title: Effects on the quality of the nursing care process through an educational program and the use of electronic nursing documentation.
abstract: OBJECTIVE
  To evaluate the effect of the educational program "Guided Clinical Reasoning" (GCR) and the introduction of an intelligent electronic nursing documentation system (e-doc) on the quality of the nursing process.
  
  
  METHODS
  Evaluation was conducted at three measurement points and rated with the instrument "Quality of Nursing Diagnoses, Interventions and Outcomes" (Q-DIO).
  
  
  RESULTS
  GCR showed the best Q-DIO-scores. No long-term effect was found after GCR cessation. The e-doc delivered the lowest scores, while showing adequate support in using nursing diagnoses.
  
  
  CONCLUSIONS
  E-docs can support conducting the nursing process, but for meaningful e-doc use, clinical reasoning is essential.
  
  
  CONCLUSIONS
  High-quality nursing documentation requires recognition of factors obstructing or supporting nurses in the use of e-docs while conducting the nursing process.
authors.affiliation: University of Applied Sciences, Zurich, Switzerland.
authors.forename: Michelle
authors.initials: M
authors.lastname: Bruylands
authors.forename: Wolter
authors.initials: W
authors.lastname: Paans
authors.forename: Hannele
authors.initials: H
authors.lastname: Hediger
authors.forename: Maria
authors.initials: M
authors.lastname: Müller-Staub
mesh_terms: D016347:Medical Records Systems, Computerized; D009736:Nursing Process / Q000592:standards*; D009737:Nursing Records; D013557:Switzerland
keywords: Electronic health record; Q-DIO; WiCare Doc; nursing diagnosis; nursing record