[Professional practice and nursing records]
1Service d'accueil des urgences, CHRU de Nancy, 29 avenue De-Lattre-de-Tassigny, 54000 Nancy, France.
Revue De L'Infirmiere
|May 3, 2017
Summary
Nursing record-keeping has evolved, serving as proof of professional responsibility. These essential documents highlight caregiver competencies and foster patient collaboration.
Area of Science:
- Nursing
- Healthcare Documentation
Background:
- Nursing record-keeping has a long history.
- It serves multiple critical functions within healthcare.
Purpose of the Study:
- To explore the functions of nursing records.
- To emphasize their role in professional accountability and patient engagement.
Main Methods:
- Historical analysis of nursing documentation practices.
- Review of the literature on the impact of record-keeping.
Main Results:
- Nursing records provide legal and professional proof of care.
- They effectively demonstrate the skills and expertise of nursing staff.
- Records facilitate and document patient collaboration.
Conclusions:
- Nursing records are fundamental to professional nursing practice.
- They are vital for accountability, competency validation, and collaborative care models.
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