Effects of a computer-based nursing documentation system on the quality of nursing documentation

Journal of Medical Systems

Volumn 31, Issue 4, 2007, Pages 274-282

  Mahler, Cornelia ^a   Ammenwerth, Elske ^b   Wagner, Andreas ^a   Tautz, Angelika ^a   Happek, Torsten ^a   Hoppe, Bettina ^a   Eichstädter, Ronald ^a  

^a UNIVERSITY HOSPITAL HEIDELBERG   (Germany)

^b University for Health Informatics and Technology   (Austria)

Author keywords

Computer systems; Intervention study; Nursing process; Quality of nursing documentation

Indexed keywords

ARTICLE; COMPUTER SYSTEM; HOSPITAL DEPARTMENT; INTERVENTION STUDY; MEDICAL DOCUMENTATION; NURSING CARE PLAN; NURSING INFORMATICS; NURSING INFORMATION SYSTEM; NURSING PROCESS; PROSPECTIVE STUDY; PSYCHIATRIC DEPARTMENT;

DOCUMENTATION; GERMANY; HUMANS; INFORMATION MANAGEMENT; MEDICAL AUDIT; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; NURSING PROCESS; PATIENT CARE PLANNING; PROSPECTIVE STUDIES; QUALITY ASSURANCE, HEALTH CARE;

EID: 34250806595     PISSN: 01485598     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10916-007-9065-0     Document Type: Article

References (20)

1. Kurtenbach, H., Golombek, G., and Siebers, H., Krankenpflegegesetz- Kommentar. 4 (ed.): Stuttgart, Kohlhammer, 1987.
2. Davis, B. D., Billings, J. R., and Ryland, R. K., Evaluation of nursing process documentation. J. Adv. Nurs. 19(5):960-968, 1994.
3. Hohmann, U., Weinrich, H., and Gatschenberger, G., Die Bedeutung des Pflegeplans für die Qualitätssicherung in der Pflege. Agnes Karl Institut für Pflegeforschung, Editor. Forschungsbericht 261: Meckenheim, Bundesministerium für Gesundheit, 1996.
4. Klapper, B., Schaeffer, D., Lecher. S., and Koch, U., Communication and cooperation between physicians, nurses and patients. Pflege Aktuell 55(2):74-77, 2001.
5. McElroy, A., Corben, V., and McLeish, K., Developing care plan documentation: An action research project. J. Nurs. Manage. 3(4):193-199, 1995.
6. O'Connell, B., Myers, H., Twigg, D., and Entriken, F., Documenting and communicating patient care: Are nursing care plans redundant? Int. J. Nurs. Pract. 6:276-280, 2000.
7. Allan, J., and Englebright, J., Patient-centered documentation: An effective and efficient use of clinical information systems. J. Nurs. Adm. 30(2):90-95, 2000.
8. Bussing, A., and Herbig, B., Recent developments of care information systems in Germany. Comput. Nurs. 16(6):307-310, 1998.
9. Goossen, W. T., Epping, P. J., and Dassen, T., Criteria for nursing information systems as a component of the electronic patient record. An international Delphi study. Comput. Nurs. 15(6):307-315, 1997.
10. Harris, B. L., Becoming deprofessionalized: One aspect of the staff nurse's perspective on computer-mediated nursing care plans. Adv. Nurs. Sci. 13(2):63-74, 1990.
11. Larrabee, J. H., Boldreghini, S., Elder-Sorrells, K., Turner, Z. M., Wender, R. G., and Hart, J. M. et al., Evaluation of documentation before and after implementation of a nursing information system in an acute care hospital. Comput. Nurs. 19(2):56-65, 2001.
12. Nahm, R., and Poston, I., Measurement of the effects of an integrated, point-of-care computer system on quality of nursing documentation and patient satisfaction. Comput. Nurs. 18(5):220-229, 2000.
13. Sahlstedt, S., Adolfsson, H., Ehnfors, M., and Kallstrom, B., Nursing process documentation-effects on workload and quality when using a computer program and a key word model for nursing documentation. Stud. Health Technol. Inform. 46:330-336, 1997.
14. Ammenwerth, E., Mansmann, U., Iller, C., and Eichstadter, R., Factors affecting and affected by user acceptance of computer-based nursing documentation: Results of a two-year study. J. Am. Med. Inform. Assoc. 10(1):69-84, 2003.
15. Ellenbecker, C. H., and Shea, K., Documentation in home health care practice. Evidence of quality care. Nurs. Clin. North Am. 29(3):495-506, 1994.
16. Mahler, C., Ammenwerth, E., Hoppe, B., Eichstadter, R., Tautz, A., and Wagner, A., Qualitätsverbesserung durch PIK? Pflegezeitschrift 54(12):877-881, 2001.
17. Ammenwerth, E., Kutscha, A., Eichstadter, R., and Haux, R., Systematic evaluation of computer-based nursing documentation. Medinfo 10(Pt 2):1102-1106, 2001.
18. Ammenwerth, E., Eichstadter, R., Haux, R., Pohl, U., Rebel, S., and Ziegler, S., A randomized evaluation of a computer-based nursing documentation system. Methods Inf. Med. 40(2):61-68, 2001.
19. Bjorvell, C., Wredling, R., and Thorell-Ekstrand, I., Long-term increase in quality of nursing documentation: Effects of a comprehensive intervention. Scand. J. Caring Sci. 16(1):34-42, 2002.
20. Ammenwerth, E., Iller, C., and Mahler, C., IT-adoption and the interaction of task, technology and individuals: A fit framework and a case study. BMC Med. Inform. Decis. Mak. 6:3, 2006.