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Eliminating friendly fire. Successful nursing documentation strategies

P B Simmons, B Meadors

    Journal of Nursing Staff Development : JNSD
    |March 1, 1995
    PubMed
    Summary
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    Nursing documentation can be challenging. This article presents strategies from a nursing service department to overcome barriers, improving the usefulness of policies, procedures, and records for nurses.

    Area of Science:

    • Nursing Informatics
    • Healthcare Administration

    Background:

    • Documentation policies and procedures can be burdensome for nurses.
    • Inadequate documentation hinders effective patient care and institutional efficiency.

    Purpose of the Study:

    • To identify and present strategies for improving nursing documentation.
    • To transform documentation from a barrier into a helpful resource for nurses.

    Main Methods:

    • Review of strategies implemented in a specific nursing service department.
    • Qualitative analysis of barriers and solutions in documentation practices.

    Main Results:

    • Identified specific strategies that effectively reduced documentation barriers.
    • Demonstrated a shift in documentation perception from "torture" to a valuable tool.

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    Conclusions:

    • Implementing targeted strategies can significantly improve nursing documentation.
    • Streamlined documentation enhances nursing practice and resource utilization.