Improving documentation using a nursing model
Version of Record online: 25 JUL 2003
Journal of Advanced Nursing
Volume 43, Issue 4, pages 402–410, August 2003
How to Cite
Björvell, C., Wredling, R. and Thorell-Ekstrand, I. (2003), Improving documentation using a nursing model. Journal of Advanced Nursing, 43: 402–410. doi: 10.1046/j.1365-2648.2003.02751.x
- Issue online: 25 JUL 2003
- Version of Record online: 25 JUL 2003
- Submitted for publication 7 August 2002 Accepted for publication 10 April 2003
- nursing documentation;
- focus groups;
- prerequisites and consequences;
Background. The present investigation is part of a study where the Registered Nurses on three hospital wards received a 2 year intervention programme on nursing documentation in accordance with a keyword structure based on the nursing process.
Aim. To describe the Registered Nurses’ perceptions of and attitudes towards the effects of the intervention, and to generate hypotheses for further research.
Method. Focus group discussions were used to collect data, with a qualitative content analysis method for the processing of the data.
Findings. The most interesting finding in these group discussions was the statements made by participants that the structured way of documenting nursing care made them think more, and think in a different way about their work with their patients. Two types of role changing were reported; from a medical technical focus to a more nursing expertise orientation and from a ‘hands on clinician’ to more of an administrator and secretary.
Conclusion. A number of issues debated among the participants in this study could be seen as organizational matters and lead to the important issue of multidisciplinary and organizational work when implementing innovations within nursing.