Evaluation of Quality of Nursing Documentationin Surgical Wards at Baghdad Teaching Hospitals

Abstract

Background: Nursing documentation has been one of the most important functions of nurses.

Objectives: To evaluatequality of nursing documentsfor nursing care at surgical wardand to find out the

relationship between demographic characteristic with nursing documents.

Methodology: A descriptive design study was conducted in the period of 1stJanuary 2017 to 15thAugust

1. Utilizing a stratified random sampling method (60) nursesworking in surgical ward atBaghdad

teaching hospitals.

Results: The majority of the study participants were female who accounted for (58.3%) of the total participants

while male constituted (41.7%) making a female male ratio of 1.5:1. Most of the study participants (46.7%)

were between ages 18 and 27 years old. (71.7) of the nurses were married and the remainder was single.

(45%) of the participants had instituite graduate.Majority of them (31.7%) were employee (1-5) years in

surgical wards, and finally most of nurses(66.7%) have training session in the nursing documentation.

Conclusions: The study showed that nurses have poor nursing documentation in surgical ward and there is

no significant association between the nursing documentation with some demographic characters of selected

nurses but significant association between the nursing documentation with training course.