Relevant bibliographies by topics / Nursing audit

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  2. Dissertations / Theses
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Academic literature on the topic 'Nursing audit'

Author: Grafiati
Published: 4 June 2021
Last updated: 30 July 2024

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Journal articles on the topic "Nursing audit"

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Mulyani, Indah, Setiawan Setiawan, and Bustami Syam. "Persepsi Perawat Manager tentang Pelaksanaan Audit Mutu Keperawatan di Ruang Rawat Inap." Journal of Telenursing (JOTING) 4, no. 2 (November 19, 2022): 795–803. http://dx.doi.org/10.31539/joting.v4i2.2555.

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This study aims to explore nurse managers' perceptions about the implementation of Nursing Quality Audit in the inpatient room of RSUD Dr. H. Yuliddin Away. The method used is qualitative with a phenomenological approach. The participants in this study were 15 nurse managers. Data was collected through Focus Group Discussion (FGD) and analyzed using content analysis. The results showed that there were five themes related to the nurse manager's perception of the implementation of a quality audit of nursing in the inpatient ward, namely: 1) the meaning of audit according to the nurse manager; 2) the implementation of nursing quality audits; 3) nursing quality indicators; 4) obstacles in the implementation of nursing quality audits; 5) supporting factors for audit implementation. In conclusion, the experience of nurse managers in implementing Nursing Quality Audits in hospitals is inadequate. Keywords: Nursing Audit, Quality Indicators, Service Quality Assurance, Nurse Manager
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Jairus, Reena, and Indarjit Walia. "Nursing Audit." Nursing Journal of India CII, no. 07 (2011): 157–60. http://dx.doi.org/10.48029/nji.2011.cii701.

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Syukrini, Rahma Dwi, Hanny Handiyani, and Nurhayati Nurhayati. "Optimalisasi Media Edukasi Video dan Leaflet dalam Meningkatkan Kesadaran Perawat tentang Audit Keperawatan di Rumah Sakit." Journal of Telenursing (JOTING) 4, no. 2 (December 3, 2022): 871–78. http://dx.doi.org/10.31539/joting.v4i2.4243.

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This study aims to optimize video and leaflet educational media to increase nurse awareness about Nursing Audits at X Hospital. The method used is a pilot study. Data was collected through interviews, observation and questionnaires to 263 respondents. Data analysis was carried out using fishbone, preparation of a Plan of Action (POA) and educational media in the form of videos and leaflets. The results showed that the head of the room did not know the Nursing Audit process at the Hospital in the last two years. Unfavorable results were found in the organizational function of the head of the room (mean 2.2), especially statements about the involvement of nurses in the Nursing Audit process. In conclusion, a change in video educational media and leaflets is needed to increase nurses' understanding of Nursing Audits. Keywords: Nursing Audit, Nurse Awareness, Educational Media
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Price, Tara, Michelle Palokas, and Nital Patel. "Nursing assessments of women with hypertensive disorders during labor in an academic medical center in Mississippi: a best practice implementation project." JBI Evidence Implementation 21, no. 3 (April 10, 2023): 241–50. http://dx.doi.org/10.1097/xeb.0000000000000370.

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ABSTRACT Objectives: The objective of this project was to promote evidence-based practices regarding the nursing assessment of pregnant women with hypertensive disorders admitted to the intrapartum unit. Introduction: Hypertension during pregnancy has been associated with adverse maternal and fetal outcomes. Ongoing evaluation and nursing care are key in the prevention of complications resulting from hypertensive disorders in pregnancy. Methods: The implementation of this best practice project was guided by the JBI Model of Evidence-based Healthcare and used the JBI Practical Application of Clinical Evidence System and Getting Research into Practice audit and feedback strategy to promote evidence-based practices regarding the nursing assessment of pregnant women with hypertensive disorders admitted to an intrapartum unit. Eight audit criteria that were representative of best-practice recommendations for nursing assessment of pregnant women with hypertensive disorders were used. A baseline audit was conducted, followed by the implementation of multiple strategies that were determined by the key stakeholders. The project was finalized with a follow-up audit to determine a change in compliance with best-practice recommendations. Results: Baseline audits revealed an average 45% compliance rate with the eight best practice audit criteria. An on-site simulation event, which included a nursing assessment of normal and abnormal lung sounds along with the hands-on practice of deep tendon reflexes, was provided by project members. Evidence-based assessment guidelines were presented and reviewed with all participants. Input from the nursing staff was gathered regarding current documentation practices and electronic health record accessibility. As a result, an electronic health record change was requested, and improvements in nursing practice were observed for five of the eight audit criteria. Follow-up audits revealed an average compliance rate of 73% for all eight audit criteria, a 28% improvement. Conclusion: Continuing nursing education and ongoing competency refreshers can affect the quality of client care and outcomes by offering occasions to improve or strengthen clinical expertise and proficiency. For this project, the simulation training event improved nursing staff compliance with best practices.
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Roberts, Carol, and Rita Smith. "Improving nursing records with audit." Nursing Standard 7, no. 51 (September 8, 1993): 37–39. http://dx.doi.org/10.7748/ns.7.51.37.s47.

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JOHNSON, MAREE, DIANA JEFFERIES, and RACHEL LANGDON. "The Nursing and Midwifery Content Audit Tool (NMCAT): a short nursing documentation audit tool." Journal of Nursing Management 18, no. 7 (October 2010): 832–45. http://dx.doi.org/10.1111/j.1365-2834.2010.01156.x.

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STEWART, MIRIAM J., and DOROTHY CRAIG. "Adaptation of the Nursing Audit to Community Health Nursing." Nursing Forum 23, no. 4 (October 1988): 134–53. http://dx.doi.org/10.1111/j.1744-6198.1988.tb00808.x.

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Camargo, Leonardo dos Santos, Ramon dos Santos Camargo, Beatriz Oliveira Neres, Vinicius Fonseca dos Santos, Brenda Romagnha Brandenburg, Igor Alves de Souza, Kamila Roldi Corrêa, et al. "The Importance Audit of Pharmacist in the management of a Hospital Unit." International Journal of Advanced Engineering Research and Science 9, no. 9 (2022): 409–13. http://dx.doi.org/10.22161/ijaers.99.45.

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The audit is a management tool that is used in order to evaluate the quality of care and the costs of providing such activity where healthcare professionals, especially nurses in the hospital is meeting the needs of health care institutions in the control of factors causing high cost processes , and user of most consumables and must have attention to the costs involved in the care process, in order to ensure the provision and suitability of materials for use and, especially, the quality of care for nursing. nursing audits in running a hospital. The methodology used was the present work it is a survey of literature review, qualitative, exploratory. Was held consultation papers through the variables, where the search was made through the SciELO, Brazilian Journal of Nursing, Electronic Journal of Nursing. The collection of articles was conducted in the period 2005-2013.Searches were conducted in Portuguese. References were selected by date, being included in the study publications found within the period of the last ten years. The articles were previously selected by reading their titles and were subsequently held a critical reading and reflective summaries to eliminate items that do not correlate with the objective of this work. The nursing audit is taking new dimensions over the years and showing its importance in the hospitals. The articles were previously selected by reading their titles and were subsequently held a critical reading and reflective summaries to eliminate items that do not correlate with the objective of this work. The nursing audit is taking new dimensions over the years and showing its importance in the hospitals. The articles were previously selected by reading their titles and were subsequently held a critical reading and reflective summaries to eliminate items that do not correlate with the objective of this work. The nursing audit is taking new dimensions over the years and showing its importance in the hospitals.
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Hopkins, Alison, and Ray Samuriwo. "Comparison of compression therapy use, lower limb wound prevalence and nursing activity in England: a multisite audit." Journal of Wound Care 31, no. 12 (December 2, 2022): 1016–28. http://dx.doi.org/10.12968/jowc.2022.31.12.1016.

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Objective: This audit was designed to identify the need of the population and the clinical activity associated with wounds and the management of lower limb swelling. The exploration focused on lower leg wound management, access to diagnostics and compression therapy across each audit site. The variation across the sites was explored to gather insight into the real-world barriers to providing evidence-based management for leg ulceration. Method: We undertook wound prevalence audits across six diverse community provider sites in England. The audit was undertaken by the local providers, with the inclusion of tissue viability and podiatry leads and key local stakeholders, often local quality leads, primary care leads and nursing directors. Each audit was undertaken with full engagement of local clinicians. Data were collected centrally, and each audit site received their own local analysis and report, with additional analytical support from the local tissue viability lead to ensure the feedback was contextualised for their stakeholders. Analysis was provided by Accelerate CIC Lymphoedema & Leg Ulcer Clinic. Results: A total of 2885 patients were reviewed via an online or a paper audit tool. In total, 2721 patients had one or more active wounds. However, 1350 patients had one or more lower leg wounds, with 164 patients being managed for lower limb swelling or prevention of leg ulceration; bilateral conditions ranged from 11–43% across audit sites. Of the six sites, two included both community and primary care providers, thus generating wound point prevalence data. The remaining four sites audited community nursing and podiatry services only, with two sites collecting data on lower limb wounds only rather than all wounds, generating point prevalence for their services only. Compression usage varied across care locations, with the greatest use being seen in community leg ulcer clinics, where it was >96% for 234 residents. Compression usage was lower in the home with a range of 14–62% among 692 residents. For 263 residents, where the cause of their lower leg wound was unknown, compression usage was very low at 12%. Compression usage decreased with age; for three audit sites this was noteworthy, with 65% of those aged >80 years not in receipt of compression. Compression usage had a direct impact on nursing activity; non-use of compression increased activity by 37%. Conclusion: Through the identification of wound location, this series of wound prevalence audits identified a greater number of patients with lower limb wounds than those recognised and classified as a leg ulcer. Substantial variation in access to diagnostics and compression therapy was observed between audit sites, and also between locations within their boroughs. The factors that reduced access to compression therapy included not classifying the lower leg wound as a leg ulcer, being cared for in the home and increasing age of the patient. Lack of compression usage increased nursing activity. Where there is lack of access to therapeutic intervention, the resultant patient harm is not systematically recognised or documented.
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Martins, Amanda Juliana Lopes, Ciane Martins de Oliveira, Elisângela Claudia de Medeiros Morais, Amanda Alves Fecury, Cláudio Alberto Gellis de Mattos Dias, Carla Viana Dendasck, Margaret de Oliveira, and Euzébio de Oliveira. "Audit of Quality Nursing in Public Health Care." Revista Científica Multidisciplinar Núcleo do Conhecimento 04, no. 11 (November 23, 2017): 96–113. http://dx.doi.org/10.32749/nucleodoconhecimento.com.br/health/audit-of-nursing.

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Dissertations / Theses on the topic "Nursing audit"

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Bryniarski, Carol Ann. "RETROSPECTIVE CHART AUDIT ON PATIENT OUTCOMES RELATED TO NURSING DIAGNOSES IN A HOME HEALTH SETTING." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275322.

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Werely, Volene Joy. "An audit of discharged patient files at hospitals specialising in the management of tuberculosis." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/6502.

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Thesis (MCur)--University of Stellenbosch, 2011.
ENGLISH ABSTRACT: Background: In her clinical practice as nursing manager the researcher was concerned about incomplete and inaccurate documentation of patients diagnosed with tuberculosis (TB) which were compromising the management of these patients. The primary care nurses endorsed these concerns. Goals and Objective: The goal of this study was to audit nursing documentation according to the phases of the nursing process and the discharge planning of patients diagnosed with TB discharged from TB hospitals in the Western Cape. The objectives for the study were to determine whether the patients were adequately assessed and diagnosed, whether nursing care plans were formulated based on the assessment and whether they were implemented and evaluated according to the nursing process - including the discharged planning. Ethics approval was obtained from the Committee of Human Research Science at Stellenbosch University and permission was also obtained from the respective institutions. Methodology: A descriptive design with a quantitative approach was applied for the purpose of this study. The total population for the study was N=1768. A systematic random sample of 12% from each hospital was drawn: n=214, hospital A (n=142) and hospital B (n=72). Criteria included:  all adult patients older than 18 years  patients who were discharged between 01 January 2007 and 31st December 2007  all discharged patients from the two hospitals specializing in patients diagnosed with TB. Instrumentation: An audit instrument based on the objectives of the study was approved as the data collection tool. Guided by the proposed study a 10% (n=21) of the number of discharged patient files were drawn for the purpose of a pilot study. Reliability and validity was ensured through the use of experts in the field of nursing, research methodology and statistics. A pilot study was also conducted to support the reliability and validity of the study. Data collection: The researcher collected the data personally with the support of five trained field workers who only assisted at hospital B and was reluctant to assist at the second hospital. Data analysis: Data was analysed with the support of a statistician and expressed in frequencies and tables. Results: All phases of the nursing process showed a low compliance. Results showed that only n=90(42%) of the registered professional nurses checked and signed the initial assessment, furthermore only n=53(34%) showed that a recording was made of all referral documentation to the patient’s follow-up clinic. Recommendations: Recommendations based on the scientific evidence obtained from the study include the implementation of a quality assurance programme namely standardisation, auditing, case management of patients, education and training, rewarding of staff and further research. Conclusion: In conclusion guided by the research question “Are the audited discharged patient files at hospitals specialising in the management of patients with TB in the WCDoH compliant?” The researcher concludes that the discharged patient files are not compliant.
AFRIKAANSE OPSOMMING: Agtergrond: In haar kliniese praktyk as verpleegbestuurder is die navorser besorgd oor die onvolledige en onakkurate dokumentasie van pasiënte wat met tuberkulose (TB) gediagnoseer is en wat dus die versorging van hierdie pasiënte in gevaar stel. Hierdie besorgdhede is deur die primêre sorg verpleegsters bevestig. Doel en Doelwitte: Die doel van die studie is om die verpleegdokumente te ouditeer volgens die fases van die vepleegproses, asook die ontslagbeplanning van die pasiënte gediagnoseer met TB van die hospitale in die Wes-Kaap. Die doelwitte is om te bepaal of die pasiënte korrek geassesseer en gediagnoseer is en of verpleegsorgplanne opgestel is, wat gebaseer is op die assessering en versorgingsplanne wat geïmplementeer en geëvalueer is volgens die verpleegproses, insluitende die ontslagbeplanning. Etiese goedgekeuring is toegestaan deur die Komitee vir Menslike Navorsingswetenskap van die Universiteit van Stellenbosch en toestemming is ook ontvang van die onderskeie instansies. Metodologie: ’n Beskrywende ontwerp met ’n kwantitatiewe benadering is toegepas vir die doel van die studie. Die totale bevolking vir die studie is N=1786. ’n Sistematiese ewekansige geselekteerde steekproef van 12% van elke hospitaal is geneem: n=214, hospitaal A (n=142) en hospitaal B (n=72). Die kriteria sluit in:  alle volwasse pasiënte ouer as 18 jaar  pasiënte wat gedurende die periode 01 Januarie 2007 tot 31 Desember 2007 ontslaan is  alle ontslag pasiënte van die twee hospitale wat spesialiseer in pasiënte wat gediagnoseer is met TB. Instrumentasie: ‘n Ouditinstrument gebaseer op die doelwitte is goedgekeur as die dataversamelingsinstrument. Na aanleiding van die voorgestelde studie is 10% (n=21) van die aantal ontslag pasiëntlêers getrek vir die doel van die loodsondersoek. Betroubaarheid en geldigheid is verseker deur gebruik te maak van deskundiges in die verplegingsveld, die navorsingsmetodologie en statistiek. Die loodsondersoek is ook uitgevoer om die betroubaarhied en geldigheid van die studie te rugsteun. Dataversameling: Die navorser het die data persoonlik gekollekteer met die bystand van vyf opgeleide veldwerkers wat slegs hulp verleen het by hospital B en wat teësinnig was om hulp te verleen by die tweede hospitaal. Data-analise: Data is geanaliseer met die hulp van ’n statistikus en is uitgedruk in frekwensies en tabelle. Resultate: Alle fases van die verpleegproses het nie voldoen aan die vereistes nie. Resultate dui daarop dat slegs n=90 (42%) van die geregistreerde professionele verpleegsters die aanvanklike assessering nagegaan en onderteken het, vervolgens het slegs n=53 (34%) getoon dat ’n opname gemaak was van alle verwysde dokumentasie van die pasiënt se opvolgbesoek aan die kliniek. Aanbevelings: Aanbevelings is gebaseer op die wetenskaplike bewys wat verkry is van die studie vir die implementering van ’n gehalte versekeringsprogram, naamlik standardisering, ouditering, gevallebestuur van pasiente, opvoeding en opleiding, erkenning aan die personeel, en voortgesette navorsing. Samevatting: Ter afsluiting gelei deur die navorsering’s vraag nl. “Is die geouditeerde verpleegdokumente in hospitale wat spesialiseer in die bestuur van pasiente gediagnoseer met TB in die Weskaap se Department van Gesondheid bygehou?” Die navorser bevestig dat die verpleegdokumente nie bygehou was nie.
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Bird, Michele Marie. "Evaluation of a nursing residency program." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/808.

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Recruitment and retention of professional nurses are crucial issues for hospital departments of nursing. Recognizing the necessity to bridge the gap that persists between nursing education and nursing services, hospitals have designed programs to assist new nurses make the transition to current nursing practice. By helping individuals make the transition to current nursing practice it is hoped that staff nurses will be retained.
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Ehrenberg, Anna. "In pursuit of the common thread : Nursing content in patient records with special reference to nursing home care." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2000. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-495.

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The purpose of this thesis was to study different aspects of nursing content in patient records with special reference to nursing home care. The thesis focused on the content, comprehensiveness, accuracy and auditing of records, as well as the practice and perceptions of nurses in relation to recording. A national sample of nurses was asked to complete a questionnaire. The effects on recording and nurses' practice and perceptions in nursing homes following educational intervention were studied. Accuracy was examined through record reviews and interviews with nurses and patients. A literature review of record auditing methods was performed and findings from this search were applied in the assessment of a set of records.

The results indicate that the VIPS model, as a structure for nursing recording, is widespread and shows validity across various areas in Swedish health care. After the educational intervention program, documentation in nursing home care improved significantly in the study group concerning notes on nursing history, nursing status, nursing diagnoses, interventions and discharge notes. Systematic and comprehensive assessment grounded in research-based criteria were not used in the records. Accuracy varied considerably and was significantly better for some areas in the study group. After intervention, the nurses in the study group indicated that they recorded assessments of patients with greater frequency, showed greater satisfaction with their documentation and spent less time on oral reports. Procedures in auditing patient records were found to encompass four approaches: formal structure, process comprehensiveness, knowledge based and accuracy.

In conclusion, the evidence suggests that there are serious flaws in the nursing content of nursing home records though improvements can be achieved through educational means. Presently, there are serious limitations in using the patient record as the sole source of data for care delivery, quality assessment and evaluation of care.

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Perry, Mary Barbara. "Critical care nurses' perceptions of their experience with nursing quality assurance." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28795.

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The purpose of this study was to describe critical care nurses' perceptions of their experiences with nursing quality assurance activities. Using an exploratory, descriptive design, data were collected in a survey, utilizing a self-administered questionnaire. A convenience sample of critical care nurses, who are members of the Canadian Association of Critical Care Nurses, was used. The results showed that these particular nurses knew what comprised the components of a nursing quality assurance program, however, their participation in these activities was low. In addition, the majority identified that the primary purpose of nursing quality assurance activities was to meet the accreditation requirements of the hospital. Finally, the results also identified that all of this particular group of nurses felt that nursing quality assurance activities involved them, and the majority felt that these activities were part of their professional responsibilities.
Applied Science, Faculty of
Nursing, School of
Graduate
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Obioma, Chidiadi. "Improving the Quality of Nursing Documentation in Home Health Care Setting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3500.

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Poor nursing documentation of patient care was identified in daily nurse visit notes in a health care setting. This problem affects effective communication of patient status with other clinicians, thereby jeopardizing clinical decision-making. The purpose of this evidence-based project was to determine the impact of a retraining program on the quality of documentation of patient care in nurses' notes in a home health agency in central Texas. A retrospective audit of quality of nursing documentation using the Nurse and Midwifery Content Audit Tool (NMCAT) was done. A pre- and posttest design was used. A convenience sample of de-identified nurses' notes (80 pre- and 80 post) was selected from active patient records in the agency (n = 160). Descriptive and inferential statistics from the project showed that there was improved quality for the 15 criteria representing quality nursing documentation. After the educational intervention, documentation of patient's status if changed or unchanged improved to 80%, and patient's response to treatment improved (57% to 85%), entries were written as incidents occurred improved (53% to 64%). The nurse refers to the patient by name improved (0% to 66%). These findings were an indication of practice change, validating the need for periodic audits of nurses' notes in the agency in order to demonstrate compliance with quality standards. Based on the project findings, a retraining program is recommended to improve structured nursing documentation in a home health agency. This project is likely to contribute to social change as it enhanced the information communicated to other health care providers, coordination of care, and patient outcomes.
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Hultin, Dojorti Sandra. "Omvårdnads-dokumentation för patienter med höftfraktur : - En retrospektiv journalgranskning." Thesis, Umeå universitet, Institutionen för omvårdnad, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-183980.

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Bakgrund: Kvaliteten på sjuksköterskans omvårdnadsjournal kan återspegla den vårdkvalitet som tillhandahålls patienter. Patienter med en höftfraktur har ofta ett omfattande vårdbehov där omvårdnadsjournalen har en viktig funktion att strukturera dokumentation av vårdinsatser genom patientens vårdförlopp. Patienter med höftfraktur har ofta en komplex sjukdomsbild, där omvårdnadsdokumentationens kvalitet kan bidra till en säkrare vård för patienten. Kvaliteten på dokumentationen ökar vid en strukturerad journal och framförallt när ett standardiserat språk används. Journalgranskning är ett sätt att göra kvalitetskontroll av dokumentation. Motiv: Att drabbas av en höftfraktur innebär stora hälsorisker för en ofta redan skör person. Omvårdnadsdokumentationens kvalitet vid höftfraktur kan bidra till att patienten får bättre förutsättningar för att undvika komplikationer och till kortare vårdtid. Syfte: Att undersöka kvaliteten av omvårdnadsdokumentation för patienter med höftfraktur.Metod: En retrospektiv, deskriptiv och jämförande design där granskning av omvårdnadsjournaler användes för att besvara studiens syfte. Ett konsekutivt urval har gjorts av omvårdnadsdokumentation från 40 vårdtillfällen med patienter över 60 år som vårdats för en höftfraktur på en akutortopedisk avdelning. För granskningen användes journalgranskningsinstrumentet Cat-ch-ing. Resultat: De granskade omvårdnadsjournalernas kvalitet var varierande; ingen av journalerna hade en komplett dokumentation. Dokumentation av vårdplan och resultat av omvårdnadsåtgärder saknades i en majoritet av journalerna. Dokumentationen var av bättre kvalitet i gruppen yngre äldre patienter vid jämförelse med gruppen äldre äldre patienter. Ingen skillnad av kvalitet i dokumentationen kunde urskiljas utifrån vårdtidens längd då patienter som vårdats mindre än sju dygn eller sju dygn eller mer jämfördes. Konklusion: Kvaliteten av omvårdnadsdokumentationen var inte komplett. Det krävs ytterligare kunskap om förbättringsåtgärder i den kliniskas verksamheten för att säkerställa en omvårdnadsdokumentation av god kvalitet där patienter med höftfraktur vårdas.
Background: The quality of the nursing record can reflect the quality of nursing care provided to patients. Patients with a hip fracture often have an extensive need for care. The nursing record has an important function of describing the nursing process, nursing diagnoses and interventions. Patients with hip fractures often have complex health care needs and the nursing documentation can contribute to patient safety. The quality of the documentation increases with a structured journal. Furthermore, it should be written in a standardized language. Audit of nursing documentation can contribute to quality of care. Motive: Great health risks is a fact when suffering from a hip fracture, especially an already fragile person. The quality of the nursing documentation can contribute to better outcome in patient safety and the length of stay. Aim: To explore the quality of nursing documentation for patients with hip fractures. Methods: A retrospective descriptive and comparative design where audit of nursing records was used to attain the study's aim. A consecutive sample was used, where 40 patients’ health care records of nursing documentation for patients over the age of 60 with a hip fracture in an emergency orthopedic ward were included. The audit instrument Cat-ch-Ing was used. Result: The result showed that the quality was variable; none of the records had a complete documentation. Documentation of care plans were missing in a majority of the records. The documentation was of better quality in the group of younger elderly patients compared to that of older elderly patients. No quality differences were seen based on the length of stay. Conclusion: None of the records had a complete documentation. Further knowledge of how good quality nursing documentation on hip fractur patients can be implement for a sustainable result in clinical activities.
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Björvell, Catrin. "Nursing documentation in clinical practice : instrument development and evaluation of a comprehensive intervention programme /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-297-3/.

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Moraes, Jéssica Amici. "Registros das ações de enfermagem relacionadas ao reposicionamento dos pacientes e à prevenção da lesão por pressão em uma unidade de terapia intensiva." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-24042018-192954/.

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Os registros no prontuário do paciente são ferramentas estratégicas para o gerenciamento da qualidade da assistência em saúde e enfermagem. A Lesão por Pressão caracteriza-se como um indicador de qualidade assistencial e gerencial, permitindo a implementação de ações preventivas, por meio da utilização de diretrizes e protocolos clínicos destinados a orientar os profissionais de saúde para o alcance de uma assistência livre de danos. O objetivo deste estudo foi analisar o conteúdo dos registros das ações de enfermagem relacionadas ao reposicionamento dos pacientes em uma unidade de terapia intensiva. Trata-se, portanto, de estudo quantitativo, longitudinal, correlacional e analítico. A coleta de dados foi conduzida após aprovação do Comitê de Ética em Pesquisa e a amostra foi composta por 37 pacientes que atenderam aos critérios de inclusão da pesquisa. Quanto às características sociodemográficas e clínicas, foi identificado como maioria, o sexo masculino (56,8%); brancos (78,4%), na faixa etária de 60 a 79 anos (48,6%) e o tempo médio de internação na unidade com predominância de até dez dias de permanência (57,9%). A maioria dos indivíduos (48,6%) apresentou risco elevado para a Lesão por Pressão, com média de 11,7%; escore médio de gravidade de 54% na admissão e 54% na alta. Do total, 35,1% apresentou Lesão por Pressão, notificada no sistema de informação hospitalar, e 43,2% evoluiu para óbito. Na análise dos escores de risco para Lesão por Pressão (Braden) e gravidade na entrada (APACHE-E) e na saída (APACHE-S) da UTI, segundo o sexo, LP notificada e evolução para óbito entre os participantes da pesquisa, foram identificados valores estatisticamente significantes, exceto, entre as variáveis Braden e Lesão por Pressão notificada. Na análise dos valores percentuais de registros de ações de reposicionamento dos pacientes, segundo Lesão por Pressão notificada e evolução para óbito, não foram identificados valores estatisticamente significantes. Foi identificada correlação negativa (-0,369) e significância estatística (p=0,024) entre o percentual de registros de ações de reposicionamento e o escore Braden, ou seja, os pacientes com maior risco para Lesão por Pressão apresentaram maior frequência de registros de ações de reposicionamento. Na análise do conteúdo dos registros realizados diariamente pela equipe de enfermagem no prontuário do paciente, foi verificada predominância de registros relacionados à descrição da posição do paciente no leito e reposicionamento do paciente sem especificar a posição adotada. Este estudo evidencia a importância das informações produzidas pela equipe de enfermagem para identificação de pacientes em risco de desenvolvimento de Lesão por Pressão e o estabelecimento de medidas preventivas que atendam às exigências contemporâneas de maior efetividade, qualidade e segurança na assistência hospitalar, em especial, na unidade de terapia intensiva. Finalmente, vale destacar a relevância da sistematização da assistência de enfermagem, pautada na adoção de linguagem padronizada e estruturada, em suporte de papel ou eletrônico, visando à disponibilização de informação precisa, oportuna, válida, comparável e compartilhável, fundamentada nos pressupostos éticos e legais, políticos e organizacionais que envolvem o processo de auditoria no gerenciamento da assistência em saúde e enfermagem
The records in the patient\'s chart are strategic tools for managing the quality of health and nursing assistance. The Pressure Injury is characterized as an indicator of welfare and management quality allowing the implementation of preventive actions, through the use of clinical protocols and guidelines intended to guide health professionals to achieve a damage-free assistance. The aim of this study was to analyze the contents of the records of nursing actions related to the repositioning of patients in an intensive care unit. It is a longitudinal, quantitative, correlational and analytical study. Data collection was conducted after approval by the Committee of ethics in research and the sample was comprised of 37 patients who met the inclusion criteria. With regard to socio-demographic and clinical characteristics, was identified most of the males (56.8%), whites (78.4%), aged 60 to 79 years (48.6%) and the average time of hospitalization in unit with up to ten days of stay (57.9%). The majority of individuals (48.6%) presented a high risk for Pressure Injury averaging 11.7%, average score for severity on admission of 54% and 54% on high. Of the total, 35.1% presented notified Pressure Injury in hospital information system and 43.2% evolved to death. In the analysis of the risk scores for Pressure Injury (Braden) and gravity at the entrance (APACHE-E) and outlet (APACHE-S) of the ICU second sex, notified PI and evolution to death among the participants of the survey, statistically significant values were identified, except between Braden and variables notified Pressure Injury. In the analysis the percentage values of stock records of repositioning of patients according to notified Pressure Injury and evolution to death were not identified statistically significant values. It was negative correlation (-0.369) and statistical significance (p = 0.024) between the percentage of stock records of repositioning and the Braden score, i.e., patients with increased risk for Pressure Injury presented a higher frequency of stock records of repositioning. In the analysis of the content of the records held daily by the nursing staff in patient records, was observed a predominance of records related to description of the position of the patient in the bed and repositioning of the patient without specifying the position adopted. This study highlights the importance of information produced by the nursing staff to identify patients at risk for developing Pressure Injury and the establishment of preventive measures that meet the contemporary requirements of greater effectiveness, quality and safety in the hospital, in particular, in the intensive care unit. Finally, it is worth highlighting the relevance of systematization of nursing care, based on the adoption of standardized and structured language, in paper or electronic support, aimed at the provision of accurate information, timely, valid, comparable and sharable, based on ethical and legal assumptions, organizational and political involving health assistance management and nursing
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Kent, Keith Wesley. "The Development of an Auditing Tool to Measure Adherence to a Sedation Protocol." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/556004.

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Introduction: A protocol for management of sedation and pain for mechanically ventilated patients at Flagstaff Medical Center (FMC) was implemented in August 2013. It was unknown whether the protocol is being adhered to or whether it has had an impact on patient outcomes. Objectives: To develop an audit and feedback mechanism to monitor adherence to sedation protocol at FMC and determine whether the protocol has impacted patient outcomes. Methods: A retrospective manual chart review was conducted including all mechanically ventilated adult patients for four, one-month periods: 1) pre-protocol; and 2) one month, 3) six months, and 4) 12 months post-protocol implementation. Results: 132 total patients were included (32 pre; 100 post-protocol). Mean weighted adherence score for post-protocol study groups were 5.0±0.6, 5.0±0.7, and 5.2±0.7 (p=0.926) out of ten. Time of mechanical ventilation (p=0.003) and hospital length of stay (LOS) (p=0.023) were reduced post (56±58h; 9.8±7.9days) vs. pre-protocol (90±67h; 13±7days). The adherence score was weakly correlated with hospital LOS but not time of mechanical ventilation. Conclusion: This project demonstrates improvements in patient outcomes from utilization of a sedation protocol. However, this project also highlights several challenges associated with the monitoring of protocol adherence. A lack of audit and feedback may be a factor in the observed unchanged adherence over time. Both research and monitoring activities are impaired by EHR systems that do not allow for the easy extraction of data. Ensuring that adequate audit and feedback strategies are designed and available prior to implementation of new protocols is an essential step in planning the implementation of a new protocol.
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Books on the topic "Nursing audit"

1

Kinn, Sue. The nursing audit handbook. Glasgow: Clinical Audit Support Group, University of Glasgow, 1994.

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Welsh Advisory Group on Nursing and Midwifery Audit. Nursing & midwifery audit: Strategy for the development of nursing and midwifery audit in Wales. [Cardiff]: WAGNA, 1992.

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Trust, Doncaster Healthcare NHS. Community practice teacher audit: District nursing. Doncaster: Doncaster Healthcare NHS Trust, 1992.

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Executive, NHS Management, ed. Framework of audit for nursing services. [London]: NHS Management Executive, 1991.

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North Lincolnshire Health. Directorate of Quality Assurance. Nettleham practice nursing quality audit tool. Lincoln: North Lincolnshire Health, 1992.

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Marshall, Marinker, ed. Medical audit and general practice. London: Published for the MSD Foundation by the British Medical Journal, 1990.

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W, Richardson Eileen, ed. Quality assurance in nursing practice. 2nd ed. Oxford: Butterworth-Heinemann, 1999.

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Kemp, Nan. Quality assurance in nursing practice. Oxford: Butterworth-Heinemann, 1990.

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Kemp, Nan. Quality assurance in nursing practice. 2nd ed. Oxford: Butterworth-Heinemann, 1995.

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Kemp, Nan. Quality assurance in nursing practice. Oxford: Heinemann Medical, 1990.

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Book chapters on the topic "Nursing audit"

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Harrigan, Patricia, Jan Sorensen, and Steve Ryder. "Clinical audit and CPN services." In Community Psychiatric Nursing, 197–218. Boston, MA: Springer US, 1992. http://dx.doi.org/10.1007/978-1-4899-6888-3_11.

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Kenyon, Lucy, and Sarah Mogford. "Quality and audit in occupational health." In Contemporary Occupational Health Nursing, 206–30. 2nd edition. | Abingdon, Oxon ; New York, NY : Routledge, 2018.: Routledge, 2017. http://dx.doi.org/10.4324/9781315203409-10.

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Sale, Diana. "Quality assurance measures — performance. Nursing audit." In Quality Assurance, 18–23. London: Palgrave Macmillan UK, 1990. http://dx.doi.org/10.1007/978-1-349-10189-4_3.

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Schultz, Lynn M., and Rebecca M. J. Yates. "A Marketing Audit for Nursing Administration." In Proceedings of the 1983 Academy of Marketing Science (AMS) Annual Conference, 181–86. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-16937-8_43.

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Eeltink, Corien, Sarah Liptrott, and Jacqui Stringer. "Nursing Research and Audit in the Transplant Setting." In The European Blood and Marrow Transplantation Textbook for Nurses, 301–11. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-50026-3_15.

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Eeltink, Corien, Sarah Jayne Liptrott, and Jacqui Stringer. "Nursing Research and Audit in the Transplant Setting." In The European Blood and Marrow Transplantation Textbook for Nurses, 321–31. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-23394-4_16.

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AbstractNursing research is a systematic inquiry that uses disciplined methods to answer questions or solve problems in order to expand the knowledge base within a given field. There are various issues to address in order to complete a successful study. The aim of this chapter is to provide the reader with an overview of the key topics for consideration and give guidance as to where to go for further information. Providing best care to patients undergoing HSCT is the moral and ethical duty of all nurses. As a consequence, awareness of, and involvement in, research as the vehicle to ensuring best practice is also our moral duty.
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Bramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "1990s: The Introduction of the Internal Market." In Community Nursing Services in England, 43–59. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_5.

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AbstractThe National Health Service and Community Care Act 1990, set in motion by the publication of the 1989 White Papers—Working for Patients and Caring for People, saw an intense time of policy change which would profoundly impact community and district nursing services. These papers ushered in the introduction of the internal market with purchaser/provider split between commissioners and providers of services, aiming for better services, better patient choice and to reduce costs. This chapter focuses on how the NHS was re-structured to facilitate this quasi-market organisation with Health Authorities (HAs), once pivotal, replaced by Primary Care Groups (PCGs) at the end of the decade. We document here the impact of these changes on the district nursing service as well as bringing to the fore that it was a service in crisis and in need of attention. Heavy caseloads coupled with a diminishing workforce led to a review of the grading system and an increasing use of ‘skill-mix’. We also highlight that aligned with internal marketisation ideals, funding of community services was based on a crude count of average number of contacts rather than based on the complexities of the role. As ever, there was a need for district nurses to ‘deliver more for less’ (Audit Commission, 1999, p. 94) at the end of the era.
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Lydianna, Trianita, and Desica Larasati. "The Effect of Audio-Visual Education on Oral Health Knowledge of the 6–12 Years Old Orphans." In Proceedings of the International Conference on Sustainable Innovation on Health Sciences and Nursing (ICOSI-HSN 2022), 345–49. Dordrecht: Atlantis Press International BV, 2022. http://dx.doi.org/10.2991/978-94-6463-070-1_42.

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Clement, Nisha. "Nursing Audit." In Essentials of Management of Nursing Service and Education, 249. Jaypee Brothers Medical Publishers (P) Ltd., 2016. http://dx.doi.org/10.5005/jp/books/12694_29.

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Vati, Jogindra. "Nursing Audit." In Nursing Foundation: Concepts and Perspectives (For Post Basic BSc Nursing), 332. Jaypee Brothers Medical Publishers (P) Ltd., 2015. http://dx.doi.org/10.5005/jp/books/12578_25.

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Conference papers on the topic "Nursing audit"

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Susanto, Rohmah, Ati Surya Mediawati, and Kurniawan Yudianto. "Audit of Nursing Care Quality at Dr. Slamet Hospital." In The Health Science International Conference. SCITEPRESS - Science and Technology Publications, 2019. http://dx.doi.org/10.5220/0009125101330136.

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Bruun-Pedersen, Jon Ram, Stefania Serafin, Justyna Maculewicz, and Lise Busk Kofoed. "Designing Recreational Virtual Environments for Older Adult Nursing Home Residents." In AM '16: Audio Mostly 2016. New York, NY, USA: ACM, 2016. http://dx.doi.org/10.1145/2986416.2986455.

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Rahmawati, Ida, and Dwi Putri Sulistya Ningsih. "Effectiveness of Audiovisual-Based Training on Basic Life Support Knowledge of Students in Bengkulu." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.45.

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Background: Emergencies can occur around us. Basic knowledge about saving lives is needed to reduce the death rate. Basic Life Support (BHD) is an emergency treatment effort for cardiac arrest done by everyone, including students. This study aimed to determine the effect of audiovisual-based training on Nursing Students Basic Life Support (BHD) knowledge in Bengkulu City. Subject and Method: This was a quasi-experiment study with no control group. The study was conducted at school of science Tri Mandiri Sakti, Bengkulu, Indonesia. A sample of 64 nursing students was selected by total sampling. The intervention group was carried out by viewing the BHD simulation video via the LCD. Knowledge was measured by questionnaire. Knowledge level before and after treatment were tested by t-test. Result: Mean score of knowledge after training basic life support (Mean = 74.53; SD = 13.444; 95% CI = 27.502) was higher than before training (Mean = 50.47; SD = 11,468; 95% CI = 20,623), and it was statistically significant (p< 0.001). Conclusion: Audiovisual-based training is effective in improving knowledge of students about basic life support. Keywords: audio visual, basic life support, knowledge. Correspondence: Ida Rahmawati, Emergency Nursing Department, Nursing Science Study Program, School of health sciences Tri Mandiri Sakti Bengkulu, Indonesia. Email: idarahmawati1608@-gmail.com. Mobile: +62 852-6693-5180. DOI: https://doi.org/10.26911/the7thicph.02.45
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Maier, Edith, Pascale Baer-Baldauf, Peter Jaeschke, Ulrich Reimer, and Tom Ulmer. "Continuous real-time remote monitoring of severely or chronically ill children." In The 18th international symposium on health information management research. Linnaeus University Press, 2022. http://dx.doi.org/10.15626/ishimr.2020.12.

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Compared to parents of healthy children, parents of severely or chronically ill children have significantly worse physical and mental health and a lower quality of life, e.g. because of lack of sleep. The proposed solution aims at assisting caregivers by means of a remote monitoring service run by professional nursing staff which should allow parents to get a good night’s sleep. A smart algorithm has been developed to detect if a particular parameter (heart rate, respiration rate or oxygen saturation) has exceeded a pre-defined threshold and thus may imply an emergency. Parents are only alerted after a professional nurse in the monitoring centre has cross-checked vital parameter trends and carried out an audio-visual inspection. The quality and accuracy of the system has been validated through iterative testing including a test performed in a children’s hospital to ensure that the monitoring system is not inferior to a hospital set-up.
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Masithoh, Robiul Fitri, and Estrin Handayani. "The Effect of Diabetes Audio Visual Learning Method for Improving Medical Skills of Surgical Nursing." In 1st Borobudur International Symposium on Humanities, Economics and Social Sciences (BIS-HESS 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/assehr.k.200529.150.

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Suryo, Yoedo Ageng, Joko Siswanto, Misbah, and Pressa Perdana Surya Saputra. "Vocal letter classification with audio processing for nursing room notification system with “Mel frequency cepstrum coefficient and backpropagation-neural network methods”." In INTERNATIONAL CONFERENCE ON RESEARCH INNOVATIONS: TRENDS IN SCIENCE AND TECHNOLOGY. AIP Publishing, 2023. http://dx.doi.org/10.1063/5.0154352.

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