Theoretical and Professional Foundations for Nursing Practice

This page documents UnEssay Assignments created by students in NURS 300 during the Winter 1 2025 semester.

“Ugh, I have to chart”: The Evolution of Charting

Documentation is an important component of nursing practice, with nurses spending 30-40% of a given shift charting. How did this come to be? This project explores the evolution of charting from ancient times to our contemporary moment. We argue that charting shaped the evolution of the role of the nurse & the evolution of the role of the nurse simultaneously shaped charting practices. When documentation focuses on medical aspects of care, rather than holistic or relational aspects of nursing care, it reflects a hierarchy in which actions and ways of knowing are the most valued (Karkkainen et al, 2025). When documentation reflects the nursing process (i.e. ADPIE or DARP charting) it demonstrates the unique contribution and value of nurses. Charting can also shape the way that nurses think and make clinical decisions. We argue that changing documentation practices over time reflect changing social mores, healthcare values, and the evolving role of the professional nurse.

Our project included a a game in which the user was given an image of a type of chart record and the user had to guess where it should be placed in a “timeline” of other charting examples.

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