Lene Baagøe Laukvik

• Laukvik, Lene Baagøe; Lyngstad, Merete; Rotegård, Ann Kristin & Fossum, Mariann (2024). Utilizing nursing standards in electronic health records: A descriptive qualitative study. International Journal of Medical Informatics. ISSN 1386-5056. 184, p. 1–7. doi: 10.1016/j.ijmedinf.2024.105350. Full text in Research Archive
• Laukvik, Lene Baagøe; Lyngstad, Merete; Rotegård, Ann Kristin; Slettebø, Åshild & Fossum, Mariann (2022). Content and comprehensiveness in the nursing documentation for residents in long-term dementia care: a retrospective chart review. BMC Nursing. ISSN 1472-6955. 21. doi: 10.1186/s12912-022-00863-9. Full text in Research Archive Show summary

  Background: Insight into and understanding of content and comprehensiveness in nursing documentation is important to secure continuity and high-quality care planning in long-term dementia care. The accuracy of nursing documentation is vital in areas where residents have difculties in communicating needs and preferences. This study described the content and comprehensiveness of nursing documentation for residents living with dementia in nursing homes. Methods: We used a retrospective chart review to describe content and comprehensiveness in the nursing documentation. Person-centered content related to identity, comfort, inclusion, attachment, and occupation was identifed, using an extraction tool derived from person-centered care literature. The fve-point Comprehensiveness in the Nursing Documentation scale was used to describe the comprehensiveness of the nursing documentation in relation to the nursing process. Results: The residents’ life stories were identifed in 16% of the reviewed records. There were variations in the identifed nursing diagnoses related to person-centered information, across all the fve categories. There were variations in comprehensiveness within all fve categories, and inclusion and occupation had the least comprehensive information. Conclusion: Findings from this study highlights challenges in documenting person-centered information in a comprehensive way. To improve nursing documentation of residents living with dementia in nursing homes, nurses need to include residents’ perspectives and experiences in their planning and evaluation of care.

• Laukvik, Lene Baagøe; Rotegård, Ann Kristin; Lyngstad, Merete; Slettebø, Åshild & Fossum, Mariann (2022). Registered nurses’ reasoning process during care planning and documentation in the electronic health records: A concurrent think-aloud study. Journal of Clinical Nursing (JCN). ISSN 0962-1067. doi: 10.1111/jocn.16210. Full text in Research Archive Show summary

  noAbstractAims and objectives: To explore the clinical reasoning process of experienced reg-istered nurses during care planning and documentation of nursing in the electronic health records of residents in long-term dementia care.Background: Clinical reasoning is an essential element in nursing practice. Registered nurses’ clinical reasoning process during the documentation of nursing care in elec-tronic health records has received little attention in nursing literature. Further re-search is needed to understand registered nurses’ clinical reasoning, especially for care planning and documentation of dementia care due to its complexity and a large amount of information collected.Design: A qualitative explorative design was used with a concurrent think-aloud technique.Methods: The transcribed verbalisations were analysed using protocol analysis with referring phrase, assertional and script analyses. Data were collected over ten months in 2019–2020 from 12 registered nurses in three nursing homes offering special de-mentia care. The COREQ checklist for qualitative studies was used.Results: The nurses primarily focused on assessments and interventions during documentation. Most registered nurses used their experience and heuristics when reasoning about the residents’ current health and well- being. They also used logi-cal thinking or followed local practice rules when reasoning about planned or imple-mented interventions.Conclusion: The registered nurses moved back and forth among all the elements in the nursing process. They used a variety of clinical reasoning attributes during care planning and nursing documentation. The most used clinical reasoning attributes were information processing, cognition and inference. The most focused information was planned and implemented interventions.Relevance to clinical practice: Knowledge of the clinical reasoning process of regis-tered nurses during care planning and documentation should be used in developing electronic health record systems that support the workflow of registered nurses and enhance their ability to disseminate relevant information.

• Laukvik, Lene Baagøe; Mølstad, Kathryn & Fossum, Mariann (2016). The Construction of a Subset of ICNP® for Patients with Dementia. Studies in Health Technology and Informatics. ISSN 0926-9630. 225, p. 1068–1069. doi: 10.3233/978-1-61499-658-3-1068.
• Laukvik, Lene Baagøe; Mølstad, Kathy & Fossum, Mariann (2015). The construction of a subset of ICNP® for patients with dementia: a Delphi consensus and a group interview study. BMC Nursing. ISSN 1472-6955. 14:49. doi: 10.1186/s12912-015-0100-z. Full text in Research Archive

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• Laukvik, Lene Baagøe; Rotegård, Ann-Kristin; Lyngstad, Merete & Fossum, Mariann (2023). Registered nurses’ reasoning process during care planning and documentation in the electronic health records: A concurrent think-aloud study .
• Fossum, Mariann & Laukvik, Lene Baagøe (2022). Dokumentasjon av sykepleie - grunnlag, struktur, innhold og terminologi. In Bjørnnes, Ann Kristin; Gjevjon, Edith Roth; Grov, Ellen Karine & Holter, Inger Margrethe (Ed.), Sykepleieboken 1, Sykepleiens fundament. Cappelen Damm Akademisk. ISSN 9788202673543. p. 175 –196.
• Laukvik, Lene Baagøe; Slettebø, Åshild; Lyngstad, Merete; Rotegård, Ann Kristin & Fossum, Mariann (2021). Person Centered Care in The Nursing Documentation for Residents in Long-term Dementia care: A retrospective chart review.
• Laukvik, Lene Baagøe (2018). Klassifikasjon og terminologi i faglighet og utdannelse.
• Laukvik, Lene Baagøe; Mølstad, Kathy & Fossum, Mariann (2018). The construction of a subset of ICNP® for patients with dementia: a Delphi consensus and a group interview study (2015).
• Laukvik, Lene Baagøe (2017). Felles språk i sykepleierutdanningen. Fordeler for pasienten, studenten og helsetjenesten.
• Laukvik, Lene Baagøe; Mølstad, Kathryn & Fossum, Mariann (2017). Felles fagspråk i sykepleiedokumentasjon. Tidsskriftet sykepleien. ISSN 0806-7511. doi: 10.4220/Sykepleiens.2017.61855.
• Laukvik, Lene Baagøe (2017). Standardisert terminologi i dokumentasjon av sykepleie - utvikling av en ICNP-katalog i demensomsorg.
• Laukvik, Lene Baagøe; Mølstad, Kathryn & Fossum, Mariann (2016). The Construction of a subset of ICNP® for patients With dementia.
• Laukvik, Lene Baagøe (2024). Nurses’ care planning and documentation processes in electronic health records of patients living with dementia. Universitetet i Agder. ISSN 978-82-8427-184-2. Full text in Research Archive

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