StudentShare
Contact Us
Sign In / Sign Up for FREE
Search
Go to advanced search...

Nursing documentation - Essay Example

Comments (1) Cite this document
Summary
As the problems with the nursery documentation has become a subject of urgent discussions lately, for the reasons of this documentation being a source of essential information for the both the patient and the doctor, this literature review is aimed at the general survey of the literature sources related to the subject…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER96.3% of users find it useful
Nursing documentation
Read TextPreview

Extract of sample "Nursing documentation"

Download file to see previous pages (Ammenwerth et al., 2003; Audit Commission, 2002)
'A nurse from Coventry was recently removed from the national register after failing to keep accurate records for patients in her care. She was found guilty of seven charges of misconduct. The committee heard that she failed to ensure care plans were prepared for several patients covering issues such as diabetes, pain management and dietary needs. On one occasion, she failed to notify staff of a patient's increased risk of hemorrhage following a drug error. The Nursing and Midwifery Council (NMC) found the nurse had systematically neglected a basic and crucial duty to keep proper records for the management of patient care.' (Griffin, 2004)
And this is only one of the cases found in literature, in relation to the negligence, with which the nurses treat the importance of making records. Castledine (2005) reports about the failures to carry on proper documentation in the Freda House. Freda House is described by him as the establishment for treating blind people. Due to the improper records, which one of the nurses - Bob - was making, many patients and older people in the Freda House were mistreated and had health complications. As a result, 'The managers of Freda House decided to refer Bob to the Nursing and Midwifery Council (NMC) because of the poor explanations and excuses for his actions. He was charged by the NMC with: (1) Completing medication records when the drugs had not been administered; (2) Falsely completing nursing records relating to wound dressings which had not been changed; (3) Failing to change residents' dressings while indicating that he had done so in the patients' care plans; (4) Failing to report at handover to the nurse in charge that he had not administered drugs or changed patients' dressings; (5) Failing to clean the eyes of a resident.' (Castledine, 2005). Of course, this only proves how nurses have got accustomed to the thought that documentation is the skill second to nursing (Tingle, 2001), not understanding its importance for the patient's health. The similar cases are also described by Tingle (2001), British Journal of Nursing (October, 2000), Johnston (1998), Moody (2001). It was surprising to read the work of Bjorvell, Wredling and Thorell-Ekstrand (2003), in which they have come to conclusion that 'most participants, regardless of group, perceived nursing documentation to be beneficial to them in their daily practice and to increase patient safety'. Why then do we have so many reports of the health complications, which appear as a result of the misleading or false nursing records (Anderson, 2000; Charles et al, 2000; Tingle, 1998)
Many articles describe the importance of carrying correct nursing records. (Wright, 2003; Scottish Executive, 1999; Nursing and Midwifery Council, 2002; Dion, 2001) For example, Owen (2005) writes in her article, that 'Documenting patient care is extremely important in the community setting as nurses usually visit patients alone, sometimes with long periods between each visit. The only way that the nurse can legally communicate the care that has been delivered is by writing effective records. Nursing records are usually held by the patient, enabling information to be shared easily between visiting practitioners. ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Nursing documentation Essay Example | Topics and Well Written Essays - 1250 words”, n.d.)
Retrieved from https://studentshare.org/miscellaneous/1533169-nursing-documentation
(Nursing Documentation Essay Example | Topics and Well Written Essays - 1250 Words)
https://studentshare.org/miscellaneous/1533169-nursing-documentation.
“Nursing Documentation Essay Example | Topics and Well Written Essays - 1250 Words”, n.d. https://studentshare.org/miscellaneous/1533169-nursing-documentation.
  • Cited: 1 times
Comments (1)
Click to create a comment or rate a document
st
stonemohr added comment 11 months ago
Student rated this paper as
I had an issue with a essay types of works. All until I came across this website and this particular essay. Even though "Nursing documentation" is far from my interests, the structure is so great that I use it all the time as an example for my own works.

CHECK THESE SAMPLES OF Nursing documentation

Electronic nursing documentation and patient safety

..., faxes, audio and video tapes, and images provides nurses and other care providers to intercommunicate about the care provided, and this also encourages effective and beneficial nursing care and helps nurses to conform to professional and legal standards (College of Registered Nurses of British Columbia 2003). A currently happening intensely serious and dangerous nursing shortfall can be meliorated in a number of ways. One method of them is to reduce or extinguish work life dissatisfactory for nurses of which one is the current cumbrous type of nursing documentation of patient care. According to routine or established practice, nurses spend approx 15 to 25% of their working day in documenting patient care, and in some cases this ratio...
4 Pages(1000 words)Essay

Nursing Documentation in the Age of the Electronic Health Record

...? Nursing Documentation in the Age of the Electronic Health Record Nursing Documentation in the Age of the Electronic Health Record Introduction Health care providers and administrators view record keeping as a critical element that promotes safety, quality, compliance and continuity of service. Nursing documentation is surrounded by a variety of tensions such as the amount of time spent on preparing documents, number of errors in records, the need to promote legal accountability and the necessity of ensuring understandability of nursing notes to other disciplines. Deficiencies in nursing recording have forced the stakeholders to implement interventions aimed at improving healthcare documentation. Healthcare providers need to determine...
12 Pages(3000 words)Research Paper

Nursing Documentation

.... Health records may be paper documents or electronic documents, such as images, electronic medical records, faxes, e-mails and video record or audio. Body Via documentation, nurses converse their explanations, decisions, procedures and consequences of this deed for clients. Records used as exact explanation of what happen and when it happened, hence they give clear information on them. From documentation, information given to individual clients or groups of clients according to the nature of the individuals relates to the consequences of observation. For individual clients, documentation provides entire statement of the status of the client, the proceedings of the nurse, and the client results. Nursing documentation clearly describes...
3 Pages(750 words)Term Paper

Analysis of Two Nursing Research Publications

This includes data about the severity of the illness, the length of stay in the ICU and the hospital, the age of the care recipients, etc. This table also provides mean and standard deviation which are useful to simplify and summarize the data, so that an aggregate picture of the average care recipient can be used as the standard of comparison with the variables involved in this study.

The use of descriptive statistics in this study may not really be justified. The basic purpose of using descriptive
statistics and deriving the central tendency of a distribution is in order to deal with large volumes of data (Trochim, 2002). It offers a means to simplify data where there may be several quantitative measures or a lar...
10 Pages(2500 words)Literature review

Practices and Principles of Adult Nursing

These would gradually reduce her little depression and give her more hope over her life. And also one fact should be noted that she is a 65-year-old woman, so she still has chances of recovery.

Osteoarthritis: The National Institute of Arthritis and Musculoskeletal and Skin Diseases has this definition for Osteoarthritis as “ Is the most common type of arthritis, especially among older people. Sometimes it is called degenerative joint disease or osteoarthrosis. Osteoarthritis is a joint disease that mostly affects cartilage. Cartilage is the slippery tissue that covers the ends of bones in a joint. Healthy cartilage allows bones to glide over one another. It also absorbs energy from the shock of physical activity&...
9 Pages(2250 words)Assignment

Is Reflective Practice Essential For Generating the Theory That Will Advance the Discipline of Nursing

From the integration of practitioners’ personal knowledge, valid disciplinary knowledge and theories are developed. Critical thinking and reflection on various nursing practices help to generate new theories. The theories are again used in nursing practice for solving problems and for determining procedures in future cases.

The concept of the theory is defined by Higgins; Moore (2000: p.179) as the creation of relationships among two or more concepts to form a specific view of a phenomenon. As constructions of our minds, theories provide explanations about our experiences of phenomena in the world. The understanding provided by theories is of two types: explanatory or predictive. In nursing, theoretical thinking u...
15 Pages(3750 words)Case Study

The Concept of Holism in Nursing

Holism has been integrated into already a large majority of disciplines – science, philosophy, sociology, economics, psychology, educational reform, and even medicine.  Treats the organism not only as part of the ecological system but as a greater "ecosystem", named the universe. In alternative medicine, a holistic approach to healing recognizes that the emotional, mental, spiritual and physical elements of each person comprise a system, and attempts to treat the whole person in its context, concentrating on the cause of the illness as well as symptoms. Examples of holistic therapeutic systems are Acupuncture, Chinese medicine, Indian Head Massage, Naturopathic medicine, and Reflexology.
This particular study focus...
7 Pages(1750 words)Assignment

Socio-Political Aspects of Mental Health Nursing

It seems that nursing care provided in people around the world is not independent of particular socio-economical factors. More specifically, it has been found that the race, the gender, the social class or the age of the patients can influence the perceptions and the behavior of nurses within a specific clinical environment. Regarding this issue it is suggested by Julian (2003) that ‘“ethnicity or culture per se cannot account for inequalities in health; rather, the material disadvantage is the crucial variable; however, it is also clear that eth­nicity and race cannot be reduced to class; as a result, if culture is not taken into account in the formula­tion and implementation of health programs, they are doome...
11 Pages(2750 words)Term Paper

Concept Analysis: Humor in Nursing

Humor is one of the methods and strategies used by medical professionals to support a client and create positive feelings and emotions. Responsibility of a nurse is to ensure that a thorough assessment is made of the client's health concerns, that suitable nursing actions are chosen and implemented to help clients, and that an evaluation of the results is carried out. Assuming this leadership does not mean that nurses take over and do for, or to, clients. The quality of nursing care is determined by the completeness of the interchange of knowledge, attitudes, and skills between nurses and their clients. To be most helpful to all clients, nurses should make sure that they solicit their knowledge, become aware of their feelings and...
15 Pages(3750 words)Case Study

Nursing Shortage: How it Effects Nurse Management & Leaders

Nearly twenty percent of the hospitals in 2001 had registered nurse vacancy rates in excess of twenty percent. The survey conducted on behalf of the American Hospital Association in 2001 showed that 126,000 full-time registered nurse positions were not filled. The following year in 2002 the U.S. Department of Health and Human Services that the number of states in the United States of America experiencing registered nurse shortages had gone up to thirty. The consequences of the shortage of nurses on the nursing professionals as evaluated by studies showing that the nursing professionals were experiencing burnouts, stress, and lack of job satisfaction, which was likely to compound the issue of shortage of nursing professionals. The...
10 Pages(2500 words)Case Study

Critical Care Nursing

Respiration occurs at the alveolar-capillary units of the lungs where oxygen (O2) and Carbon dioxide (CO2) are exchanged through inhalation and exhalation bypassing the gas between the alveolar and the blood. In an ideal gas exchange, blood flow and ventilation must perfectly match each other. But even in a normal pair of the lung, some alveoli are under-ventilated and adequately perfused while others are over ventilated but inadequately perfused. Technically speaking, the optimally ventilated alveoli that are not perfused are termed high V/Q units (acting like dead space), and alveoli that are optimally perfused but not adequately ventilated are called low V/Q units (acting as a shunt) (Sat Sharma MD 2006).

The major f...
13 Pages(3250 words)Case Study

Bullying Within Nursing Workplace

Bullying is basically defined as ‘offensive behavior through vindictive, cruel, malicious, or humiliating attempts to undermine an individual or group of employees’ (ILO, 1998). The bullying in the workplace has widespread ramifications leading to the increased rate of attrition of the employees, low quality of work, creation of poor practice in the professional environment and violation of legal-ethical norms. Bullying in the nursing workplace becomes a highly deplorable act because it directly impacts the well being of the vulnerable third party, the patients. The bullying of nurses comes from various quarters; employers and hospital administration, managers, colleagues, patients, and patients’ families. It is...
8 Pages(2000 words)Research Paper

Ethical Dilemma in Nursing

As a practitioner, the nurse attends to all the medical needs of the patient and as a leader, she takes decisions that relate to, influence and facilitate the actions of others with an aim to achieve a particular goal. As a researcher, the nurse aims to implement studies to determine the actual effects of nursing care and to work towards further improvement in nursing care (Nettina, 2006). In order to impart these duties in the most appropriate manner, nurses must not only possess sound knowledge of the subject, but they must also be aware of ethical laws and legislations and how to handle ethical dilemmas. This is because, through their career, nurses encounter many situations that are tangled in ethical complexities. As Hall (19...
9 Pages(2250 words)Article
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Nursing documentation for FREE!

Contact Us