Minda S, Brundage D J
Duke University Medical Center, Durham, NC 27710.
Comput Nurs. 1994 Nov-Dec;12(6):277-9.
The increasing burden of documentation on nurses and the advent of improved computer technology prompted the development of a bedside documentation system. The time required for documentation of the nursing assessment and the number of observations recorded by the computer were compared with handwritten documentation. The time required for computer documentation using default charting of nursing assessment was significantly less than the time required for handwritten documentation. The number of observations recorded by computer was significantly greater than the number of observations recorded by hand.
护士记录工作负担的不断增加以及计算机技术的改进促使了床边记录系统的开发。将护理评估记录所需时间以及计算机记录的观察次数与手写记录进行了比较。使用护理评估默认图表进行计算机记录所需的时间明显少于手写记录所需的时间。计算机记录的观察次数明显多于手写记录的观察次数。