Documentation In Nursing Practice

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Documentation is anything written or electronically generated that describes the status of a client or the care or services given to that client (Perry, A.G., Potter, P.A., 2010). Nursing documentation refers to written or electronically generated client information obtained through the nursing process (ARNNL, 2010).
Nursing documentation plays a significant role in nursing practice. Documentation can be either paper or electronic which is used to observe the improvement of a client. It a way to convey information such as assessment, interventions require with reference to the client’s history along with the effectiveness of those interventions. It also encourages continuity of care as it allows other members of the healthcare team to access