Table 3 Identified barriers and tailored implementation interventions
From: Improving the quality of nursing documentation at a residential care home: a clinical audit
Identified barriers | Interventions | Local strategy |
|---|---|---|
Lack of knowledge and skills | Feedback of audit findings [25] Information and education, individually and in groups [26] Local opinion leaders [27] | Perform feedback of audit findings at lunch and in-between shift meetings. Perform educational sessions with information of updated criteria and terminology [28]. Use local opinion leaders to motivate and teach documentation skills. Apply checklist to identify nurses’ and assistant nurses’ knowledge and skills in applied software and electronic patient records documentation. Develop educational material and cards with documentation guidelines to be available as reminders by computers. |
Lack of available resources (computers) | Provide satisfying workstations for documentation | Supply each ward with additional computers. Establish workstations (computers side by side) where staff may collaborate on documentation |
Insufficient time for writing patient records | Organize time for documentation | Organize time and stress the importance of documentation. Motivate staff to engage in written documentation practice. |