Quality of nursing documentation and approaches to its evaluation: a mixed-method systematic review.

@article{Wang2011QualityON,
  title={Quality of nursing documentation and approaches to its evaluation: a mixed-method systematic review.},
  author={Ning Wang and D. Hailey and P. Yu},
  journal={Journal of advanced nursing},
  year={2011},
  volume={67 9},
  pages={
          1858-75
        }
}
  • Ning Wang, D. Hailey, P. Yu
  • Published 2011
  • Medicine
  • Journal of advanced nursing
  • AIMS This paper reports a review that identified and synthesized nursing documentation audit studies, with a focus on exploring audit approaches, identifying audit instruments and describing the quality status of nursing documentation. [...] Key MethodDATA SOURCES Searches were made of seven electronic databases. The keywords 'nursing documentation', 'audit', 'evaluation', 'quality', both singly and in combination, were used to identify articles published in English between 2000 and 2010. Expand Abstract
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    References

    SHOWING 1-10 OF 98 REFERENCES
    Evaluating nursing documentation - research designs and methods: systematic review.
    • 162
    A meta-study of the essentials of quality nursing documentation.
    • 125
    Development of an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes: the Q-DIO.
    • 44
    • Highly Influential
    Discursive practices in the documentation of patient assessments.
    • 50
    Effects of a Computer-based Nursing Documentation System on the Quality of Nursing Documentation
    • 64
    • Highly Influential
    Patient-focused nursing documentation expressed by nurses.
    • 29
    • Highly Influential
    Development of an audit instrument for nursing care plans in the patient record
    • 97
    • Highly Influential
    • PDF
    Prevalence of accurate nursing documentation in patient records.
    • 108
    • Highly Influential
    Auditing nursing content in patient records.
    • 59