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Implementing mandatory early warning scoring impacts nurses' practice of documenting free text notes

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@article{669726c1f1eb4dda92050754097e1187,
title = "Implementing mandatory early warning scoring impacts nurses' practice of documenting free text notes",
abstract = "Aims and objectives: To evaluate whether implementing the Modified Early Warning Scoring system impacts nurses’ free text notes related to Airway, Breathing, Circulation and Pain in general ward medical and surgical patients. Background: The quality of nursing documentation in patient health records is important to secure patient safety, but faces multiple challenges whether being paper-based or electronic. Nurses’ ability to draw a complete picture of the patient situation is thereby compromised. Structured use of the Modified Early Warning Score, found to reduce unexpected death, might affect nurses’ free text documentation of clinical observations. Design: A prospective, pre- and postinterventional, nonrandomised study adhering to the EQUATOR guideline TREND. Methods: Data on nurses’ free text notes were obtained in 1,497 patient records during one preinterventional (March–June 2009) and two postinterventional study periods (September–December 2010 and March–June 2011) in a Danish university hospital. Data were organised by the Airway, Breathing and Circulation principles and by nurses’ working shifts in the 56 hr surrounding the first recording of deviating vital parameters or a Modified Early Warning Score ≥ 2. Preinterventional free text notes were compared with notes from the two postinterventional periods, respectively. Results: In the 8-hr working shift where deviations in vital parameters were recorded for the first time, nurses’ free text notes related to patients’ breathing (B) increased significantly, comparing 2009 with 2010 and 2011, respectively. In the 24 hr following initial deviations in vital parameters, a significant increase in free text notes was identified concerning Airway, Breathing and Circulation-related symptoms or problems. Conclusion: Mandatory use of the Modified Early Warning Score and related implementation activities significantly impacts nursing documentation of free text notes. Relevance to clinical practice: Nurses’ practice of communicating observed clinical symptoms by documenting free text notes should be supported through measures to enhance situation awareness.",
keywords = "clinical observation, documentation, free text notes, nursing, patient safety, record keeping, situation awareness",
author = "Gitte Bunkenborg and Lars Smith-Hansen and Ingrid Poulsen",
note = "{\circledC} 2019 John Wiley & Sons Ltd.",
year = "2019",
month = "8",
doi = "10.1111/jocn.14870",
language = "English",
volume = "28",
pages = "2990--3000",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "15-16",

}

RIS

TY - JOUR

T1 - Implementing mandatory early warning scoring impacts nurses' practice of documenting free text notes

AU - Bunkenborg, Gitte

AU - Smith-Hansen, Lars

AU - Poulsen, Ingrid

N1 - © 2019 John Wiley & Sons Ltd.

PY - 2019/8

Y1 - 2019/8

N2 - Aims and objectives: To evaluate whether implementing the Modified Early Warning Scoring system impacts nurses’ free text notes related to Airway, Breathing, Circulation and Pain in general ward medical and surgical patients. Background: The quality of nursing documentation in patient health records is important to secure patient safety, but faces multiple challenges whether being paper-based or electronic. Nurses’ ability to draw a complete picture of the patient situation is thereby compromised. Structured use of the Modified Early Warning Score, found to reduce unexpected death, might affect nurses’ free text documentation of clinical observations. Design: A prospective, pre- and postinterventional, nonrandomised study adhering to the EQUATOR guideline TREND. Methods: Data on nurses’ free text notes were obtained in 1,497 patient records during one preinterventional (March–June 2009) and two postinterventional study periods (September–December 2010 and March–June 2011) in a Danish university hospital. Data were organised by the Airway, Breathing and Circulation principles and by nurses’ working shifts in the 56 hr surrounding the first recording of deviating vital parameters or a Modified Early Warning Score ≥ 2. Preinterventional free text notes were compared with notes from the two postinterventional periods, respectively. Results: In the 8-hr working shift where deviations in vital parameters were recorded for the first time, nurses’ free text notes related to patients’ breathing (B) increased significantly, comparing 2009 with 2010 and 2011, respectively. In the 24 hr following initial deviations in vital parameters, a significant increase in free text notes was identified concerning Airway, Breathing and Circulation-related symptoms or problems. Conclusion: Mandatory use of the Modified Early Warning Score and related implementation activities significantly impacts nursing documentation of free text notes. Relevance to clinical practice: Nurses’ practice of communicating observed clinical symptoms by documenting free text notes should be supported through measures to enhance situation awareness.

AB - Aims and objectives: To evaluate whether implementing the Modified Early Warning Scoring system impacts nurses’ free text notes related to Airway, Breathing, Circulation and Pain in general ward medical and surgical patients. Background: The quality of nursing documentation in patient health records is important to secure patient safety, but faces multiple challenges whether being paper-based or electronic. Nurses’ ability to draw a complete picture of the patient situation is thereby compromised. Structured use of the Modified Early Warning Score, found to reduce unexpected death, might affect nurses’ free text documentation of clinical observations. Design: A prospective, pre- and postinterventional, nonrandomised study adhering to the EQUATOR guideline TREND. Methods: Data on nurses’ free text notes were obtained in 1,497 patient records during one preinterventional (March–June 2009) and two postinterventional study periods (September–December 2010 and March–June 2011) in a Danish university hospital. Data were organised by the Airway, Breathing and Circulation principles and by nurses’ working shifts in the 56 hr surrounding the first recording of deviating vital parameters or a Modified Early Warning Score ≥ 2. Preinterventional free text notes were compared with notes from the two postinterventional periods, respectively. Results: In the 8-hr working shift where deviations in vital parameters were recorded for the first time, nurses’ free text notes related to patients’ breathing (B) increased significantly, comparing 2009 with 2010 and 2011, respectively. In the 24 hr following initial deviations in vital parameters, a significant increase in free text notes was identified concerning Airway, Breathing and Circulation-related symptoms or problems. Conclusion: Mandatory use of the Modified Early Warning Score and related implementation activities significantly impacts nursing documentation of free text notes. Relevance to clinical practice: Nurses’ practice of communicating observed clinical symptoms by documenting free text notes should be supported through measures to enhance situation awareness.

KW - clinical observation

KW - documentation

KW - free text notes

KW - nursing

KW - patient safety

KW - record keeping

KW - situation awareness

UR - http://www.scopus.com/inward/record.url?scp=85064709926&partnerID=8YFLogxK

U2 - 10.1111/jocn.14870

DO - 10.1111/jocn.14870

M3 - Journal article

VL - 28

SP - 2990

EP - 3000

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 15-16

ER -

ID: 56926293