Poor documentation affects the credibility of the institution. The ramifications for failing to document can lead to legal and ethical implications, resulting in lawsuits for both the institution and the nurses. Nurses may also lose their license to practice. In more serious cases it can lead to serious medical complications due to nursing errors and possible death of patients. Also, inadequacy may lead to longer hospital stay for patients and waste of resources. Care plan sheets for the patients were not placed in the medical records thus limiting access to data when medical records were audited. Limited research on nursing documentation was done in the Caribbean and enough articles were not published. Barely any research was written which
