{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T08:43:12Z","timestamp":1790671392764,"version":"4.1.0"},"reference-count":53,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T00:00:00Z","timestamp":1587686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>Our aim was to examine the notes produced by nurses, paying specific attention to the style in which these notes are written and observing whether there are concerns of distortions and biases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Clinicians are responsible to document and record accurately. However, nurses\u2019 attitudes towards their patients can influence the quality of care they provide their patients and this inevitably impacts their perceptions and judgments, with implications to patients\u2019 care, treatment, and recovery. Negative attitudes or bias can cascade to other care providers and professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This study used a retrospective chart review design and qualitative exploration of documentation using an emergent theme analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined the notes taken by 55 mental health nurses working with inpatients in the forensic services department at a psychiatric hospital. The study complies with the SRQR Checklist (Appendix S1) published in 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results highlight some evidence of nurses\u2019 empathic responses to patients, but suggest that most nurses have a style of writing that much of the time includes themes that are negative in nature to discount, pathologise, or paternalise their patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>When reviewing the documentation of nurses in this study, it is easy to see how they can influence and bias the perspective of other staff. Such bias cascade and bias snowball have been shown in many domains, and in the context of nursing it can bias the type of care provided, the assessments made and the decisions formed by other professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>Given the critical role documentation plays in healthcare, our results indicate that efforts to improve documentation made by mental health nurses are needed and specifically, attention needs to be given to the writing styles of the notation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15264","type":"journal-article","created":{"date-parts":[[2020,4,3]],"date-time":"2020-04-03T15:30:25Z","timestamp":1585927825000},"page":"2482-2494","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["How forensic mental health nurses\u2019 perspectives of their patients can bias healthcare: A qualitative review of nursing documentation"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0419-8328","authenticated-orcid":false,"given":"Krystle","family":"Martin","sequence":"first","affiliation":[{"name":"Ontario Shores Centre for Mental Health Sciences Whitby Ontario Canada"},{"name":"Ontario Tech University Oshawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0905-8968","authenticated-orcid":false,"given":"Rosemary","family":"Ricciardelli","sequence":"additional","affiliation":[{"name":"Ontario Shores Centre for Mental Health Sciences Whitby Ontario Canada"},{"name":"Memorial University of Newfoundland St. John\u2019s Newfoundland and Labrador Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itiel","family":"Dror","sequence":"additional","affiliation":[{"name":"University College London (UCL) London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/nin.12113"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.5172\/conu.2012.41.2.160"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2009.08.008"},{"key":"e_1_2_10_5_1","volume-title":"Constructing grounded theory","author":"Charmaz K.","year":"2006"},{"key":"e_1_2_10_6_1","unstructured":"College of Nurses of Ontario. 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