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Doody's Review ServiceReviewer: Krysia Warren Hudson, MS, RNC (Johns Hopkins University School of Nursing)
Description: This book, focusing on nursing documentation and the legal implications surrounding this key nursing activity, is useful to the practicing nurse. The author's use of case studies to illustrate important points is particularly helpful.
Purpose: The author feels that the profession of nursing is expanding both in scope and practice settings with a concomitant expansion in the types of nursing documentation and the legal issues surrounding the charting process. Thus, this book is attempting to address this growing issue. This is a worthwhile objective and the author is able to meet this objective,
Audience: The audience ranges from beginning nursing students to advanced practice nurses. The author, a legal consultant, is a credible authority on the topic.
Features: Topics covered include types of charting and common charting problems, nursing negligence issues and risk management, the role of documentation in both of these areas, essentials of documentation in a variety of different settings, advanced practice documentation issues, and the future of nursing documentation. The use of case studies to illustrate key points is a clear strength of this book and should help the reader to more readily understand the information presented. The information presented is accurate but, at times, does not flow easily.
Assessment: This book is very valuable for any nurse seeking to improve documentation skills or to gain a clearer understanding of the legal implications inherent in the charting process.