Add the nursing force shortage related to india , Hyderabad n NIMS.

The

shortage of nurses in the United States, currently estimated at 200,000, is projected to grow to 800,000 by 2020. (American Association of State Colleges and Universities, 2005) In addition to recruitment problems, there is difficulty in retaining individuals in the profession. SECTION III Chi-square association of selected demographic variables with the knowledge and practice scores regarding documentation of patient care among nurses. This section presents the findings on the relationship between the knowledge of nurses on documentation of patient care with selected demographic variables and relationship between the practices of nurses on documentation of patient care with selected demographic variables. To test the null hypothesis for knowledge, the null hypothesis are stated as follows H01: There will be no significant association between the age of nurses and their knowledge about documentation of patient care. H02: There will be no significant association between the sex of nurses and their knowledge about documentation of patient care. H03: There will be no significant association between the professional qualification of nurses and their knowledge about documentation of patient care. H04: There will be no significant association between the designation of nurses and their knowledge about documentation of patient care. H05: There will be no significant association between the total years of work experience of nurses and their knowledge about documentation of patient care. H06: There will be no significant association between the current area of work experience of nurses and their knowledge about documentation of patient care. H07: There will be no significant association between the attending in-service education program by nurses and their knowledge about documentation of patient care.

H08: There will be no significant association between the demands for completing patient documentation extend or work beyond scheduled work hours by nurses and their knowledge about documentation of patient care. H09: There will be no significant association between the factors that inhibit documentation of patient care by nurses and their knowledge about documentation of patient care. H010: There will be no significant association between the factors that facilitate documentation of patient care by nurses and their knowledge about documentation of patient care. To test the null hypothesis for practices, the null hypothesis are stated as follows H01: There will be no significant association between the age of nurses and their practices about documentation of patient care. H02: There will be no significant association between the sex of nurses and their practices about documentation of patient care. H03: There will be no significant association between the professional qualification of nurses and their practices about documentation of patient care. H04: There will be no significant association between the designation of nurses and their practices about documentation of patient care. H05: There will be no significant association between the total years of work experience of nurses and their practices about documentation of patient care. H06: There will be no significant association between the current area of work experience of nurses and their practices about documentation of patient care. H07: There will be no significant association between the attending in-service education program by nurses and their practices about documentation of patient care. H08: There will be no significant association between the demands for completing patient documentation extend or work beyond scheduled work hours by nurses and their practices about documentation of patient care. H09: There will be no significant association between the factors that inhibit documentation of patient care by nurses and their practices about documentation of patient care.

H010: There will be no significant association between the factors that facilitate documentation of patient care by nurses and their practices about documentation of patient care.

Table - 13
Chi-square association of selected demographic variables with the knowledge scores regarding documentation of patient care among nurses. n = 100 2 Value at 5% level DF

Variables

2 Value

Age in years Sex Professional qualification Designation Total years of work experience Current area of work experience Attending in-service education program Demands for completing patient documentation extend or work beyond scheduled work hours

52.824 (S) 14.822 (S) 35.441 (S) 33.607 (S) 36.198 (S) 20.812 (S) 11.371 (S) 11.821 (NS)

12.59 (6 DF) 5.99 (2 DF) 9.49 (4 DF) 12.59 (6 DF) 15.51 (8 DF) 12.59 (6 DF) 5.99 (2 DF) 15.51 (8 DF)

Factors that inhibit documentation of patient care

5.582 (NS)

12.59 (6 DF) 15.51 (8 DF)

Factors that facilitate documentation of 35.690 (S) patient care NS - not significant at 0.05%level of significance S - significant at 0.05%level of significance DF - degrees of freedom

The Chi square values of knowledge for age (2 = 52.824), sex (2 = 14.822), professional qualification (2 = 35.441), designation (2 = 33.607), total years of work experience (2 = 36.198), current area of work experience (2 = 20.812), attending in-service education program (2 = 11.371) and factors that facilitate documentation of patient care (2 = 35.690) were found significant at 5% level of significance. Hence, there was significant relationship between the knowledge of nurses regarding documentation of patient care and their age, sex, professional qualification, designation, total years of work experience, current area of work experience, attending in-service education program and factors that facilitate documentation of patient care. Demands for completing patient documentation extend or work beyond scheduled work hours (2 = 11.821) and factors that inhibit documentation of patient care (2 = 5.582) were not significant at 0.05%level of significance.

SECTION IV Chi-square association of selected demographic variables with the practice scores regarding documentation of patient care among nurses. Table - 13 N = 100 2 Value 2 Value at 5% level DF 7.82 (3 DF) 3.84 (1 DF) 5.99 (2 DF) 7.82 (3 DF) 9.49 (4 DF) 7.82 (3 DF) 3.84 (1 DF) 9.49 (4 DF) 7.82 (3 DF) 9.49 (4 DF)

Variables

Age in years Sex Professional qualification Designation Total years of work experience Current area of work experience Attending in-service education program Demands for completing patient documentation extend or work beyond scheduled work hours Factors that inhibit documentation of patient care Factors that facilitate documentation of patient care

2.910 (NS) 2.664 (NS) 1.320 (NS) 6.516 (NS) 3.233 (NS) 36.973 (S) .059 (NS) 5.880 (NS) 3.835 (NS) 7.817 (NS)

NS - not significant,-significant at 0.05%level of significance S - significant at 0.05%level of significance DF - degrees of freedom

The above table shows that Chi square values of nurses practices regarding documentation of patient care with selected variables, age (2 = 2.910), sex (2 = 2.664), professional qualification (2 = 1.320), total years of work experience (2 = 3.233), attending in-service education program (2 = .059), demands for completing patient documentation extend or work beyond scheduled work hours (2 = 5.880), factors that inhibit documentation of patient care (2 = 3.835), and factors that facilitate documentation of patient care (2 = 7.817), were not significant at 0.05%level of significance. Therefore the researcher has accepted the null hypothesis H01, H02, H03, H04, H05, H07, H08, H9 and H010. Their by researcher has rejected the research hypothesis for the same variables. The chi square values of nurses practices regarding documentation of patient care with selected variable, current area of work experience (2 = 36.973) was found significant at 5% level of significance. Hence, researcher rejected the null hypotheses i.e. H06, and there by accepted research hypotheses for the same variables. The Chi square values of practices and age (2 = 2.910), sex (2 = 2.664), professional qualification (2 = 1.320),designation (2 =6.516 ), total years of work experience (2 = 3.233), attending in-service education program (2 = .059), demands for completing patient documentation extend or work beyond scheduled work hours (2 = 5.880), factors that inhibit documentation of patient care (2 = 3.835), and factors that facilitate documentation of patient care (2 = 7.817), were not significant at 0.05%level of significance. Current area of work experience (2 = 36.973) was found significant at 5% level of significance. Hence, there was significant relationship between the practices of nurses regarding documentation of patient care and current area of work experience. Hence, there is no significant relationship existing between the practices of nurses regarding documentation of patient care and age, sex, professional qualification, total years of work experience, attending in-service education program, demands for completing patient documentation extend or work

beyond scheduled work hours, factors that inhibit documentation of patient care and factors that facilitate documentation of patient care.

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with age. Table 16 N = 100 KNOWLEDGE LEVEL Demographic variable Count 21-30 % Count Age in years 31-40 % Count 41-50 % Above Count 50 % Count Total % 6.0% 64.0% 30.0% 100.0% 0.0% 4 57.1% 6 88.2% 3 42.9% 64 11.8% 0 0.0% 30 100.0% 7 100.0% 100 0.0% 0 87.5% 30 12.5% 4 100.0% 34 3.9% 0 47.1% 7 49.0% 1 100.0% 8 BELOW AVG(51%ABOVE AVG(<50%) 75%) AVG(>75%) 2 24 25 Total

51

Above table depicts that the Chi square calculated values for age (2 = 52.824) is more than the table value 12.59 at 6 degrees of freedom, found significant at 5% level of significance. Hence there was significant relationship between the level of knowledge of nurses regarding documentation of patient care and their age.

Age in years * KNOWLEDGE LEVEL

90.0% 87.5% 88.2%

80.0%

70.0% 57.1% 49.0% 47.1% 42.9% 40.0% BELOW AVG(<50%) AVG(51%-75%) ABOVE AVG(>75%) 30.0%

60.0%

Axis Title

50.0%

20.0% 12.5% 10.0% 3.9% 0% 0.0% 21-30 31-40 Axis Title 41-50 Above 50 0% 0% 11.8%

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with age.

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with sex. Table 17 N = 100 KNOWLEDGE LEVEL Demographic variable BELOW AVG(51%ABOVE AVG(<50%) 75%) AVG(>75%) 2 50.0% 4 4.2% 6 6.0% 2 50.0% 62 64.6% 64 64.0% 0 0.0% 30 31.3% 30 30.0% Total

Count Male % Sex Count Female % Count Total %

4 100.0% 96 100.0% 100 100.0%

Above table represents that the Chi square calculated values for sex (2 = 14.822), is more than the table value 5.99 at 2 degrees of freedom, found significant at 5% level of significance. Hence there was significant relationship between the level of knowledge of nurses regarding documentation of patient care and their sex.

Sex * KNOWLEDGE LEVEL

70.0% 64.6%

60.0% 50.0% 50.0% 50.0%

Axis Title

40.0% BELOW AVG(<50%) 31.3% 30.0% AVG(51%-75%) ABOVE AVG(>75%)

20.0%

10.0% 4.2% 0% 0.0% Male Axis Title Female

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with sex. Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with professional qualification. Table 18 N = 100

KNOWLEDGE LEVEL Demographic variable BELOW AVG(<50%) Count % Count Professional qualification GNM course % Count B.Sc. nursing course % Count Total % 6.0% 64.0% 30.0% 100.0% 7.8% 0 0.0% 6 58.8% 34 72.3% 64 33.3% 13 27.7% 30 100.0% 47 100.0% 100 2 100.0% 4 AVG(51%75%) 0 0.0% 30 ABOVE AVG(>75%) 0 0.0% 17 Total

Multipurpose health worker training

2 100.0% 51

Above table represents that the Chi square calculated values for professional qualification (2 = 35.441), is more than the table value 9.49 at 4 degrees of freedom, found significant at 5% level of significance. Hence there was significant relationship between the level of knowledge of nurses regarding documentation of patient care and their professional qualification.

Professional qualification * KNOWLEDGE LEVEL

100.0% 100.0%

90.0%

80.0% 72.3% 70.0% 58.8% 60.0%

Axis Title

50.0%

BELOW AVG(<50%) AVG(51%-75%)

40.0%

33.3% 27.7%

ABOVE AVG(>75%)

30.0%

20.0% 7.8% 0% 0% 0.0% Multipurpose health worker training GNM course B.Sc. nursing course 0%

10.0%

Axis Title

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with professional qualification. Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with designation. Table 19 N = 100

KNOWLEDGE LEVEL Demographic variable BELOW AVG(<50%) 0 0.0% 4 16.0% 2 8.0% 0 0.0% 6 6.0% AVG(51%75%) 24 88.9% 17 68.0% 6 24.0% 17 73.9% 64 64.0% ABOVE AVG(>75%) 3 11.1% 4 16.0% 17 68.0% 6 26.1% 30 30.0% Total

Head Nurse Staff Nurse Designation Senior Internee Junior Internee

Count % Count % Count % Count % Count

27 100.0% 25 100.0% 25 100.0% 23 100.0% 100 100.0%

Total %

Above table represents that the Chi square calculated values for designation (2 = 33.607), is more than the table value 12.59 at 6 degrees of freedom, found significant at 5% level of significance. Hence there was significant relationship between the level of knowledge of nurses regarding documentation of patient care and their designation.

Designation * KNOWLEDGE LEVEL

90% 88.9%

80% 73.9% 70% 68.0% 68.0%

60%

Axis Title

50% BELOW AVG(<50%) 40% AVG(51%-75%) ABOVE AVG(>75%) 30% 24.0% 20% 11.1% 10% 0% 0% Head Nurse Staff Nurse Senior Internee Junior Internee 8.0% 0% 16.0% 16.0% 26.1%

Axis Title

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with designation. Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with total years of work experience. Table 20 N = 100

Demographic variables 1-5 years 6-10 years Total years of work experience 11-15 years 16-20 years Above 20 years Total Count % Count % Count % Count % Count % Count %

KNOWLEDGE LEVEL BELOW AVG(51%ABOVE AVG(<50%) 75%) AVG(>75%) 0 19 19 0.0% 2 33.3% 0 0.0% 0 0.0% 4 11.1% 6 6.0% 50.0% 0 0.0% 6 66.7% 11 100.0% 28 77.8% 64 64.0% 50.0% 4 66.7% 3 33.3% 0 0.0% 4 11.1% 30 30.0%

Total 38 100.0% 6 100.0% 9 100.0% 11 100.0% 36 100.0% 100 100.0%

Above table represents that the Chi square calculated values for, total years of work experience (2 = 36.198), is more than the table value 15.51 at 8 degrees of freedom, found significant at 5% level of significance. Hence there was significant relationship between the level of knowledge of nurses regarding documentation of patient care and their total years of work experience.

Total years of work experience * KNOWLEDGE LEVEL

100.0% 100% 90% 80% 70% 60% Axis Title 50.0% 50.0% 50% 40% 30% 20% 11.1% 11.1% 10% 0% 0% 1-5 years 6-10 years 11-15 years Axis Title 16-20 years Above 20 years 0% 0% 0% 0% 33.3% 33.3% BELOW AVG(<50%) AVG(51%-75%) ABOVE AVG(>75%) 66.7% 66.7% 77.8%

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with total years of work experience.

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with current area of work experience. Table 21 N = 100

KNOWLEDGE LEVEL Demographic variable BELOW AVG(51%ABOVE AVG(<50%) 75%) AVG(>75%) 4 14.3% 0 0.0% 0 0.0% 2 15.4% 6 6.0% 16 57.1% 22 62.9% 22 91.7% 4 30.8% 64 64.0% 8 28.6% 13 37.1% 2 8.3% 7 53.8% 30 30.0% Total

General ward

Count % Count % Count % Count % Count

28 100.0% 35 100.0% 24 100.0% 13 100.0% 100 100.0%

Current area of work experience

Intensive care unit

Postoperative unit Semi intensive care unit

Total %

Above table represents that the Chi square calculated values for, current area of work experience (2 = 20.812), is more than the table value 12.59 at 6 degrees of freedom, found significant at 5% level of significance. Hence there was significant relationship between the level of knowledge of nurses regarding documentation of patient care and their current area of work experience.

Current area of work experience * KNOWLEDGE LEVEL

100.0% 91.7% 90.0% 80.0% 70.0% 60.0% Axis Title 50.0% 40.0% 30.0% 20.0% 10.0% 0% 0.0% 0% 14.3% 8.3% 28.6% 37.1% 30.8% BELOW AVG(<50%) AVG(51%-75%) ABOVE AVG(>75%) 15.4% 57.1%

62.9% 53.8%

Axis Title

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with current area of work experience.

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with attending in-service education program. Table 22

N = 100
KNOWLEDGE LEVEL Demographic variable BELOW AVG(51%ABOVE AVG(<50%) 75%) AVG(>75%) Total

Count Yes Did you attend any in-service education program on documentation No % %

29

37

10.8%

78.4%

10.8%

100.0%

Count

35

26

63

3.2%

55.6%

41.3%

100.0%

Count Total %

64

30

100

6.0%

64.0%

30.0%

100.0%

Above table represents that the Chi square calculated values for attending inservice education program (2 = 11.371), is more than the table value 5.99 at 2 degrees of freedom, found significant at 5% level of significance. Hence there was significant relationship between the level of knowledge of nurses regarding documentation of patient care and attending in-service education program.

Did you attend any in-service education program on documentation * KNOWLEDGE LEVEL
80.0% 78.4%

70.0%

60.0%

55.6%

50.0% Axis Title 41.3% BELOW AVG(<50%) 40.0% AVG(51%-75%) ABOVE AVG(>75%) 30.0%

20.0% 10.8% 10.0% 3.2% 0.0% Yes Axis Title No 10.8%

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with attending in-service education program. Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with demands for completing patient documentation extend or work beyond scheduled work hours.

Table 23 N = 100
KNOWLEDGE LEVEL Demographic value BELOW AVG(<50 %) 0 0.0% 0 0.0% 6 9.7% 0 0.0% 0 0.0% 6 6.0% AVG(51% -75%) 3 100.0% 12 52.2% 40 64.5% 0 0.0% 9 81.8% 64 64.0% ABOVE AVG(>75% ) 0 0.0% 11 47.8% 16 25.8% 1 100.0% 2 18.2% 30 30.0% Total

Count Never How often does the demand for completing patient documentatio n cause you to extend or work beyond your scheduled work hours % Count Rarely % Count Sometimes % Count Often % Count Very often % Count Total %

3 100.0% 23 100.0% 62 100.0% 1 100.0% 11 100.0% 100 100.0%

Above table represents that the Chi square calculated values for demands for completing patient documentation extend or work beyond scheduled work hours (2 = 11.821) is less than the table value 15.51 at 8 degrees of freedom, was found not significant at 5% level of significance. Hence there was no significant relationship between the level of knowledge of nurses regarding documentation of patient care and demands for completing patient documentation extend or work beyond scheduled work hours.

How often does the demand for completing patient documentation cause you to extend or work beyond your scheduled work hours * KNOWLEDGE LEVEL
100.0% 100% 90% 80% 70% 60% Axis Title 50% 40% 30% 20% 9.7% 10% 0% 0% Never Rarely Sometimes Axis Title Often Very often 0% 0% 0% 0% 0% 25.8% 18.2% 52.2% 47.8% 64.5% 81.8% 100.0%

BELOW AVG(<50%) AVG(51%-75%) ABOVE AVG(>75%)

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with demands for completing patient documentation extend or work beyond scheduled work hours.

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with factors that inhibit documentation of patient care. Table 24

N = 100
Demographic variables KNOWLEDGE LEVEL BELOW AVG(<50 %) Count % Count 2 15.4% 0 AVG(51% -75%) 5 38.5% 6 ABOVE AVG(>75% ) 6 46.2% 2 Total

Lack of time Lack of support from supervisors and colleagues Inadequate charting system Increased workload and less staffing

13 100.0% 8

What are the factors that inhibit documentatio n of patient care

% Count % Count % Count

0.0% 0 0.0% 4 5.3% 6 6.0%

75.0% 2 66.7% 51 67.1% 64 64.0%

25.0% 1 33.3% 21 27.6% 30 30.0%

100.0% 3 100.0% 76 100.0% 100 100.0%

Total %

Above table represents that the Chi square calculated values for is factors that inhibit documentation of patient care (2 = 5.582) less than the table value 7.82 at 3 degrees of freedom, was found not significant at 5% level of significance. Hence there was no significant relationship between the level of knowledge of nurses regarding documentation of patient care and factors that inhibit documentation of patient care.

What are the factors that inhibit documentation of patient care * KNOWLEDGE LEVEL
80.0% 75.0% 66.7% 67.1%

70.0%

60.0%

50.0% Axis Title

46.2% 38.5% 33.3% BELOW AVG(<50%) 27.6% 25.0% AVG(51%-75%) ABOVE AVG(>75%)

40.0%

30.0%

20.0%

15.4%

10.0% 0% 0.0% Lack of time Lack of support from supervisors and colleagues Inadequate charting system 0%

5.3%

Increased workload and less staffing

Axis Title

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with factors that inhibit documentation of patient care. Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with factors that facilitate documentation of patient care. Table 25

N = 100
KNOWLEDGE LEVEL BELOW ABOVE AVG(51 AVG(<5 AVG(>75 %-75%) 0%) %) 2 6 14 9.1% 4 22.2% 0 0.0% 0 0.0% 0 0.0% 6 6.0% 27.3% 12 66.7% 1 50.0% 6 50.0% 39 84.8% 64 64.0% 63.6% 2 11.1% 1 50.0% 6 50.0% 7 15.2% 30 30.0%

Demographic variables Knowledge about documented Conducting in services training Electronic documentation Enough time for documentation Standard guideline for nursing documentation Count % Count % Count % Count % Count % Count %

Total 22 100.0% 18 100.0% 2 100.0% 12 100.0% 46 100.0% 100 100.0%

What are the factors that facilitate documentation of patient care

Total

Above table represents that the Chi square calculated values for factors that facilitate documentation of patient care (2 = 35.690) is more than the table value 15.51 at 8 degrees of freedom, found significant at 5% level of significance. Hence there was significant relationship between the level of knowledge of nurses regarding documentation of patient care and factors that facilitate documentation of patient care.

What are the factors that facilitate documentation of patient care * KNOWLEDGE LEVEL
90.0% 80.0% 70.0% 60.0% 50.0% 50.0% Axis Title 50.0% 40.0% 30.0% 20.0% 9.1% 10.0% 0% 0.0% 0% 0% 11.1% 27.3% 22.2% 15.2% BELOW AVG(<50%) AVG(51%-75%) ABOVE AVG(>75%) 50.0% 50.0% 63.6% 66.7% 84.8%

Axis Title

Frequency and percentage distribution of level of knowledge of nurses regarding documentation of patient care in relationship with factors that facilitate documentation of patient care. Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with age. Table 26

N = 100
PRACTICE LEVEL Demographic variables BELOW AVG(<50%) Count 21-30 % Count 31-40 % Age in years Count 41-50 % Count Above 50 % Count Total % 39.0% 61.0% 100.0% 28.6% 39 71.4% 61 100.0% 100 32.4% 2 67.6% 5 100.0% 7 11 23 34 62.5% 37.5% 100.0% 41.2% 5 58.8% 3 100.0% 8 21 AVG(51%75%) 30 Total

51

Above table depicts that the Chi square calculated values for age is (2 = 2.910), less than the table value 7.82 at 3 degrees of freedom, was not found significant at 5% level of significance. Hence there was no significant relationship between the level of practices of nurses regarding documentation of patient care and their age.

Age in years * PRACTICE LEVEL

80.0% 71.4% 70.0% 62.5% 60.0% 58.8% 67.6%

50.0% Axis Title 41.2% 40.0% 37.5% 32.4% 30.0% 28.6% BELOW AVG(<50%) AVG(51%-75%) ABOVE AVG(>75%)

20.0%

10.0% 0% 0.0% 21-30 31-40 Axis Title 41-50 Above 50 0% 0% 0%

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with age.

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with sex. Table 27 N = 100
Demographic variables PRACTICE LEVEL Total

BELOW AVG(<50%) Count Male % Sex Count Female % Count Total % 39.0% 40.6% 39 39 0.0% 0

AVG(51%75%) 4 100.0% 57 59.4% 61 61.0% 4 100.0% 96 100.0% 100 100.0%

Above table depicts that the Chi square calculated values for sex (2 = 2.664), less than the table value 3.84 at 1 degrees of freedom, was not found significant at 5% level of significance. Hence there was no significant relationship between the level of practices of nurses regarding documentation of patient care and their sex.

Sex * PRACTICE LEVEL

100.0% 100%

90%

80%

70% 59.4% 60%

Axis Title

BELOW AVG(<50%) 50% 40.6% 40% AVG(51%-75%) ABOVE AVG(>75%)

30%

20%

10% 0% 0% Male Axis Title Female 0% 0%

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with sex. Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with professional qualification. Table 28 N = 100

PRACTICE LEVEL Demographic variables BELOW AVG(<50%) Count % Count Professional qualification GNM course % Count B.Sc. nursing course % Count Total % 39.0% 61.0% 100.0% 39.2% 19 40.4% 39 60.8% 28 59.6% 61 100.0% 47 100.0% 100 0 0.0% 20 AVG(51%75%) 2 100.0% 31 Total

Multipurpose health worker training

2 100.0% 51

Above table depicts that the Chi square calculated values for professional qualification (2 = 1.320), less than the table value 5.99 at 2 degrees of freedom, was not found significant at 5% level of significance. Hence there was no significant relationship between the level of practices of nurses regarding documentation of patient care and their professional qualification.

Professional qualification * PRACTICE LEVEL

100.0% 100% 90% 80% 70% 60.8% 60% Axis Title 50% 39.2% 40% 30% 20% 10% 0% 0% Multipurpose health worker training GNM course B.Sc. nursing course 0% 0% 0% 40.4% BELOW AVG(<50%) AVG(51%-75%) ABOVE AVG(>75%) 59.6%

Axis Title

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with professional qualification.

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with designation. Table 29 N = 100

PRACTICE LEVEL Demographic variables BELOW AVG(<50%) Count Head Nurse % Count Staff Nurse % Designation Senior Internee Junior Internee Count % Count % Count Total % 39.0% 61.0% 100.0% 9 36.0% 12 52.2% 39 16 64.0% 11 47.8% 61 25 100.0% 23 100.0% 100 20.0% 80.0% 100.0% 48.1% 5 51.9% 20 100.0% 25 13 AVG(51%75%) 14 Total

27

Above table depicts that the Chi square calculated values for designation (2 =6.516 ), less than the table value 7.82 at 3 degrees of freedom, was not found significant at 5% level of significance. Hence there was no significant relationship between the level of practices of nurses regarding documentation of patient care and their designation.

Designation * PRACTICE LEVEL

80.0% 80.0%

70.0% 64.0% 60.0% 51.9% 50.0% Axis Title 48.1% 52.2% 47.8%

40.0%

36.0%

BELOW AVG(<50%) AVG(51%-75%)

30.0% 20.0% 20.0%

ABOVE AVG(>75%)

10.0% 0% 0.0% Head Nurse Staff Nurse Senior Internee Junior Internee 0% 0% 0%

Axis Title

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with designation. Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with total years of work experience. Table 30

N = 100
Demographic variable Count 1-5 years 6-10 years Total years of work experience 11-15 years 16-20 years Above 20 years Total % Count % Count % Count % Count % Count % PRACTICE LEVEL BELOW AVG(51%AVG(<50%) 75%) 15 23 39.5% 2 33.3% 5 55.6% 2 18.2% 15 41.7% 39 39.0% 60.5% 4 66.7% 4 44.4% 9 81.8% 21 58.3% 61 61.0% Total 38 100.0% 6 100.0% 9 100.0% 11 100.0% 36 100.0% 100 100.0%

Above table represents that the Chi square calculated values for total years of work experience (2 = 3.233), less than the table value 9.49 at 4 degrees of freedom, was not found significant at 5% level of significance. Hence there was no significant relationship between the level of practices of nurses regarding documentation of patient care and their total years of work experience.

Total years of work experience * PRACTICE LEVEL

90.0% 81.8% 80.0% 70.0% 60.5% 60.0% 50.0% 39.5% 40.0% 30.0% 20.0% 10.0% 0% 0.0% 1-5 years 6-10 years 11-15 years Axis Title 16-20 years Above 20 years 0% 0% 0% 0% 18.2% 33.3% 55.6% 66.7% 58.3%

Axis Title

44.4%

41.7%

BELOW AVG(<50%) AVG(51%-75%) ABOVE AVG(>75%)

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with total years of work experience.

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with current area of work experience.

Table 31 N = 100
PRACTICE LEVEL Demographic variable Count General ward % Count Current area of work experience Intensive care unit Postoperative unit Semi intensive care unit % Count % Count % Count Total % BELOW AVG(<50%) 24 85.7% 8 22.9% 3 12.5% 4 30.8% 39 39.0% AVG(51%75%) 4 14.3% 27 77.1% 21 87.5% 9 69.2% 61 61.0% Total 28 100.0% 35 100.0% 24 100.0% 13 100.0% 100 100.0%

Above table represents that the Chi square calculated values for, current area of work experience is (2 = 36.973), more than the table value 7.82 at 3 degrees of freedom, found significant at 5% level of significance. Hence there was significant relationship between the level of practices of nurses regarding documentation of patient care and their current area of work experience.

Current area of work experience * PRACTICE LEVEL

90.0% 80.0% 70.0% 60.0% Axis Title 50.0% 40.0% 30.8% 30.0% 20.0% 10.0% 0% 0.0% 0% 0% 0% 14.3% 22.9% 12.5% BELOW AVG(<50%) AVG(51%-75%) ABOVE AVG(>75%) 85.7% 77.1% 69.2% 87.5%

Axis Title

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with current area of work experience.

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with attending in-service education program.

Table 32 N = 100
PRACTICE LEVEL Demographic variables BELOW AVG(<50%) AVG(51%75%) Total

Count Did you attend any in-service education program on documentation Yes % Count No % Count Total %

15 40.5% 24 38.1% 39 39.0%

22 59.5% 39 61.9% 61 61.0%

37 100.0% 63 100.0% 100 100.0%

Above table depicts that the Chi square calculated values for attending inservice education program (2 = .059), less than the table value 3.84 at 1 degrees of freedom, was not found significant at 5% level of significance. Hence there was no significant relationship between the level of practices of nurses regarding documentation of patient care and their attending in-service education program.

Did you attend any in-service education program on documentation * PRACTICE LEVEL
70.0% 61.9% 59.5% 60.0%

50.0% 40.5% Axis Title 40.0% 38.1% BELOW AVG(<50%) AVG(51%-75%) 30.0% ABOVE AVG(>75%)

20.0%

10.0% 0% 0.0% Yes Axis Title No 0%

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with attending in-service education program. Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with demands for completing patient documentation extend or work beyond scheduled work hours. Table 33 N = 100

PRACTICE LEVEL Demographic variables Count % Count % Count % Count % Count % Count % BELOW AVG(<50%) 0 0.0% 10 43.5% 22 35.5% 0 0.0% 7 63.6% 39 39.0% AVG(51%75%) 3 100.0% 13 56.5% 40 64.5% 1 100.0% 4 36.4% 61 61.0% Total 3 100.0% 23 100.0% 62 100.0% 1 100.0% 11 100.0% 100 100.0%

Never How often does the demand for completing patient documentation cause you to extend or work beyond your scheduled work hours Rarely Sometimes Often Very often Total

Above table depicts that the Chi square calculated values demands for completing patient documentation extend or work beyond scheduled work hours (2 = 5.880), less than the table value 9.49 at 4 degrees of freedom, was not found significant at 5% level of significance. Hence there was no significant relationship between the level of practices of nurses regarding documentation of patient care and demands for completing patient documentation extend or work beyond scheduled work hours.

How often does the demand for completing patient documentation cause you to extend or work beyond your scheduled work hours * PRACTICE LEVEL
100.0% 100% 90% 80% 70% 60% Axis Title 50% 40% 30% 20% 10% 0% 0% Never Rarely Sometimes Axis Title Often Very often 0% 0% 0% 0% 0% 0% 56.5% BELOW AVG(<50%) 43.5% 35.5% 36.4% AVG(51%-75%) ABOVE AVG(>75%) 64.5% 63.6% 100.0%

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with demands for completing patient documentation extend or work beyond scheduled work hours.

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with factors that inhibit documentation of patient care. Table 34 N = 100
PRACTICE LEVEL Demographic variables BELOW AVG(<50%) Count Lack of time % Lack of support from supervisors and colleagues Inadequate charting system Increased workload and less staffing Total % 39.0% 61.0% 100.0% Count % Count % Count % Count 46.2% 5 62.5% 2 66.7% 26 34.2% 39 53.8% 3 37.5% 1 33.3% 50 65.8% 61 100.0% 8 100.0% 3 100.0% 76 100.0% 100 6 AVG(51%75%) 7 Total

13

What are the factors that inhibit documentation of patient care

Above table depicts that the Chi square calculated values for factors that inhibit documentation of patient care (2 = 3.835), less than the table value 7.82 at 3 degrees of freedom, was not found significant at 5% level of significance. Hence there was no significant relationship between the level of practices of nurses regarding documentation of patient care and their factors that inhibit documentation of patient care.

What are the factors that inhibit documentation of patient care * PRACTICE LEVEL
70.0% 62.5% 60.0% 53.8% 50.0% 46.2% 37.5% 33.3% 30.0% 34.2% BELOW AVG(<50%) AVG(51%-75%) 20.0% ABOVE AVG(>75%) 66.7% 65.8%

Axis Title

40.0%

10.0% 0% 0.0% Lack of time Lack of support from supervisors and colleagues Inadequate charting system Increased workload and less staffing 0% 0% 0%

Axis Title

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with factors that inhibit documentation of patient care.

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with factors that facilitate documentation of patient care. Table 35 N = 100
Demographic variables PRACTICE LEVEL Total

BELOW AVG(<50%) Knowledge about documented What are the factors that facilitate documentation of patient care Conducting in services training Electronic documentation Enough time for documentation Standard guideline for nursing documentation Total Count % Count % Count % Count % Count % Count % 8 36.4% 8 44.4% 0 0.0% 1 8.3% 22 47.8% 39 39.0%

AVG(51%75%) 14 63.6% 10 55.6% 2 100.0% 11 91.7% 24 52.2% 61 61.0% 22 100.0% 18 100.0% 2 100.0% 12 100.0% 46 100.0% 100 100.0%

Above table depicts that the Chi square calculated values for factors that facilitate documentation of patient care (2 = 7.817), less than the table value 9.49 at 4 degrees of freedom, was not found significant at 5% level of significance. Hence there was no significant relationship between the level of practices of nurses regarding documentation of patient care and their factors that facilitate documentation of patient care.

What are the factors that facilitate documentation of patient care * PRACTICE LEVEL
100.0% 100.0% 90.0% 80.0% 70.0% Axis Title 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 0% 0% 0% 8.3% 0% 0% BELOW AVG(<50%) AVG(51%-75%) ABOVE AVG(>75%) 36.4% 63.6% 55.6% 44.4% 52.2% 47.8% 91.7%

Axis Title

Frequency and percentage distribution of level of practices of nurses regarding documentation of patient care in relationship with factors that facilitate documentation of patient care.