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[The evolution of nursing record-keeping].
1Ifsi Lionnois, CHRU Nancy, 27 rue Lionnois CO 60034, 54035 Nancy Cedex, France.
Revue De L'Infirmiere
|May 3, 2017
Summary
Nursing record-keeping is essential for patient care traceability and safety. It enhances communication among healthcare providers, solidifying nursing
Area of Science:
- Nursing
- Healthcare Informatics
- Patient Safety
Background:
- Nursing record-keeping is fundamental to patient care delivery.
- It ensures care traceability and effective monitoring.
- Facilitates information exchange among healthcare professionals.
Purpose of the Study:
- To highlight the critical role of nursing documentation in healthcare.
- To emphasize its contribution to quality and safety of care.
- To explore record-keeping as an affirmation of nursing practice.
Main Methods:
- Literature review on nursing documentation practices.
- Analysis of the impact of record-keeping on patient care.
- Exploration of the historical context of nursing communication.
Main Results:
- Record-keeping enhances traceability and monitoring of patient care.
- It improves information circulation, ensuring quality and safety.
- Documentation validates nursing's distinct professional thinking.
Conclusions:
- Nursing record-keeping is indispensable for safe and effective patient care.
- It serves as a cornerstone for interprofessional communication and care coordination.
- Embracing documentation reinforces the professional identity and cognitive processes of nursing.
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