Nursing Malpractice: The Importance of Documentation, or Saved by the Pen!

Gruber, M; Gruber, Joseph

doi:10.1097/00001610-199004000-00008

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“…Participants used a rather loose intuitive yardstick rather than any recognized diagnostic criteria such as the Diagnostic and Statistical Manual (American Psychiatric Association 1994) or the International Classi®cation of Diseases (World Health Organization 1992) to assess the level of depression exhibited. Such practice may be detrimental to patients and highlights the fact that despite moves to characterize and classify the activities involved in nursing (Clark & Lang 1992) and encourage comprehensive documentation (Gruber & Gruber 1990, Allen 1994, no generally agreed rubric exists for expression in medico-nursing records. Some reform of this situation would be to train students in the acquisition of precise mental health nursing vocabulary.…”

Section: Adverbs and The Variation In The Assessment Of The Subject'smentioning

confidence: 99%

The language of mental health nursing reports: firing paper bullets?

Crawford

Johnson

Brown

et al. 1999

Journal of Advanced Nursing

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A great deal of the caring work of nursing is accomplished and mediated through language. This paper attempts to characterize some of this language in quantitative and stylistic terms in an attempt to characterize the genre of nursing report language. Nursing students (n = 26) and graduate nurses (n = 3) viewed a videotape of a person being interviewed by a psychiatrist and produced written reports. These showed a large proportion of words relating to the person and to feelings and needs, compared to existing databases of the English language in general. The language produced by the participants also contained many modal or modifying words and is similar to spoken rather than written English in terms of the proportion of lexical content. There was much diversity in their descriptions and the vocabulary used to refer to the client. Graduate nurses showed more scepticism of the evidence provided by the video and advocated more investigation and questioning of the client. The use of standard forms and techniques of expression suggests that these reports were assembled on a language production line. Finally, we advocate a more systematic approach to educating nursing students about the power of the language they use.

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Section: Adverbs and The Variation In The Assessment Of The Subject'smentioning

confidence: 99%