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Factors impacting on completion of documentation included: perceived seriousness of a call, a preference to report calls verbally, confusion about whether to document the telephone presentation and conflict with clinical workload: …they might be anywhere (in the ward) when they answer the phone and they don't have the book in front of them.
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All policies deemed management of the telephone presentations to be the responsibility of the registered nurse and referred to a requirement for telephone presentations to be documented.
(H/DoN) All participants perceived that nurses deviated from health service policy when managing telephone presentations.
Two of the five policies provided clear instructions related to the management of telephone presentations.
Little is known about how the management of telephone presentations is governed in rural health services.
The majority of policies reviewed provided little guidance for managing telephone presentations.
(E/DoN) Five participants indicated their health services had a current policy related to telephone presentations.
(F/DoN) Several participants identified workplace factors that affect the approach to managing telephone presentations.
Participants all identified that the management of telephone presentations was an additional, unaccounted workload for nurses.
While four participants raised the issue of legal risk related to telephone presentations and the importance of having the policies to manage risk, none of the health services had active quality improvement processes related to telephone presentations in place.
Of the eight health services included in the study, only five had current policies related to telephone presentations.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com