A STUDY TO ASSESS THE KNOWLEDGE AND PRACTICE OF DOCUMENTATION TECHNIQUES AMONG STAFF NURSES IN SELECTED HOSPITALS, AT LUCKNOW WITH A VIEW TO DEVELOP AN INFORMATION BOOKLET

NURSING

Documentation ensures safety, quality and continuity of care of the patient. It is to improve, the time management, to avoid the numbers of error in the records, for the need of legal accountability, to make the nursing work visible and for the necessity of making nursing notes understandable to other disciplines. Staff nurses are educated through in-service education and computerized self study modules about complete and accurate documentation. The goal is to implement and evaluate standardized nursing record, positive perceptions of nursing documentation for further development to a nursing documentation including a holistic view of the patient. The focus of this study was to assess the knowledge and practice of documentation techniques among staff nurses in selected hospitals, at Lucknow with a view to develop an information booklet’’. The overall analysis of level of knowledge of staff nurses regarding documentation technique showed that mean knowledge score obtained by the subjects was 9.32 (46.6%) with standard deviation of 3.744 and the obtained practice score was 10.68 (71.2%) with standard deviation 2.877. Findings showed that the obtained Pearson’s correlation value 0.131 indicates the very low positive correlation between the knowledge and practice of Staff nurses regarding the documentation technique. Also it revealed that there was a significant association between the knowledge score with demographic variables like age, religion and marital status at the level of p<0.05.

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