Structuring the documentation of nursing care on the basis of a theoretical process model

Scandinavian Journal of Caring Sciences

Volumn 18, Issue 2, 2004, Pages 229-236

  Kärkkäinen, Oili ^a   Eriksson, Katie ^a,b  

^a HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

^b ÅBO AKADEMI UNIVERSITY   (Finland)

Author keywords

Caring process; Documentation; Nursing process

Indexed keywords

ARTICLE; HEALTH CARE; MEDICAL DOCUMENTATION; MEDICAL LITERATURE; MEDICAL RESEARCH; NURSING; PROFESSIONAL PRACTICE; THEORETICAL MODEL; DOCUMENTATION; EMPATHY; EVIDENCE BASED MEDICINE; HUMAN; INFORMATION PROCESSING; KNOWLEDGE; MEDICAL RECORD; METHODOLOGY; MODEL; MOTIVATION; NURSE PATIENT RELATIONSHIP; NURSING ASSESSMENT; NURSING METHODOLOGY RESEARCH; NURSING PROCESS; NURSING THEORY; ORGANIZATION AND MANAGEMENT; PATIENT ADVOCACY; PATIENT CARE PLANNING; PHILOSOPHY; STANDARD; STATISTICAL ANALYSIS;

DATA COLLECTION; DATA INTERPRETATION, STATISTICAL; DOCUMENTATION; EMPATHY; EVIDENCE-BASED MEDICINE; FORMS AND RECORDS CONTROL; GOALS; HUMANS; KNOWLEDGE; MODELS, NURSING; NURSE-PATIENT RELATIONS; NURSING ASSESSMENT; NURSING METHODOLOGY RESEARCH; NURSING PROCESS; NURSING RECORDS; NURSING THEORY; PATIENT ADVOCACY; PATIENT CARE PLANNING; PHILOSOPHY, NURSING;

EID: 3142714805     PISSN: 02839318     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1471-6712.2004.00274.x     Document Type: Article

References (32)

1. Eriksson K. Introduktion till vårdvetenskap (An Introduction to Caring Science). 1986, Almqvist & VViksell, Stockholm.
2. Torres G. Theoretical Foundations in Nursing. 1986, Appleton-Cetury- Croffs, Norwalk, CT.
3. Ehnfors M. Nursing documentation practice on 153 hospital wards in Sweden as described by nurses. Scand J Caring Sci 1993; 7: 201-7.
4. Carpenito L. Nursing Care Plans and Documentation. 1999. http://pco.ovid.com/lrpbooks/carpen/textbook/chapters/ ch0002.htm (last accessed 20 January 2003).
5. Bakken S, Mead C. Necessary but not sufficient for representing. 'What nurses do' for inclusion in computer-based patient record system. JAMIA 1997; 4: 222-32.
6. Hansebo G, Kihlgren M, Ljunggren G. Review of nursing documentation in nursing home wards - changes after intervention for individualized care. J Adv Nurs 1999; 29: 1462-73.
7. Eriksson K. V̊ardprocessen (The Patient Care Process). 1982, Almqvist & Wiksell, Stockholm.
8. Field P. The impact of nursing theory on the clinical decision making process. J Adv Nurs 1987; 12: 563-71.
9. Hardiker N, Hoy D, Casey A. Standards for nursing terminology. JAMIA 2000; 7: 523-8.
10. Harris M, Graves J, Solbrig H, Elkin P, Chute C. Embedded structures and representation of nursing knowledge. JAMIA 2000; 7: 539-49.
11. Hellesö R, Ruland C. Developing a module for nursing documentation integrated in the electronic patient record. J Clin Nurs 2001; 10: 799-805.
12. Büsing A, Herbig B. The challenges of a care information system reflecting holistic nursing care. Comput Nurs 1981; 6: 311-7.
13. Eriksson K. Vårdvetenskap som akademisk disciplin (Caring Science as an Academic Discipline), 7. 2001, Institutionen för vårdvetenskap, Åbo Akademi Vårdforskning.
14. Ehrenberg A, Ehnfors M, Smedby B. Auditing nursing content in-patient records. Scand J Caring Sci 2001; 15: 133-41.
15. Stokke T, Kalfoss M. Structure and content in Norwegian nursing care documentation. Scand J Caring Sci 1999; 13: 18-25.
16. Ehrenberg A, Ehnfors M, Thorell-Ekstrand I. Nursing documentation in patient records: experience of the use of VIPS model. J Adv Nurs 1996; 26: 853-67.
17. Nilsson U-B, Willman A. Evaluation of nursing documentation. Scand J Caring Sci 2001; 14: 199-206.
18. Thoroddsen A, Thorsteinsson H. Nursing diagnosis taxonomy across the Atlantic Ocean: congruence between nurses' charting and the NANDA taxonomy. J Adv Nurs 2002; 37: 372-81.
19. Varcoe C. Disparagement of the nursing process: the new dogma? J Adv Nurs 1996; 23: 120-5.
20. Kiikkala I, Munukka T. Nursing research: on what basis? J Adv Nurs 1994; 19: 320-7.
21. Hendersson V. Nursing process: a critique. Holistic Nurs Pract 1987; 1: 7-18.
22. Meleis A. Theoretical Nursing: Development and Progress, 2nd edn. 1991, J.B. Lippincott Company, Philadelphia, 106-12.
23. Eriksson K. Om dokumentation - vad den är och vad den inte är (About documentation - what it is and what it is not). In Konsten att dokumentera omvårdnad (Dahlström K ed.), 1996, Studentlitteratur, Lund, 9-13.
24. Eriksson K. Caring science in a new key. Nurs Sci Q 2002; 15, 61-65.
25. Eriksson K. Understanding the world of the patient, the suffering human being: the new clinical paradigm from nursing to caring. Adv Prac Nurs Q 1997; 3: 8-13.
26. Kärkkäinen O. Hoitotyön dokumentoinnin sisältömääritykset elektronisessa potilaskertomuksessa (Definitions of Caring and Nursing Substance in Electronic Patient Records). 2000, Hospital District of Helsinki and Uusimaa (A Duplicat).
27. Koski J. Horisonttiensulautuminen. Keskustelua Hans-Georg Gadamerin kanssa hermeneutiikasta, kasvamisesta, tietämisestä ja kasvatustieteestä (Fusion of Horizons. Dialogues with Hans-Georg Gadamer on Hermeneutics, Education, Knowing and Educational Science). 1995, Department of Teacher Education. Research Report 149. University of Helsinki, 28-29.
28. Gadamer H-G. Truth and Method. 1979, Sheed and Ward, London.
29. Eriksson K. Vårdandets idé (The Idea of Caring). 1987, Almqvist & Wiksell, Stockholm.
30. Benner P, Tanner C, Chesla C. Caring, Clinical Judgement and Ethics. 1996, Springer Publishing Company, New York.
31. Fonteyn M, Cooper L. The written nursing process: is it still useful to nursing education? J Adv Nurs 1994; 19: 315-9.
32. Kirrane C. An audit of care planning on a neurology unit. Nurs Stand 2001; 15: 36-39.