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Related Experiment Videos

Nursing documentation audit--the effect of a VIPS implementation programme in Denmark.

Mette Rosendal Darmer1, Lena Ankersen, Bettina Geissler Nielsen

  • 1Bispebjerg Hospital, SFI, and Department 5012, Copenhagen University Hospital, Denmark.

Journal of Clinical Nursing
|April 25, 2006
PubMed
Summary
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Nurses demonstrated improved documentation adherence using the VIPS model, enhancing assessment quality and care plan completion. This structured approach boosts analytical skills for future complex systems.

Area of Science:

  • Nursing Informatics
  • Healthcare Quality Improvement
  • Clinical Documentation

Background:

  • Danish hospitals sought to enhance nursing documentation, previously relying on basic nursing process versions and Henderson's theory.
  • The VIPS (well being, integrity, prevention, safety) model was introduced at Copenhagen University Hospital in 2002-2004.
  • VIPS utilizes a keyword system for organized nursing data storage and retrieval.

Purpose of the Study:

  • To assess nurses' adherence to the VIPS documentation model.
  • To evaluate the impact of the VIPS model on nursing assessment quality.
  • To quantify the effect of the VIPS model on nursing care plan completion.

Main Methods:

  • A retrospective study design was employed.
  • Nursing journals (n=600) from cardiology, neurology, oncology, and urology departments were audited annually for three years.

Related Experiment Videos

  • The Cat-ch-Ing instrument was used for auditing, with random selection of the first 50 journals per department on specific dates.

    • Main Results:

    • Significant improvements in nursing documentation quality and quantity were observed over the study period.
    • Nurses correctly applied VIPS keywords after the second year, increasing familiarity with diagnoses, goals, and interventions.
    • The application of primary nursing and the quality of patient status documentation (initial, ongoing, discharge) improved.

    Conclusions:

    • A structured VIPS implementation program and staff training significantly enhanced nursing documentation.
    • The VIPS model improved nurses' analytical skills, preparing them for advanced computerized systems.
    • This study demonstrates effective strategies for improving clinical nursing documentation and practice.