Appendices

This research investigates the effectiveness of an intervention program aimed at improving nursing documentation practices, focusing on enhancing the quality, accuracy, and cultural sensitivity of records. The study incorporates a range of tools and methods, including roleplay scenarios, digital simulations, and hands-on exercises, which address common documentation errors such as incomplete patient histories, misclassification in SOAP notes, and delayed or inaccurate follow-up entries. Assessment tools like the Documentation Quality Assessment Tool (DQAT), Nursing Documentation Self-Efficacy Scale (NDSES), and NASA Task Load Index (NASA-TLX) were utilized to evaluate pre- and post-intervention improvements in documentation skills, confidence, and cognitive load. The results indicate significant gains in documentation quality, including improved assessment completeness, diagnostic accuracy, and the timeliness of records, with the experimental group showing substantial and sustained improvements. These findings highlight the effectiveness of structured, roleplay-based interventions and digital tools in fostering better nursing documentation practices, ultimately enhancing patient care and safety.