In their article “What Factors Influence the Prevalence and
Accuracy of Nursing Diagnosis Documentation in Clinical Practice?” (2011),
Paans et al. assert that there are four factors that influence documenting: the
nurse, diagnostic education and resources, the patient’s condition, and the
healthcare facility policy and environment.
The author’s support their claims by analyzing 24 different studies from
MEDLINE and CINAHL online databases.
Their purpose was to discover the various factors that hinder correct
documentation in order to increase the accuracy of patient documentation.
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