|
|
Administrative burden of nurses
VÁLKOVÁ, Renata
Abstract Current status: The issue of a nursing documentation is nowadays a very much discussed topic, especially its bureaucratic burden. A nursing documentation is an everyday part of a working process of a nurse as it has a great effect on a quality of care. Therefore, it is very important, that the documentation is not only easy to work with, but also very effective, understandable and beneficial. All of that could be reached easier by transferring the nursing documentation into its electronic form, which is more and more common thanks to the modernization of all kinds of industries in general. The aim of this Thesis was mainly to find out and to document the opinion of a current nursing documentation held by nurses themselves, but also to learn how much time during their shift nurses have to spend filling up the paper documentation compare to the electronic form. Lastly, to evaluate advantages and disadvantages of the electronic form of nursing documentation. Methodology: For the research realization we used a combination of a quality and quantity research. A quality part had been done by semi-structured interviews whereas the quantity part had been done by surveys. Sample data consisted of nurses, who work with a nursing documentation on daily basis. Specifically, we involved 112 respondents who had been chosen by a specific selection and the size of a file had been set by the theory of data amount used in theory. Subsequently, we chose 8 nurses, who we hold a meeting with for the semi-structured interview. Result: In conclusion, we are confident to say, that majority of nurses is moreover satisfied with the nursing documentation as it is at the moment, therefore the paper form of documentation. However, the unhurried electronification of the nursing documentation is welcomed by many more nurses than we expected it to be. Majority of nurses find any kind of nursing documentation as a very important part of their job and also of a high quality of nursing care in general. Closure and a recommendation for practice usage: Our research opens up space for deeper analysis, which could be based on a comparison of the paper and the electronic form of a nursing documentation. As mentioned above, all kinds of industries are being transferred to an electronic form, especially data storage and its future archiving, therefore healthcare should be one of them too. It would be interesting to find out whether the electronic form of documentation, which is already used in some healthcare institutions, has anyhow been beneficial for the quality of care provided.
|
|
|
Electronic documentation in nursing practise
KRÝDLOVÁ, Michaela
As a consequence of the quick development of information technologies there has been a natural and gradual transition to the electronic data storage in nursing. The firstversions of the software application for such documentation have been developed in cooperation with professionals dealing with information technologies in the States of the European Union and it is the nurses who decide what the content of the nursing documentation will be. Therefore it is very important that the nurses {--} as the main users of this software {--} are actively involved in the creation process of the electronic nursing documentation. The advantage of introducing the electronic nursing documentation is filing of the important data about a client in the NIS where it is possible to retrieve the history anytime. In contrast to the traditional records, it is easier to read these records and it is not possible to cross any information out or lose it. Further, it saves nurses{\crq} time, it automatically records time and name of the medical worker who logged in the NIS and it meets the recommendations of the accreaditation standards. A qualitative research was used in the research part of this thesis. A semi-standardized interview with the head nurses and a structured interview with the senior staff nurses and ward sisters of the departments of internal medicine and of surginal wards of the selected hospitals were used to collect the data. Further, the method of content analysis was used to compare the electronic nursing documentation in the individua surveyed hospitals. The structured interview with the senior staff nurses and ward nurses was not done in the Hospital České Budějovice, a.s. because the programme of the electronic nursing documentation has not been started there. Case reports are created based on the gained interview results. The case reports comprise the research base on which categorized charts in which the research results are recorded are based. The research was conducted from January till June 2009. The surveyed group consists of head nurses, two senior staff nurses and two ward sisters of the departments of internal medicine and of surginal wards of the selected hospitals of the chosen regions of the Czech Republic. The research was conducted in the South Bohemian Region {--} the Hospital České Budějovice, a.s., the Pilsen Region {--} the Teaching Hospital Plzeň, the South Moravian Region {--} the Teaching Hospital Brno and the Vysočina Region {--} the Hospital Jihlava, p.o. Four research questions were defined at the beginning of our research in order to achieve our goal. The research questions 1: Does the electronic nursing documentation contain all phases of the nursing process (anamnesis, diagnosis, care plan and assessment)? The research questions 2: Is the nursing taxonomy a part of the electronic nursing documentation of each patient? How is the record of the nursing diagnosis created (crossing x filling in)? The research questions 3: Which nursing model has become the basis for the nursing anamnesis of the electronic nursing documentation? The research questions 4: Can the nurses take an active part in the preparation process of the electronic nursing documentation? All our research questions have been answered. We defined the following hypotheses based on the results of our research: H1: The electronic nursing documentation contains nursing anamnesis based on the Marjory Gordon{\crq}s conceptual model. H2: The nurses are offered to cooperate in the creation process of the electronic nursing documentation. H3: There is a taxonomy part in the nursing documentation. H4: The electronic nursing documentation covers all phases of the nursing process. We belive that the results of he
|
guest ::
