consistency between actual care given by nurses and that of documented in nursing record. Data were collected from 85 nurses employed at critical care units, on whom 255 sets of observations were performed through a structured participant observation form, which could be used to record the obs...

OBJECTIVES The purpose of this study was to test the feasibility of an electronic nursing record system for perinatal care that is based on detailed clinical models and clinical practice guidelines in perinatal care. METHODS THIS STUDY WAS CARRIED OUT IN FIVE PHASES: 1) generating nursing statements using detailed clinical models; 2) identifying the relevant evidence; 3) linking nursing state...

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...

The aim of this paper is to examine the relationship between nursing practice and the recording of practice. Outlines the main findings of a Cochrane systematic review on nursing records, discussing the indications from the included studies that compared computerised nursing care planning with paper-based systems. Qualitative research on nursing records systems, and other survey evidence, is co...

INTRODUCTION The Electronic Health Record (EHR) is being advocated as a tool to improve patient care. Nationwide initiatives are under way to determine how to implement EHR. To date, community nursing homes have not been involved in that effort. Many reasons, including multiple providers in a home, physical structure of a facility, multiple facilities, high costs of implementation, and maintena...