publication . Article . 2010

Improving nurse documentation and record keeping in stoma care.

Law, Lesley; Akroyd, Karen; Burke, Linda;
Open Access
  • Published: 01 Nov 2010 Journal: British Journal of Nursing, volume 19, pages 1,328-1,332 (issn: 0966-0461, eissn: 2052-2819, Copyright policy)
  • Publisher: Mark Allen Group
  • Country: United Kingdom
Abstract
Evidence suggests that nurse documentation is often inconsistent and lacks a coherent and standardized approach. This article reports on research into the use of nurse documentation on a stoma care ward in a large London hospital, and explores the factors that may affect the process of record keeping by nursing staff. This study uses stoma care as a case study to explore the role of documentation on the ward, focusing on how this can be improved. It is based on quantitative and qualitative methods. The medical notes of 56 patients were analysed and in addition, focus groups with a number of nurses were undertaken. Quantitative findings indicate that although 80%...
Subjects
free text keywords: General Nursing, Nurse education, Nursing Outcomes Classification, Qualitative research, Health services research, Primary nursing, Focus group, Nursing, Medicine, business.industry, business, Team nursing, Family medicine, medicine.medical_specialty, Documentation, health
Related Organizations
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publication . Article . 2010

Improving nurse documentation and record keeping in stoma care.

Law, Lesley; Akroyd, Karen; Burke, Linda;