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Training as a Means for Improving Staff Nurses’ Documentation Skills

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Last updated: 03 Jan 2025

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Abstract

Background: principals of communicating information among healthcare providers are through patient care documentation. Accurate, timely, thorough and concise documentation can be the deciding factor for whether a patient lives or dies. Aim: The present study was aiming at utilizing training as a means for improving staff nurses' documentation skills. Subjects: 63 nurses were included in the study. Setting: The study was conducted at inpatient units at Al Helal hospital. This hospital is affiliated to Ministry of Health Specialized Medical Centers. Methods: three tools were used to collect data for this study. Knowledge assessment questionnaire, an observational checklist, Pre and post-test simple questions according to the title of each session. Results: slightly more than two fifth of staff nurses had high level of knowledge regarding total documentation dimensions in preprogram phase, while all staff nurses had highly knowledge in post phase and slightly decline at follow up phase with highly statistically significant improvement with all the phases of intervention. majority of staff nurses had low total performance level at preprogram phase while four fifth of them had high performance level at post phase and three quarter of them had high performance level after three months of training intervention with highly statistically significant improvement in total documentation performance level with all the phases of intervention. Conclusion: There was highly statistically significant improvement in total staff nurses' documentation knowledge and performance level during post and follow up phase as compared with preprogram phase. This supported the study hypothesis which stated, staff nurses documentation skills will be improved after implementing the training intervention. Recommendation: dissemination of manual for new staff nurses contains documentation skills. Dissemination of information and research finding should be done online to improve its utilization.

DOI

10.21608/ejhc.2019.28800

Keywords

Documentation skills, Staff nurses, Training

Authors

First Name

Reham

Last Name

Gaber Abd-Elsattar Saker

MiddleName

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Affiliation

M.Sc Nursing Administration Department- Ain Shams University

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City

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Orcid

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First Name

Samia

Last Name

Adam

MiddleName

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Affiliation

Nursing Administration Administration Department- Ain Shams University

Email

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City

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Orcid

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First Name

Rabab

Last Name

Mahmoud Hassan

MiddleName

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Affiliation

Nursing Administration Administration Department- Ain Shams University

Email

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City

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Orcid

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Volume

10

Article Issue

1

Related Issue

4785

Issue Date

2019-03-01

Receive Date

2019-03-17

Publish Date

2019-03-01

Page Start

194

Page End

207

Print ISSN

1687-9546

Online ISSN

3009-6766

Link

https://ejhc.journals.ekb.eg/article_28800.html

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https://ejhc.journals.ekb.eg/service?article_code=28800

Order

15

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Training as a Means for Improving Staff Nurses’ Documentation Skills

Details

Type

Article

Created At

22 Jan 2023