Quality criteria, instruments, and requirements for nursing documentation: A systematic review of systematic reviews.
Kim de GrootMattanja TriemstraWolter PaansAnneke L FranckePublished in: Journal of advanced nursing (2019)
There is uncertainty in nursing practice about which criteria have to be met to achieve high-quality documentation. Aligning documentation with the nursing process, using standard terminologies, and using user-friendly formats and systems appear to be important. These findings can help nursing staff and care organizations enhance the quality of nursing documentation.