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Documentation
FOCUS Format, Strengths and Weaknesses
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Strengths
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Noted strengths of the FOCUS Charting documentation
format include the following:
Progress notes are structured.
It promotes the use of the nursing process and stresses the
evaluation component.
It’s easy to track a particular problem.
It promotes analytical thinking.
It works in most clinical areas.
It encourages addressing the patient’s concerns, not just the
problems.
It can address health promotion and wellness.
The structure is flexible.
It’s easy for others to understand.
The language and process are uncomplicated.
It’s not restricted by a problem list.
The format can be automated.
It can be used in multidisciplinary charting.
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Weaknesses
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Noted weaknesses of the FOCUS Charting documentation
format include the following:
- It changes the nurse’s thinking patterns to concentrate on
identifying a focus/focuses and which data relates to that focus. This
is a short-term weakness until the nurse adjusts to this format.
- It requires monitoring to ensure that practitioners follow up on
responses.
- Some difficulty is evident in categorizing data and identifying
responses.
- Terminology may be inconsistent between the FOCUS column and the way
the information is noted in the care plan, or from one note to the next.
- Progress notes may evolve into narrative format.
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