Royal College of Nursing. (2010). “UK: Consent to create, amend, access and share eHealth Records.” Retrieved from http://www.epractice.eu/files/Royal%20College%20of%20Nursing%20Guidance%20Document%20-%20Consent%20to%20create,%20amend,%20access%20and%20share%20eHealth%20Records.pdf
Record keeping is an essential element of nursing practice; it is an important method of communication, it is used to monitor the quality of patient/client care, and serves as a legal record of a practitioner’s care.
The principles of good record keeping in nursing are well established and apply equally to computerised or paper records. The Royal College of Nursing (RCN) supports the introduction of electronic records, but is concerned to ensure the protection of both patients and nursing staff (nurses and other health care workers) in their use.
As electronic records become increasingly common place nursing staff need to familiarise themselves with the key concerns associated with their use. Many of these relate to issues of consent – what information is going to be included, who will see it, who it will be shared with, and what rights apply. The governments of all four UK countries have produced and publicised information for patients/clients about their rights and the answers to these questions.