Aspects Of Effective Application Of Nursing Documentation

Abstract

Introduction

Documentation of nursing process is one of the most important independent nursing competence because it is an important source of information that provides feedback on the work of nurses and the quality of nursing care. A well-structured nursing documentation reflects the specifics of the different areas in nursing practice, which is essential for the provision of safe and personalized patient care.

Objectives

The aim of the study is to describe the factors that influence the effective use of nursing documentation.

Methods

Guidelines and rules about nursing documentation are outlined in a literature review, as well as the most common errors and mistakes that occur during documentation.

Conclusions

Despite of the importance, research on nursing documentation is not given sufficient priority in domestic context. Changes in nursing education also require the updating of nursing documentation.