Nursing documentation of pressure ulcers in nursing homes: comparison of record content and patient examinations
Aim The aim of this study was to describe the accuracy and quality of nursing documentation of the prevalence, risk factors and prevention of pressure ulcers, and compare retrospective audits of nursing documentation with patient examinations conducted in nursing homes. Design This study used a cros...
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| Veröffentlicht in: | Nursing open 2016-07, Vol.3 (3), p.159-167 |
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| creator | Hansen, Ruth‐Linda Fossum, Mariann |
| description | Aim
The aim of this study was to describe the accuracy and quality of nursing documentation of the prevalence, risk factors and prevention of pressure ulcers, and compare retrospective audits of nursing documentation with patient examinations conducted in nursing homes.
Design
This study used a cross‐sectional descriptive design.
Method
A retrospective audit of 155 patients' records and patient examinations using the European Pressure Ulcer Advisory Panel form and the Braden scale, conducted in January and February 2013.
Results
The prevalence of pressure ulcers was 38 (26%) in the audit of the patient records and 33 (22%) in patient examinations. A total of 17 (45%) of the documented pressure ulcers were not graded. When comparing the patient examinations with the patient record contents, the patient records lacked information about pressure ulcers and preventive interventions. |
| doi_str_mv | 10.1002/nop2.47 |
| format | Article |
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The aim of this study was to describe the accuracy and quality of nursing documentation of the prevalence, risk factors and prevention of pressure ulcers, and compare retrospective audits of nursing documentation with patient examinations conducted in nursing homes.
Design
This study used a cross‐sectional descriptive design.
Method
A retrospective audit of 155 patients' records and patient examinations using the European Pressure Ulcer Advisory Panel form and the Braden scale, conducted in January and February 2013.
Results
The prevalence of pressure ulcers was 38 (26%) in the audit of the patient records and 33 (22%) in patient examinations. A total of 17 (45%) of the documented pressure ulcers were not graded. When comparing the patient examinations with the patient record contents, the patient records lacked information about pressure ulcers and preventive interventions.</description><identifier>ISSN: 2054-1058</identifier><identifier>EISSN: 2054-1058</identifier><identifier>DOI: 10.1002/nop2.47</identifier><identifier>PMID: 27708826</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Documentation ; Electronic health records ; nursing home ; Nursing homes ; patient examination ; pressure ulcer ; Pressure ulcers</subject><ispartof>Nursing open, 2016-07, Vol.3 (3), p.159-167</ispartof><rights>2016 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2016 John Wiley & Sons Ltd</rights><rights>2016. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5887-81697e5e1c294e60d9f27773f24dca75f4642de4fc58067da90be26dab38e3de3</citedby><cites>FETCH-LOGICAL-c5887-81697e5e1c294e60d9f27773f24dca75f4642de4fc58067da90be26dab38e3de3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047344/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047344/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1417,11562,27924,27925,45574,45575,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27708826$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hansen, Ruth‐Linda</creatorcontrib><creatorcontrib>Fossum, Mariann</creatorcontrib><title>Nursing documentation of pressure ulcers in nursing homes: comparison of record content and patient examinations</title><title>Nursing open</title><addtitle>Nurs Open</addtitle><description>Aim
The aim of this study was to describe the accuracy and quality of nursing documentation of the prevalence, risk factors and prevention of pressure ulcers, and compare retrospective audits of nursing documentation with patient examinations conducted in nursing homes.
Design
This study used a cross‐sectional descriptive design.
Method
A retrospective audit of 155 patients' records and patient examinations using the European Pressure Ulcer Advisory Panel form and the Braden scale, conducted in January and February 2013.
Results
The prevalence of pressure ulcers was 38 (26%) in the audit of the patient records and 33 (22%) in patient examinations. A total of 17 (45%) of the documented pressure ulcers were not graded. When comparing the patient examinations with the patient record contents, the patient records lacked information about pressure ulcers and preventive interventions.</description><subject>Documentation</subject><subject>Electronic health records</subject><subject>nursing home</subject><subject>Nursing homes</subject><subject>patient examination</subject><subject>pressure ulcer</subject><subject>Pressure ulcers</subject><issn>2054-1058</issn><issn>2054-1058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkl1rFDEUhoNYbFmL_0ACXliQrSeZZJLxQijFLyitF3odssmZNmUmGZMdtf_ebHcttVDwKofk4eGck5eQFwyOGQB_G9PEj4V6Qg44SLFkIPXTe_U-OSzlGgCY1Aqge0b2uVKgNW8PyHQ-5xLiJfXJzSPGtV2HFGnq6ZSxlDkjnQeHudAQadyxV2nE8o66NE42h7LlM7qUfb2M66qhNno6Vdmmxt92DPHWXJ6Tvd4OBQ9354J8__jh2-nn5dnFpy-nJ2dLJ7VWS83aTqFE5ngnsAXf9bVp1fRceGeV7EUruEfRVxxa5W0HK-Stt6tGY-OxWZD3W-80r0b0rvaR7WCmHEabb0yywfz7EsOVuUw_jQShGiGq4GgnyOnHjGVtxlAcDoONmOZimG5ko4Tg8B8og6ZlotUVffUAvU5zjnUThnUaRKfgVvg4pes_NiA7VqnXW8rlVErG_m46BmaTDLNJhqnjLMjL-8u44_7moAJvtsCvMODNYx5zfvGVV90fyGPC0w</recordid><startdate>201607</startdate><enddate>201607</enddate><creator>Hansen, Ruth‐Linda</creator><creator>Fossum, Mariann</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K6X</scope><scope>KB0</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201607</creationdate><title>Nursing documentation of pressure ulcers in nursing homes: comparison of record content and patient examinations</title><author>Hansen, Ruth‐Linda ; Fossum, Mariann</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5887-81697e5e1c294e60d9f27773f24dca75f4642de4fc58067da90be26dab38e3de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Documentation</topic><topic>Electronic health records</topic><topic>nursing home</topic><topic>Nursing homes</topic><topic>patient examination</topic><topic>pressure ulcer</topic><topic>Pressure ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hansen, Ruth‐Linda</creatorcontrib><creatorcontrib>Fossum, Mariann</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nursing open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hansen, Ruth‐Linda</au><au>Fossum, Mariann</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nursing documentation of pressure ulcers in nursing homes: comparison of record content and patient examinations</atitle><jtitle>Nursing open</jtitle><addtitle>Nurs Open</addtitle><date>2016-07</date><risdate>2016</risdate><volume>3</volume><issue>3</issue><spage>159</spage><epage>167</epage><pages>159-167</pages><issn>2054-1058</issn><eissn>2054-1058</eissn><abstract>Aim
The aim of this study was to describe the accuracy and quality of nursing documentation of the prevalence, risk factors and prevention of pressure ulcers, and compare retrospective audits of nursing documentation with patient examinations conducted in nursing homes.
Design
This study used a cross‐sectional descriptive design.
Method
A retrospective audit of 155 patients' records and patient examinations using the European Pressure Ulcer Advisory Panel form and the Braden scale, conducted in January and February 2013.
Results
The prevalence of pressure ulcers was 38 (26%) in the audit of the patient records and 33 (22%) in patient examinations. A total of 17 (45%) of the documented pressure ulcers were not graded. When comparing the patient examinations with the patient record contents, the patient records lacked information about pressure ulcers and preventive interventions.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>27708826</pmid><doi>10.1002/nop2.47</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Nursing open, 2016-07, Vol.3 (3), p.159-167 |
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| language | eng |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Wiley-Blackwell Open Access Titles; Wiley Online Library All Journals; PubMed Central |
| subjects | Documentation Electronic health records nursing home Nursing homes patient examination pressure ulcer Pressure ulcers |
| title | Nursing documentation of pressure ulcers in nursing homes: comparison of record content and patient examinations |
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