documentation care nursing patient nurses important document documenting feel patients clinical information Nurse spend spent writing notes write things needed improve systems staff plans accurate biggest documented discussion quality health love team written support record records evidence evenings continuity person lot helps risk service text Thursday totally trust valuable understand tool working years safety relevant student system frustrating great learning reading professionals documents delivering errors duplication ensure experienced access accuracy communication challenge check challenges community Brevity confidence concise agree forms evil deliver professional provided providing paper multidisciplinary Knowing job learn making meds forward found heard half takes taking sharing speech shift reflection sector reviewing worse tick true told tweet Tweeting tweets thanks Thoughts Voice wasted worked share services remember required sounds spending specificity spelling standard taught task handover feedback future holistic home inclusion made Lack motivation note option Personally points placement plan poor practice quick promoted ratio digital cut essential