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Journal articles on the topic 'Nursing audit'

Author: Grafiati

Published: 4 June 2021

Last updated: 30 July 2024

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1

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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2

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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4

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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5

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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6

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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7

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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8

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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10

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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11

Ekici, Dilek, and Tugba Mert. "Development and Psychometric Evaluation of Nursing Audit Tool." Hospital Practices and Research 5, no. 2 (June 19, 2020): 47–55. http://dx.doi.org/10.34172/hpr.2020.10.

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Background: Better healthcare outcomes in health services are obtainable from frequently observing ongoing healthcare activities, gathering data, and assessing outcomes. Objectives: This study aimed to establish the basic principles of nursing care standards and practices in wards, develop a nursing audit tool for periodically monitoring and controlling ongoing nursing activities, and evaluate nursing care quality. Methods: A methodological investigation of field visit data gathered between November 2017 and April 2019 was conducted. A nursing service audit tool was used to collect data. Based on the literature and expert consideration, a conceptual structure of the nursing audit criteria containing 63 items and four factors (patient care, indirect care, unit criteria, and head nurse) was developed. The hospital supervisors visited all the wards and evaluated all the items of the tool accordingly. Nursing outcomes of units were used for determine the predictive validity of the tool. Two supervising nurses collected the data using the tool during their shifts. Supervisors were trained on the use of the tool to avoid any differences between evaluators. Each supervisor collected 309 tools. A total of 618 data were collected. Results: The level of validity and reliability of the tool is within acceptable limits; thus, it can be regarded as a valid and reliable tool for monitoring nursing care processes in the general wards of the hospital. Conclusion: The developed tool will help nurse managers monitor the nursing care process in accordance with the quality standards.

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McKenna, Kerry, Gemma Sheridan, and Laraine Murray. "Compliance with a guideline on outpatient medical management of miscarriage in a gynaecology ED." British Journal of Nursing 32, no. 4 (February 23, 2023): 202–8. http://dx.doi.org/10.12968/bjon.2023.32.4.202.

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This article describes the clinical audit of the Outpatient Medical Management of Miscarriage Guideline (Guideline 2) within the Gynaecology Emergency Department (GED) at a single site dedicated Gynaecology and Maternity Hospital in the UK, the Liverpool Women's NHS Foundation Trust. Clinical audits are quality improvement processes used to identify areas of improvement against a set criterion and, as a result, implement any required change(s) ( National Institute for Health and Care Excellence, 2002 ). An audit ensures that the guidelines have been followed to certify safe, effective treatment for women who have suffered a first trimester missed miscarriage and the audit described in this article analysed the success of treatment in avoiding admission to hospital and further intervention, such as surgery. The main findings of the audit were that the GED fell short on compliance rates against some standards, mainly standard 1 (performing a baseline point of care test to measure haemoglobin) and standard 5 (providing the patient with a follow-up phone call, with higher compliance levels to standards 3 and 4, which are in relation to prescribing and administering the treatment. The audit found that 15% of patients required further intervention such as admission to hospital for observation (9%) and surgical intervention to complete the miscarriage (6%). Further training in the clinical setting is required to ensure improved compliance with all standards. A checklist will also be created to ensure all standards are being met.

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13

Vonderhaar, Bernard, and Marsha Snyder. "Nursing Advocacy and Long Acting Injectables to Reduce High Readmission Rates: Quality Initiative." Journal of the American Psychiatric Nurses Association 26, no. 4 (July 25, 2019): 389–93. http://dx.doi.org/10.1177/1078390319865333.

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INTRODUCTION: Nonadherence to medications for schizophrenia relates to frequent readmissions. Long-acting injectable (LAI) medications are shown to increase adherence and reduce admissions. AIMS: (1) Identify frequent readmissions to psychiatry. (2) Improve nursing advocacy for patients appropriate for LAIs through in-service. METHODS: Chart audits were employed for data collection. Academic detailing and dashboards were used for voluntary nursing education. The chart audit spanned 90 days pre and post in-service. All admissions to psychiatry were screened; patients with readmissions under 30 days (with the same admitting diagnosis), a schizophrenia spectrum diagnosis, and nonadherent with oral antipsychotics were included. Results: Forty-four patients met criteria and amassed 49 frequent readmissions. For inclusion criteria, the admission rate decreased by 53% and LAI prescriptions increased by 9%. Three patients from the first audit group and one from the second were initiated on LAIs. CONCLUSIONS: Attitudes toward LAIs may be improving based on RN advocacy and collaboration.

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Whittington, D. "Evaluating Audit: Nursing and Therapy Audit - A Review of the Region's Role." Quality and Safety in Health Care 5, no. 3 (September 1, 1996): 188. http://dx.doi.org/10.1136/qshc.5.3.188.

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Garcia, Philip, Hannah Jang Kim, Susan Barbour, and Adam S. Cooper. "Empowering nurses to increase engagement in advance care planning in a medicine transitional care unit: a best practice implementation project." JBI Evidence Implementation 21, no. 4 (April 10, 2023): 310–24. http://dx.doi.org/10.1097/xeb.0000000000000373.

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ABSTRACT Introduction and objective: Advance care planning (ACP) communication and documentation are often inadequate, leading to care that is inconsistent with patients’ preferences and moral dilemmas for family members. Nurses are patient advocates optimally positioned to initiate ACP but many feel that they lack the training and skills to navigate these conversations. The objective of this project was to increase nurses’ capacity to engage in ACP. Methods: This project used the JBI audit and feedback method to implement evidence into practice. The JBI Practical Application of Clinical Evidence System and Getting Research into Practice audit tools were used to incorporate ACP into nursing workflow. Eight audit criteria were created based on a JBI evidence summary. Compliance was measured by reviewing ACP notes from electronic health records and online survey responses. A baseline audit was followed by educational presentations and development of posted materials. Three follow-up audits examined sustainability. Results: Compliance with the best practice recommendation for nurses to engage in ACP discussions increased from 55% to 80%. There was improvement from zero ACP notes at baseline (0% compliance) to 12 ACP notes in the final audit. Of these notes, 42% included all best practice elements and 92% included patients’ treatment preferences. Conclusions: Development of an integrative nursing education plan for ACP empowers nurses to engage in vital conversations. Informing nurses of their scope of practice, defining terms and expectations, and encouraging them to attempt and document conversations will benefit patients. Future initiatives would benefit from incorporating practical opportunities without real-life implications and providing continued support to cohorts.

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Dufour, Emilie, and Arnaud Duhoux. "How to Design Effective Audit and Feedback Interventions With Nurses." JONA: The Journal of Nursing Administration 54, no. 7/8 (July 2024): 427–32. http://dx.doi.org/10.1097/nna.0000000000001452.

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OBJECTIVE To propose practical hypotheses on audit and feedback that support the effectiveness with nurses. BACKGROUND Audit and feedback interventions have been mainly studied with physicians; however, the processes have been practiced by nurses for years. Nurses' response may differ from that of physicians and other healthcare disciplines because of their roles, power, and the configuration of nursing activities. METHODS A comparative analysis of the Clinical Performance Feedback Intervention Theory was conducted using nursing-specific empirical data from: 1) a mixed-methods systematic review and 2) a pilot study of audit and feedback with a team of primary care nurses. RESULTS Researchers hypothesize that audit and feedback interventions are more effective when: 1) feedback emphasizes how it relates to the relational aspect of nursing; 2) indicators are measured and reported at team level; and 3) feedback is provided in a way that highlights benefits to nurses' practice, such as the potential to reduce workload. CONCLUSION These proposed hypotheses provide concrete guidance to researchers and managers for an effective use of audit and feedback as a quality improvement strategy with nurses.

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Clark, Rebecca Culver, Kimberly Ferren Carter, Julie Jackson, and Deborah Hodges. "Audit and Feedback." Journal of Nursing Care Quality 33, no. 3 (2018): 291–96. http://dx.doi.org/10.1097/ncq.0000000000000289.

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Kinn, Sue. "Clinical audit: a tool for nursing practice." Nursing Standard 9, no. 15 (January 4, 1995): 35–36. http://dx.doi.org/10.7748/ns.9.15.35.s35.

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RYAN, ASSUMPTA A., and HUGH F. LOGUE. "Developing an audit tool for primary nursing." Journal of Clinical Nursing 7, no. 5 (September 1998): 417–23. http://dx.doi.org/10.1046/j.1365-2702.1998.00158.x.

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20

Malby, Rebecca. "The process of change in nursing audit." British Journal of Nursing 1, no. 4 (June 11, 1992): 205–7. http://dx.doi.org/10.12968/bjon.1992.1.4.205.

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Reneau, Kyrani, Elizabeth H. Zhong, and Carey McCarthy. "2017 NCSBN Board of Nursing Website Audit." Journal of Nursing Regulation 9, no. 2 (July 2018): 47–53. http://dx.doi.org/10.1016/s2155-8256(18)30117-0.

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22

McKenna, Hugh P., and R. M. N. R.G.N. "Psychiatric nursing audit: A study of practice." International Journal of Nursing Studies 30, no. 3 (June 1993): 298–99. http://dx.doi.org/10.1016/0020-7489(93)90044-u.

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23

Thomas, Sue. "Audit commission review of district nursing services." Primary Health Care 9, no. 3 (April 1, 1999): 8–9. http://dx.doi.org/10.7748/phc.9.3.8.s7.

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Davies, Kevin. "Emergency nursing must respond to audit report." British Journal of Nursing 19, no. 5 (March 12, 2010): 279. http://dx.doi.org/10.12968/bjon.2010.19.5.47054.

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Anderson, P. "Audit Commission recommends home nursing shake up." BMJ 318, no. 7185 (March 13, 1999): 690. http://dx.doi.org/10.1136/bmj.318.7185.690a.

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BRAR, AVTAR. "NURSING AUDIT AN EVALUATION OF PATIENT CARE." Nursing Journal of India LXXX, no. 10 (1989): 268. http://dx.doi.org/10.48029/nji.1989.lxxx1003.

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27

Rao K, Radhika, Janet Alva, Christopher Sudhakar, Nyima Lhamo, Dona Mary Jose, Jestymol Mathew, Dinsa Paul, Nimil Netto, and Geethu Ann Sunny. "Perception of Staff Nurses regarding Quality Audit Process in Hospitals of Mangalore District, Karnataka." Nursing Journal of India CIII, no. 05 (2012): 204–5. http://dx.doi.org/10.48029/nji.2012.ciii503.

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As in other fields, auditing in clinical nursing can go a long way in enhancing the productivity of nurses. Nursing audit is helpful in ascertaining the extent to which the organisation complies with the relevant quality norms and can involve in procedural or assessment criteria. Purposive sampling technique was used in this study which involved 255 staff nurses from two hospitals of Karnataka. The study tools included demographic proforma and audit scale (arbitrarily classified as unfavourable and favourable perception) to evaluate the impact of hospital and community-based clinical audit programme. It was shown that in selected hospitals, staff nurses had positive perception about the audit process; they also reported improvement in their levels of knowledge, skill and patient care though frequent audit hindered them in discharge of their duties.

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Alkasser, Mustafa, Mariam Riadh, Mohammed Elsankary, and Maja Merteen. "Seclusion Pathway Review Audit." BJPsych Open 9, S1 (July 2023): S149. http://dx.doi.org/10.1192/bjo.2023.402.

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Aims•Ensure compliance with seclusion trust policy and guidelines by the mental health team (goal of 100 percent).•Confirm that proper documentation of commencement, periodic reviews, and termination is always maintained (goal: 100 percent).MethodsRetrospective collection of data from one adult male Psychiatric Intensive Care unit and one adult female mental health ward.Our sample consisted of patients who were secluded between the time period of September 2021 and June 2022. 33 seclusion episodes met this inclusion criteria. Data were collected from OpenRio progress notes and OpenRio seclusion section.We developed a tool for monitoring of seclusion reviews included different data about patients demographics and other variables in seclusion reviews.ResultsWe found out the following: •In regard to patients demographics, the predominant age groups are between 20 and 40 years old, although there is also an increase in the number of people between 50 and 70 years old and the predominant ethnicity was white British.•The rationale for seclusion start and continuity was documented in 100% of the cases in our sample of 33 episodes.•The initial medical review was completed in the first hour was completed in 81.82% (27) , In 18.18% (6) of cases, it was not completed within the hour window.In 4 cases, the doctor was not contacted in time to meet the one-hour limit.In 2 episodes, the reasons for being late were not documented. •2 hourly nursing review completed in 93.94% (31).There were 6.06 % (2 episodes) were the 2 hourly reviews were not completed. No specific reason found in the documentation for the missed episodes.•The 4 hourly medical review (before MDT / consultant reviews) were completed within time in 24 episodes.There were 9 episodes when the reviews were not completed within the time window of 4 hourly.In 5 of the episodes the patient was sleeping, so the nursing team didn't contact the doctor.There was 4 episodes with no documentation for the reason of the delay. However, the review was completed within extra 1-2 hours duration of time. •The 8 hour MDT reviews with consultant were completed in 26 episodes (78.79%).There was 7 episodes were it was not completed within the 8 hours window.The primary reason was that the seclusion episode started on a weekend afternoon or early evening after normal working day and the consultant review was conducted on next day. •Two medical reviews daily – at least one by responsible clinician (following initial MDT review) completed : In 3 of the episodes (9.09%), one of the two reviews was missed without specific reason or documentation.•Rational to continue/ end seclusion documented at each review completed:In 32 of the episodes the Rational to continue or end seclusion was documented.There is one episode where seclusion was ended without documentation from the nursing team or doctors. •Physical health observations record :100% compliance with physical health observations record.ConclusionRecommendations: •Increase awareness of the importance of completing the initial reviews on time by conducting teaching sessions in the local academic program and informal teaching sessions with nursing staff.•Adding the seclusion review guidelines to the junior doctors handbook and discuss the guidelines during induction meetings.•Allocate different flyers and posters with information about seclusion reviews in the nursing stations and doctors office.•Completing the re-audit cycle after that to gauge the scope of change.

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Kennedy, Andrea, R. Lisa Bourque Bearskin, and Kaija Freborg. "Commitment to Positive Change: Structural Anti-racism Audit of Nursing Education Programs." Witness: The Canadian Journal of Critical Nursing Discourse 3, no. 1 (June 30, 2021): 4–6. http://dx.doi.org/10.25071/2291-5796.89.

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Amidst many opportunities to create positive change and examine systemic anti-racist decolonial practices (Moorley et al., 2020), we are advocating for concrete action at the root of Nursing education programs by way of a structural anti-racism audit. Based on decolonial and antiracist theory (Garneau et al, 2018; Gaudry & Lorenz, 2018; Kendi, 2019; McGibbon & Etowa, 2009), we propose to engage in systems-level action (McGowan et al, 2020; Mulgan, 2006; van Wijk t al., 2018) and examine institutional structures through an anti-racist framework (Sutton, 2002) based on audit processes for equity, diversity, and inclusion (Chun & Evans, 2019; Olson, 2020; Skrla et al., 2004; Skrla et al., 2009; Zion, et al., 2020). Structures within and influencing curriculum, pedagogy, evaluation will be examined to advance systems-level anti-racist practices and policies (Moorley et al., 2020) with Nursing students, faculty, staff, leadership as a foundation for equitable Nursing education and care (National Collaborating Centre for the Determinants of Health, 2014). This anti-racist approach to Nursing education reform promises to address the pernicious harms of discrimination in the healthcare system, as noted in a recent report on Indigenous-specific racism (Turpel-Lafonde, 2020). We aim to conduct a strengths-based structural anti-racism audit that does not lose sight of disparities (Fogarty et al., 2018). We are currently conducting a literature review and audit framework development and will pilot the structural anti-racism audit in fall 2021. Rather than requesting endorsement of our project, and with respect for diverse approaches, we asked Nursing colleagues to sign this letter to demonstrate shared commitment to critically examine racist challenges and anti-racist opportunities in their Nursing program at a structural level (see this survey: https://forms.gle/tZPN2z1kUoARNPp1A

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Machudo, Sabo Y., and Sharifah Mohidin. "Nursing Documentation Project at Teaching Hospital in KSA." International Journal of Research in Science 1, no. 1 (June 15, 2015): 4. http://dx.doi.org/10.24178/ijrs.2015.1.1.04.

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The aim of the project was to examine the current practice of nursing care documentation and to identify the common errors of nursing care documentation. A prospective cross sectional method was used to evaluate nursing care documents done by the nurses. The project was carried out between January 2014 and 31 March 2014. The project phase was based on the fundamental concepts divided to three phases. Phase 1 was assessment and diagnostic, phase 2: Planning Strategy and Process, and in phase 3: Implementation, Designing tool, Continuous monitoring.First phase started with assessment to diagnose the current practice; therefore baseline auditing was conducted by development of audit tool in documentation based on policy/guidelines, development and initiation of education strategy and finally the evaluation audit conducted to assess the outcome of the project.This project gave depth attention to the standardization of nursing documentation practice and the factors that leading to variation in practice which may cause the flaws in documentation quality. The project identified the barriers and opportunities to improve the efficiency of nursing documentation have been placed. The next stage of this project is to review the effectiveness of the method of documentation through the development and implementation of an audit tool.Alongside this, the plan is to continue regular education related to focus charting in order to fully imbibe this change into daily nursing practice.Nurses in organizations that are struggling with documentation issues can conquer it by using focus note method as it can easily be adapted to different clinical situations. This project also supported the nurses to provide legally prudent information related to patient care and nursing activities performed. There are hopes for the nursing documentation and record audit processes to be developed into electronic and systematic process and used as an aspect of a regular credentialing process in the near future. It is recommended that nursing administration should use a multidisciplinary approach to develop policies and guidelines on nursing care documentation and provide sustained continuing training opportunities for nurses on effectiveness of documentation and also aimed at putting the policy to improve daily use of standardized nursing languages.

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Gunathillaka, Kavinda, Mariam Timbo, and Stephen Ginn. "Audit on nursing notes in a psychiatry in-patient setting." BJPsych Open 7, S1 (June 2021): S189. http://dx.doi.org/10.1192/bjo.2021.511.

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AimsWe aimed to assess the accessibility and informativeness of the content of daily nursing notes through an audit, and improve deficiencies identified.BackgroundNursing notes are an important source of observation findings, of in-ward psychiatry patients.There can be variations in the quality of the notes as well as information contained within.A basic level of clarity and information within all notes will be helpful in using these to inform the management of patients.MethodAn audit was carried-out in a ward treating working-age patients for psychiatric illnesses.Setting standards - standard required of a daily progress note was decided after discussion in multi-disciplinary team meeting (MDT). Clear language and information on; mental-state, medication, meals, physical health, personal care, activities, risks and use of leave, were identified as requirements.Retrospective audit - First audit cycle was carried-out by assessing the notes two weeks retrospectively. The assessment instrument used a qualitative measurement of the readability of the notes as well as quantitative assessment of the contents.Intervention - The standards set during the MDT, as well as a suggested format for recording notes, were communicated to the staff through email. Follow-up meetings with individual staff members and MDT, to evaluate staff satisfaction and new suggestions to improve the format were held. Difficulties staff encountered when implementing the format were discussed and resolved.Second audit cycle - Following implementation of the intervention, the notes were again assessed using the same instrument.ConclusionDifficulty in accessing information from the notes was noted in the first audit cycle. The average score for accessibility of information when scored on Likert scale + 3 to -3, was 1. Use of language scored 2 on average. On the second audit cycle, accessibility had increased to 3 on average while language score remained 2.Quantitative measurement was done for presence of information on; mental state, medication, meals, physical health, personal care, activities, risks and use of time away from ward. All of these parameters showed an increase in the post-intervention second audit cycle. Information on taking meals, medication, and physical health was present 100% of the time in the second cycle. Most improvement was in information on personal care which showed a five-fold increase, from 17% to 89%In conclusion, standard for nursing notes arrived via discussion and consensus in MDT, has been successful in improving the accessibility and information within nursing notes.

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Killeen, E., S. Horan, A. Pollock, A. Lee, and A. Martin. "98 SCHEDULED MEDICATION REVIEWS AND EDUCATION ON SEDATIVE PRESCRIBING FOR RESPONSIVE BEHAVIOURS IN NURSING HOME RESIDENTS, A 3 YEAR FOLLOW-UP STUDY." Age and Ageing 50, Supplement_3 (November 2021): ii9—ii41. http://dx.doi.org/10.1093/ageing/afab219.98.

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Abstract Background Sedative medications including neuroleptics, benzodiazepines, opioids, ‘z’ drugs and trazadone are commonly prescribed for older adults. Nursing home residents are three times more likely to be prescribed benzodiazepines. Sedative medications are associated with significant risks including falls and delirium in older adults. Neuroleptics also increase risk of cerebrovascular disease and functional decline. Regular medication review and education have been shown to reduce rates of sedative use in nursing homes. Scheduled medication reviews were introduced in an Irish nursing home with a specific focus on reduction or discontinuation of these target medications in combination with education of management of Behavioural and Psychological symptoms (BPSD). We demonstrated previously a significant reduction in prescribing following these interventions. This audit examines the prescribing patterns 3 years on from the initial audit. Methods Point prevalence study of sedative prescriptions and BPSD on 6/5/21 of all 95 nursing home residents. Data compared with two preceding audits in 2018 in the same unit. All data anonymised. Data analysed with SPSS statistical software. Results Significant reduction in quetiapine use sustained from 30% of residents pre-intervention to 14% post-intervention in 2018 and 2021 (p = 0.06). Neuroleptic prescription reduced from 39% to 25% (p = 0.06). ‘Z’ drug prescribing increased from 8% to 17% (p = 0.03). 33% of residents had BPSD reported compared to 49% pre-intervention. Conclusion 3 year follow-up showed regularly scheduled medication reviews and education in a nursing home can effectively rationalise sedative prescription rates. Sustained reduction in neuroleptics and increased ‘z’ drug prescriptions may represent appropriate replacement. Reduced BPSD may be due to changing nursing home resident cohort or reporting bias of staff since the introduction of regular education.

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Manfredi, Claire. "Reliability and Validity of the Phaneuf Nursing Audit." Western Journal of Nursing Research 8, no. 2 (May 1986): 168–80. http://dx.doi.org/10.1177/019394598600800204.

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BALOGH, RUTH. "Investigating the validity of a psychiatric nursing audit." Journal of Clinical Nursing 1, no. 4 (July 1992): 225–26. http://dx.doi.org/10.1111/j.1365-2702.1992.tb00103.x.

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Sparrow, Shelagh, and Jane Robinson. "The use and limitations of Phaneuf's Nursing Audit." Journal of Advanced Nursing 17, no. 12 (December 1992): 1479–88. http://dx.doi.org/10.1111/j.1365-2648.1992.tb02821.x.

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Snape, Darlene. "Clinical audit: The key to effective nursing practice." British Journal of Theatre Nursing (United Kingdom) 8, no. 1 (April 1998): 34–38. http://dx.doi.org/10.1177/175045899800800104.

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Conlon, M. R., and T. J. A. Warren. "P.68 Audit of current nursing nutrition practice." Clinical Nutrition 17 (August 1998): 48. http://dx.doi.org/10.1016/s0261-5614(98)80224-0.

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Bond, Kirsten, Kiran Nadeem, and Alexander Oyón. "Improving 24-hour nursing care: an outcome audit." Nursing and Residential Care 19, no. 4 (March 2, 2017): 212–17. http://dx.doi.org/10.12968/nrec.2017.19.4.212.

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Griffiths, Paul, Samantha Debbage, and Alison Smith. "A comprehensive audit of nursing record keeping practice." British Journal of Nursing 16, no. 21 (November 2007): 1324–27. http://dx.doi.org/10.12968/bjon.2007.16.21.27718.

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Zink, Margo R. "Nursing Diagnosis in Home Care: Audit Tool Development." Journal of Community Health Nursing 11, no. 1 (March 1994): 51–58. http://dx.doi.org/10.1207/s15327655jchn1101_6.

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Jakobsen, Dorthe Hjort, and Henrik Kehlet. "A simple method to secure data-driven improvement of perioperative care." British Journal of Nursing 29, no. 9 (May 14, 2020): 516–19. http://dx.doi.org/10.12968/bjon.2020.29.9.516.

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Background: Enhanced recovery after surgery (ERAS) programmes have been adopted to a varying degree by most surgical departments, not only in Denmark, but worldwide. Aims: To report the process from a local ERAS unit in a tertiary university hospital to accelerate implementation of ERAS programmes in all surgical specialties. Methods: All surgical departments receive twice-yearly procedure-specific data on length of stay (LOS), readmission rates and death within 30 days, based on surgical codes and the Danish National Patient Register. The ERAS unit and clinical experts review data followed by a clinical audit where appropriate. Findings: Setting up data presentation for clinical and nurse leaders has documented progress in implementing ERAS. The combination of outcome data, together with audits have been essential. Conclusion: The local ERAS unit has been shown to accelerate implementation of ERAS programmes in all surgical specialties, facilitated by procedure-specific LOS and re-admission data, combined with audit data.

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Aubury, Nicole, Andrea Gill, Catrin Barker, and Andrew Taylor. "P25 Assessing compliance with oxygen prescribing in paediatrics." Archives of Disease in Childhood 107, no. 5 (April 20, 2022): e25.27-e25. http://dx.doi.org/10.1136/archdischild-2022-nppg.33.

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AimThe National Patient Safety Agency Rapid Response Report1 and British Thoracic Society (BTS) guidelines2 state that oxygen should be prescribed. Following the introduction of electronic prescribing in a specialist children’s hospital, there was a reduction in the number of patients whose oxygen was prescribed. A series of audits were undertaken to determine how often oxygen administration was accompanied by a valid prescription and whether a variety of interventions affected prescribing.MethodEight paediatric wards in a specialist children’s hospital were included in the audit. Critical care and the Emergency Department were excluded. A total of 4 audits were completed across 16 months. Each audit comprised of a pharmacist visiting each ward on a single day and asking nurses which patients were receiving oxygen. The electronic prescription for each patient was then reviewed to determine whether oxygen was prescribed or not. Data was recorded and then analysed using descriptive statistics. Medical and nursing staff on the wards at the time of data collection were also asked for their views about the prescribing of oxygen.Following the baseline audit, a variety of actions were introduced in order to improve the rate of prescribing including: a) Circulation of a hospital-wide Patient Safety Alert b) Highlighting oxygen prescribing at Ward Managers Meetings and Doctor Handovers c) Reminding all new doctors, nurses and pharmacists that oxygen must be prescribed and that prescribers should be challenged when oxygen isn’t prescribed d) Inclusion of oxygen prescribing in the Trust’s Medication Safety mandatory trainingResultsThe baseline audit (November 2019) found 4.9% compliance with oxygen prescribed. At this point doctors described oxygen prescribing as ‘unnecessary work’. Junior nurses knew oxygen should be prescribed but did not believe it was their responsibility to chase prescribers. Following the introduction of remedial action (February 2020) compliance with oxygen increased to 39.1%. Repeat audits (December 2020 and April 2021) found compliance to be 53.8% and 42.1% respectively.ConclusionWhilst compliance with oxygen prescribing has improved since the baseline audit, the Trust has not achieved the target of 80% compliance with oxygen prescribing. Contributing factors to this are the rapid turnover of medical and nursing staff and an apparent culture change is required to highlight the importance of oxygen prescribing amongst multi-disciplinary teams.If an impactful change is to be made, it needs to be made clear to all groups that this is an important task. The key seems to be continual communication so that oxygen prescribing becomes routine across the Trust.Action to be taken includes ensuring all relevant staff are aware of the need to prescribe oxygen; regular re-audit and sharing of the results with senior nursing, medical and pharmacy staff. The process for prescribing oxygen is now demonstrated during the introduction to electronic prescribing and we have started a Quality Improvement Project in conjunction with senior nurses on the ward who performed the worst across our audits.ReferencesNational Patient Safety Agency. Rapid Response Report - Oxygen Safety in Hospitals. NPSA/2009/RRR006. Available at: https://www.sps.nhs.uk/wp-content/uploads/2011/08/RRR-Oxygen-safety-2009120092029_v1.pdfO’Driscoll BR, Howard LS, Earis J, on behalf of the British Thoracic Society Emergency Oxygen Guideline Group, et al. BTS guideline for oxygen use in adults in healthcare and emergency settings. Thorax 2017;72:ii1-ii90.

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Wagner, Laura M., Patricia C. Clark, Patricia Parmelee, Elizabeth Capezuti, and Joseph Ouslander. "Use of a Content Analysis Procedure for the Development of a Falls Management Audit Tool." Journal of Nursing Measurement 13, no. 2 (September 2005): 101–13. http://dx.doi.org/10.1891/jnum.2005.13.2.101.

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The Falls Management Audit Tool (FMAT) was developed to assess the documentation of the falls management process in nursing homes. The multistep content analysis procedure was used to guide tool development and obtain reliability and validity of the FMAT. Established fall guidelines and national experts were used for item development. Trained gerontological nurse practitioners conducted chart audits in nursing home residents with a fall history. Adequate content validity (content validity index > .88) and interrater and intrarater reliability were established (kappas > .78) in the final version of the 57-item FMAT and pilot testing demonstrated feasibility. This study provided evidence that the FMAT is a reliable and valid tool, which can be used to assess the documentation of the falls management process and for measuring the effect of research or quality improvement interventions.

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Ormandy, Paula, Helen Hurst, Karen Jenkins, Louise Alldridge, Emma Tonkin, Mac de Guzman, Meagan Stoby-Fields, et al. "Nursing practice patterns in advanced kidney care." Journal of Kidney Care 9, no. 1 (January 1, 2024): 36–43. http://dx.doi.org/10.12968/jokc.2024.9.1.36.

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Shailer, Barbara. "Clinical learning environment audit." Nurse Education Today 10, no. 3 (June 1990): 220–27. http://dx.doi.org/10.1016/0260-6917(90)90029-p.

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Elliott, Malcolm, and Roz Williamson. "Do nursing textbooks accurately describe pulse oximetry? An audit of current literature." British Journal of Nursing 29, no. 11 (June 11, 2020): 594–600. http://dx.doi.org/10.12968/bjon.2020.29.11.594.

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Background: The assessment of a patient's vital signs is a critical nursing task. Despite this, research has found that many nurses have a poor understanding of pulse oximetry. Aim: As undergraduate students rely heavily on textbooks as an educational resource, an audit was conducted of nursing texts to determine the quality of pulse oximetry descriptions. Method: The audit was guided by questions based on the findings of research examining nurses' understanding of pulse oximetry. Two researchers used these questions to appraise textbook content. Findings: A convenience sample of 32 contemporary nursing textbooks was appraised. Text descriptions of pulse oximetry varied from brief to more extensive, with the content ranging from superficial to detailed. Conclusion: Superficial, inconsistent or misleading information within basic nursing textbooks may be one factor associated with nurses' knowledge deficits about pulse oximetry. Academics and nurse educators should appraise core content of textbooks carefully before recommending textbooks to nursing students.

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Kinn, Sue, Elaine Semple, Karen Gregson, and Edith Hillan. "Practical audit workshops for nurses." Journal of Advanced Nursing 20, no. 3 (September 1994): 517–20. http://dx.doi.org/10.1111/j.1365-2648.1994.tb02389.x.

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Hook, Ann, Claire Pratt, Liz Cosford, and Vicky Kernick. "Cervical smears: a PN audit." Practice Nursing 10, no. 11 (June 15, 1999): 26–28. http://dx.doi.org/10.12968/pnur.1999.10.11.26.

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Papoušková, Petra, Jiřina Otásková, and Iva Brabcová. "Monitoring and evaluation of nursing care quality with stress on implementation of nursing audit." Kontakt 8, no. 2 (December 15, 2006): 240–48. http://dx.doi.org/10.32725/kont.2006.041.

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Trisnawati, Nina, Fatma Sri Wahyuni, and Zifriyanthi Minanda Putri. "PELAKSANAAN AUDIT SISTEM DALAM PENCAPAIAN CONTINOUS QUALITY." Jurnal Keperawatan 11, no. 2 (June 24, 2019): 103–10. http://dx.doi.org/10.32583/keperawatan.v11i2.514.

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Audit sistem merupakan proses audit yang dilakukan dalam mengevaluasi terhadap standar yang ditetapkan oleh rumah sakit. Audit sistem dapat menjamin terlaksananya proses peningkatan mutu berkelanjutan di unit pelayanan keperawatan rumah sakit. Tujuan Penelitian ini adalah untuk melihat hubungan pelaksanaan audit sistem dengan pencapaian Continous Quality Improvement di Rumah Sakit Jiwa Tampan Provinsi Riau. Desain penelitian ini adalah deskriptif analitik dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah perawat di di Rumah Sakit Jiwa Tampan Provinsi Riau sebanyak 123 orang dengan teknik pengambilan sampel yaitu proportional random sampling. Hasil penelitian menunjukkan distribusi pelaksanaan audit sistem lebih dari setengahnya kategori buruk yaitu 59,0% dan distribusi pencapaian continous quality improvement lebih dari setengahnya buruk yaitu 54,5%. Hasil uji statistik menunjukkan bahwa ada hubungan yang signifikan antara pelaksanaan audit sistem dengan pencapaian continous quality improvement (p value = 0,000 < α = 0,05). Kata kunci: audit sistem, continous quality improvement, standar mutu THE IMPLEMENTATION OF A SYSTEM AUDIT AND THE ACHIEVEMENT OF CONTINUOUS QUALITY IMPROVEMENT ABSTRACT System audit is an audit process carried out in evaluating the standards set by the hospital. Audit systems can guarantee the implementation of a continuous quality improvement process in the hospital nursing service unit. The purpose of this study was to see the relationship between the implementation of a system audit and the achievement of continuous quality improvement in the Tampan Mental Hospital of Riau Province. The design of this research is descriptive analytic with cross sectional approach. The sample in this study was nurses at the RSJ. Tampan Mental Hospital of Riau Province as many as 123 people with a sampling technique that is proportional random sampling. The results showed that the distribution of system audits was more than half of the bad category, which was 59.0% and the distribution of achievement of continuous quality improvement in Tampan Hospital was more than half bad at 54.5%. The results of statistical tests show that there is a significant relationship between the implementation of a system audit and the achievement of continuous quality improvement (p value = 0,000 <α = 0.05). Keyword: system audit, continuous quality improvement, quality standard

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