Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Guidelines for Nursing Documentation II

Guidelines for Nursing Documentation II

Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.

Guidelines for Nursing Documentation I

Guidelines for Nursing Documentation I

Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.

Guidelines for Writing Outcome

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...

Standards of Care II

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

Standards of Care I

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:

Methods of Documentation VI: Case Management Model

Methods of Documentation VI: Case Management Model

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...

You might also read

Related Articles

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

Sort by

Same author

Conceptualizing the DREAM Model within Watson's Transpersonal Theory of Human Caring for Advancing Adolescent Mental Health Nursing.

Journal of holistic nursing : official journal of the American Holistic Nurses' Association·2025

Same author

Smartphone Mental Health Application Use Among Thai Older Adults: A Thematic Analysis Guided by Locsin's Theory of Technological Competency as Caring in Nursing.

Nursing science quarterly·2025

Same author

Exploring retired and emeriti professors' areas of interest in intergenerational initiatives: Enhancing Age-Friendly University (AFU) principles.

Gerontology & geriatrics education·2025

Same author

Emeriti professors' perceptions: qualitative research exploring involvement in university activities.

Gerontology & geriatrics education·2025

Same author

Disciplinary Thinking for the Scholarship of Nursing Research.

Nursing science quarterly·2024

Same author

Foresight and Forecast: The Future of Gerontological Nursing for the Next 50 Years.

Journal of gerontological nursing·2024

Same journal

Research on Angiotensin Receptor-Neprilysin Inhibitor Use Across Care Settings, the Effectiveness of ALIGN, and Validating Measures Between the Electronic Health Record and Medicare Claims Showcased at #AGS26.

Journal of gerontological nursing·2026

Same journal

Music for Health: Considerations for the Role of Music in Delirium Care.

Journal of gerontological nursing·2026

Same journal

Readability and Linguistic Characteristics of Alzheimer's Disease and Related Dementias Prevention, Symptom, and Treatment Information from Generative Artificial Intelligence Chatbots.

Journal of gerontological nursing·2026

Same journal

Cultural Adaptation and Validation of the Empathy Circle in Dementia Care for Older Adults.

Journal of gerontological nursing·2026

Same journal

Falls in Assisted Living Facilities: Can Artificial Intelligence Improve Documentation and Reduce Injury?

Journal of gerontological nursing·2026

Same journal

Consistency in Advance Care Planning Awareness, Attitudes, and Engagement Among Older Adults With Chronic Diseases and Their Families in China: A Mixed Methods Study.

Journal of gerontological nursing·2026

See all related articles

Search research articles

Related Experiment Video

Updated: Apr 22, 2026

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Published on: February 8, 2019

Evidence-based practice guideline: wandering

May Futrell, Karen Devereaux Melillo, Ruth Remington

Journal of Gerontological Nursing

|October 14, 2014

Summary

No abstract available in PubMed .

More Related Videos

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease

Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease

Published on: June 16, 2023

Related Experiment Videos

Last Updated: Apr 22, 2026

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults

Published on: February 8, 2019

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease

Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease

Published on: June 16, 2023