Knowledge and Practice of Documentation among Nurses in TM University Teaching Hospital Moradabad, UP

The study titled “Knowledge and practice of documentation among nurses in Theerthankar Mahavir University Teaching Hospital (TMUTH)” was carried out to determine nurses’ knowledge and practice of documentation. Relevant literatures were reviewed. A multistage and simple random sampling was used. Questionnaire (260) was the instrument of data collection with a response rate of 100% since 290 questionnaires were distributed. Frequency distribution tables, pie chart and bar chart were used to present the data. From the result of the study, most respondents (91.7%) were females and Christians (68.3%). All respondents have heard about documentation and thus practice all to the best of their abilities. About 70% of respondents practice effective documentation, 52% answered that effective documentation is done during the evening shift and 86.2% realized that there are barriers to documentation. It is recommended that there should be increased awareness about effective documentation process and implication of improper documentation.