FINAL DOCUMENTATION PRESENTATION.pptx

7/25/2019 FINAL DOCUMENTATION PRESENTATION.pptx

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RESEARCH PROJECT

PRESENTATION

Presented By: Sayed Bibi

Sidra Yousaf

Tanveer Akhatar

POST R.N BScN

SESSION !"#$"%

PRE&EPTOR: 'ada( Nasreen )hani

INSTIT*ITE O+ N*RSIN) S&IEN&E,-'*


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BACKGROUNDNursin3 docu(entation is a i(/ortant co(/onent of nursin3 /ractice and

/rofessiona1 docu(ent that occur 4ithin the c1ient hea1th record. 0ocu(e

4hether /a/er5 e1ectronic 5audio5 visua1 is used to (onitor a c1ient /ro3res

co((unicate 4ith other hea1th /rovider

,A((en4erth5'ans(ann(

The nursin3 /rocess is a syste(atic (ethod of /1annin3 and /rovidin3 care t

the basis for accurate5 co(/1ete docu(entation re7uired to (eet 1e3a1 standa

the standards of care identified in the state nursin3 /ractice

,A1faro$8e+evre


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. 9ua1ity nursin3 docu(entation /ro(otes effective co((unication bet4een care3

4hich faci1itates continuity and individua1ity of care. The 7ua1ity of nursin3 docu(

has been (easured by usin3 various audit instru(ents5 4hich ref1ected variations i

/erce/tion of docu(entation 7ua1ity a(on3 researchers across countries and settin

,Nin3 an35 0avid ;ai1ey < Pin3 Yu.

The e1ectronic hea1th record ,E;R is a docu(entation too1 that yie1ds data usefu1 in

/atient safety5 eva1uatin3 care 7ua1ity5 (a=i(i>in3 efficiency5 and (easurin3 staffi

,'ary Ann 8avin5 Sc05 APRN5!"


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RESEARCH QUESTION

Are staff nurses at 8ady Readin3 ;os/ita1 /ractice nursin3 docu(entat

in their dai1y routine @


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METHODOLOGY

Study 0esi3n:

E=/1oratory Study.

Study settin3:

8ady Readin3 ;os/ita1 Pesha4ar.

0ata co11ection (ethod :

Se(i Structured Intervie4s:

One ti(e intervie4 of 6! #! (inutes 4as conducted 4ith each research /artic

Intervie4 )uide 4as used to intervie4 each /artici/ants .

Probin3 7uestions 4ere used to 3et c1arity of the conce/t


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Sa(/1e si>e:

"? Research /artici/ants, "! Nurses and ? 0octors

o 0ocu(ent Ana1ysis:

"! docu(ented records fro( three different 4ards 4ere ana1ysed .

Study 0uration:

Three (onths


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Inc1usion &riteria:

A11 staff nurses 4ho 4orkin3 in three 4ards ,Sur3ica1 5'edica1. Ortho/

in 8R;.

E=c1usion &riteria:

Absent or un4i11in3 staff nurses.


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DATA ANALYSIS

+a(i1iari>in3 4ith 0ata

)eneratin3 &odes

E=tractin3 The(es

a1idatin3 fro( a11 sources


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ETHICAL CONSIDERATION

Infor(ed consent fro( research Partici/ants

&o11ected data 4as shared 4ith su/ervisor on1y

Partici/ation 4as co(/1ete1y /artici/atory

Non na(e and other infor(ation about the /artici/ants 4ere shared in

the 4rite u/


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SIGNIFICANCE OF THE STUDY

The research has of !"#$%"e s$&'$f$ca'ces $' #he f$e"( of hea"#h e(!ca#

co'#e)# of Pa*$s#a'

This study /rovided an o//ortunity to the researchers to 3et in$de/th understand

docu(entation in nursin3

This study /rovided researchers an o//ortunity to identify the best /ractices of n

docu(entation /rocess.

This study a1so he1/ed the researcher to e=/1ore cha11en3es nurses durin3 docu(

/rocess

The findin3s of the study is a1so he1/fu1 for the concerned hos/ita1 to e=/1ore its

and 4ork on need i(/rove(ent area in nursin3 docu(entation

The study added to 1oca1 kno41ed3e about docu(entation /ractices in the countr


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FINDING OF THE STUDYNursesC definition of 0ocu(entation

Recordin3 and Re/ortin3 of infor(ation

Process of confir(ation of the /rocedures

&ondition of the /atients at the ti(e of recordin3 the infor(ation

'edicine they 3ive at the ti(e of their visit

;ea1th /rocedure taken

NursesC Practices of 0ocu(entation in their dai1y

Te(/eratureD/u1se check and record sheet on re3u1ar basis

Record re/aration5 (edication and intake out/ut record .


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NursesC /erce/tion of docu(entation in their /ractica1 1ife

Nurses /erceive docu(entation one of the i(/ortant /art of their ob

ay to /rovide accurate and ade7uate infor(ation about /atientCs cothe ne=t duty barrier or the /hysician

'akes the( accountab1e to our 1e3a1 and ethica1 res/onsibi1ity to record

/rovide correct infor(ation about /atients to a11 concerned inc1udin3 /a

doctors5 and /atients re1atives

It is an e=tra burden on us (akes our ob difficu1t as 4e have s/ent 1ots o

record the infor(ation


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Cha""e'&es N!rses face $' Doc!e'#a#$o'

ork 8oad8ack of ti(e

8ack of /ro/er kno41ed3e and ski11s

No /ro/er chart to docu(ent

Cha""e'&es for Doc#orsBad hand 4ritin3

Inco(/1ete infor(ation

&ode 4ords


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RECOMMENDATION

'ore shou1d be research about docu(entation

&o(/arative study of docu(entation /rocess shou1d be in /ub1ic and

/rivate hos/ita1s in -P-

&o(/arative study of docu(entation shou1d be a(on3 youn3 and

e=/erienced /rofessiona1

'ore hands shou1d on e=/eriences for youn3 1earners durin3 their

trainin3

Su/ervised docu(entation shou1d durin3 the trainin3 and ear1y years

of /ractice


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REFERENCES

Cresswell, J.W. (2000).Qualitative inquiry and research design: choosing

tradition.London: Sage Publication.

Croke, .E. M. (2003). Nurses, negligence, and malpractice.American Jour

Nursing, 103(9), 54-64.

Denzin, N. K., & Lincolin, Y. (2000).Handbok of qualitative research(2nde

London: Sage Publication.

Elliott, J. (1991). Action research for educational change. Milton Keynes:Philadelphia.

Hoban, V. (2003) .How to ... handle a handover.Nursing Times 99(9):545

White, L. (2003).Documentation & the Nursing Process. New York, Delma


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