Iranian Journal of War and Public Health

Aims: Nursing documentation is part of nurses' medical notes and a source of basic and essential information in health care, a patient record containing all written information about a patient's condition and needs. The aims: to assess the nursing documentation of hygiene practice for patients in ICU and to find out the relationship between nurses’ documentation of patient hygiene practice and their demographic characteristics 

Methods: The study was conducted for the period from 9th February 2023 - 26  June 2024. The observational checklist has been applied by researcher to a convenience (non-probability) method of (125) of nurses who are work in intensive care unit at Middle Euphrates teaching hospital. 

Result: The findings reveal that most of the sample nurses were male, the age ranged from (20-29 ) years, and (74.4%) of nurses exhibited poor documentation of hygiene practices for unconscious patients, the most of the study sample hadn't training sessions related to documenting in nursing. 

Conclusion: The findings revealed that  overall assessment for the documentation of the nursing staff was poor.  Regarding to the recommendations, nurses should be given training sessions as a unique challenge to demonstrate the importance of documentation and recording nursing activities.