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By: Group 7
 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 .
 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 .
 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.
 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
 Independent :
 Age: completed years at last birthday
 Education:
 BN/BSC. Nursing,
 certificate nursing,
 ANM
 Work experiences: completed years and months
 Working area:
 General ward
 Special ward
 Related CNE, training and workshop
 Yes
 No
 If yes, specify…………………
 Supervision
 Often
 Sometimes
 Rarely
 Never
 Nursing audit on documentation
 Often
 Sometimes
 Rarely
 Never
 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.
 Practice:
Checklists will provide covering four areas:
 Nursing records,
 Drug interventions,
 Vital sign and
 I & O of fluids.
 Research desing:
 Crosectional study
 Settings:
 selected hospitals of eastern region
 Population:
 Selected nurses from selected hospitals
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
 250
 An informed consent should be taken.
 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.
 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
 Report preparation cost 10,000
 Expert cost
 Statistician 10,000
 Translator 3,000
 Editor 5,000
 Principle investigator 20,000
 Co-investigator 15,000
 Enumerator(data collector) 10,000
 Miscellaneous 5,000
total budget two lakhs
1st
month
2nd
month
3rd
month
4th
month
5th
month
6th
month
Finalization
of the
proposal
Pilot study
Data
collection
Data
analysis
Report
writing
Dessiminati
on
 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

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7. workshop

  • 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
  • 7.  Working area:  General ward  Special ward
  • 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
  • 16.  An informed consent should be taken.
  • 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
  • 19.  Report preparation cost 10,000  Expert cost  Statistician 10,000  Translator 3,000  Editor 5,000  Principle investigator 20,000  Co-investigator 15,000  Enumerator(data collector) 10,000  Miscellaneous 5,000 total budget two lakhs
  • 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