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Creating a protective picture
Descriptive
TitleInfo
Title
Creating a protective picture
SubTitle
a grounded theory of how medical-surgical nurses decide to follow a charting-by-exception policy on a day-to-day, patient-by-patient basis
Name
(type = personal)
NamePart
(type = family)
Kerr
NamePart
(type = given)
Noël M. (Noël Marie)
NamePart
(type = date)
1960-
DisplayForm
Noel Kerr
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Lev
NamePart
(type = given)
Elise
DisplayForm
Elise Lev
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
D'Alonzo
NamePart
(type = given)
Karen
DisplayForm
Karen D'Alonzo
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
Ruggiero
NamePart
(type = given)
Jeanne
DisplayForm
Jeanne Ruggiero
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
Kossman
NamePart
(type = given)
Susan
DisplayForm
Susan Kossman
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
outside member
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
Graduate School - Newark
Role
RoleTerm
(authority = RULIB)
school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
OriginInfo
DateCreated
(qualifier = exact)
2011
DateOther
(qualifier = exact);
(type = degree)
2011-05
Place
PlaceTerm
(type = code)
xx
Language
LanguageTerm
(authority = ISO639-2b);
(type = code)
eng
Subject
(authority = RUETD)
Topic
Nursing
Subject
(authority = ETD-LCSH)
Topic
Nursing--Practice
Subject
(authority = ETD-LCSH)
Topic
Medical records--Management
RelatedItem
(type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
RelatedItem
(type = host)
TitleInfo
Title
Graduate School - Newark Electronic Theses and Dissertations
Identifier
(type = local)
rucore10002600001
Note
(type = degree)
Ph.D.
Note
(type = bibliography)
Includes bibliographical references
Note
(type = vita)
Includes vita
Note
(type = statement of responsibility)
by Noël M. Kerr
PhysicalDescription
Form
(authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
viii, 183 p. : ill.
Abstract
(type = abstract)
Rationale for the study: The philosophy behind the Charting-by-Exception (CBE) method of documentation remains a source of professional concern almost 30 years after its introduction. The literature lacks both qualitative and quantitative studies that address either staff nurse views of CBE, or the use of CBE data for clinical decision-making. Method: Classic Grounded Theory was used to explore the process Medical-Surgical nurses use in deciding whether to follow a CBE policy on a day-to-day, patient-by-patient basis. Approval of the Academy of Medical-Surgical Nurses (AMSN) Research Committee and the IRB at Rutgers University was obtained before the research began. Sixteen participants, recruited from the membership of AMSN were interviewed over the phone about their perspectives and experiences in using CBE to document clinical data. All participants were Registered nurses, worked as a staff nurse on an acute care, medical-surgical unit and used CBE. All interviews were recorded and transcribed verbatim. These data were managed using Atlas.ti and analyzed using the constant comparative method as described by Glaser. Results: The theory which emerged from the data is a three-step process which includes Coming to Terms with the Method, Being Responsible in Documentation and
Creating a Protective Picture. Creating a Protective Picture is the Core category which explains how the participants resolved their main concern; Create
documentation they believed would be protective of their patients, themselves and/or their employers. Conclusion: The findings provide insight into what
nurses consider responsible documentation practices and the decision-making process they use when documenting under a CBE policy with an exception-based electronic documentation system. Although documentation has historically been viewed by nurses as a task that takes time away from more
important duties, the documentation choices made by each of the participants in this study demonstrated a) many of the reasons why nurses value taking time to
record data with more detail than possible when following CBE policy and b) the value participants placed on the contribution nursing documentation makes to the provision of quality patient care.
Creating a Protective Picture. Creating a Protective Picture is the Core category which explains how the participants resolved their main concern; Create
documentation they believed would be protective of their patients, themselves and/or their employers. Conclusion: The findings provide insight into what
nurses consider responsible documentation practices and the decision-making process they use when documenting under a CBE policy with an exception-based electronic documentation system. Although documentation has historically been viewed by nurses as a task that takes time away from more
important duties, the documentation choices made by each of the participants in this study demonstrated a) many of the reasons why nurses value taking time to
record data with more detail than possible when following CBE policy and b) the value participants placed on the contribution nursing documentation makes to the provision of quality patient care.
Identifier
(type = hdl)
http://hdl.rutgers.edu/1782.1/rucore10002600001.ETD.000061082
Location
PhysicalLocation
(authority = marcorg);
(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T3736Q8V
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Kerr
GivenName
Noel
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2011-01-06 22:18:41
AssociatedEntity
Name
Noel Kerr
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - Newark
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical
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5102080
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application/x-tar
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5109760
Checksum
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