Nursing Interventions in the Clinical Settings and Implications of the Documentations

This study investigated the implications of documentation of nursing interventions in the clinical settings. Documented nursing actions for 264 clients in the medical, surgical and maternity units of six health care facilities were obtained for the study using purposive and simple random sampling techniques. One research question and four null hypotheses guided the study. Checklist on nursing documentations in the clinical setting was used for data collection. Descriptive statistics of frequency, means and standard deviation (SD) were used to summarize the variables. Pearson Product moment correlation was used to answer the research question, while analyses of variance (ANOVA) was used to test the null hypotheses at 0.05 level of significance. The result showed that the core principles of nursing documentation significantly apply to all nursing documentations. In addition, significant differences existed across the units of the health care institutions with regard to the legal implications and the impacts of nursing documentation on quality assurance and science of nursing.