Aisha Mohammed Adam ALİ, Wala Ali Mustafa ALBASHİR, Abdalbasit MARIOD

Nursing Documentation in Selected Hospitals in Khartoum State-Sudan

Nurses as a front line of patient care are accountable for maintaining accurate records. In Sudan, the tendency for documentation errors which accompanied by persistent shortage of nursing staff, lack of training and resources necessitate an evaluation of the quality of nursing documentation. To evaluate the quality of nursing documentation at selected hospitals in Khartoum, Sudan. Across sectional descriptive hospital-based study done during January to February 2019 in selected hospitals in Khartoum, Sudan; 237 nurses were interviewed using a structured questionnaire to assess their level of knowledge, training, and availability of documentation format; moreover, quality of nurses records assessed using checklists, data analyzed using SPSS. This study revealed that most of the nurses had good knowledge, did not train in documentation and agree with the availability of documentation format in their hospital with percent (69.00%), (74.7%) and (68.8%) respectively; besides, the quality of their documentation is poor due to limited use of nursing records and lack of training, policy-standers- procedures-guidelines. Their documents found rudimentary, and bad handwriting. Despite nurses’ documentation knowledge is good; due to lack of training, policy- guidelines, limited documentation, rudimentary and poor compared to that of developing countries.

Keywords:

Quality, nursing documentation, teaching hospitals,

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