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362188

Factors Influencing Effective Documentation and its relation to Patients Safety as Perceived by Staff Nurses.

Article

Last updated: 04 Jan 2025

Subjects

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Tags

Nursing administration

Abstract

 Background: Nurses play a vital role in maintaining and promoting quality care, while documentation is the evidence that displays nurses' performance. To achieve set goals regarding patient safety, it is pivotal to keep the clinical record of the patient to understand the patient's overall profile of delivered and intended care and provide the best possible care to improve patient safety through proper and accurate documentation Aim of the study: The study aimed to assess factors influencing effective documentation and its relation to patients' safety as perceived by staff nurses. Study design: A descriptive correlational research design was utilized to fulfill the aim of study. Setting: The present study conducted at Critical Care Units at Benha University Hospital, Qalyubia, Egypt. Subject: The study subjects included all available (420) staff nurses who were working in the above-mentioned study setting. Tools of data collection: Two tools were used in the study first tool: Factors Influencing Effective Documentation Questionnaire, second tool: Patient Safety Questionnaire. Results: The highest factor influencing effective documentation was nurses related factors followed by factors related to nursing administration while the lowest factor was related to work environment, more than two thirds(68.3%) of staff nurses reported that level of patient safety was high. Conclusion: There was highly statistically significant positive correlation between total factors influencing effective documentation with patient safety. Recommendation: Designing and implementing educational program about nursing care documentation standard and providing critical care nurses training courses regarding patient safety by hospital administration.

DOI

10.21608/jnsbu.2024.362188

Keywords

Documentation, Factors Influencing, Patients safety, Staff nurses

Authors

First Name

Eman

Last Name

Adel Mohamed Tawfik

MiddleName

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Affiliation

Nursing supervisor at Benha Health Insurance Hospital, Egypt

Email

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City

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Orcid

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First Name

Howida

Last Name

Hassan El-sayed Mahfouz

MiddleName

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Affiliation

Assistant Professor of Nursing Administration, Benha University Egypt, Egypt

Email

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City

-

Orcid

-

First Name

Nora

Last Name

Ahmed AbdAllah

MiddleName

-

Affiliation

Assistant Professor of Nursing Administration, Benha University Egypt, Egypt

Email

-

City

-

Orcid

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Volume

5

Article Issue

2

Related Issue

48662

Issue Date

2024-07-01

Receive Date

2024-06-26

Publish Date

2024-07-01

Page Start

168

Page End

184

Print ISSN

2682-3934

Online ISSN

2735-5802

Link

https://jnsbu.journals.ekb.eg/article_362188.html

Detail API

https://jnsbu.journals.ekb.eg/service?article_code=362188

Order

10

Publication Type

Journal

Publication Title

Journal of Nursing Science Benha University

Publication Link

https://jnsbu.journals.ekb.eg/

MainTitle

Factors Influencing Effective Documentation and its relation to Patients Safety as Perceived by Staff Nurses.

Details

Type

Article

Created At

28 Dec 2024