“…These international findings are in agreement with the results from four Swedish reports (Ehnfors, 1993; Jerlock & Segesten, 1994; Törnkvist et al ., 1997; Ehrenberg, 2001) revealing barriers such as lack of knowledge of the nursing process, negative attitude towards change, inability to see the benefits of nursing documentation, lack of consistent record systems and routines, lack of time, lack of support from supervisors and colleagues, organizational obstacles, difficulties in writing, inappropriate forms and lack of continuity. One of these studies also describes what RNs perceived as motives for documentation, namely that it should be a working tool and that it should increase both patient and staff safety (Ehrenberg, 2001).…”