Nursing documentation practice and associated factors among nurses in public hospitals, Tigray, Ethiopia

BMC Research Notes

Table 2 Practice of nursing documentation among nurses working in selected public hospitals of Tigray, Ethiopia, 2017

Variable	Frequency (n = 316)	Percent
Nursing documentation for every patient (n = 316)
Always	188	59.5
Sometimes	118	37.3
Rarely	8	2.5
Never	2	0.6
Time preference to document a care (n = 316)
Any time when convenient	118	37.3
Immediately or soon after care rendered	160	50.6
At the end of shift hours	36	11.4
I don’t know	2	0.6
Ways to keep confidentiality of record (n = 316)
Access for authorized ones only	214	54
Protect computer pass words	42	10.6
Obtain informed consent	74	18.7
Confidentiality after death	31	7.8
I don’t know	35	8.8
Read colleague’s notes (n = 316)
Yes	230	72.8
No	86	27.2
Colleague’s notes fulfill standard (n = 230)
Yes	100	43.5
No	130	56.5
Documents education or advice (n = 316)
Always	116	36.7
Sometimes	109	34.5
Rarely	34	10.8
Never	57	18
Uses computerized documentation system(n = 316)
Yes	54	17.1
No	262	82.9
Reports any medical error voluntarily(n = 316)
Yes	225	71.2
No	91	28.8
Way of error recording(n = 225)
No words like” error” or “mistake”	86	32.5
Facts only	132	49.8
I don’t know	47	17.7
Documents patient response to care (n = 316)
Yes	187	59.2
No	129	40.8

ISSN: 1756-0500