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Quality criteria, instruments, and requirements for nursing documentation: A systematic review of systematic reviews.

Kim de GrootMattanja TriemstraWolter PaansAnneke L Francke
Published 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.
Keyphrases
  • quality improvement
  • healthcare
  • mental health
  • electronic health record
  • advance care planning
  • systematic review
  • palliative care
  • pain management
  • chronic pain
  • long term care