Title: Analysis in Questions and Deficient During Writing in Nursing Document
Abstract: Objective:To analyze the questions of writing nursing records,for improving quality of nursing records.Methods: 784 nursing records randomly selected from medical records were evaluated by nursing quality control group.Results: The questions in nursing records included discontinuous content,lack of nursing content,less individuation,inaccurate express,overdue and uncomplete records and inaccurate medical terms.Conclusion: The examination and monitor in nursing records,training in law knowledges,writing technique in medical records,specialized knowledge,informations about quality control and culture ability should be emphasized.
Publication Year: 2007
Publication Date: 2007-01-01
Language: en
Type: article
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