Appendix 3 - Checklist

The checklist assesses nurses' understanding of standard nursing documentation based on a case study of a patient experiencing chest pain after a fall. It includes 15 statements about nursing knowledge, covering subjective and objective data, assessment techniques, and documentation practices, such as pain scoring, refusal of examination, and vital signs. The checklist also evaluates understanding of nursing diagnoses, intervention classifications, and outcome planning using SMART criteria. Following the checklist, comprehension test results from two hospitals show whether nurses correctly or incorrectly answered questions about documentation. For Hospital 1, each nurse's answers are marked as correct or wrong, while Hospital 2 shows the results of a group experiment with nurses undergoing treatment workshops, indicating improved comprehension through the workshop approach.

本清单以一例跌倒后出现胸痛的患者为病例研究载体，评估护士对标准护理文书书写规范的掌握程度。清单共包含15条护理知识相关表述，覆盖主观与客观数据采集、评估技术及文书书写实践等内容，例如疼痛评分、拒绝检查情况与生命体征记录。此外，该清单还基于SMART原则，对护士的护理诊断认知、干预措施分类能力及结局规划水平开展评估。依托该清单完成的护理文书知识理解测试结果来自两家医院，可清晰呈现护士对相关问题的作答正误情况：其中医院1的测试结果以单护士作答的正误标记形式呈现；医院2则展示了护士参与护理专项工作坊后的团体实验数据，表明该工作坊模式可有效提升护士的护理文书知识理解能力。