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:: Volume 3, Number 1 (3-2017) ::
CJP 2017, 3(1): 183-188 Back to browse issues page
Audit nursing reports in intubated neonates admitted in neonatal intensive care unit of Ayatollah Rouhani Hospital, Babol, Iran
Mohsen Hagshenas Mojaveri, Fariba Sohrabi, Parvin Aziznejad Roshan *, Zahra Akbarian rad, Mahmoud Hajiahmadi
Assistant Professor, Department of Nursing, Babol University of Medical Sciences, Babol, IR Iran. , aziznejadroshan@yahoo.com
Abstract:   (631 Views)

Background: Accurate and complete documentation of nursing records is one of the preconditions of the evidence-based cares and is considered as one of the most important professional tasks in nursing. The aim of the present study was to audit the nursing reports in intubated neonates admitted in neonatal intensive care unit of Ayatollah Rouhani hospital, Babol.

Methods: In this cross-sectional study, 100 nursing reports were randomly selected from the neonatal intensive care unit. Data were collected by a researcher using a checklist which was developed in accordance with the standard and indicators of nursing documentation in national and international reliable sources and then compared after determining the content validity and reliability (observers' agreement coefficient).  Data were analyzed using SPSS20, and statistical methods of Man-Whitney and Kruskal-Wallis were used at a significant level of p<0.05.

Results: The quality of 93%, 1% and 6% of nursing records was good, moderate and poor, respectively. Overall, the quality of nursing records was desirable in terms of content and structure and there was no significant difference in nursing documentation record in dimensions of structure and content according to overtime (P=0.92 and P=0.11), work experience (P=0.61 and P=0.16) and age group (P=0.09 and P=0.76).

Conclusions: The quality of nursing records in neonatal intensive care unit of Ayatollah Rouhani Hospital of Babol has been improved according to the Accreditation of Health Care Centers. In addition, the increase of nurses' knowledge about legal and professional issues has also been effective on improving the quality of the documentation. 

Keywords: 1. Moyen E, Camiré E, Stelfox HT. Clinical review: medication errors in critical care. Critical Care 2008, 12(2): 208. 2. Mohammad Ghasaby M, Masudi Alavi N. Quality and barriers against nursing documentation in Kashan Shahid Beheshti Hospital (2011). M
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Type of Study: Applicable | Subject: Special
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Hagshenas Mojaveri M, Sohrabi F, Aziznejad Roshan P, Akbarian rad Z, Hajiahmadi M. Audit nursing reports in intubated neonates admitted in neonatal intensive care unit of Ayatollah Rouhani Hospital, Babol, Iran. CJP. 2017; 3 (1) :183-188
URL: http://caspianjp.ir/article-1-62-en.html
Volume 3, Number 1 (3-2017) Back to browse issues page
مجله کودکان کاسپین Caspian Journal of Pediatrics
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