Nursing Documentation with Rosale Lobo, Assistant Professor of Nursing and Health Policy at The University of Bridgeport

In this episode of the LTC Heroes podcast, Rosale Lobo, Assistant
Professor of Nursing and Health Policy, sits down with us to
discuss her approach to nurse training and the importance of
nursing documentation.
Nurse Training

Rosale shares that when training new nurses, she first teaches
them about empathizing and understanding people. Without this
foundation of interpersonal skills and an ability to see nuances
about a patient, other nursing duties such as documentation
become much more difficult.


Without a big picture view of your patients and knowing what
qualitative data to capture, she says, nurses will struggle to
understand how their documentation contributes to the overall
care of their patients.
Nursing Documentation

Rosale highlights some key challenges around documentation,
including that EHRs are rarely aligned with the workflow of
nurses, nurses don’t have enough input in the design of EHRs, and
EHRs often don’t reflect the human element of nursing.


When it comes to poor documentation habits, Rosale cites a lack
of details and vague language as the main offenders. Without
precision when nurses are charting, it's difficult to truly gain
the big picture around a patient. This can also lead to issues in
concerns with litigation and regulation.


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