Effect of Documentation Training Program on Staff Nurses' Documentation Skills

Mosaad Mohammed Elghabbour, Ghada; Elgharib Mohamed Mostafa Eldiasty, Noura; Hassan Saad Elzohairy, Mayada

doi:10.21608/ejhc.2020.279061

Effect of Documentation Training Program on Staff Nurses' Documentation Skills

Document Type : Original Article

Authors

¹ Lecturer of Nursing Administration, Faculty of Nursing, Port Said University

² Lecturer of Nursing Administration, Faculty of Nursing, Damanhour University

10.21608/ejhc.2020.279061

Abstract

Background: Documenting patient care is a key method of information sharing among
healthcare professionals. Whether a patient survives or passes away may depend on prompt,
accurate, detailed, and concise documentation. Aim: The present study aimed to assess the effect of
the documentation training program on staff nurses' documentation skills. Design: A quasi-
experimental design (one group pretest-posttest design) was used in this study. Subjects: A
convenient sample consisted of a total of 50 nurses included in the current study who were
working in the previous setting. Setting: The study was applied in inpatient units at Damanhour
Hospital University. Tool: Self-administered Questionnaire sheet which contained three parts to
collect data for this study: (1) Nurses' demographic data, (II) Nurses' knowledge assessment, (III) an
auditing checklist of patients’ records. Results: slightly more than two-fifth of staff nurses had a
high level of knowledge regarding total documentation dimensions in preprogram training phase,
while all staff nurses had high knowledge in the post-training program phase and a slight decline in
follow-up phase with highly statistically significant improvement with all the phases of intervention.
The majority of staff nurses had low total performance levels at preprogram training phase while
four-fifth of them had high performance levels in post phase and three-quarters of them had high-
performance levels after two months of training intervention with highly statistically significant
improvement in total documentation performance levels with all the phases of intervention.
Conclusion: A highly statistically significant improvement was detected in total staff nurses'
documentation knowledge and performance level during the post and follow-up phases than
preprogram training phase. The documentation training program has a positive effect on improving
staff nurses' documentation skills. Recommendation: The current study recommended increasing
and applying for the documentation training program, information and research findings should be
disseminated online. Documentation skills are contained in the distribution manual for new staff
nurses.

Keywords