The review article on interventions mostly used for in-service training of nurses on effective use of standardized documents was conceived because most often than not documentation on patients is incomplete. The write up is relevant in that nurses can be exposed to standardized documents and use them for better patient outcomes. The objectives were to explore, outline, describe, and expose reasons for documentation, standardized documents, factors that influence effectiveness in documentation and regulatory bodies’ views on documentation. Sourced information was gotten from internet, websites, textbooks, and journals.Results show that the reasons for nursing documentation are to ensure vital record of patient care, support communication among the healthcare team, enhance care coordination and provide crucial data for legal, educational, and research purposes. Nursing documentation plays a key role in patient safety, quality improvement, informs decision-making, and ensures that healthcare providers maintain continuity of care, communicate patient assessments and track interventions accurately. Standardized documents should include admission sheets, progress notes, and medication administration records (MAR), which ensures accurate and consistent patient information. Proper training on these documents, along with critical incident reporting and workload measurement enhances care coordination, reduces errors, and supports effective resource management. It was revealed that the factors influencing nurses’ documentation in practice could be shortage of nurses, high volume of paperwork, literacy and documentation skills, and the fact that documentation narrow focus on physical health care.The view point of the regulatory bodies concerning documentation center onaccurate, standardized nursing documentation to ensure patient safety, compliance, accountability, and quality care across healthcare systems.This information can be relevant in organizing seminars to update in-service nurses on nursing documentation for better patient outcomes.
