Nurses and their perception about the manual recording system in patients' files

Authors

  • Sérgio Ribeiro dos Santos Universidade Federal da Paraíba
  • Adenylza Flávia Alves de Paula Universidade Federal da Paraíba
  • Josilene Pereira Lima Universidade Federal da Paraíba

DOI:

https://doi.org/10.1590/S0104-11692003000100012

Keywords:

information systems, computerized medical recording systems, nursing records

Abstract

The main goal of this work was to identify factors related to nurses' understanding about the manual recording system, through a descriptive-exploratory approach, developed with two hundred nursing professionals working at different hospital institutions located in the city of João Pessoa/Paraíba, Brazil. Data were collected with special forms using the Likert's behavioral scale. Results identified five factors such as: a) lack of knowledge about information systems; b) dissatisfaction with the manual recording system; c) needs of an informatized recording system to be used in nursing care; d) desire to utilize a classification system with all steps of the nursing process; and e) difficulties with nursing diagnosis related to manual recording. Findings demonstrated the dissatisfaction of nursing professionals about the manual recording system, requiring deep changes in the established recording model.

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Published

2003-02-01

Issue

Section

Original Articles

How to Cite

Nurses and their perception about the manual recording system in patients’ files. (2003). Revista Latino-Americana De Enfermagem, 11(1), 80-87. https://doi.org/10.1590/S0104-11692003000100012