Nursing code of ethics is part of the

Nursing code of ethics is part of the health ethics. The essence of the matter, namely applying ethical values ​​of the field or the maintenance of public health services.

Kozier found nursing code of ethics is:

 Code of ethics to be a tool to develop and improve standards of professional practice and maintain these standards.
Code of Conduct is an official pedomen for professional action. That is, followed by those in the profession and should be accepted as a professional member of tilapia for personal.
 Code of Conduct provides a frame of mind to members of the profession to make decisions in nursing situations.
Will demonstrate professional ethics standards for nursing activities, these standards will protect nurses and patients.
1.2 kontens NURSING CODE

Indonesian nursing code of ethics has been prepared by the Central Board Indonesian National Nurses Association, through PPNI National Conference in Jakarta on November 29, 1989. The code consists of sentence chapters and 16 chapters, of which:

Chapter unity
describes the responsibilities of nurses on individuals, families and communities consisting of 4 chapters.
The second chapter
explain tengtang responsibility of nurses to duties consisting of five chapters.
The third chapter
clarify responsibilities towards fellow nurses and other health professionals that consists of 2 chapters.
The fourth chapter
describes the responsibilities of nurses on the nursing profession that consists of four chapters.
The fifth chapter
explains the responsibilities of the nurse in the government, the nation, and soil water that consists of two chapters.
Chapter 1

Nurses responsibilities, the Community, family and patient

Nurses in order pengabdianynya always be guided to his starting base responsibilities derived from the need for nurses to individuals, families and communities.
Nurse in performing his services in the field of nursing continues to maintain an atmosphere that respects the value-tilapia culture, customs, and religious survival of a people, families and communities.
Nurses to perform its obligations to a person, family and community is always based on the genuine flavor Ihlas in accordance with the tradition of the sublime dignity and care.
Nurses always establish a good working relationship with a person, the family and the community in taking the initiative and held a public welfare efforts as part of the duty, the obligation for the benefit masyrarakat.
Chapter II

Responsibility of nurses to duty

Nurses constantly care for high-quality service with professional honesty in applying the knowledge and skills of nurses in accordance with the needs of people seoaranng or patients, families and communities.
Nurses should keep in confidence all she knew who entrusted kepaanya respect.
Nurses will not use the knowledge and skills to care for purposes contrary to the norms of humanity.
Nurses in the discharge of its duties and obligations with full consciousness always try not to be influenced by considerations of nationality, ethnicity, skin color, age, gender, political affiliation flow and social standing.
Nurses continue to seek protection and safety of patients in performing nursing duties as well as carefully consider the ability to accept or mengalihtugaskan existing responsibility hubungannnya with care.
Chapter III

Responsibility of nurses to fellow nurses and other health professions

Nurses continue to maintain a good relationship between fellow nurses and other health workers, both in maintaining harmony in the workplace atmosphere and preformance achieve overall health care.
Nurses continue to disseminate the knowledge skills and experience to fellow nurses and accept the knowledge and experiences of other professional care field.
Chapter IV

Responsibility of nurses to the nursing profession

Nurses are always trying to improve professional skills and individually or together with the increase knowledge, skills and experience that are beneficial to the development of treatments.
Nurses always support the good name of the nursing profession by showing the behavior and personal traits are sublime.
Nurses always play a role in determining the standardization of education and nursing services and apply in the development of service activities and educational care.
Nurses jointly develop and maintain quality care professional organizations as a means of devotion.
Chapter V

Nurses responsibility of the government, the nation and homeland

 Nurses continue to implement the provisions of the policy outlined by the government in the field of health and care.
Nurses always played an active role in contributing to the government’s mind in improving health and care services to the community.
Function of nursing ethics

As a tool to measure moral behavior in nursing
Framework for nurses to take responsibility for the decision to the public, members of the healthcare team, and the other professions.
According Hypocrates view, the function code is:

Avoid the tension between human
Improve the status of personality
Sustain the growth and development of life.
Moving on from the Hypocrates view, a code of ethics is important in health care systems and services in the development of nursing practice.

1.3 PURPOSE CODE

The purpose of the nursing code of ethics is essentially an effort so that the nurses in carrying out its duties and functions can appreciate and respect human dignity. In general, the purpose of nursing ethics of creating and maintaining trust between nurses and lien, nurses and nurses also between nurses and the public.

While the purpose of nursing ethics by “National For Nursing (NLN)” (nursing staff education center owned American nurses association are as follows:

Increasing understanding of the relationship between students of other health professions and understand the message and the function of members of the healthcare team.
Menggembangkan potential decision making about the morality of the good and bad decisions are accountable to God in accordance with his beliefs.
Develop personal attitudes or personal and professional attitude.
Menggembangkan knowledge and skills that are essential for the basic professional nursing practice.
Provide opportunities for applying the principles of science and ethics in the practice of nursing and the real situation.
The purpose of ethics keperawata according to the Bureau of Ethics Commission on Teaching America are:

Recognize and define the moral elements in nursing practice
Forming strategies or ways and analyze moral problems that occur dlaam nursing practice.
Connecting principle-the principle of good moral or lesson to be accountable to yourself, family, community and God accord with his beliefs.
JAWAG RESPONSIBILITY AND NURSES Torts

1.1 BASIC CONCEPTS OF LIABILITY AND NURSES Torts

a. Sense of responsibility

Responsibility is the obligation of a person to do something that should be able to render an account.

While the responsibilities of a nurse is a nurse actions taken can be justified. Responsibility was direct or indirect. Responsibility is direct if the offender alone is responsible for his actions. Usually it will be so but sometimes people are not directly responsible.

While understanding the responsibilities of nurses by ANA:

Responsibility is: The application of legal provisions (execution) of the tasks related to the specific role of the nurse, in order to remain competent in the knowledge, attitude and work according to the code of ethics (ANA, 1985)

b. Various responsibilities of a nurse in general

Various responsibilities of a nurse in general

Respect the dignity of each patient and family.
Respect the right of patients to refuse treatment, procedure or certain medications and report such refusal to the doctors and the people associated
Respect the right of every patient and their families in terms of confidentiality of information.
Nurse obey the rules if delegated by physicians to answer patient questions and buckets of information that is usually given by a doctor.
Listen carefully and report patient secra important things to the right people have had.
Nurse responsibilities on individuals, families, and communities:
 Nurse in performing his service is always guided by the responsibility that comes from the need for nursing individuals, families, and communities.
Nurse in performing his services in the field of nursing continues to respect cultural values, customs, and religious survival of individuals, families, and communities.
Nurses to perform its obligations for individuals, families, and communities always based with a sincere sense of dignity and in accordance with the noble traditions of nursing.
Nurses continue to establish partnerships with individuals, families, and communities in taking prakasa.
Responsibility of nurses to nursing duties
The things that are the responsibility of nurses in performing their duties, are as follows:
Nurses continue to maintain a high quality of nursing care, with professional honesty in applying the knowledge and skills of nursing, according to the needs of individuals, families and communities.
Nurses required to keep secret everything he knows except if required by the authorities in accordance with applicable law.
Nurses will not use the knowledge and skills of nursing as opposed to humanitarian norms.
Nurses in the discharge of its duties and obligations always strive with full awareness.
Nurses responsibility of the government, the nation, and homeland
Nurses continue to implement the provisions of the policy outlined by the government in the field of health and nursing.
Nurses continue to play an active role in contributing to improving health care.
Responsibility of nurses to nursing standards
Maintain and improve standards
Invite other members to use standard
Memasyarakan standards to public
Protecting the public
Protect the individual (nurse) from other professions
c. Types of nurses responsibility

Responsibility (Responsibility) nurses can be identified as follows:

Responsibility to God (the primary responsibility of the Lord)
Responsibility to Clients and Society (responsibility towards clients and the community)
Responsibility to Colleague and Supervisor (responsibility towards colleagues and superiors.
How to convey the client’s responsibility to:

Delivering the attention and respect to the client, the nurse was forced to delay the service of nurses willing to provide explanations with a friendly against his client. Show respect to clients, talking to clients that is oriented towards the client’s feelings

d. Understanding accountability nurses

Accountability is the answer to all things related to one’s actions. To be able to be held accountable nurses should act on the code of ethics profession.

Akontabiliti can be interpreted as a form of nurse participation in decision making and learning with decision-konsekunsinya consequences.

Nurses should have accountability means when he sued the parties expressed readiness and bold face. Especially with regard to the activities of his profession.

Nurses must be able to explain the activities or actions. This could be explained by asking the following three questions:

Ready to accountability were addressed
Anything from a nurse who imposed accountability?
By what criteria tangung sue nurse measured the pros and cons?
1. To whom it is addressed accountability

As Prawat health nurses have accountability to clients, while as a worker or nurse employees have the responsibility for the director, as professional nurses have the accountability to professional associations and as a member of the health team nurses have accountability to the team leader is usually a doctor, for example nurses provide injection to the client. Injection is determined based on advice and collaboration with physicians, nurses make a list of cost actions and treatment provided to be paid to the hospital. In such instances the nurse has accountability to clients, doctors, hospitals and profession.

2. Anything from a nurse who imposed accountability?

Nurses have the accountability of the whole activity of professional accomplishments ranging from replacing laken, drug delivery to home preparation. It can be observed or measured performance.

3. By what criteria tangung sue nurse measured the pros and cons?

Bonding nurses, nurse or PPNI or Association Hospital Association has developed standards that have krirteria-specific criteria by comparing what is done with the standard nurse’s tercantum.baik in input, process or output. For example, if nurses wash their hands according to the standard through 7 stages. Wash nails, palms, back of hands, with soap in running water for 3 times and so on.

Accountability aims to:

Evaluating new professional practitioners and practitioners-prakstisi reviewing existing ones.
Maintain standards of health care
Provide reflection facilities professional, ethical thinking and personal growth as part of the health care profeional
Provide a basis for making ethical decisions.

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NursingDefinitionNational Nursing Workshop (1983) states that nursing is

Nursing

Definition

National Nursing Workshop (1983) states that nursing is a form of professional services, which is an integral part of health services based on nursing science and troubleshooting, the form includes biopsikososio-spiritual services targeted at individuals, families, groups and communities both healthy and pain in the human life cycle

Philosophy in nursing

Nursing services is an integral part of health care
Nursing holistic view of human
Humanistic nursing care given, respect and respect for human dignity, focus on the customer and uphold justice for every human
Universal
Service client view as an active partner

Nursing services directed to:

Maintain health
Improve health
Helping clients to solve exactly the problems they face.
Nursing service objectives are to:

»Achieving independence clients in improving the health status of optimally with illness prevention and health improvement.

Nursing services provided to patients / clients:

Physical and mental weakness,
That the lack of knowledge
Lack of ability
Lack of willingness in carrying out activities independently.
Nursing services are also directed to the provision of primary health services in an effort to mend the health care system that allows anyone to reach a healthy and productive life

Studying nursing because the shape and the fulfillment of basic human needs are not as well studied various efforts to achieve these basic needs.

Nursing care based on the:

Nursing ethics
Nursing standards
Nursing process
Focusing on client
Within the scope of authority and responsibility of nursing
Managed professionally
Human

Is being bio-psycho-socio-spiritual in the sense of the unique and intact is an integral piece of the physical and spiritual aspects and unique because it has a wide range of needs in accordance with the level of development. (Consortium for Health Sciences, 1992).
Basic needs such as biology, psychology, social, cultural and spiritual. Basic human needs described in Maslow’s hierarchy
Have a life cycle
Humans have the capacity to think, learn, reason, communicate and develop their culture and values
Humans contribute positively to environmental change through adaptation and increase the potential for
Humans as targets nursing services, potentially actively involved in meeting basic needs.
Humans are clients as individuals, families and communities

Individual as a client

Individual is a unique member of the family as a whole unit of aspects of biology, psychology, social and spiritual

Induvidu based on Maslow’s hierarchy of needs:

SELF ACTUALIZATION

SELF-ESTEEM

LOVE AND LOVED

SAFETY AND COMFORT

PHYSIOLOGY

The basic needs will be discussed in more detail later in the course KDM

Family as client

Family is a group of closely related individuals continuously and interaction with each other either individually or together, in their own environment or society as a whole.

Family as a focus in nursing services

The family is the primary unit of society and is the institutions that affect people’s lives
Family is a group that can cause, prevent, fix, ignore the problems in their own group
Health problems in the family vary greatly
In patient care as individuals, families still play a role in decision-making in patient care
The family is an effective intermediary in conducting health efforts
In providing nursing services to the family, to consider the nature of the family:

Families have a unique way, a unique reaction in the face of problems
Family as a unit whose function greatly influenced the times and places
Families have developmental cycle
Community as client

Public institutions yangterbentuk is due to the interaction between the human and cultural environment, the dynamic nature of individuals, families and communities.

Environment

Environment is a factor that can affect human health, the environment includes the internal and external environment.

Internal environment is the environment that comes daro in the man himself, including genetic factors, biological mutation, gender, psychological, factors predisposing to disease, behavioral factors.

External environment is the environment around humans which includes physical and biological environment, social environment, cultural and spiritual.

To understand the environment, can be used by the triangular model leavel, 1965.

AGENT

 

ENVIRONMENT host / HUMAN

Agent is a factor that can lead to disease, such as biology, mechanical and chemical

Hospes is a living creature that can be infected by the disease

Environment is a factor that affects the health of humans and agents.

Healthy and sick

Healthy is the prosperous state of physical, mental and social is not just absence of disease or infirmity (WHO).

Healthy is a state of well being of body, soul and social life which allow people socially and economically productive (Act no.23/92).

Healthy concept (Travis and Ryan, 1998)

Healthy is a choice, a choice in determining health
A healthy lifestyle, lifestyle design towards achieving the highest potential for healthy
Healthy is a process, developmental level of consciousness that never broke, health and happiness may occur at any moment, “here and now.”
Healthy efficient in processing energy, energy derived from the environment, is transferred through humans, and channeled to affect the surrounding environment.
Healthy integration of body, mind and spirit, an appreciation that humans do, think, feel and believe will affect health status.
Healthy is the acceptance of self.
Factors that contribute to health

Good self-care
Prevention of illness / injury
Potential uses of intellectual
Stress management and emotional well express
Good interpersonal relationships
Concerned about the environment and surrounding conditions
Dimensions of Health

sick

A state of disruption of the normal functioning of the body, both physiological function and social function.

Normal deviation category:

Organic disease and functional
Hereditary disease
Congenital Diseases
Infectious diseases
deficiency disease
Metabolic diseases
Neoplastic
Traumatic
Occupational disease
Healthy Indonesia 2010??

Moving health oriented development
Maintain and enhance the activities of individuals, families, and community and environmental
Maintain and improve health care quality, equitable and affordable
encourage community self-reliance for sehay
Health promotion:

Motivating people to avoid impairment / health
Primary level: health promotion and specific protection against disease
Secondary: early detection, intervention for those who get sick, including preventing complications and disability
Tertiary: focus on rehabilitation and return to optimum levels

Nursing Concepts basic material   Care is an essential service

Nursing Concepts basic material

   Care is an essential service provided by nurses on individuals, families and communities who have health problems. Based on science, that care must be based on science and the use of nursing care and tips are studying the shape and cause non-fulfillment of basic human needs and nursing a healing effort. Based on tips means more nurses focused on the ability of nurses to provide nursing care in komperehensip with a touch of art.
     Nursing is a professional services form an integral part of health care that is based on science and nursing tips include aspects of biological, psychological, social, and spiritual nature kompherensip, addressed to individuals, families and communities healthy and diseased human life to achieve include health status optimal. Nursing is kompherensip means nursing services are comprehensive, covering aspects of “Human social biopsiko and spirituality”.
In general, nursing is an art suatau identification. The term means art practice skills acquired through observations / experiences.
DEFINITIONS
   Nursing is the synthesis of basic nursing, clinical nursing, biomedical sciences, psychology and social sciences.
 
Nursing Theory
Nursing theory (C. Taylor et al)
     In an effort to describe and explain the various phenomena in nursing.
 
Nursing theory (Steven)
    Nursing theory plays a role in distinguishing nursing with other disciplines and aims to describe, explain, predict and control the results of operations or nursing services are performed.
 
Nursing theory (Newman)
   There are three approaches in the development and establishment of nursing theory that is reviewing the theories of other relevant disciplines with the aim to integrate the theories into nursing science, nursing practice to analyze the situation in order to achieve the concepts related to nursing practice and create a framework to conceptualize which allows the development of nursing theory.
 
Nursing Process
 
Wolf and Weitzel
   Treatment process is a course of conduct or action to establish, plan, implement nursing care in order to help clients to achieve and maintain optimal health.
   Ann Martiner
Nursing process is the application of scientific problem solving to identify patient problems, systematically plan and implement and evaluate the results of nursing actions that have been implemented.
   Malinda Muraray
Nursing process is the method in the provision of nursing services to patients systematically analyze problems, determine how to solve, and evaluate the results of the actions that have been carried out in their actions.
   Yura
Nursing process is a sequential action, carried out systematically, to determine the patient’s problems, make plans to address them, implementing the plan or assigning others to implement and evaluate the success of effectively overcoming the problem.
    Herbs
Nursing process is a scientific method used to assess systematically and mendiaknosa patient’s health status, which is achieved formulate the problem, determine and evaluate interventions and outcomes science conducted on patient care.
 
CHARACTERISTICS
Nursing theory and is defined as identifying the specific relationship of nursing concepts, such as the relationship between human concept, the concept of healthy pain, nursing, and environment concepts.
Nursing theory should be Imlah, meaning that nursing theory is used with a clear reason or rational and developed using a logical way of thinking.
Nursing theory is simple and common. Meaning nursing theory can digunaklana on simple problems or complex health problems according to the situation of nursing practice.
Nursing theory plays a role in order to enrich the body of Knowledge nursing through research.
Nursing theory to guide and participate in improving nursing practice.
BASIC NURSING
Basic nursing is important in the care of the human interconnected. We are in touch daily with our neighbors and how we will also be responsible for the people who are in a social networking environment that we are relatively small. We ourselves are sometimes too dependent on others.
Basic care is actually rooted in “the third basic task of humanity”. As a human being with another man. Gain experience in the development of human personality, precisely because they relate to other people. Because the care of others, people may develop from a baby to an adult.
Basic care given by others against us, it perlahankita learn and take over then reduced to self-care. Further information on the meaning of “basic care” is derived from “Prof. Hattinya Veschure “diberrikan that all treatment and received one within the” small social environment Diman these individuals are included, based on the desire membantusatu each other “.
Thus, basic maintenance requirement is the existence of a small structure social environment and a willingness to do something for them.
 
CHARACTERISTICS OF NURSING
 
We departed from Prof. explanation. Hattinya Veschure:
– Basic care leads to a desire to care for others. In primary care there is a willingness to help or be helped, which means that in principle people are willing to give assistance as feedback for the help (basic care) that have been provided.
– The people involved know each other well in the care relationship is not the only relationship that exists between them, get to know each like to know other members of the family or like a hobby to know fellow members of society and so on. Basic care requires a longer period of time. On the basis of treatment is likely that personal relationships within it. There is a warm emotional relationship between the individuals concerned.
– Throughout human beings exist, it is still necessary for basic care, for it uorang not need to undergo a specific training. The important thing here is trying to help to create an atmosphere in which the person concerned feels safe and secure.
 
SOURCE SCIENCE NURSING
 
Nursing excerpted or derived from a variety of books and expert opinions nursing world. But the first time expression recognition of nursing is “Florence Nithingale” which says that: A person suffering from an illness that is a result of environmental factors.
Thus pila with “Orlando”. Famous with his opinion that: “Delierate nursing approach”, and many other nursing experts opinion. But even the experts opinions differ, but in fact they think about nursing and nursing science is the same.

Nursing Process1. ResearchStudy is an attempt to compile

Nursing Process

1. Research
Study is an attempt to compile a complete and systematic data to be reviewed and analyzed to health and nursing problems of the patient’s face either physical, mental, social or spiritual can ditentukan.tahap includes three activities, namely data collection, data analysis and determination of health problems and nursing.
a. Data collection
Purpose:
Obtained data and information about health problems in patients who have to be able to determine what action to take to solve the problem concerning the aspects of physical, mental, social and spiritual and environmental factors that affect it. Such data must be accurate and easily analyzed.
Other types of data:
Objective data, that the data collected through a survey, inspection, and surveillance, for instance body temperature, blood pressure, and skin color.
Subjekif data, ie data obtained from the patient’s perceived grievances, or the patient’s family / other witnesses, namely, head dizzy, pain and nausea.
Now the focus of data collection include:
Previous and current health status
Koping pattern before and now
Function of previous and current status
Response to medical therapy and nursing actions
Risk for potential problems
The things that have been an inducement or force the client
b. Data analysis
Analysis of the data is the ability to expand our ability to think rationally according to background knowledge.
c. Formulation of the problem
Once the data analysis is done, it can be concluded some health problems. The health problems that could have intervened with Nursing (Nursing problem) but some are not and are more in need of medical action. Nursing diagnosis is further sorted according to priority.
Priority is determined based on criteria important problem and soon.
Includes significant turmoil and when not addressed will cause complications, including Instant whereas such time on stroke patients who do not consciously then action should be taken immediately to prevent more serious complications or death.
Priority problems can also be determined based on need according to Maslow’s hierarchy, namely: life-threatening condition, a condition that threatens the health, perceptions of health and nursing.
2. Nursing Diagnosis
Nursing diagnosis is a statement explaining the human response (health status or risk change pattern) from individuals or groups where caregivers are able to identify and provide accountability for certain interventions to maintain health status reduce, limit, prevent and transform (Carpenito, 2000).
Formulation of nursing diagnosis:
Actual: Explaining the real problem at this time according to clinic data found.
Risk: Explaining the apparent health problems will occur if no intervention is done.
Possibilities: Explaining that there should be additional data to ensure the possibility of nursing problems.
Wellness: Results of the clinic on the condition of individuals, families or communities in the transition from the level of certain prosperous prosperous ketingkat higher.
Syndrome: the diagnosis group consisting dar actual nursing diagnosis and the predicted high risk appear / arise because of a particular event or situation.
3. Nursing plan
All acts done by the nurse to help clients shift from the current health status of the health kestatus describe the expected results in (Gordon, 1994).
Is written guidelines for client care. Organized treatment plan so that each nurse can quickly identify treatment given action. Nursing care plan which accurately summarize konyinuitas facilitating care from a nurse care to other caregivers. As a result, all nurses have the opportunity to provide high-quality care and consistency.
Nursing care plan written by a nurse arranging exchange information in exchange reporting service. Written treatment plan includes a long-term client needs (Potter, 1997)
4. Implementation of nursing
Is an initiative of the plan of action to achieve a specific purpose. The level of implementation of the action plans initiated starting after compiled and directed at nursing orders to help clients achieve the desired purpose. Therefore a specific action plan implemented to modify the factors that affect the client’s health problems.
As for the levels of the nursing action is as follows:
Stage 1: preparation
Early stages of nursing action is demanded to evaluate the diindentifikasi nurse at the planning stage.
Level 2: the intervention
Focus the implementation of nursing actions are activities and implementation of the action plan to meet the emotional and physical needs. Nursing action includes action approach: independent, dependent, and interdependen.
Level 3: documentation
Implementation of nursing actions should be followed by a complete and accurate recording of an event in the nursing process.
5. Evaluation
Load planning criteria evaluation process results and outcomes of nursing actions. Results can be seen in the way the process of comparing the process with guidelines / plan process. While the results can be seen by comparing the actions of the patient’s level of independence in daily life and the patient’s level of health with the aim of progress that has been previously summarized.
Target evaluation is as follows:
Nursing care process, based on the criteria / articles that have been compiled.
Results nursing actions, based on the success criteria that have been formulated in the evaluation plan.
Evaluation Results
There are 3 possible results of the evaluation, namely:
The aim is reached, when the patient has shown improvement / progress in accordance with predetermined criteria.
Achieved some purpose, when the goal is not reached it’s full potential, so that should be looking for causes and ways to overcome them.
The aim is not achieved, when the patient showed no change / improvement at all but this problem arises baru.dalam caregivers need to examine in more detail whether there is data, analysis, diagnosis, action, and other factors that do not fit, which is why no achievement of goals.
 
Having a nurse to do the whole process of nursing research to evaluate the patient’s reach, all actions must be documented correctly in nursing documentation.
Nursing documentation

Documentation is everything that is written or printed as a record of reliable evidence of the authorized person (Potter 2005).
Potter (2005) also explained the purpose of the documentation, namely: 1. Communication
As a way for teams to communicate health (explain) treatment, including treatment of individual clients, client education and the use of returning a reference to an article.
2. Bill
Financial documentation to explain how to obtain compensation board treatment (reimburse) for the services provided to clients.
3. Education
With this record learners should learn about patterns found preformance various health problems and be able to anticipate client needed treatment type.
4. Research
Notes provide data used to identify and support nurse nursing diagnose and plan appropriate interventions.
5. Research
Nurses can use client records for research studies to gather information about certain factors
6. Audit and monitoring
Regular surveys of client records provide information on the basis for the evaluation of the quality and timeliness of care provided in an institution.
7. Legal documentation
That accurate documentation is one of the best self defense against claims related to nursing care.
IMPORTANT DOCUMENTATION AND TREATMENT TO IMPROVE EFFICIENCY IN INDIVIDUAL CLIENT.
There are six key essential in nursing documentation, namely:
1. Factual basis
Information about the client, and low maintenance should be based on the fact that is what the nurse can see, hear and feel.
2. The accuracy
Notes client must be accurate until proper documentation is maintained client.
3. Completeness
The information included in the notes should be complete, containing brief information about perawtan client.
4. Recency
Enter data in a timely manner important in the treatment with the client
5. Organization
Nurses communicate the information in a logical format or sequence. Sample entries clients regularly describe pain, study and intervention caregivers and physicians.
6. Secrecy
Information provided by a person to another person with the belief and confidence that they are not going 

Nursing is a process or series of activities

Nursing is a process or series of activities in nursing practice given directly to clients / patients in various health care arrangements. Implemented based on the rules of Nursing as a profession based on science and nursing tips, is humanistic, and based on the needs of clients to objectively address the problems faced by the client.
According to Ali (1997) Nursing Process Nursing is a scientific method, systematic, dynamic and continuous and sustainable in the context of solving the health problems of patients / clients, starting from Assessment (Data Collection, Data Analysis and Determination Issues) Nursing Diagnosis, Implementation and Nursing measures assessment (evaluation).
Nursing care provided in an effort to meet the needs of clients. According to Abraham Maslow, there are five basic human needs, namely:
Physiological needs include oxygen, fluids, nutrients
Needs a sense of security and protection
Needs a sense of love and belonging
The need for self-esteem
Self-actualization needs
Based on the above understanding, it can be concluded that the nursing care nursing is a whole series of processes that are sustainable given to patients with nursing tips on everything from assessment to evaluation in improving or maintaining optimal health status.