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Clinical Data Standards: It's Now or Never for the Nursing Profession

Lynn M Nagle1, Peggy White2

  • 1Adjunct Professor, University of New Brunswick Fredericton, NB, University of Toronto Toronto, ON, Western University London, ON.

Nursing Leadership (Toronto, Ont.)
|June 16, 2025
PubMed

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Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
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Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
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