A study to assess the effectiveness of quality documentation training program on written nursing documentation among nurses at selected private hospitals of punjab

Abstract

ABSTRACT newline newlineBackground newline newlineNurses are the largest human force working in healthcare institutions towards patient curative and care management. They considered as the heart of health team member and each team member heavily dependent on nurses work to know more about the patient. While spending maximum time with patient care, one of most essential task nurses do is writing accurate documents which cover all care and curative parts of the patient. So, it become an important duty of the nurse to write these documents in a standard manner with keeping utmost accuracy, honesty so that based on these documents the prognosis of patients will be improved. But there are evidences which mentioned that the documents which nurses prepare are not matching the quality standards. These poor constructed documents may lead to some of the fetal situations such as medication error, mishandling the patient, inappropriate information leads to mixing of reports of one patient to another or missing a few important parameters of patients etc. etc. such poor documentation not only increase the length of stay at the hospital for patients but also putting financial burden, which again can be tangible to non-tangible cost. newlineDocumentation is a fundamental piece of nursing administrations and dominant part of correspondence between nurse to patients, nurse to nurse, nurse to health team members, wellbeing group individuals to patient and other comparative correspondence as to patient consideration are consistently covered under nurture reports. Nurse will come to understand that keeping up incredible record has expeditious and long stretch advantages for staff. Clearly advantage in respect of prosperity and in long terms it safeguards the individual and gathering from claim of defenseless record keeping. Confirmations additionally recommended that there are realities that inappropriate documentation expanded clinical blunder to drug mistake which eventually cost patient mortality. There are not many specialists run after this space to comprehend