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

Abstract

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
Volume24
Issue number3
DOIs
Publication statusPublished - 1 Oct 2013

Keywords

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

Cite this

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Effects on the quality of the nursing care process through an educational program and the use of electronic nursing documentation. / Bruylands, M; Paans, W; Hediger, H; Müller-Staub, M.

In: International journal of nursing knowledge, Vol. 24, No. 3, 01.10.2013, p. 163-170.

Research output: Contribution to journalArticleAcademicpeer-review

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AB - 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.

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KW - nursing process standards

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KW - verpleegkunde

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