Summary
The purpose of this descriptive field study is to determine what factors influence staff nurses' decisions for non‐documentation of patients' response to analgesic administration.
The study, based on Herbert Simon's descriptive model of decision making, has two components: (a) to determine staff nurses' perceptions of the factors that influence their documentation as well as how frequently they document analgesic administration and (b) to determine the actual frequency of nurses' documentation.
Data collected from 67 staff nurses using a questionnaire designed for this study and through an audit of 65 patients' charts allowed comparison of nurses' perceptions with their actual practice.
Analysis involved both quantitative and qualitative approaches.
The results of the study have implications for nurse educators and nurse administrators.
The purposes of this national study were (a) to determine priority research questions in home health care nursing and (b) to develop a home health research network group. Collaborative brainstorming was used initially by an interdisciplinary research team to generate a list of research questions. The major content areas covered in the questionnaire were questions relating to home health care as a delivery system, patient classification, quality assurance, nursing diagnosis, and nursing professionalism. A survey of 450 practicing home health care nurses was completed. The questions were rated by the respondents on a scale of high, medium, or low research priority. The response rate was 52%, with home health nurses responding from 30 states. The results clearly indicated the top 10 research priorities for home health care nursing research. The formation of the home health care research network groups are also discussed.
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