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Documentation practices of nurses in long‐term care
Author(s) -
MARTIN ANTOINETTE,
HINDS CORA,
FELIX MARGOT
Publication year - 1999
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1046/j.1365-2702.1999.00281.x
Subject(s) - documentation , nursing , nursing documentation , health care , medicine , nursing care , psychology , political science , computer science , law , programming language
• Documentation of nursing care is an important source of reference and communication between nurses and other health care providers. • This article describes a study of the documentation practices of nurses in a long‐term care institution. • Results revealed a number of positive aspects of nurses' documentation practices and areas requiring modification or change which could be facilitated through redesigning the documentation system. • Implications for professional practice are discussed, which include the need for a concise, non‐duplicating system of documentation, and the importance of nursing documentation in support of evidence‐based practice.