Date of Award

Spring 1988

Degree Type

Thesis - Restricted

Degree Name

Master of Science (MS)

Department

Nursing

Abstract

In this essay the development and implementation of a multipurpose nursing documentation form are evaluated. The form was derived from a generic GRASp® Patient Care Chart and coupled with the format of a flow sheet. Evaluation of the multipurpose nursing documentation form was based on findings in current nursing literature relative to patient classification systems, communications, quality assurance and costing nursing services. Evaluation demonstrated that the multipurpose form can be used as: a format for ongoing assessment of required patient care needs; a format for documentation of recurrent, uncomplicated nursing care; a mechanism for evaluating quality of nursing care; a mechanism for determining patient charges based on nursing care rendered. It was found that use of the multipurpose nursing documentation form significantly reduced the amount of time nurses required for completion of the patient classification process and for documenting activities of daily living . Based on the findings of the evaluation, recommendations for the development and application of a multipurpose nursing documentation form are presented.

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