Essay Nursing Process

Essay Nursing Process-81
The common tolls that you might see are: • Nursing assessment sheet. It is a technology that keeps the information secured and private, at the same time it is available 24 hours 7 days a week for the health care professionals in the hospital itself or in the all community.It supports the vision guiding the plan:”the right information in the right hands at the right time to support personal health, health care decision-making and health system sustainability”.

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References • Registered Nurses Association of British Columbia, Nursing Documentation.

Contemporary nursing practice is a diverse and challenging field.

Most of the articles used the EHR to study the staff compliance to some evidence-based practices, to core measures, or nursing process (Electronic Nursing Documentation in Primary Health Care article, use of Computerized ICU Documentation to Capture ICU Core Measures article), some of them are studying the nurse’s attitudes toward the EHR (Electronic Health Records Documentation in Nursing article), other evaluated the effect of the EHR on the nursing documentation practices ( A Randomized Evaluation of a Computer-Based Nursing Documentation System article) , and I didn’t find any articles that studied about EHR and the patient quality of care.

I choose this topic to study the implementation of the electronic health records and how it improves the patient quality of care.

To improve the patient quality of care we need to reduce the errors in documentation, by providing safer care to the patient, dealing with the patient for longer time to provide more care, and keep the patient health records safe and secure.

There are more things we have to provide for the patient to improve the best quality of care, the most important things that we should practice the updated evidence-based practices on our documentation.

• The important information that is expressed by your client and your response to their needs. Definitions Documentation is “any written or electronically made information about client that give details about the care or service provided to the client”.

The nursing documentation should include: • Description of the assessment and care plan that is given to the client. The topic that I choose is the effect of computerized documentation on the patient quality of care and compares it with effect of the written documentation.

This approach encourages a systematic and rigorous approach to patient care, incorporating a holistic perspective of the care process.

The aim of this paper is to evaluate the individual components of the APIE and the approach in its entirety with respect to nursing practice.


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