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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
PubMed
Summary
This summary is machine-generated.

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Nurses spend over 15% of their day on documentation. Merging the patient care plan with the nursing care management MAP offers a concise and effective solution for essential patient care documentation.

Area of Science:

  • Nursing
  • Healthcare Management
  • Clinical Documentation

Background:

  • Patient care documentation is a significant time commitment for practicing nurses, estimated at over 15% of their daily activities.
  • Effective documentation is crucial for accurately recording patient care and responses.
  • There is a recognized need for improved, efficient, and concise documentation systems in nursing.

Purpose of the Study:

  • To propose an innovative documentation system by merging the traditional patient care plan with the nursing care management MAP.
  • To enhance the efficiency and effectiveness of nursing documentation practices.

Main Methods:

  • Integration of the traditional patient care plan.
  • Incorporation of the nursing care management MAP.

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  • Combining proactive multidisciplinary care with established care plan concepts.

    • Main Results:

    • The proposed merger offers a streamlined approach to patient care documentation.
    • This integrated system aims to improve the conciseness and efficiency of recording patient care and response.
    • Potential for enhanced clarity and effectiveness in nursing documentation.

    Conclusions:

    • The merger of patient care plans and nursing care management MAPs presents a viable solution to documentation challenges.
    • This innovative approach can lead to more efficient and effective patient care documentation for nurses.
    • The integrated system leverages the strengths of both multidisciplinary care management and traditional care planning.