It is generally accepted that written documentation is significant not only as a communication
medium in nursing, but also in the fulfilment of a number of other professional and legal …

Record keeping is an essential part of nursing practice with clinical and legal significance.
Good quality record keeping is linked with improvements in patient care, while poor …

Nurses must improve their record keeping skills | British Journal of Nursing MAG Online Library
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Good record-keeping is a mark of the skilled and safe practitioner, yet allegations
concerning shortcomings in nurses' record-keeping were the second most common category …

A project to examine the quality of manual nursing documentation using an action research
approach, prior to the introduction of a computerized system is described. The findings …

The purpose of this study was to describe and analyse effects of a two-year comprehensive
intervention concerning nursing documentation in patient records when using the VIPS …

This paper examines general nurses' views of the nursing record and its routine usage in
contemporary hospital practice. It draws on ethnographic data generated on a surgical ward …

Improving record keeping: important lessons for nurses | British Journal of Nursing MAG
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This article discusses many of the common mistakes which occur in record keeping
including absence of clarity, failure to record action taken to meet an identified problem …

This article examines some aspects of nursing documentation following the publication of
the document Guidelines for Records and Record Keeping (UKCC, 1998). The importance …