NURSING AUDIT
The world trend of professional accountability to an enlightened public can no longer be ignored by nursing. Nurses easily use the words QULITY NURSING but have Nurses know their deficiences? Are nurses ready to admit their deficiencies to their peers? Are they taking steps to remedy them? only by such self regulation nurses can retain their identity with the health professional as nature mothers
MEANING OF TERM
Quality A judgment of what constitutes good or bad. Audit A systematic and critical examination to examine or verify. Nursing audit (a) It is the assessment of the quality of nursing care (b) Uses a record as an aid in evaluating the quality of patient care
Brief History Of Nursing Audit
Nursing Audit is an evaluation of nursing service. Before 1955 very little was known about the concept .It was introduced by the industrial concern and the year 1918 was the beginning of medical audit. George Groword pronounced the term physician for the first time medical audit. Ten years later, Thomas.R ,Pondon MD,estaon procedures used by financial account. He evaluated the medical care by reviewing the medical records. First report of nursing audit of the hospital published in 1955.For the next 15 years, nursing audit is reported from study or record on the last declarable. The program is reviewed from record nursing plan, nurses notes, patient condition, nursing care
Nursing Care Audit Audit related to the planning, delivery and evaluation of care. It is an important component of nursing care.
MEDICAL AUDIT The systematic critical analysis of the quality of medical care ,including the procedures for diagnosis and treatment. The use of resources and the resulting outcome and quality of life for the patient.
DEFINITION OF NURSING
AUDIT (1)According to elisonNursing audit refers to assessment of the quality of clinical nursing. (2)According to Goster walfer (a) Nursing Audit is an exercise to find out whether good nursing practices are followed . (b) The Audit is a means by which nurses themselves can define standards from their point of view and describe the actual practice of nursing.
Purpose of Nursing Audit
(1) Evaluating Nursing care given. (2) Achieves deserved and feasible quality of nursing care. (3) Stimulant to better records. (4) Focuses on care provided and not on care provider. (5) Contributes to research.
METHOD OF NURSING AUDIT
There are two methods. (1)Retrospective view This refers to an in-depth assessment the quality after the patient has been discharged have the patients chart to the source of data. (2)The concurrent review This refers to the evaluations conducted on behalf of patients who are still undergoing care. It includes assessing the patient at the beside in relation to predetermined criteria interviewing the staff responsible for his care and reviewing the patients record and care plan.
METHOD TO DEVELOP CRITERIA
1) Define patient population 2) Identify a time frame work for measuring outcomes of care. 3) Identify commonly recurring nursing problems presented by the defined patient population 4) State the patient outcome criteria 5) State the acceptable degree of goal achievement 6) Specify the source of information
7) Design and type of tool Quality assurance must be a priority Those responsible must implement a programme not only a tool A coordinator should develop and evaluate quality assurance activities Roles and responsibilities must be delivered Nurses must be informed about the process and the results of the programme Data must be reliable Adequate orientation of data collection is essential Quality data should be analyzed and used by nursing personnel at all levels
Audit Cycle
Set standards
Implement change
Audit cycle
Observe practice
Compare with standards
Advantages of Nursing Audit
Can be used as a method of measurement in all areas of nursing Seven functions are easily understood Scoring system is fairly simple Results easily understood Assesses the work of all those involved in recording care May be a useful tool as part of a quality assurance programme in areas where accurate records of care are kept
Disadvantages of nursing audit
Appraises the outcomes of the nursing process, so it is not so useful in areas where the nursing process has not been implemented Many of the components overlap making analysis difficult Is time consuming Requires a team of trained auditors Deals with a large amount of information Only evaluates record keeping It only serves to improve documentation not nursing care
Audit committee
Thank you
