en تخصصي Special كاربردي Applicable <p><span style="font-size:14px;"><span style="font-family:times new roman;"><span style="color:#008080;"><strong><em>Background:</em></strong></span> 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.</span></span></p> <p><span style="font-size:14px;"><span style="font-family:times new roman;"><span style="color:#008080;"><strong><em>Methods: </em></strong></span>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&#39; agreement coefficient).&nbsp; Data were analyzed using SPSS20, and statistical methods of Man-Whitney and Kruskal-Wallis were used at a significant level of p<0.05.</span></span></p> <p><span style="font-size:14px;"><span style="font-family:times new roman;"><span style="color:#008080;"><strong><em>Results:</em></strong></span> 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).</span></span></p> <p><span style="font-size:14px;"><span style="font-family:times new roman;"><span style="color:#008080;"><strong><em>Conclusions:</em></strong> </span>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&#39; knowledge about legal and professional issues has also been effective on improving the quality of the documentation.&nbsp;</span></span></p> Newborn, Nursing records, Documentation, Intensive Care Units 183 188 http://caspianjp.ir/browse.php?a_code=A-10-101-1&slc_lang=en&sid=1 Mohsen Hagshenas Mojaveri 10031947532846002676 10031947532846002676 No Non-Communicable Pediatric Diseases Center of Amirkola, Health Research Institute, Babol University of Medical Sciences, Babol, IR Iran. Fariba Sohrabi 10031947532846002677 10031947532846002677 No MSC in Nursing of neonatal intensive care, Babol University of Medical Sciences, Babol, IR Iran Parvin Aziznejad Roshan aziznejadroshan@yahoo.com 10031947532846002678 10031947532846002678 Yes Assistant Professor, Department of Nursing, Babol University of Medical Sciences, Babol, IR Iran. Zahra Akbarian rad 10031947532846002679 10031947532846002679 No Non-Communicable Pediatric Diseases Center of Amirkola, Health Research Institute, Babol University of Medical Sciences, Babol, IR Iran. Mahmoud Hajiahmadi 10031947532846002680 10031947532846002680 No Non-Communicable Pediatric Diseases Center of Amirkola, Health Research Institute, Babol University of Medical Sciences, Babol, IR Iran.