________________

Sir/Madam;

Good day!

We, the undergraduates of University of Perpetual Help System- Laguna, Dr. Jose G.
Tamayo Medical University, BSN IV- 8, group 24-B, would like to conduct a study in regarding
the perception of Staff nurses on SOAPIE and Traditional Documentation in your good
hospital. Please be reassured that everything in this matter will be treated with care and
confidentiality.

We would greatly appreciate your consideration and cooperation in this matter.

Thank you and God bless

24b
BSN IV-8
UPHSL

De Guzman, Gracielle
Gutierrez,Alix Roxanne
Leyva, Arrhenius
Malabanan,Kristine Allen
Nullas,Regen Miguel
Resurreccion,Precious Evangelyn
Demographic profile

Name(optional):____________________________
Gender:___ age:___
Year graduated:___________
Years of clinical experience:_______

Please check the following according to:

1- I strongly agree
2- I agree
3- I disagree
4- I strongly disagree

Perceptions regarding SOAPIE

1 2 3 4
Time allotment
1. I spend a lot of time in documenting
2. I consume a lot of time thinking about what to write in the chart
3. I consume a lot of time in documenting rather than rendering care to the
Patient
4. I take a lot of time to document accurately, objectively and thoroughly

Mastery
1. I can document anything with ease and accuracy
2.I can easily identify the proper nursing diagnosis without the use of any
reference (e.g nanda, phy. assessment book)
3. I document facts, not opinions or assumptions
4. I document all relevant information relating to patient care and the
nursing process
5. I document in chronological order to establish a pattern of care

Adherence on documentation
1.I document according to the hospital’s policy
2.I consider the chart a formidable legal document
3. I maintain the confidentiality of the document
4.I document everything honestly and accurately
5.I believed that “ patient care done without documenting is not done at all”
Perceptions regarding Traditional Charting

1 2 3 4
Time allotment
1. I spend a lot of time in documenting
2. I consume a lot of time thinking about what to write in the chart
3. I consume a lot of time in documenting rather than rendering care to the
patient
4. I take a lot of time to document accurately, objectively and thoroughly

Mastery
1. I can document anything with ease and accuracy
2. I can easily identify the proper nursing diagnosis without the use
of any reference (e.g nanda, phy. assessment book)
3. I document facts, not opinions or assumptions
4. Few minutes is enough to do a SOAPIE documentation
5. I document in chronological order to establish a pattern of care

Adherence on documentation
1. I document according to the hospital’s policy
2 .I consider the chart a formidable legal document
3. I am strict regarding the confidentiality of the document
4. I document everything honestly and professionally
5. I consider the sentence: “ patient care, if done without documenting is
not done at all

Thank you again and god bless

BSN IV- 24B