Impact Of Structured Training Interventions On Nurses’ Attitudes Toward Bedside Documentation In Peshawar, Pakistan

Abstract

Background: Bedside documentation is an essential component of quality nursing care that ensures patient safety, continuity of care, and professional accountability. However, many nurses face challenges such as inadequate training and heavy workloads that affect documentation accuracy and consistency. This study evaluated the impact of a structured training intervention on nurses’ attitudes toward bedside documentation.

Methods: A quasi-experimental pre-test and post-test design was conducted among 219 registered nurses working in public sector teaching hospitals in Peshawar, Pakistan. Participants received a structured training intervention focused on the purpose, accuracy, and ethical aspects of bedside documentation. Data were collected using a validated 09-item attitude scale administered before and after the intervention. Statistical analysis was performed using SPSS version 25, and the Wilcoxon signed-rank test was applied to compare pre- and post-test scores.

Results: A significant improvement was observed in nurses’ attitudes toward bedside documentation after the intervention (Z = –3.89, p < 0.001). The mean attitude score increased from 3.22 (SD = 0.29) to 3.93 (SD = 0.16), with a large effect size (r = 0.77). Post-training results indicated enhanced professional motivation, awareness, and responsibility toward accurate and timely bedside documentation.

Conclusion: The structured training intervention effectively improved nurses’ attitudes toward bedside documentation. Incorporating such programs into ongoing professional development can foster sustained positive attitudes, promote documentation accuracy, and strengthen the culture of safety and accountability in nursing practice.