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The position on record is specified in the "Standards of clinical nursing practice" in the Japanese Nursing Association as, "A series of procedures for clinical nursing practice is recorded". The position on nursing records; the system, how nursing records should be written and so on, are covered in "Guidelines for the Maintenance of Nursing Records". I made a path based on those criteria so that we can develop nursing procedures on path sheets, aiming for: * satisfaction of the conditions; *a balance with insurance medical care; * improvement to, and efficiency of, nursing records based on an individual patient's case. It is five years since we began using this path. Examining the path as a nursing record I found using a single paper record was inadequate, so too was the lack of patient response. I have therefore reviewed our hospital path from a nursing and administrative viewpoint. As a result it highlighted three problems as follows: * problems with the path sheet; * problems with staff education; * the level of care devoted to patients by nursing staff. We now have to address each of these issues.
特定非営利活動法人日本医療マネジメント学会の論文