Nurses' perceptions and attitudes towards documentation in nursing

Authors

  • Romana Petkovšek-Gregorin University Rehabilitation Institute Republic of Slovenia - Soča Linhartova 51 Si-1000 Ljubljana
  • Brigita Skela-Savič Faculty of Health Care Jesenice Spodnji Plavž 3 SI-4270 Jesenice

DOI:

https://doi.org/10.14528/snr.2015.49.2.50

Keywords:

nursing documentation, nursing professionals, time for documentation

Abstract

Introduction: Nursing documentation is essential for ensuring a safe, high-quality and continuous nursing care and research work. By means of documentation nurses communicate with each other, other members of the healthcare team and other care providers. The aim of the present research was to investigate nurses' opinions about the importance of nursing documentation. Methods: For the purposes of the study, a quantitative non-experimental research design was employed. A quota sampling included the nursing employees in ten Slovenian hospitals. The survey was composed of closed-ended questions. The data were collected from June 1, 2012 to March 31, 2013. The response rate was 44.95 %. A total of 592 respondents participated in the research, 47.3 % with secondary education and 52.7 % with completed undergraduate study programme. Chrombach's coefficient alpha was 0.898. Descriptive statistics, Kolmogorov-Smirnov test, Spearman's correlation coefficient, and Mann-Whitney U test were used. Results: Nurses with at least college degree attributed more importance to documentation compared to those with secondary education (p = 0.001). Statistically significant correlation was not established (p = 0.98). However, a negative correlation was identified between the time used for documentation and positive attitude towards documentation (p = 0.04). Discussion and conclusion: Nurses perceive documentation as an important part of their work. They believe that documentation enhances transparency, quality and continuity of care, and patient safety. It would be necessary to identify the differences in practices and perceptions of handovers between nurses and other healthcare providers.

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Author Biographies

Romana Petkovšek-Gregorin, University Rehabilitation Institute Republic of Slovenia - Soča Linhartova 51 Si-1000 Ljubljana

Petkovšek-Gregorin Romana, dipl. m. s., mag. zdr. neg. / Romana Petkovšek-Gregorin, MSc, RN

Brigita Skela-Savič, Faculty of Health Care Jesenice Spodnji Plavž 3 SI-4270 Jesenice

izr. prof. dr. Brigita Skela Savič, viš. med. ses., univ. dipl. org. / Associate Professor Brigita Skela-Savič, PhD, MSc, BSc, RN

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Published

2015-06-27

How to Cite

Petkovšek-Gregorin, R., & Skela-Savič, B. (2015). Nurses’ perceptions and attitudes towards documentation in nursing. Slovenian Nursing Review, 49(2). https://doi.org/10.14528/snr.2015.49.2.50

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Original scientific article