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Quality indicators of the nursing process documentation in clinical practice
2021
Revista Brasileira de Enfermagem
Objectives: to propose quality indicators for clinical nursing documentation Methods: methodological study in which literature review guided the composition of an instrument for evaluating nursing documentation. Two independent professionals evaluated 204 medical records of adult patients. The analysis of this assessment generated quality indicators for clinical nursing documentation. Inter-rater agreement was analyzed by Cohen's kappa. Results: the bibliographic review, analysis by experts and
doi:10.1590/0034-7167-2020-1355
fatcat:kc6nb47vrrd3heosrawwk4ytra