Impact of primary care management on nursing documentation.
OBJECTIVE
The aim was to investigate whether perceptions of electronic nursing documentation and its performance differed because of primary health care management.


BACKGROUND
Success in leading people depends on the manager's personality, the context and the people who are led. Close proximity to clinical work, with manager and personnel sharing the same profession, promotes the authority to carry out changes.


METHODS
This study comprised a postal questionnaire to district nurses and an audit of nursing records from two primary health care organizations, one with a uniprofessional (nursing) organization, and one with multidisciplinary health care centres with general practitioners and/or another profession as managers.


RESULTS
Uniprofessional nurse management increased district nurses' positive perceptions of nursing documentation but did not affect documentation performance, which was inadequate regardless of management type.


CONCLUSIONS
Positive perceptions of nursing documentation are bases for further development to a nursing documentation including a holistic view of the patient.
Törnvall
Eva
E
Department of Social and Welfare Studies, University of Linköping, Norrköping, Sweden. evato@isv.liu.se
Wahren
Lis Karin
LK
Wilhelmsson
Susan
S
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003430:Cross-Sectional Studies; D004282:Documentation / Q000379:methods / Q000592:standards; D005194:Family Practice / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D008875:Middle Aged; D009718:Nurse Administrators / Q000458:organization & administration*; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009736:Nursing Process; D009737:Nursing Records / Q000592:standards; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology; D008486:Physician Executives / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration*; D011637:Public Health Nursing / Q000458:organization & administration*; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D013548:Sweden