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.
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 language | English |
|---|---|
| Pages (from-to) | 163-170 |
| Journal | International journal of nursing knowledge |
| Volume | 24 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 16 Jul 2013 |
Keywords
- switzerland
- medical records systems, Computerized
- nursing process standards
- nursing records