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Issues surrounding record keeping in district nursing practice.

E E Anderson1

  • 1Old Machar Medical Practice, Aberdeen, UK.

British Journal of Community Nursing
|September 25, 2002
PubMed
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This study reviews nursing documentation practices after the UKCC

Area of Science:

  • Nursing
  • Healthcare Management
  • Legal Aspects of Healthcare

Background:

  • Nursing documentation is crucial for patient care and interprofessional communication.
  • Record keeping aligns with clinical governance, impacting quality improvement and risk management.
  • Legal requirements for record keeping in district nursing are a key consideration.

Purpose of the Study:

  • To examine nursing documentation post-UKCC guidelines.
  • To highlight the role of documentation in patient care and team collaboration.
  • To discuss legal aspects and suggest methods for quality assessment in community settings.

Main Methods:

  • Review of nursing documentation practices.
  • Analysis of legal requirements in district nursing.

Related Experiment Videos

  • Proposal for audit and research to assess documentation quality.

    • Main Results:

    • Nursing documentation is vital for patient care and interprofessional communication.
    • Effective record keeping supports clinical governance, quality improvement, and risk management.
    • Current systems' suitability in community settings requires assessment through audit and research.

    Conclusions:

    • Nursing documentation is essential for safe and effective patient care.
    • Adherence to guidelines and legal requirements is paramount.
    • Further assessment via audit and research is needed to optimize community nursing record-keeping systems.