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Mental Health Competency Packages: Clinical Documentation

Mental Health Competency Packages for Clinical education

Clinical Learning Reflection Evaluation TEMHS Competency Package

NT Health Guidelines

Clinical Documentation

Green, C. (2018). Using instrumentation in psychiatric nursing to assess documentation of the nursing process for emergent non-psychiatric patient events. Archives of Psychiatric Nursing, 32, 702–706


Instefjord, M. H., Aasekjær, K., Espehaug, B., & Graverholt, B. (2014). Assessment of quality in psychiatric nursing documentation - a clinical audit. BMC Nursing, 13, 32

Jefferies, D., Johnson, M., & Nicholls, D. (2011). Nursing documentation: How meaning is obscured by fragmentary language. Nursing Outlook, 59, e6–e12.


Sequist, T. D. (2015). Clinical documentation to improve patient care. Annals Of Internal Medicine, 162(4), 315-316

Waters, A., Sands, N., Keppich‐Arnold, S., & Henderson, K. (2015). Handover of patient information from the crisis assessment and treatment team to the inpatient psychiatric unit. International Journal Of Mental Health Nursing, 24(3), 193-202


Bishop, Leisa. (2017). Health information : Nursing documentation and clinical handover In Tabbner's Nursing Care. Elsevier

Boggs, Kathleen Underman. (2016). Documentation in an Electronic Era In Interpersonal Relationships.  Elsevier

Malloch, K., & Patterson, L. (2010).  Practice Breakdown : Clearly Communicating Patient Data and Clinical Assessments  In Nursing Pathways for Patient Safety. Elsevier

Haugen, Nancy and Galura, Sandra, (2011). Selected Nursing Diagnoses, Interventions, Rationales, and Documentation In Ulrich & Canale's Nursing Care Planning Guides (NANDA).  Elsevier

MHARS Act Procedures

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