2.50
Hdl Handle:
http://hdl.handle.net/10755/158415
Type:
Presentation
Title:
An Integrated Review of the Literature Describing Charting-by-Exception
Abstract:
An Integrated Review of the Literature Describing Charting-by-Exception
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Kerr, Noel, MN
P.I. Institution Name:Rutgers, The State University of New Jersey
Title:College of Nursing
Contact Address:1313 N. Institute Place, Peoria, IL, 61606, USA
Contact Telephone:309-495-9551
Co-Authors:N.M. Kerr, College of Nursing, Rutgers, The State University of New Jersey, Newark, NJ;
Purpose/Aims: To provide a Midwestern hospital with information for decision making about documentation re-design and prepare for research exploring nurses thoughts regarding implementation of charting-by-exception (CBE). DESIGN: Quantitative/Qualitative analysis of literature. SAMPLE: 67 sources including journal articles, books, editorials, letters, legal briefs and opinions. Method(s): Literature search (1983-2008) using MEDLINE, CINAHL and multiple social/behavioral/technology databases with terms: "charting by exception" and "variance charting." Ancestry review identified additional sources. All identified references, published in English and retrievable electronically or through bookstores were reviewed. Data Analysis: Eight questions were used to extract data. Integration of data and identification of themes described CBE by its philosophy, use and implementation, prevailing professional opinion and strengths and weaknesses of the method. The sample is described by class of source, author role, affiliation and country of origin. Findings: 79% of the sample centered on legal opinion (22) or descriptions CBE implementation (32). Remaining sources included editorials (8) and books (5). One empiric research study was identified. CBE has been utilized across nursing practice areas and within other disciplines in the United States and internationally. Measurement of indicators of success related to use of CBE is limited. Conclusions/Recommendations: Use of CBE persists despite debate about its benefits, drawbacks and legality. Evidence of positive regard for CBE by Management in addition to sustained resistance to its underlying philosophy by staff nurses is well documented. The perspective of nurses using CBE is absent in the literature. Advantages/disadvantages of CBE appear equally weighted. Research is needed that will explore the full range of functions of the nursing record and the perspective of nurses who must use CBE to document the care they provide. Qualitative research is needed to gain full understanding of the way nursing documentation underpins care, which in turn can lead to the design of appropriate empiric research questions and designs.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Integrated Review of the Literature Describing Charting-by-Exceptionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158415-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Integrated Review of the Literature Describing Charting-by-Exception</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kerr, Noel, MN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Rutgers, The State University of New Jersey</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">College of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1313 N. Institute Place, Peoria, IL, 61606, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">309-495-9551</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">noelkerr@pegasus.rutgers.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">N.M. Kerr, College of Nursing, Rutgers, The State University of New Jersey, Newark, NJ;</td></tr><tr><td colspan="2" class="item-abstract">Purpose/Aims: To provide a Midwestern hospital with information for decision making about documentation re-design and prepare for research exploring nurses thoughts regarding implementation of charting-by-exception (CBE). DESIGN: Quantitative/Qualitative analysis of literature. SAMPLE: 67 sources including journal articles, books, editorials, letters, legal briefs and opinions. Method(s): Literature search (1983-2008) using MEDLINE, CINAHL and multiple social/behavioral/technology databases with terms: &quot;charting by exception&quot; and &quot;variance charting.&quot; Ancestry review identified additional sources. All identified references, published in English and retrievable electronically or through bookstores were reviewed. Data Analysis: Eight questions were used to extract data. Integration of data and identification of themes described CBE by its philosophy, use and implementation, prevailing professional opinion and strengths and weaknesses of the method. The sample is described by class of source, author role, affiliation and country of origin. Findings: 79% of the sample centered on legal opinion (22) or descriptions CBE implementation (32). Remaining sources included editorials (8) and books (5). One empiric research study was identified. CBE has been utilized across nursing practice areas and within other disciplines in the United States and internationally. Measurement of indicators of success related to use of CBE is limited. Conclusions/Recommendations: Use of CBE persists despite debate about its benefits, drawbacks and legality. Evidence of positive regard for CBE by Management in addition to sustained resistance to its underlying philosophy by staff nurses is well documented. The perspective of nurses using CBE is absent in the literature. Advantages/disadvantages of CBE appear equally weighted. Research is needed that will explore the full range of functions of the nursing record and the perspective of nurses who must use CBE to document the care they provide. Qualitative research is needed to gain full understanding of the way nursing documentation underpins care, which in turn can lead to the design of appropriate empiric research questions and designs.</td></tr></table>en_GB
dc.date.available2011-10-26T21:01:45Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:01:45Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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