Nursing records and the quality of patient care: evaluation by methods triangulation

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International Journal of Development Research

Volume: 
08
Article ID: 
14738
4 pages
Research Article

Nursing records and the quality of patient care: evaluation by methods triangulation

Melina Raquel Theobald, Sônia Maria Oliveira de Andrade, Valdir Aragão do Nascimento and Alessandro Diogo De Carli

Received 27th September, 2018; Received in revised form 03rd October, 2018; Accepted 19th November, 2018; Published online 31st December, 2018

Copyright © 2018, Melina Raquel Theobald et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract: 

From the nursing notes on the patient's chart it is possible to identify how the care to the user is performed. Therefore, it is essential that the nursing record be readable, organized, chronological, concise, signed and stamped. Recognizing that nursing annotation is an essential tool in comprehensive patient care, this manuscript aimed to perform a bibliographic review to list the main theoretical and practical contributions on nursing records and the quality of care adopted in the therapies of nurses and technicians of nursing. With the review carried out, the importance of nursing records in the process of treating patients in health institutions is perceived.

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