2. Nursing documentation is an important tool for
evaluating the care provided by the caregivers and
It emphasizes on monitoring quality of health-care
based on the patients’ outcomes .
3. Nursing documents can be used for:
(i) Ensuring quality of care through communication
(ii) Furnishing legal evidence of the process and outcomes of care
(iii) Evaluation of the quality, efficiency and effectiveness of the
patient care;
(iv) Providing data for research, financial and ethical quality assurance
purposes
(v) Providing the infrastructure supporting development of nursing
knowledge ;
(vi) Assisting in establishing benchmarks for the development of
nursing education and standards of clinical practice ;
(vii) Ensuring the appropriate reimbursement;
(viii) Providing the data for future health-care planning ; and
(ix) Providing data for other purposes such as risk management,
learning experience for students, protection of patients’ rights .
4. To identify the knowledge regarding nursing
documentation.
To assess the practice regarding nursing
documentation.
To find out association of knowledge and practice with
the selected variables.
To find out the relationship between the knowledge
and practice.
5. Dependent variables:
Knowledge of nurses regarding nursing documentation
Practice of nurses regarding nursing documentation
Independent variables:
Age
Education
Work experience
Working area
Related training and/or workshop
Frequency of supervision
Nursing audit
6. Independent :
Age: completed years at last birthday
Education:
BN/BSC. Nursing,
certificate nursing,
ANM
Work experiences: completed years and months
8. Related CNE, training and workshop
Yes
No
If yes, specify…………………
Supervision
Often
Sometimes
Rarely
Never
9. Nursing audit on documentation
Often
Sometimes
Rarely
Never
10. Dependent variables:
Knowledge : Nurses' knowledge will evaluate by
prepared questionnaires on nursing domains related to
nursing process,
legal accuracy,
chronology, and
accuracy of record keeping and
significance of documentations.
11. Practice:
Checklists will provide covering four areas:
Nursing records,
Drug interventions,
Vital sign and
I & O of fluids.
12.
13. Research desing:
Crosectional study
Settings:
selected hospitals of eastern region
Population:
Selected nurses from selected hospitals
14. Stratified population proportionate systematic random
sampling
First: form strata of hospitals: medical college,
zonal hospital, district hospital and private hospitals
above 50 beded and randomly select from 1 medical
college, 1 zonal hospital, 4 district hospital and 4
private hospitals from each strata
Second: population proportionate each hospital
Third: Simple random sampling
17. Formal approval will be obtained from the concerned
authorities.
Informed written consent will be obtained from each
respondent before giving the questionnaire.
Confidentiality and anonymity will be maintained
throughout the study and will be maintained later.
18. Personal cost
Transportation 10,000
Communication 5,000
Refreshment 12,000
Material cost
Stationary 2,000
Literature review
i) Photocopy 5,000
ii) Printing 5,000
iii) Internet 5,000
21. Jasemi M, Zamanzadeh V, Rahmani A, Mohajjel A,
Alsadathoseini F. (2012). Knowledge and Practice of
Tabriz Teaching Hospitals’ Nurses Regarding Nursing
Documentation. Thrita Journal of Medical
Sciences,1(4), 133-138.
Wang N, Hailey D, Yu P. (2011). Quality of nursing
documentation and approaches to its evaluation: a
mixed-method systematic review. Journal of Advanced
Nursing 00(0), 000–000. doi: 10.1111/j.1365-
2648.2011.05634.x