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Effects on the Quality of the Nursing Care Process Through an Educational Program and the Use of Electronic Nursing Documentation
Author(s) -
Bruylands Michelle,
Paans Wolter,
Hediger Hannele,
MüllerStaub Maria
Publication year - 2013
Publication title -
international journal of nursing knowledge
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.545
H-Index - 23
eISSN - 2047-3095
pISSN - 2047-3087
DOI - 10.1111/j.2047-3095.2013.01248.x
Subject(s) - nursing documentation , documentation , nursing outcomes classification , nursing , nursing process , nursing diagnosis , medical diagnosis , nursing interventions classification , medicine , quality (philosophy) , nursing care , process (computing) , psychological intervention , nurse education , primary nursing , computer science , philosophy , epistemology , pathology , programming language , operating system
Purpose To evaluate the effect of the educational program “ G uided C linical R easoning” ( GCR ) and the introduction of an intelligent electronic nursing documentation system (e‐doc) on the quality of the nursing process. Methods Evaluation was conducted at three measurement points and rated with the instrument “ Q uality of N ursing D iagnoses, I nterventions and O utcomes” ( Q‐DIO ). Findings 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. Conclusions E‐docs can support conducting the nursing process, but for meaningful e‐doc use, clinical reasoning is essential. Implications High‐quality nursing documentation requires recognition of factors obstructing or supporting nurses in the use of e‐docs while conducting the nursing process.