Related Experiment Video
Updated: Apr 28, 2026

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
Published on: July 12, 2024
Patients' nursing records revealing opportunities for interprofessional workplace learning in primary care: a chart
Peter Pype1, Johan Wens, Ann Stes
1Department of Family Medicine and Primary Health Care, UZ-6K3, De Pintelaan 185, 9000 Gent, Belgium.
Background:
Working and learning go hand in hand during interprofessional collaborative practice. Patients' nursing records are designed to record patient care and health status. It is not known whether these records are also used to keep track of interprofessional contacts or interprofessional learning between team members. This study explored the usefulness of patients' nursing records in optimising interprofessional workplace learning for general practitioners.
Methods:
We utilized a descriptive retrospective chart review. All palliative home care teams of the Dutch speaking part of Belgium were involved. Throughout the year 2010, a representative sample of patient charts was selected. Characteristics of encounters between general practitioners and palliative care nurses were extracted from the charts.
Results:
Detailed accounts of interprofessional contacts were found in the charts. Palliative care nurses recorded number and type of contacts, topics discussed during contacts and general practitioner's learning activities.
Discussion:
Palliative care nurses are sensitive and open towards the general practitioners' learning needs. Patients' nursing records provide useful information for interprofessional team discussions on workplace learning. Healthcare professionals should be trained to respond to each other's learning needs.
Related Concept Videos
Types of Records I: Unit and Nurses Records
Unit records can be divided into two main types: administrative records and clinical records.
Administrative records in...
Types of Records II: Educational and Administrative Records
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Formats for Nursing Documentation
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
