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 } }
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.
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References
SHOWING 1-10 OF 98 REFERENCES
Evaluating nursing documentation - research designs and methods: systematic review.
- Medicine
- Journal of advanced nursing
- 2009
- 162
A meta-study of the essentials of quality nursing documentation.
- Medicine
- International journal of nursing practice
- 2010
- 125
Nursing diagnoses, interventions and outcomes - application and impact on nursing practice: systematic review.
- Medicine
- Journal of advanced nursing
- 2006
- 176
Development of an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes: the Q-DIO.
- Medicine
- Journal of clinical nursing
- 2009
- 44
- Highly Influential
Discursive practices in the documentation of patient assessments.
- Medicine
- Journal of advanced nursing
- 2006
- 50
Effects of a Computer-based Nursing Documentation System on the Quality of Nursing Documentation
- Medicine, Computer Science
- Journal of Medical Systems
- 2007
- 64
- Highly Influential
Patient-focused nursing documentation expressed by nurses.
- Medicine
- Journal of clinical nursing
- 2010
- 29
- Highly Influential
Development of an audit instrument for nursing care plans in the patient record
- Medicine
- Quality in health care : QHC
- 2000
- 97
- Highly Influential
- PDF
Prevalence of accurate nursing documentation in patient records.
- Medicine
- Journal of advanced nursing
- 2010
- 108
- Highly Influential