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Volume 9, Issue 4 (12-2012)
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Mohammad Ghasaby M, Masudi Alavi N. Quality and barriers against nursing documentation in Kashan Shahid Beheshti Hospital( 2011). Mod Care J 2012; 9 (4) :336-343
URL: http://mcj.bums.ac.ir/article-1-448-en.html
URL: http://mcj.bums.ac.ir/article-1-448-en.html
1- Nursing Student, Student Research Committee, Kashan University of Medical Sciences, Iran
2- Associate Professor, Trauma Nursing Research Center, Kashan University of Medical Sciences. Email: masudialavi_N@kaums.ac.ir
2- Associate Professor, Trauma Nursing Research Center, Kashan University of Medical Sciences. Email: masudialavi_N@kaums.ac.ir
Abstract: (159 Views)
Background and AimAccurate and complete documentation of nursing reports is the precondition for evidence-based care and one of the most important duties of nurses. Besides, it has a decisive r ole in the quality of nursing care and improves the relationship with other health team members . The object of the present survey was to evaluate the structure and content of nursing reports and reasons of incorrect reporting in Kashan Shahid Behashti hospital in 2011. Materials and MethodsIn this cross-sectional study, 140 nursing documents were evaluated. The records were randomly selected from the Intensive care unit, internal medicine ward, and surgery ward. A checklist designed according to the eleven principles of nursing documentation and had 38 items was used in order to evaluate the quality of nursing documentation.. In the checklist, 30 items referred the content and 8 regarded the structure of documentation. To pinpoint barriers in nursing documentation, a previously self-designed questionnaire was applied. The obtained data was analyzed using SPSS software (V:11.5 ) and statistical tests and Chi-square at the significant level P
Keywords: Nursing Records, Forms and Records Control
Article Types: Research Article |
Subject:
General
Received: 2026/01/25 | Accepted: 2026/01/26 | Published: 2026/01/26
Received: 2026/01/25 | Accepted: 2026/01/26 | Published: 2026/01/26
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