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Right-sizing Documentation: What the Pandemic Taught Us about Clinical Documentation and Quality of Care
1Healthcare Innovation Online Graduate Certificate Program, Nursing and Engineering Innovation Center, University of Connecticut, School of Nursing, Storrs, CT, USA; iCare Nursing Solutions, Boston, MA, USA; Nightingale Apps, Boston, MA, USA.
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Nursing documentation is essential to communicate patient care delivery. This review explores available evidence on the contribution of nursing documentation toward quality care delivery during the COVID-19 pandemic. Nine articles were evaluated for at least one of the 6 factors of quality (eg, safe, timely, equitable, patient-centered, effective, and efficient). Analysis suggests that right-sizing documentation for optimal care quality requires continued efforts to reinforce the value and need of nursing documentation as a primary data source. Continued practice and research efforts are needed to reframe nursing documentation's essential role in benefiting a patient's current and future health care needs.
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