Table 3.
Self-Reported Documentation Practice Among Nurses in Governmental Hospitals of Harari Regional State and Dire Dawa City Administration, Eastern Ethiopia, 2019 (n=430)
| Item | Response | |||||
|---|---|---|---|---|---|---|
| Never | Sometimes | Always | ||||
| N | % | N | % | N | % | |
| Do you document the assessments you have done for every patient? | 36 | 8.4 | 172 | 40 | 222 | 51.6 |
| Do you document problems you find (the nursing diagnosis) for every patient? | 52 | 12.1 | 200 | 46.5 | 178 | 41.4 |
| Do you document the intervention you have done for every patient? | 60 | 14 | 184 | 42.8 | 186 | 43.2 |
| Do you document the response to your intervention for every patient? | 99 | 23 | 175 | 40.7 | 156 | 36.3 |
| Do you document the fluid you administered for every patient? | 91 | 21.2 | 165 | 38.3 | 174 | 40.5 |
| Do you document the medication you administered for every patent? | 46 | 10.7 | 106 | 24.7 | 278 | 64.6 |
| Do you document the education or advice you have provided to a patient? | 164 | 38.1 | 135 | 31.4 | 131 | 30.5 |
| Do you document the fluid balance status of the patient? | 100 | 23.3 | 189 | 44 | 141 | 32.7 |
| Is all your documentation done immediately after care provided to the patient? | 54 | 12.6 | 236 | 54.8 | 140 | 32.6 |