Evaluation of nursing documentation: The experience of nurses from the primary and secondary/tertiary health care

Authors

  • Šeila Cilović-Lagarija Institute of Public Health of Federation of Bosnia and Herzegovina, Bosnia and Herzegovina
  • Nino Hasanica Department of School Hygiene, Institute of Health and Food Safety of Zenica, Institute of Public Health, Bosnia and Herzegovina, Department of Healthcare, School of Medicine, University in Zenica, Bosnia and Herzegovina https://orcid.org/0000-0002-7571-0467
  • Sanela Tukulija Institute of Public Health of Federation of Bosnia and Herzegovina, Bosnia and Herzegovina
  • Suada Branković Faculty of Health Sciences, University of Sarajevo, Bosnia and Herzegovina
  • Jasmina Mahmutović Faculty of Health Sciences, University of Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0002-0362-2660
  • Dragana Galić Ministry of Health of the Federation of Bosnia and Herzegovina, Bosnia and Herzegovina
  • Kristina Perić Healthcare Centre Mostar, Bosnia and Herzegovina
  • Selma Čajdrić Healthcare Centre Zenica, Bosnia and Herzegovina
  • Senada Mujačić University Clinical Centre Tuzla, Bosnia and Herzegovina
  • Salih Slijepčević University Clinical Centre Tuzla, Bosnia and Herzegovina
  • Ekrem Mrakić General Hospital Travnik, Bosnia and Herzegovina
  • Elvedin Dervišević General Hospital Prim.dr.Abdulah Nakaš, Sarajevo, Bosnia and Herzegovina

DOI:

https://doi.org/10.17532/jhsci.2020.1086

Keywords:

Nursing documentation, quality of health care, health information system, health care

Abstract

Introduction: Aim of the study is to piloting nursing documentation to obtain comments based on the experience of nurses/medical technicians from the primary, secondary, and tertiary health care about the documentation before it is published and starts being used.
Methods: A questionnaire was designed in the electronic form to be used for the evaluation and suggestions by nurses/medical technicians on the piloted form and content of nursing documentation for all levels of health care. A piloting sample was prepared to make 10% of nurses/medical technicians from health care institutions from the territory of the Federation of Bosnia and Herzegovina.
Results: A total of 94.3% of examinees at the primary health care level and only 17.2% of the examinees in the secondary and tertiary health care fill out nursing documentation both manually and electronically. All examinees at all levels of health care understand the purpose and importance of nursing documentation. A total of 27.7% of the examinees at the primary and 40.9% of the examinees at the secondary and tertiary level of health care pointed out that filling out nursing documentation was too time-consuming.
Conclusion: A total of 51.2% of the examinees at the primary and 64.2% at the secondary and tertiary level of health care agreed that submitted nursing documentation was adequate for use. It is suggested that after the adoption of nursing documentation at all levels of health care, piloting of its use should be conducted to evaluate the quality and quantity of all nursing documentation.

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Published

2020-12-30

How to Cite

Cilović-Lagarija, Šeila, Hasanica, N., Tukulija, S., Branković, S., Mahmutović, J., Galić, D., Perić, K., Čajdrić, S., Mujačić, S., Slijepčević, S., Mrakić, E., & Dervišević, E. (2020). Evaluation of nursing documentation: The experience of nurses from the primary and secondary/tertiary health care. Journal of Health Sciences, 10(3), 234–240. https://doi.org/10.17532/jhsci.2020.1086

Issue

Section

Research articles