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Improving nursing records with audit

Nursing Standard, 1993
This article describes the efforts of one unit to introduce an audit tool to measure the effectiveness of nursing documentation. After two years of use, the authors have been able to show that the quality of documentation is significantly better and patients have benefited from the improved communication that has resulted.
C, Roberts, R, Smith
openaire   +2 more sources

Integrating Activity Recognition and Nursing Care Records

Proceedings of the ACM on Interactive Mobile Wearable and Ubiquitous Technologies, 2019
In this paper, we introduce a system of integrating activity recognition and collecting nursing care records at nursing care facilities as well as activity labels and sensors through smartphones, and describe experiments at a nursing care facility for 4 ...
Sozo Inoue   +4 more
semanticscholar   +1 more source

Nursing interventions in mental health and psychiatry: Content analysis of records from the nursing information systems in use in Portugal.

Journal of Psychiatric and Mental Health Nursing, 2019
INTRODUCTION The nursing intervention corresponds to a key element in the nursing process. No information was found in the literature about which major interventions are documented by nurses working in psychiatric wards. AIMS 1.
P. Gonçalves   +2 more
semanticscholar   +1 more source

Implementation of Electronic Records Related to Nursing Diagnoses.

International Journal of Nursing Terminologies and Classifications, 2018
INTRODUCTION The quality of nursing care is related to the execution of the nursing process, which should be properly documented. In this context, there is an evident need to implement electronic health records with the use of standardized languages ...
Cíntia da Costa, G. Linch
semanticscholar   +1 more source

Content analysis of nursing diagnoses in mental health records in Portugal.

International Nursing Review, 2018
AIMS To identify the diagnoses documented by nurses in Portugal to describe the nursing needs within the scope of mental health nursing and the main problems in documenting these needs. BACKGROUND/INTRODUCTION The diagnosis process is an essential step
P. Gonçalves   +2 more
semanticscholar   +1 more source

NURSES' RECORDS AND HOME NURSING

JAMA: The Journal of the American Medical Association, 1927
To the Editor: —During the last few years I have noticed that an increasing number of nurses who are sent to private homes are careless about keeping records. This applies to those who are graduates of the better nursing schools as well as to those who hold diplomas from less well known institutions.
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Nursing records prove invaluable

Nursing Standard, 1990
In the light of a recent murder trial in which two defendants accused of murdering their child, which attracted considerable press coverage, I feel it is necessary to emphasise how important nursing records are.
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Medical Records Course for Nurses

The American Journal of Nursing, 1950
M ANY nursing students probably feel that the hospital medical record librarian is a fussy individual who is overly concerned with filling out blank spaces on a printed form and insisting that they do the same. Fussy? Perhaps. Overly concerned? No! Time after time the life of a patient, the professional standing and financial well-being of a doctor ...
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What to include in a nursing record

British Journal of Nursing, 2016
Richard Griffith, senior Lecturer in Health Law, Swansea University, explains in this second article on recordkeeping the elements of a good record and what to include when making an entry in a patient's record.
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[Nursing records].

Enfermeria intensiva, 1996
The good evolution of intensive care demands an intense and fluent communication. It is important for the attention to patients as well as for a better exploitation of the experience obtained day after day to have a written register of all the data, results, judgements and relevant actions which are being performed.
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