Improving Pediatric Nurses' Knowledge, Accuracy, and Confidence Through Code Documentation Simulation

Sapyta, Ying Ying; Eiger, Carmel

doi:10.1016/j.ecns.2017.02.003

Cited by 6 publications

(6 citation statements)

References 10 publications

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“…Correlational study the Pediatric Community Based Simulation course had higher self-confidence [40]. The simulation improved thenurses' knowledge, confidence, and accuracy of code documentation [41]. The simulation based scenarios had significant in-…”

Section: N = 126 a Quasi-experimental Studymentioning

confidence: 92%

The Outcomes of Integrating High Fidelity Simulation in Nursing Education: An Integrative Review

Ayed¹,

Khalaf²

2018

OJN

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Section: N = 126 a Quasi-experimental Studymentioning

confidence: 92%

The Outcomes of Integrating High Fidelity Simulation in Nursing Education: An Integrative Review

Ayed¹,

Khalaf²

2018

OJN

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“…Several small studies have examined nursing attitudes toward and perceptions of code documentation in the EHR. 15,16 To our knowledge, ours is the largest (432 respondents) to examine nurse attitudes toward code documentation in a new EHR and the first to report on actual nurse practices in code documentation following implementation of a new…”

Section: Discussionmentioning

confidence: 99%

“…Kolb describes learning as an iterative process and argues strongly for experiential learning where the learner has the opportunity to undertake deliberate, repetitive practice in an activated state such as that afforded by in situ, simulation-based training. 15,[25][26][27][28] In our hospital's pediatric intensive care unit (PICU), nurses embrace weekly opportunities to practice charting in the code narrator during live, in situ, simulation-based team training exercises. Given that 95% of survey, respondents indicated an interest in having opportunities to practice code documentation in this way.…”

Section: Context Of Usementioning

confidence: 99%

Nursing Attitudes and Practices in Code Documentation Employing a New Electronic Health Record

et al. 2021

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Objective Based on feedback from nurses regarding the challenges of code documentation following the implementation of a new electronic health record (EHR), we sought to better understand inpatient nurse attitudes and practices in code documentation and to identify opportunities for improvement. Methods An anonymous electronic survey was distributed to all inpatient nurses working at a single, 999-bed, university-based, and quaternary care hospital. Participation in the study was voluntary and consent was implied by survey completion. Results Overall, 432 (14%) of 3,121 inpatient nurses completed the survey. While nearly 80% of respondents indicated feeling very comfortable using computers for personal use, only 5% felt very comfortable navigating the EHR to document codes in real time. While 53% had documented codes in the new EHR, most admitted to documenting on paper with retroactive entry into the EHR. About 25% reported having participated in a code that was not accurately documented in the new EHR. All respondents provided specific suggestions for improving the EHR interface, and over 90% expressed interest in having opportunities to practice code documentation using simulated code events. Conclusion Despite completion of training modules in code documentation in a new EHR, many inpatient nurses in a single institution feel uncomfortable documenting codes directly into the EHR, and some question the accuracy of this documentation. Improving EHR functionality based on specific recommendations from end-users coupled with more practice documenting simulated codes may ease EHR navigation, leading to nurses' acceptance of the EHR tool, more accurate and efficient documentation, greater nurse satisfaction and more appropriate quality improvement measures.

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“…The training interventions were demonstrated to be able to improve nurses' ability to complete nursing documentation, even within 3 months after training the average documentation ability was still high (Yeni, 2014). Clinical simulation-based training can create conducive learning conditions and have a significant effect on learning experiences and strengthen nurses' clinical skills (Li, 2016;Sapyta & Eiger, 2017).…”

Section: Discussionmentioning

confidence: 99%

Effect of Nanda-I, Nic, and Noc Documentation System Training on Quality of Nursing Care Documentation in the Perinatal Ward of Yogyakarta Regional Public Hospital

2019

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Background: The existing standard of nursing language consists of NANDA-I for diagnostic language standard, Nursing Intervention Classification (NIC) for nursing intervention, and Nursing Outcome Classification (NOC) for nursing outcomes. One way to improve the quality of nursing care documentation is to provide training in the documentation system.Objectives: To determine the effect of providing NANDA-I, NIC, and NOC (NNN) nursing care documentation systems training on the quality of nursing documentation.Methods: This was a pre-experimental study with pretest posttest design without a control group. Twenty-one nurses and eighty-six Medical Records (MR) of patients who were treated in the perinatal ward of Yogyakarta Regional Public Hospital were used as samples selected using purposive sampling. Those nurses were trained in the nursing care documentation system. The quality of nursing care documentation was measured using modified Quality of Diagnoses, Interventions and Outcomes (Q-DIO) instrument. Data were analyzed using Independent samples t-test with a confidence level of 95%.Results: The average of the scores of the quality of nursing documentation before training was lower (1.91) than the average after training (2.78). There was a significant difference in the quality of nursing documentation before and after training (p < 0.001).Conclusion: Training of NNN nursing documentation system could improve the quality of nursing documentation in the perinatal ward of Yogyakarta Regional Public Hospital.

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Improving Pediatric Nurses' Knowledge, Accuracy, and Confidence Through Code Documentation Simulation

Cited by 6 publications

References 10 publications

The Outcomes of Integrating High Fidelity Simulation in Nursing Education: An Integrative Review

The Outcomes of Integrating High Fidelity Simulation in Nursing Education: An Integrative Review

Nursing Attitudes and Practices in Code Documentation Employing a New Electronic Health Record

Effect of Nanda-I, Nic, and Noc Documentation System Training on Quality of Nursing Care Documentation in the Perinatal Ward of Yogyakarta Regional Public Hospital

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