Authors (including presenting author) :
P K YAO (1), W Y TSANG (1), Y L PANG (1), H Y LEE (1), M P YAN (1), Janette Kwan (1), P Y TAI (1)
Affiliation :
(1) Out-Patient Department
Introduction :
Nursing Documentation is nursing responsibility. Good nursing documentation is promoting continuity and quality of nursing care. It can enhance communication between health care porfessional. Through nursing documentation can ensure privacy and confidentially of patient's condition. Besides, this is time consuming of tracing patient's folder for nursing service in OPD. Therefore implement the electronic nursing documentation in OPD
Objectives :
Nursing documentation can enhance the safety and quality of nursing care. Besides, the communication between nurses and health care professionals is strengthen in order to improve the quality of care. On the same time, changeing nurses' behaviours by using structured electronic nursing template for nursing documentation.
Methodology :
Form a working group and discuss with the member about this project. Set up structured electronic nursing templates for nurses easy to fill in. Then implement this project by four phases.
Result & Outcome :
The evaluation of this program are as follows: All nurses accepted the use of electronic nursing documentation in OPD and all of the nursing care provided in OPD are documented electronically. Using electronic nursing documentation is promoting our OPD operational efficiently and effectiveness.
