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An evaluation of an action research nursing documentation project

Vabo, Grete, Slettebø, Åshild and Fossum, Mariann 2016, An evaluation of an action research nursing documentation project, Journal of clinical nursing, no. In Press, doi: 10.1111/jocn.13389.

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Title An evaluation of an action research nursing documentation project
Author(s) Vabo, Grete
Slettebø, Åshild
Fossum, Mariann
Journal name Journal of clinical nursing
Issue number In Press
Publisher Wiley
Place of publication London, Eng.
Publication date 2016-05-18
ISSN 1365-2702
Keyword(s) action research
implementation evidence based practice
nursing documentation
nursing organization
usability issues
Summary AIMS AND OBJECTIVES: The aim of this study is to describe healthcare professionals' experiences and perceptions of an intervention implemented in an action research project conducted to improve nursing documentation practices in four municipalities in Norway.

BACKGROUND: Documentation of individualized patient care is a continuing concern in healthcare services and could impacts the quality and safety of healthcare. Use of electronic systems has made some aspects of documentation more comprehensive, but creation of an individualized care plan remains a pressing issue.

DESIGN: A qualitative descriptive design was used.

METHODS: An action research project was conducted between 2010 and 2012 to improve the content and quality of nursing documentation in community healthcare services in four municipalities. One year after the project was completed four focus group interviews were conducted with healthcare professionals, one for each involved municipality. Two unit managers were interviewed individually. Qualitative content analysis was used.

RESULTS: Three themes emerged: healthcare professionals perceived competing interest; they experienced that they had to manage complexity and changes; and they highlighted a clear and visible leader as important for success.

CONCLUSIONS: Quality improvement activities are essential. Healthcare professionals experience a complicated situation when electronic health record systems do not support workflow. Further research is recommended to focus on the functionality and user interface of EHR systems, and on the role of leadership when implementing changes in clinical practice. This article is protected by copyright. All rights reserved.
Language eng
DOI 10.1111/jocn.13389
Field of Research 1110 Nursing
1701 Psychology
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30084531

Document type: Journal Article
Collection: School of Nursing and Midwifery
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