Hospital accreditation is a strategy for the pursuit of quality of care and safety for patients and professionals. Targeted educational interventions could help support this process. This study aimed to evaluate the quality of electronic nursing records during the hospital accreditation process. A retrospective study comparing 112 nursing records during the hospital accreditation process was conducted. Educational interventions were implemented, and records were evaluated preintervention and postintervention. Mann-Whitney and χ2 tests were used for data analysis. Results showed that there was a significant improvement in the nursing documentation quality postintervention. When comparing records preintervention and postintervention, results showed a statistically significant difference (P <.001) between the two periods. The comparison between items showed that most scores were significant. Findings indicated that educational interventions performed by nurses led to a positive change that improved nursing documentation and, consequently, better care practices.
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Author Affiliations: Hospital de Clínicas de Porto Alegre (Ms Nomura), Rio Grande do Sul, Brazil; School of Nursing, University of Minnesota (Dr Pruinelli), Minneapolis, MN; and School of Nursing, Universidade Federal do Rio Grande do Sul (Drs da Silva, Lucena, and Almeida), Rio Grande do Sul, Brazil. This study was supported by the Research Fund Incentive of the Hospital de Clínicas de Porto Alegre, Brazil (approval number: 130389). The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Corresponding author: Lisiane Pruinelli, PhD, MS, RN, 1-683 Weaver-Densford Hall, 308 Harvard St SE, Minneapolis, MN 55455 (firstname.lastname@example.org). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.cinjournal.com). Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.
- Electronic health records
- Hospital accreditation
- Nursing audit
- Nursing informatics
- Quality of nursing care