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Streamlining patient care documentation
D T Gwozdz1, V Del Togno-Armanasco
1Respiratory Unit, Tuscon Medical Center, AZ.
The Journal of Nursing Administration
|May 1, 1992
Abstract:
One of the most challenging realities faced by practicing nurses is patient care documentation. Miller and Pastorino have estimated that nurses currently spend more than 15% of their day in documentation activities. This documentation is essential in describing the care provided and the patient's response to that care. Today, a concise, efficient, and effective documentation system is urgently needed. The answer is the merging of the traditional patient care plan with the nursing care management MAP. This merger combines the proactive approach of multidisciplinary care found in nursing case management with the best concepts of the care plan.