Development and Validation of a Nursing Care Documentation Model

The study was conducted to develop and test a nursing documentation format that will capture nursing activities in real time basis. Specifically, it was aimed at developing appropriate components, appropriate contents for the components, determining content validity and reliability of the nursing care documentation format, and determining the perception of the user-friendliness of the nursing care documentation model. The Action research design was adopted for the study involving 122 nurses working in medical and surgical units of the study areas. Two researcher- developed instruments (ADIE model and questionnaire) were used for data collection. The questionnaire retrieved and analysed were 81 which constituted the sample. Scores were analysed using mean and standard deviation while validity and reliability of model was done with checklist that was graded. All the participants agreed that the model was adequately developed in design and contents: They also agreed that the model clearly stated the information they needed for documentation. The result also showed that the model was valid and reliable. Majority (80.2%) preferred the proposed model to the nursing booklet in use in the hospitals. However, 47.9% said that the columns were not enough to document care. It con