Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

1.3K
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
1.3K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

924
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
924
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

5.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.3K
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

1.8K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.8K
Methods of Documentation II: POMR01:26

Methods of Documentation II: POMR

1.4K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.4K
Data Collection III01:05

Data Collection III

4.4K
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
4.4K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Outcomes of a Dexmedetomidine Infusion Protocol in Pediatric Patients Post-Cardiac Catheterization: A Program Evaluation.

Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses·2026
Same author

A Mixed Methods Program Evaluation of a Structured Orientation for Newly Hired Certified Registered Nurse Anesthetists.

Journal for nurses in professional development·2026
Same author

Implementation of a Digital Patient Activation Tool to Engage Patients With Heart Failure in Intensification of Guideline-Directed Medical Therapies.

Computers, informatics, nursing : CIN·2026
Same author

The Role of Standardizing the White's Fast Track Handoff From Operating Room to Postanesthesia Care Unit: A Quality Improvement Project.

Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses·2026
Same author

Association of Virtual Nursing and Task Completeness: An Observational Study.

SAGE open nursing·2025
Same author

Association of Virtual Nurses' Workflow and Cognitive Fatigue During Inpatient Encounters: Cross-Sectional Study.

JMIR human factors·2025

Related Experiment Video

Updated: May 4, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
06:18

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

9.0K

A multimodal approach to EBP

Monica R Walter1, Julia Aucoin, Rosemary Brown

  • 1At Duke University Health System in Durham, N.C., Monica R. Walter is a strategic services associate and a surgical clinical reviewer, and Julia Aucoin is a nurse research scientist. Rosemary Brown is the assistant CNO, Eastern Division, at Lifepoint Hospital Inc., in Durham, N.C. Julie A. Thompson is a nursing research associate and a statistical consultant at Duke University School of Nursing in Durham, N.C. Dori Taylor Sullivan is a leadership/education/quality consultant in Stuart, Fla.

Nursing Management
|December 25, 2013
PubMed
Summary

No abstract available in PubMed .

More Related Videos

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

1.5K
Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
12:55

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Published on: September 27, 2020

7.6K

Related Experiment Videos

Last Updated: May 4, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
06:18

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

9.0K
Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

1.5K
Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
12:55

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Published on: September 27, 2020

7.6K