Knowledge, attitude, practice and associated factors towards nursing care documentation among nurses in West Gojjam Zone public hospitals, Amhara Ethiopia, 2018

Andualem, Atsedemariam; Asmamaw, Tarekegn; Sintayehu, Mezinew; Liknaw, Tiliksew; Edmealem, Afework; Bewuket, Bekalu; Gedfew, Mihretie

doi:10.29328/journal.cjncp.1001010

Cited by 14 publications

(21 citation statements)

References 21 publications

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“…As a result, health professionals use standard documentation tools such as manual records and/or electronic systems to document their routine activities correctly and on time while respecting the rules of ethics 21. Accordingly, health professionals’ routine practice documentation was assessed by using 12 ‘yes’ and ‘no’ questions 3 22. The level of health professionals’ routine practice documentation was determined using the mean value as a cut-off point.…”

Section: Methodsmentioning

confidence: 99%

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Health professionals’ routine practice documentation and its associated factors in a resource-limited setting: a cross-sectional study

Kassie

Dubale

Chereka

et al. 2023

BMJ Health Care Inform

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Objectives Documenting routine practice is significant for better diagnosis, treatment, continuity of care and medicolegal issues. However, health professionals’ routine practice documentation is poorly practised. Therefore, this study aimed to assess health professionals’ routine practice documentation and associated factors in a resource-limited setting. Methods An institution-based cross-sectional study design was used from 24 March up to 19 April 2022. Stratified random sampling and a pretested self-administered questionnaire were used among 423 samples. Epi Info V.7.1 and STATA V.15 software were used for data entry and analysis, respectively. Descriptive statistics and a logistic regression model were employed to describe the study subjects and to measure the strength of association between dependent and independent variables, respectively. A variable with a p value of <0.2 in bivariate logistic regression was considered for multivariable logistic regression. In multivariable logistic regression, ORs with 95% CIs and a p value of <0.05 were considered to determine the strength of association between dependent and independent variables. Results Health professionals’ documentation practice was 51.1% (95% CI: 48.64 to 53.1). Lack of motivation (adjusted OR (AOR): 0.41, 95% CI: 0.22 to 0.76), good knowledge (AOR: 1.35, 95% CI: 0.72 to 2.97), taking training (AOR: 4.18, 95% CI: 2.99 to 8.28), using electronic systems (AOR: 2.19, 95% CI: 1.36 to 3.28), availability of standard documentation tools (AOR: 2.45, 95% CI: 1.35 to 4.43) were statistically associated factors. Conclusions Health professionals’ documentation practice is good. Lack of motivation, good knowledge, taking training, using electronic systems and the availability of documentation tools were significant factors. Stakeholders should provide additional training, and encourage professionals to use an electronic system for documentation practices.

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Section: Methodsmentioning

confidence: 99%

“…The tool used was developed based on reviewing similar studies 3 18 22. A pretested, self-administered questionnaire was used.…”

Section: Methodsmentioning

confidence: 99%

Health professionals’ routine practice documentation and its associated factors in a resource-limited setting: a cross-sectional study

Kassie

Dubale

Chereka

et al. 2023

BMJ Health Care Inform

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“…A structured, self-administered English version questionnaire and chart review tool were adapted from previous similar studies (17,19,21) with six parts or items. Part-I contains eight questions regarding of socio-demographic characteristics of the nurses; Part II ten practice questions for measuring documentation practice with "Likert -type" or responses.…”

Section: Data Collection Tools and Proceduresmentioning

confidence: 99%

Assessment of Nursing Documentation Practice and Associated Factors among Nurses Working in the University of Gondar Comprehensive Specialized Hospital: Supported by a qualitative study, 2022

Amene,

Debie,

Yazachew

et al. 2023

Preprint

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Introduction: Nursing documentation is essential evidence-based work for nurses. One of the qualities of a healthcare service delivery system has been measured using standard documentation practice. Hence, appropriate nursing documentation practice is crucial for legal value, patients, and communication for nurses and other disciplines, but limited reports in the study area. This study aimed to assess nursing documentation practice & associated factors among nurses working at the University of Gondar comprehensive specialized hospital, Gondar, Ethiopia, 2022. Methods:An institution-based quantitative supported by a qualitative study was conducted from June to July 2022 at the University of Gondar comprehensive specialized hospital. A simple random data collection technique was used for quantitative data. A pre-tested self-administered questionnaire & chart review were used for data collection. Two days of training were given to data collectors and supervisors. The data were cleaned, edited, and entered into Epi data 3.1 statistical packages and exported to Stata version 14 for analysis. Descriptive statistics were computed and results were presented in figures, tables, and texts. The binary logistic regression model was used for analysis. Bi-variable logistic regression analysis was done and variables with P. value <0.25 were entered into multivariable logistic regression analysis. P. value <0.05, adjusted odd ratio, and 95% CI were used to determine the strength of association with dependent variables. For the qualitative study, we used the purposive sampling technique. The interview was recorded with a digital sound recorder and field notes and jotted down until data saturation. Transcribed in verbatim words and all identifiers were removed before data analysis. ‘Open-code’ software was used to analyze the data based on the theme. Results: In this study, 373 participants enrolled, and 364(97.59%) responded. The mean age of the study subjects was 32.35+SD 5. The documentation practice was 51.65%, 95%CI (46.5-56.8). The determined factors were age 26-30 and 31-35[2.97,95%CI(1.09-8.14)], and [3.17, 95%CI:[(1.10-9.14)], medical and ICU units [4.47,95%CI(2.12-9.40)], [3.66,95%CI:(1.36-9.81)], knowledge and attitude[2.21,95%CI:(1.30-3.75)], and [2.72,95%CI:(1.67-4.44)]. Conclusion: The level of documentation practice is a little improved from the previous report but still needs strong work. Age, working unit, good knowledge, attitude, familiarity, and adequate time were the determinant factors in documentation practice. Better to increase awareness, familiarity, and adequate times have been improving the documentation practices.

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“…Inadequate documentation among nurses has been demonstrated to negatively affect patients’ outcomes, treatment decisions, diagnostic methods, the performance of nurses, and the profession as a whole. It is also linked to the issue of omitting prescriptions, which increases the risk of legal harm that involves severe injury or death of a patient ( 6 , 7 ). A study in Bahir Dar, Northwest Ethiopia, revealed that 87.5% of medication administrations have erroneous documentation ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

“…Several researches recommended utilizing a multidisciplinary approach to solve documentation issues. These include developing rules and regulations ( 1 , 7 ) and providing continuing opportunities for nurses to receive training on the effectiveness of documentation ( 2 , 6 , 15 ). It is also expected of nursing leaders to encourage, support, and hire more personnel ( 6 , 15 ).…”

Section: Introductionmentioning

confidence: 99%

Nursing patient record practice and associated factors among nurses working in North Shewa Zone public hospitals, Ethiopia

Tadese,

Endale,

Asegidew

et al. 2024

Front. Health Serv.

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BackgroundNursing documentation is an essential component of nursing practice and has the potential to improve patient care outcomes. Poor documentation of nursing care activities among nurses has been shown to have negative impacts on healthcare quality.ObjectiveTo assess the nursing documentation practice and its associated factors among nurses working in the North Shewa Zone public hospitals, Ethiopia.MethodAn institution-based cross-sectional study was conducted at the North Shewa Zone public hospitals. A simple random sampling technique was used to select 421 nurses. A pretested, structured, self-administered questionnaire was used to gather the data. Data were entered into Epi Data version 3.1, and SPSS version 25 was used for further analysis. Binary logistic regressions were performed to identify the independent predictors of nursing documentation practice. Adjusted odds ratio was calculated and a p-value less than 0.05 with 95% confidence interval (CI) was considered as statistically significant.ResultA total of 421 respondents took part, giving the survey a 100% response rate. The overall good practice of nursing care documentation was 51.1%, 95% CI (46.6, 55.8). In addition, 43.2%, 95% CI (38.5, 48.0) and 35.6%, 95% CI (30.9, 40.1), of nurses had good knowledge of and favorable attitudes toward nursing care documentation. Availability of operational standards for nursing documentation [adjusted odds ratio (AOR) = 1.76; 95% CI: 1.18, 2.64], availability of documenting sheets (AOR = 1.51; 95% CI: 1.01, 2.29), and a monitoring system (AOR = 1.61; 95% CI: 1.07, 2.41) were significantly associated with nursing care documentation practice.ConclusionNearly half of nursing care was not documented. The practice of nursing care documentation was significantly influenced by the availability of operational standards, documenting sheets, and monitoring systems. To improve the documentation practice, a continuous monitoring system and access to operational standards and documenting sheets are needed.

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Knowledge, attitude, practice and associated factors towards nursing care documentation among nurses in West Gojjam Zone public hospitals, Amhara Ethiopia, 2018

Cited by 14 publications

References 21 publications

Health professionals’ routine practice documentation and its associated factors in a resource-limited setting: a cross-sectional study

Health professionals’ routine practice documentation and its associated factors in a resource-limited setting: a cross-sectional study

Assessment of Nursing Documentation Practice and Associated Factors among Nurses Working in the University of Gondar Comprehensive Specialized Hospital: Supported by a qualitative study, 2022

Nursing patient record practice and associated factors among nurses working in North Shewa Zone public hospitals, Ethiopia

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