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Title: Evidencing specialist rehabilitation nursing through documentation.
Epworth Authors: Richardson, Amy
Hooper, Suzie
Miles, Kim
Gabriel, Irene
Keywords: Documentation
Specialist Rehabilitation Nursing
Education Program
Development of the Rehabilitation Nursing Documentation Framework
Health Administration, Epworth HealthCare, Victoria, Australia
Issue Date: Oct-2023
Conference Name: Epworth HealthCare Research Month 2023
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: All nurses, regardless of specialty, are required to maintain accurate, comprehensive and timely documentation of assessments, planning, decision making, actions and evaluations. As specialist rehabilitation nurses, the ability to accurately articulate the contribution of nursing care to the rehabilitative process is vital in order to validate the provision of rehabilitation nursing care and their contribution to the interdisciplinary team. Following an audit of nursing documentation, it was evident that despite a number of interventions to educate our nurses on documentation, there was a deficit in the ability of our nurses to articulate the need for and provision of skilled rehabilitation nursing. The documented nursing interactions during the project period did improve slightly over time. The development of the resource did have an effect in increasing documentation in some units. Ongoing improvement has relied on NUM and educator commitment to embed the use of the resources consistently.
Type: Conference Poster
Type of Clinical Study or Trial: N/A
Appears in Collections:Research Month

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