Impact of Accurate Nursing Documentation on Patient Care

Accurate Nursing Documentation in Patients Research

To serve optimum care for clients is the prime reason for research; nursing research in clinical practice examines patient’s symptom management and involves behaviour interventions and large focus on prevention and health promotion (Polit and Beck, 2011). In this literature the writer reviewed accuracy and quality of documentation in nursing (Paans W. et al. 2010). The prevalence and accuracy of nursing diagnosis have both direct and indirect impact on the decision making process and documentation of nurses (Brunt2005, Banning 2007). The nurses’ decision-making technique is resolved by work procedures, allocation of work, disrupted working conditions and time pressures (Coiera & Tombs 1998,

(POC) documentation is the ability for clinicians to document specific computer-generated standardised nursing care plans-may support nursing care plans and support nurses POC documentation is meant to assist clinicians by minimizing time spent on documentation and maximizing time for patient care. in their administrative work((kurashima et al,(2008)...documentation(Gunningherg et al. 2009).Clinical information while interacting with and delivering care to patients. The type of medical devices used is important in ensuring that documentation can be effectively integrated into the clinical workflow of a particular clinical environment. The pivotal tool that can help us to fulfil the responsibility is Electronic documentation (journal of medicine 2010). (kurashima et al .2008), Accuracy of nursing documentation significantly increases through the educational programme (Curs et al 2009).moreover the development and implication of electronic resources and demonstrations of pre formulated templates influences the frequency of diagnoses, documentation in nursing is factor in our key role and as patient care advocates. It is critical for determining if the standard of care was rendered to a patient to defend prior nursing