Nursing Records
Research News and Information

Sunday, November 22, 2009

Dilemmas, tetralemmas, reimagining the electronic health record.

29 Jun 2009 With the transition from paper-based to computer-based records, nursing practice shifts to computerized documentation of care in the electronic health record (EHR). Viewed not only as an electronic document, but as an instrument of modern economic ... Read more...

Measuring spiritual care with informatics.

29 Jun 2009 Nursing is at a critical juncture in creating data repositories that support nursing research and theory development, as health systems adopt and design electronic health records. This article discusses how informatics theory can be used to guide ... Read more...

Accuracy in documentation - a study of peripheral venous catheters.

29 Jun 2009 AIM: The aim was to explore the extent of postinsertion documentation of peripheral venous catheters (PVCs) in patients' medical records, including the descriptions used to explain the PVC insertion site and determinants of PVC documentation. ... Read more...

Latest indexed articles for 'Nursing Records'

These are the very latest articles for this heading:

• Ring! Ring!: safeguarding patient information with password protection for phone calls. 30 Oct 2009
• [Treatment error in administering an enema: a fully manageable risk] 30 Aug 2009
• The legalities of nursing documentation. 30 Jul 2009
• Paperwork before patient care. 30 Jul 2009
• [Child abuse in the occupational routine of nurses. Measures for child protection during inpatient nursing (2)] 30 Jul 2009
• [Process oriented nursing documentation in ambulatory care nursing--1: Learning through mistakes] 30 Jul 2009
• Dilemmas, tetralemmas, reimagining the electronic health record. 29 Jun 2009
• Measuring spiritual care with informatics. 29 Jun 2009
• Accuracy in documentation - a study of peripheral venous catheters. 29 Jun 2009
• Development of a urinary incontinence educational program using a competency-based approach and case method. 29 Jun 2009
• Using self-study modules to improve wound care documentation by the staff nurse. 29 Jun 2009
• The Golden Hour: care of the LBW infant during the first hour of life one unit's experience. 29 Jun 2009
• Documentation. 29 Jun 2009
• Effect of an oral health assessment education program on nurses' knowledge and patient care practices in skilled nursing facilities. 29 Jun 2009
• Developing an electronic nursing record system for clinical care and nursing effectiveness research in a korean home healthcare setting. 29 Jun 2009
• Pain management documentation quality as a reflection of nurses' clinical judgment. 29 Jun 2009
• The SOAP format enhances communication. 30 May 2009
• AL: Failure to monitor infiltrating Hep-lock: patient failed to prove causal relation to injury. Lyons v. Vaughn Regional Medical Center, LLC, 2009-AL-0427.004 (4/24/2009)-AL. 30 May 2009
• FL: Nurse's notes & records contradict Dr.: court finds for defendants despite nurse's info. St. Joseph's Hospital v. Cox, 2009 FL-0618.068 (6/17/2009)-FL. 30 May 2009
• Power in documentation: an eProgress note for APNs. 30 May 2009

See a longer list of these articles.

Technical information about 'Nursing Records'

Definition: Data recorded by nurses concerning the nursing care given to the patient, including judgment of the patient's progress.

Descriptor UI: D009737

Alternative terms: Nursing Records; Records, Nursing; Nursing Record; Record, Nursing;

Related Mesh Headings: Forms and Records Control;

Allowable Qualifiers: classification; economics; legislation & jurisprudence; standards; statistics & numerical data;

Tree Number: E05.318.308.940.984; L01.280.900.984; N04.452.859.675; N05.715.360.300.715.550; N06.850.520.308.940.984;

History Note: 67

Technical Notes: FORMS AND RECORDS CONTROL, also available, is probably NIM when coord; DF: NURS RECORDS