Abstract
Aim: To identify non-conformities related to nursing records; to present proposals for team training with regard to the quality of nursing records. Method: This is a descriptive study using a quantitative approach. The study uses data from medical records to be collected from November 2015 to June 2016. An instrument was developed to collect data and the notes described will be compared to expected annotation standards. The collected variables will be analyzed using descriptive statistics. Expected Results: Acknowledging the importance of nursing records and how it affects nursing staff.
References
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