Document: A Genre Analysis of Patient Notes and Documentation Practices in the ICU; Alexus

Forshee

Part 1
Group Members C.A.R.S Model Moves Details & Location in Article

Reagan Wheeler Move 1: Establishing a Forshee opens up the article with an

Territory (how do they anecdote about her mother and her
address why the disorganized notes from working in the ICU.
research is important She then goes on to say “This instigated my
research because I felt that there should be
or needs to be
an easier and better way for nurses to
studied)? document about their patients.” (36)

Avery Zech Move 2: Establishing Forshee identifies a gap within previous

the Niche (how are research revolving around nurses’ note taking
they adding to and its importance for the well-being of
previous research)? patients, and she feels more research should
be collected on the manner in which nurses
document patient information (40). Therefore,
she chooses to conduct interviews and a
genre analysis of patient notes (41).

Boden Marco Move 3: Occupying the Nurses feel like there needs to be a change
Niche (what is the when it comes to taking notes for patients and
argument of analysis?) making a worksheet for the main topics could
improve how patient notes are taken. This is
all found in the Findings and Analysis heading
on page 41.

Part 2
Name of Group Title of Sources Synthesized Purpose of Synthesis
Members Subheading/
section

Reagan Wheeler Introduction Uses images of The purpose of this

haphazardly written notes synthesis was to “show the
from the ICU. The images manner in which nurses in
include notes written on the ICU of Southeastern
crumpled gloves, paper Medical Center currently
towels, and scrap paper. document their notes in the
fast paced environment of
this unit.” (36) The images
effectively display the
manner in which notes
containing important
information about ICU
patients are taken,

Avery Zech Literature Kebede, Mihiretu, et al.
Review ”Nursing Care
Documentation Practice:
The Unfinished Task of
Nursing Care in University
of Gondar Hospital”
Boden Marco Method Secondary sources found
from the library database
from the university of
central florida
Part 3
Academic Sources
Primary Sources
Secondary Sources
Wauby-Smith,Ian E. R.,
“Sentiment in Nursing Notes as an
Indicator of Out-of-Hospital
Mortality in Intensive Care
Patients.”
Kebede, Mihiretu, et al. “Nursing
Care Documentation Practice:
The Unfinished Task of Nursing
Care
in the University of Gondar
Hospital.”
emphasizing the need for a
more effective note-taking
system.
This source recounts a
research study in Ethiopia in
which the amount of
documentation that nurses
had, resulted in healthier
patient outcomes. The
purpose of including this
source was to show the
importance of note taking in
hospital settings and how it
increases the overall well-
being of patients.
They used related search
terms to find lots of research
articles relating to nurse
documentation and the
outcome of their patients.
Popular Sources
Williams, Sara. Personal
interview. 20 Oct. 2018.
Jones, Amanda. Patient
documentation. 10 Oct.
2018. — Personal
interview. 19 Oct. 2018.
Bazerman, Charles.
“Speech Acts, Genres,
and Activity Systems:
How Texts Organize
Activity and
People.” What Writing
Does and How It Does It:
An Introduction to
Analyzing Texts and
Textual Practices, edited
by Charles Bazerman
and Paul Prior.
Routledge, 2003, pp.
309-339
Doncliff, Brent. “Improving
the Quality of Nursing Notes.”
Kai Tiaki: Nursing New Zealand.
Vol 21, no. 6, July 2015, pp.
27-29. EBSCOhost

Kain, Donna, and Elizabeth

Wardle. “Activity Theory: An
Introduction for the Writing
Classroom.” Writing about Writing:
A College Reader. 3rd ed., edited
by Elizabeth Wardle and Doug
Downs, Bedford/St Martin’s, 2017,
pp. 395-406