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Related Concept Videos

Guidelines for Nursing Documentation II01:26

Guidelines for Nursing Documentation II

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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.
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Standards of Care II01:19

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Nurses bear specific legal responsibilities under several federal statutes, including:
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Nursing Clinical Information System01:27

Nursing Clinical Information System

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Nursing Clinical Information System (NCIS)
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:
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Guidelines for Nursing Documentation I01:30

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Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
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Standards of Care I01:22

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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:
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Methods of Documentation V: CBE01:23

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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...
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Related Experiment Video

Updated: Apr 21, 2026

Portable Intermodal Preferential Looking IPL: Investigating Language Comprehension in Typically Developing Toddlers and Young Children with Autism
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Guided and directed cues: developing a standardized coding scheme for clinical practice.

Joelle R Urquhart, Elizabeth R Skidmore

    OTJR : Occupation, Participation and Health
    |October 28, 2014
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    Summary
    This summary is machine-generated.

    Therapists use guided and directed cues during rehabilitation. Directed cues are more frequent than guided cues in clinical practice, but their effects require further study.

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    Area of Science:

    • Neuroscience
    • Rehabilitation Therapy
    • Clinical Practice

    Background:

    • Therapists utilize guided and directed cues to facilitate patient learning during rehabilitation.
    • The frequency and impact of these therapeutic cues in clinical settings remain largely uninvestigated.

    Purpose of the Study:

    • To develop and validate a standardized coding scheme for characterizing training cues used in therapy.
    • To quantify the frequency of guided and directed cues in inpatient stroke rehabilitation.

    Main Methods:

    • A standardized coding scheme was developed to categorize training cues.
    • 27 therapy sessions involving 10 inpatient stroke rehabilitation participants were recorded.
    • Two raters coded cue types and frequency, achieving high inter-rater reliability (ICC = 0.950 for guided cues, 0.995 for directed cues).

    Main Results:

    • The frequency of cues per minute ranged from 1 to 13 across participants.
    • Directed cues were observed more frequently than guided cues during the recorded sessions.

    Conclusions:

    • This study established a reliable method for coding therapeutic cues in rehabilitation.
    • Further research with larger sample sizes is needed to explore the significance of cue type and frequency in clinical practice.