Thesis (M.Sc.) - Cairo University - Faculty of Nursing - Department of Nursing Services Administration

Nursing documentation is a fundamental nursing responsibility. Good documentation ensures continuity of care furnishes legal evidence of the process of care and supports evaluation of patient care. The current study seeks to assess the relationship between quality of nursing documentation system and the continuity of patient care in medicine hospital. A descriptive correlational design was utilized to achieve the aim of the present study. The study was conducted at Medicine hospital affiliated to Cairo university Hospitals. The study had two samples. First sample was a convenient sample of (44) unit managers and staff nurses working at six floors for inpatients services in medicine hospital and the second sample was patient's files of thirty percent of new admitted patients of total records (540). All over three months period. Three tools were used, first tool about quality of nursing documentation system questionnaire, second tool was a concurrent auditing checklist about quality of nursing documentation and the third tool about continuity of patient care developed observational checklist. The current study showed that all nurses (100%) agreed about the importance of documentation and continuity of patient care also all nurses (100%) agreed that documentation consume long time and there was high work load and the majority (88.6%) of nurses agreed that they perform non-nursing activities

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