Improving the use of the nursing process: the impact of charting methodology developed from King's conceptual framework on the use of the nursing process

The purpose of this study was to assess the effects of changing a nursing documentation system, developed from King's Conceptual Framework, on the use of the nursing process. The null hypothesis was that there would be no significant increase in the reflection of the use of the nursing process on the nursing care plan or nurses' notes, as a result of using a nursing documentation system developed using King's Conceptual Framework (1981). The design involved the development of a questionnaire that was used to review health records pre and post implementation of a documentation system developed based on King's Conceptual Framework and Theory of Goal Attainment (1981). A Record Completeness Score was obtained from some of the questions. The null hypothesis was rejected. The results of the study have implications for nursing administration and the evaluation of nursing practice. If the use of a documentation system developed from a conceptual framework increases the reflection of the nursing process on the patient's health record, nursing will have the means to measure patient outcomes/goal attainment. All health care organizations and levels of government are focusing on methods to monitor and control the health-care dollar. In order for nursing to clearly determine the costs associated with nursing care, measurement of patient outcomes/goal attainment will need to be possible. In order to measure patient outcomes/goals attainment nurses will need to be able to collect data on their practice. It will be critical that nursing have a documentation system in place which facilitates the reflection of the nursing process within a theoretical framework.

Oath of Allegiance to King George III

Transcript (original spelling and grammar retained): We the Commissioned Officers belonging to the Second Regiment of Lincoln Militia - Do sincerely promise and swear that we will be faithful and bear true allegiance to his Majesty King George, and heirs will defend to the utmost of our power against all traitorous conspiracies and attempts whatsoever which shall be made against his Person, Crown or Dignity; and we will do our utmost endeavours to disclose and make them known to his Majesty, His Heirs and successors, all treasons and traitorous conspiracies and attempts, which we shall know to be against Him or them. So help us God. Thomas Clark - Lt. Col. David Secord - Major John Crysler - Capt James Macklin - Capt John [Ross] - [Captain] [Abraham] Bowman - Lieut Gilbert McMicking - Quartmaster John [Misiner] - Ensign Robert Campbell - Capt John [Couke] - Ensign Nicholas Smith - Lieut I certify that the officers who have here [subscribed] the oath took it before me at Chippawa 4 Sept 1812 Thomas Dickson JP

Letter - William Lyon Mackenzie King (Deputy Minister of Labour) to The Niagara Power Company, 5 October 1903

A letter from William Lyon Mackenzie King to The Niagara Power Company in the year 1903. Mackenzie King is Deputy Minister of Labour for the Department of Labour Canada and in this letter he discusses issues with importing of men from the United States to Canada for employment. The letter warns of penalty if found guilty of unlawfully importing men for employment.

List of prices paid to Dr. Richard King from Dilly Coleman

List of prices paid to Dr. Richard King from Dilly Coleman in regard to items such as flour and a live hog which were sold to Dr. King by Mr. Coleman and medical treatment and medicines for Dilly and his family provided by Dr. King. Samuel Woodruff’s name appears on the outside of this list, n.d.

Receipt for monies received by Dilly Coleman from Dr. Richard S. King

Receipt for monies received by Dilly Coleman from Dr. Richard S. King for one live pig. S. D. Woodruff’s name appears on the outside of this document, July 1, 1850.

List of prices paid to Dilly Coleman by Doctor Richard .S. King for the board and feeding of a horse

List (2 pages, handwritten) of prices paid to Dilly Coleman by Doctor Richard .S. King for the board and feeding of a horse. There is a handwritten note on the inner page regarding instructions for feeding the horse, Sept. 1850.

Statement that Dr. Richard S. King became accountable for a Debt Owed to him by Dilly Coleman

Statement of Frederick Dilke of Port Robinson that Dr. Richard S. King became accountable for a debt owed to him by Dilly Coleman. The debt was assumed by Dr. Richard S. King, Sept. 24, 1850.