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Sykepleiedokumentasjon - Papir versus elektronisk dokumentasjon
Engelsk titel: Nursing documentation - paper vs. electronic documentation Läs online Författare: Eriksen, Inger Margrethe ; Larsen, Kristin Sagmo Språk: Nor Antal referenser: 15 Dokumenttyp: Artikel UI-nummer: 13013376

Tidskrift

Nordisk Sygeplejeforskning 2012;2(4)297-306 ISSN 1892-2678 E-ISSN 1892-2686 KIBs bestånd av denna tidskrift

Sammanfattning

Background: The introduction of electronic nursing documentation, involving the application of classification systems such as NANDA and NIC, raised hopes of a change in quality of the documentation. Method: A retrospective descriptive document analysis prior to and after introduction of the electronic nursing module in the electronic patient journal by means of using a Norwegian version of the Swedish mapping instrument for nursing journals Cat-ch-ing, supplemented with two ethical questions. Study group: Paper-based (n = 30) and electronic nursing records (n = 30) from discharged geropsychiatric patients. Results: The study shows an improvement, both quantitative and qualitative, in the electronic nursing documentation. Conclusion: There is a need for more education to meet the requirements of the law, as well as further development of the electronic version of the documentation module with respect to the classification system.