Documentation practices among ICU nurses: Contributory to patient’s safety

International Journal of Research Studies in Psychology
CollabWritive Special Issue
2023 Volume 9 Issue 1

Available Online: 31 December 2023


Piol, Jemmalyn D.
Graduate School, Lyceum of the Philippines University – Batangas, Philippines


A quantitative method approach was used in this study, with a descriptive correlational design to evaluate the results. The purpose of descriptive studies is to examine patterns or associations. This will enable the researcher to devise a program to further improve documentation practices for patient safety. The researcher chose 37 ICU nurses from various tertiary hospitals in Lipa City as target respondents. Purposive sampling was used, which is a sampling technique that works best when the study requires a specific response from the subject matter experts. The results of the study found that proper documentation is an essential component of nursing practice because it helps to ensure that the patient’s needs are assessed, diagnosed, planned, implemented, and evaluated correctly throughout the plan of care tailored to various types of clienteles. The most concerning issues encountered by ICU nurses in documentation practices are nurse-patient ratio, poor writing styles of colleagues and doctors, inadequate supervision, and paper-based documentation. Among the strategies employed by ICU nurses in their documentation practices are making complete, accurate, and timely documentation to support effective risk management. An adequate staffing levels and workload management in addition maintaining a safe work environment and ensuring prompt and effective incidence reporting. The study also found that there is a significant relationship between the barriers/problems encountered and the strategies employed in documentation practices of ICU nurses. Considering the findings, the researcher developed a proposed program/plan intervention that will further enhance documentation practices not only in the ICU but in the nursing practice.

Keywords: barriers, documentation practices, ICU nurses, nursing process, patient safety, strategies



Cite this article:
Piol, J. D. (2023). Documentation practices among ICU nurses: Contributory to patient’s safety. International Journal of Research Studies in Psychology, 9(1), 103-114.