This open access textbook is intended to guide best practices of documentation in the nursing profession. This resource is designed for students in undergraduate nursing programs, and addresses principles of documentation, legislation associated with documentation, methods and systems of documentation, and key trends in the future of documentation. Incorporated into this resource is legislation and practice standards specific to the province of Ontario, Canada.

 

 

About the Authors

Jennifer Lapum, PhD, MN, BScN, RN, Professor, Daphne Cockwell School of Nursing, Toronto Metropolitan University (formerly named Ryerson University), Toronto, Ontario, Canada

Oona St-Amant, PhD, MScN, BScN, RN, Associate Professor, Daphne Cockwell School of Nursing, Toronto Metropolitan University (formerly named Ryerson University), Toronto, Ontario, Canada

Charlene Ronquillo, MSN, RN, Assistant Professor, University of British Columbia, Canada

Michelle Hughes, MEd, BScN, RN, Professor, School of Community and Health Studies, Centennial College, Toronto, Ontario, Canada

Joy Garmaise-Yee, DNP, MN, RN, Professor, Sally Horsfall Eaton School of Nursing, George Brown College, Toronto, Ontario, Canada

 

 

Contact person

Dr. Jennifer L. Lapum

jlapum@torontomu.ca, 416-979-5000 ex. 556316

350 Victoria St., Toronto, ON, M5B 2K3

Toronto Metropolitan University (formerly named Ryerson University)

@7024thpatient

 

Note to Educators Using this Resource

We encourage you to use this resource and would love to hear if you have integrated some or all of it into your curriculum. If you are using it in your course, please consider notifying Dr. Lapum and include the course/program and the number of students.

 

 

Acknowledgments

Linn Clark, Editor, Toronto, Ontario, Canada

Frances Dimaranan, BScN student, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada

Ann Ludbrook, Copyright and Scholarly Engagement Librarian, Ryerson University, Toronto, Ontario, Canada

Mahidhar Pemasani, BScN student, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada

Nada Savicevic, Interactive Design, Educational Developer, Centre for Excellence in Learning and Teaching, Ryerson University, Toronto, Ontario, Canada

Sally Wilson, Web Services Librarian, Ryerson University, Toronto, Ontario, Canada

 

 

Customization

This textbook is licensed under a Creative Commons Attribution 4.0 International (CC BY-NC) license except where otherwise noted, which means that you are free to: https://pressbooks.library.ryerson.ca/documentation/

SHARE – copy and redistribute the material in any medium or format.

ADAPT – remix, transform, and build upon the material for any purpose, even commercially.

The licensor cannot revoke these freedoms as long as you follow the license terms.

 

UNDER THE FOLLOWING TERMS:

Attribution: You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

No additional restrictions: You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Notice: You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.

No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.

 

 

 

 

 

 

 

 

 

 

 

 

 

License

Icon for the Creative Commons Attribution-NonCommercial 4.0 International License

Documentation in Nursing: 1st Canadian edition Copyright © 2020 by Jennifer Lapum; Oona St-Amant; Charlene Ronquillo; Michelle Hughes; and Joy Garmaise-Yee is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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