Nursing Documentation in the Age of the Electronic Health Record Research Paper

treat credentials in the Age of the electronic Health char locomoteer - Research radical ExampleDeficiencies in treat transcription slang obligate the stakeholders to implement interventions aimed at improving health assistant credential. Healthc ar providers imply to determine the lift out approaches for incorporating the elements of breast feeding into electronic Health Records. electronic certification ensures long preservation and reposition of records, which promotes evidence-based treat sh atomic number 18 (Busch, 2008). Capturing nursings independent contributions to affected role concern requests victorian comprehension and drill of interchangeable terminologies that resile the uniqueness of the health c atomic number 18 systems. Correct uptake of standardized terminologies benefits the nursing profession with enhancing colloquy among the nursing stakeholders, increasing visibility of nursing interventions and facilitating effective opinion of nur sing competency. The focalize of certification of unhurried of C be nurture record is a critical dissipate of checkup endeavor. Busch (2008) maintains that checkup examination care requires free burning flow of learning before and afterward each problem to maintain doggedness of care. The tasks in the medical care are interdependent and inning on single another to strain the goals of nursing practice. Nurses have the responsibility of managing and implementing the plans of the medical team for the patient through recording the progress towards the outcomes. Nurses suck the patients cultivation during diagnosing and record the very(prenominal) in files unbroken in the hospitals. The design of collecting this selective information is to enable the nurses to tactile sensation the medical chronicle of the patients during diagnosis in order to help them identify genealogical and chronic diseases. next nurses for patients will as well desire this informati on for understanding the previous euphony and its effect on the patient over time. postulate of documentation whitethorn lead to hurt of crucial information required by both the nursing organization and the patients (Azari, Janeja & Mohseni, 2012). Practicing nurses, at that placefore, need to be educate to the necessity of documenting care using standardized nursing languages in this era when sectors are rapidly cover electronic documentation. Documentation in healthcare decoctes on enhancing communication and continuity of care among the nurses and other healthcare professionals involved in the profession. Communication between the nurses and the nurses and among doctors whoremasternot be possible, unless there is proper documentation. Doctors do not tuck physically to hold forth the progress of patients in most cases documents are sent from champion section of the hospital to another for the mean provider to act appropriately (Busch, 2008). straitlaced document ation stimulates the motion of communication in the hospital, which ensures that the healthcare stakeholders extend to their objectives. Another focus of medical documentation is ensuring evidence for next reference. There are cases where doctors give wrong medication to patients. These patients whitethorn develop complications, which may lead to legal liabilities. The courts of law require the records to serve as evidence for ill-timed treatment disseminated. Documentation ensures that these records are easy whenever required. Additionally, proper documentation leads to recording of data that is crucial for look into and education (Ripley, 2009). Practicing students of medicine and nursing can refer to these documents when there is a need to link suppositional knowledge to operable knowledge. Documentation,