Evidence map›Paper›PMID 27460383›Full record

ArticleJournal of medical systems2016

The Status of Nursing Documentation in Slovenia: a Survey.

Uroš Rajkovič, Marija Milavec Kapun, Dejan Dinevski, Vesna Prijatelj, Marija Zaletel, Olga Šušteršič

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Article in Journal of medical systems, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Uroš RajkovičFaculty of Organizational Sciences, University of Maribor, Kidriceva cesta 55a, 4000, Kranj, Slovenia. uros.rajkovic@fov.uni-mb.si.
Marija Milavec KapunFaculty of Health Sciences, University of Ljubljana, Poljanska cesta 26a, 1000, Ljubljana, Slovenia.
Dejan DinevskiFaculty of Medicine, University of Maribor, Taborska ulica 8, 2000, Maribor, Slovenia.
Vesna PrijateljUniversity Medical Centre Ljubljana, Zaloska 2, 1000, Ljubljana, Slovenia.
Marija ZaletelFaculty of Health Sciences, University of Ljubljana, Poljanska cesta 26a, 1000, Ljubljana, Slovenia.
Olga ŠušteršičFaculty of Health Sciences, University of Ljubljana, Poljanska cesta 26a, 1000, Ljubljana, Slovenia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health documentation is a prerequisite for good and sustainable health and social care. It is especially important for patient involvement and their empowerment. A transition from paper to e-documentation together with the electronic patient record should be based on thorough knowledge of the current state of documentation and its usages. The main objective of this paper was to analyse which documents and work methods of documenting processes within nursing are being used within different environments. Furthermore, what are the main reasons for their discrepancies from theoretical approaches and best practices. The analysis is based on a survey carried out on all three levels of healthcare. The survey questionnaire consisted of 12 questions to which responded 286 nursing teams from community health centres, hospitals and retirement homes in Slovenia. The results point to diversity in documenting as well as lack of interoperability. This is reflected in a great number of different documents. All phases of the nursing process were being documented in only 31.8 % of cases. The main reasons for this can be attributed to work organisation, different definitions of data-set requirements and inadequate knowledge by nurses. Survey results pointed out a need for the renewal of nursing documentation towards a more uniform system based on contemporary health technologies.

Indexed as

Nursing Staff, HospitalDocumentationElectronic Health RecordsHealth Care SurveysSloveniaDocumentationInformation technologyNursing

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.