NURSING AUDIT

A judgement of what constitutes good or bad Audit .MEANING    a) b) Quality .A systemic and critical examination to examine or verify Nursing audit It is the assessment of the quality of nursing care uses a record as an aid in evaluating the quality of patient care .

HISTORY OF NURSING AUDIT Before 1955 very little was known about the concept It was introduced by the industrial concern-1918 George Groword-medical audit 10 yrs later Thomas R Pondon established a method of medical audit first report of nursing audit of the hospital published in 1955 .

the use of resources and the resulting outcome and quality of life for the patient . critical analysis of the quality of medical care. It is an important component of nursing care Medical audit The systematic. including the procedures for diagnosis and treatment.NURSING CARE AUDIT Audit related to the planning. delivery and evaluation of care.

.DEFINITION OF NURSING AUDIT It refers to “assessment of the quality of clinical nursing. a) It is an exercise to find out whether good nursing practices are followed.” -Elison 2. b) it is a means by which nurses themselves can define standards from their point of view and describe the actual practice of nursing -Goster Walfer 1.

 Achieves deserved and feasible quality of nursing care.PURPOSES OF NURSING AUDIT  Evaluating nursing care given. .  Stimulant to better records.  Focuses on care provided and not on care provider.  Contributes to research.

METHODS OF NURSING AUDIT RETROSPECTIVE VIEW CONCURREN T REVIEW .

. 3. 4.METHOD TO DEVELOP CRITERIA 1. 7. 5. 2. 6. Define patient population Identify a time framework for measuring outcomes of care Identify commonly recurring nursing problems presented by the defined patient population State patient outcome criteria State acceptable degree of goal achievement Specify the source of information Design and type of tool.

 A co-ordinator should develop and evaluate quality assurance activities.  .  Roles and responsibilities must be delivered.cont’d Quality assurance must be a priority.  Those responsible must implement a programme not only a tool.

 Quality data should be analyzed and used by nursing personnel at all levels .  Adequate orientation of data collection is essential.  Data must be reliable.cont’d  Nurses must be informed about the process and results of the programme.

AUDIT CYCLE COMPARE WITH STANDARDS SET STANDARDS IMPLEMENT CHANGE OBSERVE PRACTICE .

 useful tool as part of a quality assurance programme .  Scoring system is fairly simple.  Results easily understood.  7 functions are easily understood.ADVANTAGES  Method of measurement in all areas of nursing.  Assesses the work of all those involved in recording care.

DISADVANTAGES  Not useful in areas where the nursing process has not been implemented.  Time consuming. .  Only evaluates record keeping.  Deals with large amount of information.  Requires a team of trained auditors.  Many of the components overlap making analysis difficult.

Auditor should have the ability to carryout an audit in about 15 minutes.AUDIT COMMITTEE • • • • • Comprises 5 members. . Each member should review not more than 10 patients each month. If large number of records-an auditor may select 10% of discharges. If there are less than 50 discharges per month-all records may be audited.

Plans health teaching for patients. Suggests immediate and long term goals. States nurses diagnosis.STEPS TO PROBLEM SOLVING PROCESS IN PLANNING CARE        Collects patient data in a systematic manner. Writes nursing orders. Evaluates the plan of care. Implements the nursing care plan. .

CONCLUSION A profession concerns for the quality of its service constitutes the heart of its responsibility to the public. an audit helps to ensure that the quality of nursing care desired and feasible is achieved. .QUALITY ASSURANCE .