Evaluation of Nursing Documentation Quality Before and After Implementation of Shift-to-Shift Report Handoff Information System

2.50
Hdl Handle:
http://hdl.handle.net/10755/150950
Type:
Presentation
Title:
Evaluation of Nursing Documentation Quality Before and After Implementation of Shift-to-Shift Report Handoff Information System
Abstract:
Evaluation of Nursing Documentation Quality Before and After Implementation of Shift-to-Shift Report Handoff Information System
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Wu, Mei-Wen, RN
P.I. Institution Name:Changhua Christian Hospital
Title:Nosing Supervisor
[22nd International Nursing Research Congress - Research Presentation] Purpose: to introduce the shift-to-shift report handoff information system is mainly to increase the integrity of the communication during shift changes so that can improve the outcome of the care.
Methods:  the research is the Pre-experimental research to take the floor nursing staffs in a medical center as the object. Before and after the medical center introduced the inter-shift system , evaluating the charting content according to JCAHO closed medical review tool. Chi-Square was used to examine the difference of these two data
Results: The result showed the remarkable significance on ?When pain is identified, the patient is referred or a comprehensive assessment is performed, appropriate to the patient?s age and measuring pain intensity and quality such as pain character, frequency, location, and duration.?(p < .001), ?Reassessments are documented in the patient?s record?. (p = .006)?When required by the organization, the ward of an entry can be identified?(p = .025)among 25 evaluating targets on charting quality.
Conclusion: The information integrity ration turned out not well on ?Reassessments are documented in the patient?s record? due to the lack of the nursing care pans and action in the information shift changed system. Obviously, integrity ration showed significant difference (p < .001)when the system included the information function connects to the physician prescription.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluation of Nursing Documentation Quality Before and After Implementation of Shift-to-Shift Report Handoff Information Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150950-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluation of Nursing Documentation Quality Before and After Implementation of Shift-to-Shift Report Handoff Information System</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wu, Mei-Wen, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Changhua Christian Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nosing Supervisor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">49990@CCH.ORG.TW</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;to introduce the shift-to-shift report handoff information system is mainly to increase the integrity of the communication during shift changes so that can improve the outcome of the care. <br/>Methods:&nbsp;&nbsp;the research is the Pre-experimental research to take the floor nursing staffs in a medical center as the object. Before and after the medical center introduced the inter-shift system , evaluating the charting content according to JCAHO closed medical review tool. Chi-Square was used to examine the difference of these two data <br/>Results:&nbsp;The result showed the remarkable significance on ?When pain is identified, the patient is referred or a comprehensive assessment is performed, appropriate to the patient?s age and measuring pain intensity and quality such as pain character, frequency, location, and duration.?(p &lt; .001), ?Reassessments are documented in the patient?s record?. (p = .006)?When required by the organization, the ward of an entry can be identified?(p = .025)among 25 evaluating targets on charting quality. <br/>Conclusion:&nbsp;The information integrity ration turned out not well on ?Reassessments are documented in the patient?s record? due to the lack of the nursing care pans and action in the information shift changed system. Obviously, integrity ration showed significant difference (p &lt; .001)when the system included the information function connects to the physician prescription.</td></tr></table>en_GB
dc.date.available2011-10-26T10:47:31Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:47:31Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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