IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v15y2006i12p1550-1558.html
   My bibliography  Save this article

In search of details of patient teaching in nursing documentation – an analysis of patient records in a medical ward in Sweden

Author

Listed:
  • Febe Friberg
  • Anne‐Louise Bergh
  • Margret Lepp

Abstract

Aim. The aim of this study was to identify terms and expressions indicating patients’ need for knowledge and understanding, as well as nurses’ teaching interventions, as documented in nursing records. Background. Previous international studies have shown that nursing documentation is often deficient in terms of recording patient teaching. Methods. Patient records (N = 35) were collected in a general medical ward in a hospital in Sweden. The data contain 206 days of nursing documentation. The records were analysed with regard to content and structure. Terms and expressions indicating patients’ need for knowledge and understanding and terms and expressions indicating nurses’ teaching activities were analysed. Results. The results showed that patients’ need for knowledge is implicitly indicated by conceptions and experiences as well as questions. Furthermore, nurses’ implicit teaching interventions consist of information, motivating conversations, explanations, instructions and setting expectations. However, the content and structure of the pedagogical activities in the patient records are fragmented and vague. Relevance to clinical practice. Efforts must be directed towards elaborating upon the above‐mentioned terms and expressions as indications of patients’ need for knowledge and nurses’ teaching interventions. Moreover, these terms and expressions must be recognized and acknowledged.

Suggested Citation

  • Febe Friberg & Anne‐Louise Bergh & Margret Lepp, 2006. "In search of details of patient teaching in nursing documentation – an analysis of patient records in a medical ward in Sweden," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(12), pages 1550-1558, December.
    • Handle: RePEc:wly:jocnur:v:15:y:2006:i:12:p:1550-1558
    DOI: 10.1111/j.1365-2702.2006.01586.x
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/j.1365-2702.2006.01586.x
    Download Restriction: no
    File URL: https://libkey.io/10.1111/j.1365-2702.2006.01586.x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Maria Grazia De Marinis & Michela Piredda & Maria Chiara Pascarella & Bruno Vincenzi & Fiorenza Spiga & Daniela Tartaglini & Rosaria Alvaro & Maria Matarese, 2010. "‘If it is not recorded, it has not been done!’? consistency between nursing records and observed nursing care in an Italian hospital," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(11‐12), pages 1544-1552, June.
    2. Heleena Laitinen & Marja Kaunonen & Päivi Åstedt‐Kurki, 2010. "Patient‐focused nursing documentation expressed by nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(3‐4), pages 489-497, February.
    3. Krystle Martin & Elke Ham & N Zoe Hilton, 2018. "Documentation of psychotropic pro re nata medication administration: An evaluation of electronic health records compared with paper charts and verbal reports," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(15-16), pages 3171-3178, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:15:y:2006:i:12:p:1550-1558. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.