Effects on the quality of the nursing care process through an educational program and the use of electronic nursing documentation.

M Bruylands, W Paans, H Hediger, M Müller-Staub

Research output: Contribution to journalArticleAcademicpeer-review


To evaluate the effect of the educational program "Guided Clinical Reasoning" (GCR) and the introduction of an intelligent electronic nursing documentation system (e-doc) on the quality of the nursing process.

Evaluation was conducted at three measurement points and rated with the instrument "Quality of Nursing Diagnoses, Interventions and Outcomes" (Q-DIO).

GCR showed the best Q-DIO-scores. No long-term effect was found after GCR cessation. The e-doc delivered the lowest scores, while showing adequate support in using nursing diagnoses.

E-docs can support conducting the nursing process, but for meaningful e-doc use, clinical reasoning is essential.

High-quality nursing documentation requires recognition of factors obstructing or supporting nurses in the use of e-docs while conducting the nursing process.
Original languageEnglish
Pages (from-to)163-170
JournalInternational journal of nursing knowledge
Issue number3
Publication statusPublished - 1 Oct 2013



  • switzerland
  • medical records systems, Computerized
  • nursing process standards
  • nursing records

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