Assessment of Self-Reported Practice of Nursing Documentation and Associated Factors Among Nurses in Selected Public Hospitals, Addis Ababa, Ethiopia, 2017
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Date
2017-06
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Addis Ababa University
Abstract
Introduction: Nursing documentation is an essential component of nursing practice that has a
potential to improve the patient outcome besides developing the nursing profession. However,
little has been explored about nursing documentation practice in health care facilities of Addis
Ababa, Ethiopia. Therefore; this study was conducted to assess documentation practice among
nurses working in selected public hospitals of Addis Ababa, Ethiopia.
Objective: The objective of this study was to assess the self-reported practice of nursing
documentation and associated factors among nurses working at Yekatit-12 , Ras Desta
Damtew, Zewditu and Black Lion Specialized hospitals which are all located in Addis Ababa,
Ethiopia.
Method: A quantitative descriptive cross sectional survey was employed to assess self-reported
practice of nursing documentation and associated factors among nurses working in selected
public Hospitals. Data was collected using a structured self- administered questionnaire that
was developed and pre-tested on 32 (10 %) of sampled nurses working in Minillik II Hospital.
The study was conducted from April 3 – 17/2017 and the study participants were selected
randomly. SPSS version 22 was used for both data entry and analysis. Descriptive statistics
was used to describe the data and binary logistic regression to test statistical association of
documentation practice against the knowledge, attitude and organizational factors.
Result: Among all nurses who have participated in the study, good self-reported nursing
documentation practice was 47.8 %. Work setting, adequacy of documenting sheets, adequacy
of time, availability of motivation from supervisors, lack of skill and familiarity with operational
standard of nursing documentation were significantly associated with practice of nursing care
documentation [AOR=0.570(95% CI (0.345, 0.940), [AOR=3.610(95% CI (1.516, 8.595), AOR
=4.891, 95% CI (2.425, 9.863), AOR =4.081, 95% CI (1.054, 15.806), AOR =0.109, 95% CI
(0.013, 0.908) [AOR=1.947(95% CI (1.159, 3.269) respectively.
Conclusion: Nursing documentation practice was poor among nurses under the study. Work
setting, adequacy of documenting sheets, adequacy of time, availability of motivation, lack of
skill and familiarity with operational standard of nursing documentation were significantly
associated with practice of nursing care documentation
Recommendation: Based on the finding of this study, employing institutions need to create
awareness and provide training to enhance knowledge and skill of the nurses regarding
documentation. Nursing leaders should motivate the employees to enhance the practice of
documentation, avail the necessary documenting materials besides adequate staffing which
may be related to time shortage. Researchers also need to carry out large scale studies in order
to address the problem.
Key words: Documentation, Self-reported practice, Nurses
Description
Keywords
Documentation, Self-reported practice, Nurses