Comprehensiveness of EPR Documentation by Home Care Nurses

被引：0

作者：

Gjevjon, Edith Roth ^{[1
,2
]}

Helleso, Ragnhild ^{[1
]}

机构：

[1] Univ Oslo, Fac Med, Inst Nursing & Hlth Sci, N-0316 Oslo, Norway

[2] Gjovik Univ, Fac Hlth Care & Nursing, Ctr Care Res, Trondheim, Norway

来源：

CONNECTING HEALTH AND HUMANS | 2009年 / 146卷

关键词：

nursing documentation; electronic patient records; quality; nursing process; home care nursing;

D O I：

10.3233/978-1-60750-024-7-766

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Nursing documentation of home health care was audited in a sample of 91 electronic patient records. The audit showed that documentation by home care nurses was unstructured and incomplete in terms of the nursing process. This supports similar findings from earlier research, and prompts questions about the feasibility of the nursing process as a framework for nursing documentation in practice.

引用

页码：766 / +

页数：2