LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
Patient documentation is an essential component in nurses' daily activities; further, data found within nursing documentation are key to identifying patients' needs, acuity level, continuity of care, and quality-improvement measures. Unfortunately, medical records often lack adequate documentation, which are linked to failure in detecting changes in the patient’s clinical condition. Nowadays, in an effort to improve patients’ quality of care and outcomes, electronic medical records are being integrated into the healthcare system. These computer systems usually provide template guidelines that make nursing documentation more effective. The purpose of this project was to develop, implement, and evaluate the effectiveness of in-service classes and chart audits for improving nurses’ compliance with the AMI template while enhancing completeness of AMI documentation. Visual-based adult learning theory and Knowledge-to-Action Translation framework guided the project development. The primary investigator used a survey and in-service classes to assess emergency care nurses' knowledge with respect to AMI documentation, followed by pre/post chart audits to evaluate the effectiveness of each intervention. After completion of this project there was an increase in compliance with the emergency care AMI documentation template. Such findings reinforced the use of short-duration in-service classes and visual-based learning techniques as effective approaches to quality-improvement measures. This project contributed to the limited evidence-based literature regarding AMI documentation.
Subject (authority = RUETD)
Topic
Family Nurse Practitioner in Emergency Care
Subject (authority = ETD-LCSH)
Topic
Myocardial infarction -- Diagnosis
Subject (authority = ETD-LCSH)
Topic
Medicine -- Documentation
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
RelatedItem (type = host)
TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier (type = local)
rucore10004500001
Identifier
ETD_9478
Identifier (type = doi)
doi:10.7282/t3-8gsm-2g56
PhysicalDescription
Form (authority = gmd)
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (84 pages) : illustrations
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
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.