تقييم الوقت المستهلك في التوثيق التمريضي لدى عناصر التمريض العاملة في أقسام الجراحة والداخلية في مستشفى اللاذقية الجامعي

Abstract

Nurses are at the center of healthcare, their care is vital, and documentation is part of the nursing profession and at the center of nursing practice. Nursing documentation can be used in quality assurance and is an effective tool for communication between nurses and other health professionals. This study aimed to assess the time spent on nursing documentation among nurses working in the surgical and internal departments at Latakia University Hospital. The study was applied in the internal and surgical departments at Latakia University Hospital. Data were collected during the period from 4/1/2024 to 3/11/2024 on a sample of 681 male and female nurses. Two instruments were used in the study: The demographic and clinical data tool and the nursing documentation measurement tool. The results of the study included that the labor department is one of the most time-consuming departments in nursing documentation, and that there is a clear direct relationship between the number of patients admitted to the department and the time required to complete nursing documentation. The study recommended the need to redistribute nursing staff to minimize the nurse-patient ratio and introduce an electronic records system as an alternative to paper records to save time and effort for nursing staff.