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Record-keeping: Challenges experienced by nurses in selected public hospitals.
Takalani E Mutshatshi1, Tebogo M Mothiba, Pamela M Mamogobo
1Department of Nursing Science, University of Limpopo. mutshatshit@gmail.com.
Curationis
|September 11, 2018
Summary
Nurses face significant record-keeping challenges in public hospitals due to time constraints and material shortages. Improving patient care requires addressing these issues through training and better resource management.
Area of Science:
- Healthcare Management
- Nursing Practice
- Health Information Systems
Background:
- Patient records are crucial for continuity of care and communication among nurses.
- Nurses' responsibility for accurate and complete records is vital for effective patient management.
- High workload in hospitals compromises nurses' ability to maintain accurate patient records.
Purpose of the Study:
- To explore and describe the challenges nurses face in record-keeping.
- Focus on selected public hospitals in the Vhembe district, Limpopo Province, South Africa.
Main Methods:
- Qualitative, explorative, and descriptive research design.
- Purposive selection of nurses from public hospitals.
- Semi-structured interviews until data saturation, analyzed using Tesch's open-coding method.
Main Results:
- Nurses identify record-keeping as a challenging activity.
- Key challenges include lack of time, increased patient admissions, and shortage of recording materials.
Conclusions:
- Current record-keeping practices are suboptimal, posing problems for patient care.
- Recommendations include continuous training, monitoring, evaluation, adequate material supply, and improved time management for nurses.
- Comprehensive record-keeping is fundamental for enhancing patient care in public hospitals.
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