Comparing written and oral approaches to clinical reporting in nursing

Diana Jefferies, Maree Johnson, Daniel Nicholls

    Research output: Contribution to journalArticle

    20 Citations (Scopus)

    Abstract

    Patient safety is compromised if vital clinical information is not available to all members of the healthcare team. Therefore, it is important to understand the differences between patient information found in nursing documentation and information presented at clinical nursing handover. Content and textual analyses of two data sets were undertaken: one containing 67 examples of nursing documentation and the other containing 195 transcripts of clinical handover to understand the scope and construction of patient information found in each communication system. Clinical handover produced a comprehensive picture of the patient's condition and care whereas nursing documentation tended to present a series of descriptions of tasks performed by nurses. There is a need to investigate new systems of communication promoting congruence between clinical handover and nursing documentation to ensure that all patient information can be accessed by all interested parties. © eContent Management Pty Ltd
    Original languageEnglish
    Pages (from-to)129-138
    Number of pages10
    JournalContemporary Nurse
    Volume42
    Issue number1
    DOIs
    Publication statusPublished - 2012

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