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Nurses' experiences of and opinions about using standardised care plans in electronic health records: a questionnaire study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. (Vårdvetenskap)
2008 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 16, 2137-2145 p.Article in journal (Refereed) Published
Abstract [en]

Aim.

The aim of the present study was to investigate nurses' opinions about using standardised care plans in electronic health record and quality standards for clinical practice.

Background.

Following introduction of an electronic health record, use of standardised care plans and quality standards has increased among nurses at two hospitals in Sweden. Understanding nurses' opinions is important to continued development in this area. There are few previous studies on nurses' opinions about standardised care plans.

Design.

Survey.

Method.

The study was quantitative, descriptive and based on a questionnaire. The questionnaire included items on nurses' knowledge of and opinions about standardised care plans and quality standards.

Results.

The majority of the nurses were of the opinion that standardised care plans increase their ability to provide the same high-quality basic care for all patients. They also thought that a common standardised care plan across several professions would improve conditions for provision of high-quality care. The majority of the nurses also felt that the quality standards are a prerequisite of maintaining standardised care plans of high quality. There was no consensus on whether standardised care plans increase the risk of failing to notice patients' individual problems. Most agreed that standardised care plans decrease documentation time as well as redundant documentation. The study showed that training is needed to teach nurses how to use standardised care plans in care provision.

Conclusions.

The nurses in the study had positive attitudes towards use of standardised care plans and felt that they could facilitate nursing practice.

Relevance to clinical practice.

Use of standardised care plans can improve nursing documentation and facilitate work for nurses. Moreover, it can support nurses in their use of evidence-based nursing methods. The present study shows that nurses have positive attitudes, which could facilitate continued use of standardised care plans.

Place, publisher, year, edition, pages
2008. Vol. 17, no 16, 2137-2145 p.
Keyword [en]
electronic health record, nurses opinions, nursing care plan, nursing documentation, standardised care plan
National Category
Nursing
Research subject
Caring Sciences in Social Sciences
Identifiers
URN: urn:nbn:se:uu:diva-86754DOI: 10.1111/j.1365-2702.2008.02377.xISI: 000257664100004PubMedID: 18705735OAI: oai:DiVA.org:uu-86754DiVA: diva2:127213
Available from: 2008-12-02 Created: 2008-12-02 Last updated: 2017-12-14

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Fogelberg Dahm, Marie

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