Törnvall Eva, Wahren Lis Karin, Wilhelmsson Susan
Department of Social and Welfare Studies, University of Linköping, Norrköping, Sweden.
J Nurs Manag. 2007 Sep;15(6):634-42. doi: 10.1111/j.1365-2834.2007.00729.x.
The aim was to investigate whether perceptions of electronic nursing documentation and its performance differed because of primary health care management.
Success in leading people depends on the manager's personality, the context and the people who are led. Close proximity to clinical work, with manager and personnel sharing the same profession, promotes the authority to carry out changes.
This study comprised a postal questionnaire to district nurses and an audit of nursing records from two primary health care organizations, one with a uniprofessional (nursing) organization, and one with multidisciplinary health care centres with general practitioners and/or another profession as managers.
Uniprofessional nurse management increased district nurses' positive perceptions of nursing documentation but did not affect documentation performance, which was inadequate regardless of management type.
Positive perceptions of nursing documentation are bases for further development to a nursing documentation including a holistic view of the patient.
旨在调查由于初级卫生保健管理的不同，对电子护理文件及其性能的认知是否存在差异。
领导他人的成功取决于管理者的个性、环境以及被领导的人员。管理者与员工同属一个专业，且与临床工作紧密相关，这有利于推动变革。
本研究包括向地区护士发放邮政调查问卷，以及对两个初级卫生保健组织的护理记录进行审计，其中一个组织是单一专业（护理）组织，另一个是有多学科医疗中心，由全科医生和/或其他专业人员担任管理者。
单一专业的护士管理增强了地区护士对护理文件的积极认知，但并未影响文件记录的性能，无论管理类型如何，文件记录的性能都不尽人意。
对护理文件的积极认知是进一步发展护理文件的基础，护理文件应包含对患者的整体看法。
