nsg 6420 Assignment SOAP Note and CORE Entries
nsg 6420 Assignment SOAP Note and CORE Entries
nsg 6420 Assignment SOAP Note and CORE Entries
Week 10 assignment
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SOAP Note and CORE
Entries
Each week, you are required to enter your patient encounters
into CORE. Your faculty will be checking to ensure you are seeing the right
number and mix of patients for a good learning experience. You will also need
to include a minimum of one complete SOAP note using this template.
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nsg 6420 Assignment SOAP Note and CORE EntriesThe SOAP
note should be related to the content covered in this week, and the completed
note should be submitted to the Submissions Area. When submitting your note, be
sure to include the reference number from CORE.
Submission Details:
nsg 6420 Assignment SOAP Note and CORE EntriesBy the due date assigned,
enter your patient encounters into eMedley and complete at least one
SOAP note in the template provided.
Name your SOAP note document
SU_NSG6320_W10_A4_LastName_FirstInitial.doc.
Include the reference number from CORE in your document.
Submit your document to the Submissions Area by the due date
assigned.
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Nurses Perceptions
nsg 6420 Assignment SOAP Note and CORE EntriesIn a study conducted by Cheevakasemsook et al, (2006) they found that factors
resulting in poor documentation included limited nursing competence, motivation and
confidence, ineffective nursing procedures and inadequate nursing auditing,
supervision and staff support. Within their studies, nurses described feeling insecure
about nursing documentation and recognised limited access to training as a barrier
to effective documentation.
Hyde et al. (2005) claimed that nurses felt that documentation did not accurately
reflect what nurses did, but rather it was used merely for legal purposes. This is
reflected by McGeehan (2007) who suggests that nurses regard documentation as
an undesirable task at the end of a shift. Kärkkäinen et al.
(2005) qualitative meta-synthesis study identified that poor record
keeping practices were caused, to some extent, by nurses who simply disregarded
the importance of documentation in comparison to hands-on nursing care.
It may be echoed that nurses underestimate the valuable contribution that quality
documentation can provide to improving patient care.
nsg 6420 Assignment SOAP Note and CORE EntriesDocumentation should not be
regarded as a task detached from clinical care but rather as an integrated
component of the holistic care of patients (Prideaux, 2011). Educational programmes
should be readily available which focus on diagnostic reasoning and critical thinking
in order to improve and maintain standards (Darmer et al., 2006).