Coaching as a Strategy for Enhance Nursing Care Documentation Quality

ntroduction: Nursing care documentation serves as the cornerstone of effective interprofessional communication, continuity of care, and patient safety, continuity of care, and defensible legal practice. Despite its important role, the quality of nursing care documentation remains a constant challenge in various clinical settings. While traditional methods for improving nursing documentation can result in some initial improvements, they often fail to achieve sustained and meaningful change. Given these persistent problems, coaching became one of the innovative strategies to improve nursing documentation practices and foster a culture of continuous improvement in healthcare settings. Purpose: This study aims to explore the effectiveness of coaching as a strategy to improve the quality of nursing care documentation. Method: 16 nursing documentation measures used the Q-DIO before-after coaching implementation. Collected data in this study analyze using Wilcoxon test to find significance of the difference before-after measurements. Result: The study found that there was improvement in each dimension of nursing documentation quality as measured by the Q-DIO instrument, and that the dimensions significantly differed in overall quality (p<0.001). Discussion: Therefore, further implementation of the coaching method with longer and more intermittent sequences gives certain promise as an alternative strategy for enhancing the quality of nursing care documentation in the future.