J Korean Crit Care Nurs.  2018 Oct;11(3):85-94. 10.0000/jkccn.2018.11.3.85.

The Association between Safety Care Activity and Documentation of Nursing Records among Nurses in General Hospitals

• Kang HS
• Song HJ

• KMID: 2434710
• DOI: http://doi.org/10.0000/jkccn.2018.11.3.85

Abstract

PURPOSE
The purpose of this study was to identify the association between safety care activity and documentation of nursing records among nurses working in hospitals and to provide basic data for developing hospital policy for the documentation of nursing records. METHOD: By using a self-reported questionnaire, data were collected from 212 nurses working in six general hospitals in Jeju province from November 2015. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression with the SAS WIN 9.2 program.
RESULTS
Safety care activity was positively correlated with the documentation of nursing records (r=.83, p < .001). The documentation of nursing records was significantly predicted by safety care activity, working department, and nursing delivery system, and 70.9% of the variance in the documentation of nursing records was explained (F=172.31, p < .001).
CONCLUSION
In this study, safety care activity was the most influencing factor for the documentation of nursing records. Improving work circumstances and building a system are required for nurses' safety care activity to lead to good documentation of nursing records.

Keyword

Safety; Care; Activity; Records; Performance

MeSH Terms

Hospitals, General*
Methods
Nursing Records*
Nursing*