Assessment Of Self-reported Practice Of Nursing Documentation And Associated Factors Among Nurses In Selected Public Hospitals Addis Ababa Ethiopia 2017
Introduction: Nursing documentation is an essential component of nursing practice that has arnpotential to improve the patient outcome besides developing the nursing profession. However,rnlittle has been explored about nursing documentation practice in health care facilities of AddisrnAbaba, Ethiopia. Therefore; this study was conducted to assess documentation practice amongrnnurses working in selected public hospitals of Addis Ababa, Ethiopia.rnObjective: The objective of this study was to assess the self-reported practice of nursingrndocumentation and associated factors among nurses working at Yekatit-12 , Ras DestarnDamtew, Zewditu and Black Lion Specialized hospitals which are all located in Addis Ababa,rnEthiopia.rnMethod: A quantitative descriptive cross sectional survey was employed to assess self-reportedrnpractice of nursing documentation and associated factors among nurses working in selectedrnpublic Hospitals. Data was collected using a structured self- administered questionnaire thatrnwas developed and pre-tested on 32 (10 %) of sampled nurses working in Minillik II Hospital.rnThe study was conducted from April 3 – 17/2017 and the study participants were selectedrnrandomly. SPSS version 22 was used for both data entry and analysis. Descriptive statisticsrnwas used to describe the data and binary logistic regression to test statistical association ofrndocumentation practice against the knowledge, attitude and organizational factors.rnResult: Among all nurses who have participated in the study, good self-reported nursingrndocumentation practice was 47.8 %. Work setting, adequacy of documenting sheets, adequacyrnof time, availability of motivation from supervisors, lack of skill and familiarity with operationalrnstandard of nursing documentation were significantly associated with practice of nursing carerndocumentation [AOR=0.570(95% CI (0.345, 0.940), [AOR=3.610(95% CI (1.516, 8.595), AORrn=4.891, 95% CI (2.425, 9.863), AOR =4.081, 95% CI (1.054, 15.806), AOR =0.109, 95% CIrn(0.013, 0.908) [AOR=1.947(95% CI (1.159, 3.269) respectively.rnConclusion: Nursing documentation practice was poor among nurses under the study. Workrnsetting, adequacy of documenting sheets, adequacy of time, availability of motivation, lack ofrnskill and familiarity with operational standard of nursing documentation were significantlyrnassociated with practice of nursing care documentationrnRecommendation: Based on the finding of this study, employing institutions need to creaternawareness and provide training to enhance knowledge and skill of the nurses regardingrndocumentation. Nursing leaders should motivate the employees to enhance the practice ofrndocumentation, avail the necessary documenting materials besides adequate staffing whichrnmay be related to time shortage. Researchers also need to carry out large scale studies in orderrnto address the problem.rnKey words: Documentation, Self-reported practice, Nurses