A Study to Assess the Knowledge and Practice of Nursing Documentation In Hospital Among Staff nurses of Selected Hospitals of Aravalli District"

Abstract

Background- Documentation ensures safety, quality and continuity of care of the patient. It is to improve, the time management, to avoid the numbers of error in the records, for the need of legal accountability, to make the nursing work visible and for the necessity of making nursing notes understandable to other disciplines. Staff nurses are educated through inservice education and computerized self study modules about complete and accurate documentation. The goal is to implement and evaluate standardized nursing record, positive perceptions of nursing documentation for further development to a nursing documentation including a holistic view of the patient. Aims and Objectives-1. To assess the knowledge of staff nurses regarding Nursing Documentation. 2. To assess the practice of staff nurses regarding Nursing Documentation. 3. To find the association between knowledge and practice with selected demographic variables. Material and Method- A non experimental descriptive design was used in the study. The data was collected from 30 subjects in SFGG hospital and 30 Subjects in Sarvajanik Hospital, through convenient sampling technique. Data was collected using structured questionnaire and observation checklist. Result- The overall analysis of level of knowledge of staff nurses regarding Nursing Documentation showed that mean knowledge score obtained by the subjects was 9.32 (46.6%) with standard deviation of 3.744 and the obtained practice score was 10.68 (71.2%) with standard deviation 2.877.