1. Impact of an education intervention on nursing diagnoses in free-text format in electronic health records: A pretest-posttest study in a medical department at a university hospital.
- Author
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Nøst, Torunn Hatlen, Frigstad, Sigrun Aasen, and André, Beate
- Subjects
ACADEMIC medical centers ,CONFIDENCE intervals ,STATISTICAL correlation ,HOSPITAL wards ,RESEARCH methodology ,NURSES ,NURSES' aides ,NURSING ,NURSING practice ,NURSING audit ,NURSING care plans ,NURSING diagnosis ,NURSING records ,NURSING school faculty ,PERSONNEL management ,RESEARCH evaluation ,RESEARCH funding ,SCALE analysis (Psychology) ,STATISTICS ,PRE-tests & post-tests ,INTER-observer reliability ,DATA analysis software ,ELECTRONIC health records ,WORK experience (Employment) ,DESCRIPTIVE statistics ,HOSPITAL nursing staff ,MANN Whitney U Test - Abstract
Discussions on how nursing documentation should be carried out have been ongoing for the last decade. In this study, free-text format for nursing diagnoses was introduced to nursing staff at a university hospital in Norway. The aim of the study was to investigate the impact of an education intervention introducing nursing diagnoses in a free-text format following a problemetiology- symptom structure. A pretest-posttest design was performed to assess changes in quality and quantity in the nursing documentation using the audit instrument N-Catch II. Several elements in the nursing documentation had statistically significant changes; the largest was found for quantity in nursing diagnoses. Education interventions aimed to improve nurses' documentation in the electronic health record may have an effect on more complete and accurate nursing documentation. The presented education intervention showed a significant impact of more accurate nursing diagnoses and significant improvements in nursing documentation. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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