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BY:
ALHAMDU SHADARI
(RN, RORLNP, PGDE)
31ST JULY, 2013
Nursing audit is generally seen as a new area in
nursing care, especially in Nigerian context of
health delivery process.
...
Since the time of Florence Nightingale, who wrote
in 1858 that the goal of nursing was "to put the
patient in the best con...
 Virginia Henderson was one of the first
modern nurses to define nursing. She wrote,
"The unique function of the nurse is...
 Barbara(2011) viewed Audit as a systematic
review and evaluation of records and other
data to determine the quality of t...
Basically, there are two types of audit and they
are:
 Internal audit
 External audit
www.currentnursing.com view nursing audit
as a process of reviewing patients’ record in
order to evaluate the quality of n...
1. To evaluate Nursing care given.
2. . Provide the evidence of the quality of nursing
services being rendered.
3.To achie...
Basically, there are three types:
a. RETROSPECTIVE VIEW .
b. THE CONCURRENT REVIEW.
C. PEER REVIEW: in this method nurses
...
This committee should comprise of twelve to
fifteen members but a minimum of five members
who are clinically competent and...
 Representative from the professional nursing
association-members
 Representatives from all cadre of nurses-
members
 R...
 Nursing Care Plan
 Nurses Note
 Vital signs charts
 Drug charts
 Patient’s Condition
 etc
according to Udontre (2012)The committee in
discharging its obligation will determine the
extent of the quality of care an...
2. Process
It deals with the way the care was delivered.
 It assumes that there is a relationship between
the quality of ...
 3. Structure
This audit assumes that a relationship exists
between quality care and appropriate structure.
Structure aud...
WHAT IS QUALITY?
 Is a judgment of what constitutes good or
bad.
 Quality is doing the right thing right,
right away – (...
 It help in the assessment of the work of all
those involved in the care. As such those
involve will always give out thei...
 Nursing Audits enable nurse managers, health
care administrators and even nurses themselves to
evaluate the effectivenes...
BEFORE WE TALK OF THE CHALLENGES, LET US
NOTE THAT:
 Nursing Audit cannot be implemented where the
Nursing process is not...
 Are nurses implementing the Nursing process
in rendering care?
 Are nurses’ notes up to date enough to provide
comprehe...
 The quality of care nurses render also depends
on appropriateness of the setting (the structure,
environment) where the ...
Hornby 2006 said that prospect is the possibility that
something will happen or the chances of something
being successful....
 If the process of delivering the care is of
standard
 If nurses are always provided with a conducive
atmosphere, equipm...
Nursing profession must be concerned about the
quality of its service to the public. This in deed
is a major responsibilit...
THANK YOU
FOR
LISTENING
 Audrey Berman & Shirlee Snyder (2010), Kozier &
Erb’s Fundamentals of Nursing concepts,
process and practice. 9th editio...
 Suzanne C. Smeltzer (2010) et al, Brunner&
Suddarth’s Textbook of Medical-Surgical
Nursing. 12th edition, Wolters Kluwer...
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Nursing audit, a tool for providing quality care to patients

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it is a presentation that highlights what makes nursing audit a tool for quality care to patients. it further highlight the challenges and its prospects

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Nursing audit, a tool for providing quality care to patients

  1. 1. BY: ALHAMDU SHADARI (RN, RORLNP, PGDE) 31ST JULY, 2013
  2. 2. Nursing audit is generally seen as a new area in nursing care, especially in Nigerian context of health delivery process. Its main focus is evaluation of nursing duties that have been rendered to patients while on admission and or after they are discharge home. Increase in the public awareness of their right of safety have necessitate nurses to be more accountable for the care they deliver, hence quality nursing has become very essential on day to day functioning, and nursing audit is a tool for ensuring quality care.
  3. 3. Since the time of Florence Nightingale, who wrote in 1858 that the goal of nursing was "to put the patient in the best condition for nature to act open him," nursing leaders have described nursing as both an art and a science. The American Nurses Association in its social policy statement (2003) defined nursing as the diagnosis and treatment of human responses to health and illness. (Suzanne 2010)
  4. 4.  Virginia Henderson was one of the first modern nurses to define nursing. She wrote, "The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary
  5. 5.  Barbara(2011) viewed Audit as a systematic review and evaluation of records and other data to determine the quality of the services or products provided in a given situation.  A.S Hornby(2006) sees audit as an official examination of the quality or standard of something.  Audrey (2012) et al, also see audit as the examination of records.
  6. 6. Basically, there are two types of audit and they are:  Internal audit  External audit
  7. 7. www.currentnursing.com view nursing audit as a process of reviewing patients’ record in order to evaluate the quality of nursing care rendered. Barbara 2011, sees Nursing audit as an evaluation of structure, process and outcome as a measurement of the quality of nursing care.
  8. 8. 1. To evaluate Nursing care given. 2. . Provide the evidence of the quality of nursing services being rendered. 3.To achieve deserved and feasible quality of nursing care. 4. To stimulate better records. 5. Contributes to research. 6. Evaluating Nursing care given. 7. Improve nursing care in existing units and plan for new practices. 8. It increases medico-legal protection. 9. to measure progress.
  9. 9. Basically, there are three types: a. RETROSPECTIVE VIEW . b. THE CONCURRENT REVIEW. C. PEER REVIEW: in this method nurses functioning in the same capacity, appraise the quality of care or practice performed by others equally qualified nurses.
  10. 10. This committee should comprise of twelve to fifteen members but a minimum of five members who are clinically competent and able to work together in a group. An audit committee should be form comprising the following:  Head of nursing research unit or continuing education unit-chairman
  11. 11.  Representative from the professional nursing association-members  Representatives from all cadre of nurses- members  Representatives of other hospital professionals e.g medical record, librarian-consultants  Director of nursing services-ex-officio member www.currentnursing/nursmag/nursingaudit
  12. 12.  Nursing Care Plan  Nurses Note  Vital signs charts  Drug charts  Patient’s Condition  etc
  13. 13. according to Udontre (2012)The committee in discharging its obligation will determine the extent of the quality of care and come up with either of the following: 1. Outcome Outcomes are the end results of care; the changes in the patient’s health status and can be attributed to delivery of health care services. Outcome audits determine what results occurred following specific nursing intervention for clients.
  14. 14. 2. Process It deals with the way the care was delivered.  It assumes that there is a relationship between the quality of care given by a nurse and the manner in which the care is given. Process audits are used to measure the process of care or how the care was carried out.
  15. 15.  3. Structure This audit assumes that a relationship exists between quality care and appropriate structure. Structure audit monitors the structure or setting in which patient care occurs, such as how conducive the environment is, are instruments and equipment available? Are the are stationaries always available? (www.slideshare.net/nursingaudit)
  16. 16. WHAT IS QUALITY?  Is a judgment of what constitutes good or bad.  Quality is doing the right thing right, right away – (Advocates of Total Quality Management, 1990). Nursing audit plays the following roles as a tool for quality nursing care:
  17. 17.  It help in the assessment of the work of all those involved in the care. As such those involve will always give out their best to the patient so that there will be no lapses on their part  It Provide the evidence of the quality of nursing services being rendered.  It is a useful tool for quality assurance programme in areas where accurate records of care are kept.
  18. 18.  Nursing Audits enable nurse managers, health care administrators and even nurses themselves to evaluate the effectiveness of nursing interventions and the quality of care given to clients.  Promote better record keeping by nurses.  Focuses on care given and not the care providers.  Contributes to Research- the third leg of the tripod of sound professional practice- education, practice and research.(www.authorstream.com/presentation)
  19. 19. BEFORE WE TALK OF THE CHALLENGES, LET US NOTE THAT:  Nursing Audit cannot be implemented where the Nursing process is not utilized for patient or client care because it appraises the outcome of the nursing process.  Nursing audit cannot be implemented where there are no records of the care given. E.g vital signs charts, nurses notes, drug charts etc  It cannot be implemented where there is no accurate and comprehensive data required for the Audit
  20. 20.  Are nurses implementing the Nursing process in rendering care?  Are nurses’ notes up to date enough to provide comprehensive data required for the Audit?  Nursing audit focuses on the process or the way the care was delivered because the quality of the care given largely depends on the way it was delivered. How do nurses deliver their care to patients. E.g dressing of wound, do nurses maintains aseptic technique in doing it?
  21. 21.  The quality of care nurses render also depends on appropriateness of the setting (the structure, environment) where the care occurs. Are nurses provided with a conducive environment, instruments and equipment to deliver their care?
  22. 22. Hornby 2006 said that prospect is the possibility that something will happen or the chances of something being successful. Basically, the prospect of nursing audit depends on the solutions to the enumerated challenges above. that is :  If nursing process is fully implemented  If nurses’ notes and record of the care delivered is upto date and comprehensive
  23. 23.  If the process of delivering the care is of standard  If nurses are always provided with a conducive atmosphere, equipment, stationaries and instruments needed for nursing care. Based on that, it seems the future is bright for nursing audit. If only those challenges are overcomed, nursing Audit will be realistic.
  24. 24. Nursing profession must be concerned about the quality of its service to the public. This in deed is a major responsibility of the profession to the public. An audit helps to ensure that the quality of nursing care desired and feasible is achieved. The Nursing Audit, if instituted, will serve as one of the several tools for evaluating current nursing practice and for identifying means of improving practice.
  25. 25. THANK YOU FOR LISTENING
  26. 26.  Audrey Berman & Shirlee Snyder (2010), Kozier & Erb’s Fundamentals of Nursing concepts, process and practice. 9th edition, Pearson Education, inc. New Jersey.  Hornby A.S, (2006), Oxford Advance Learners Dictionary, 7th edition. University press, Longman, London.  Barbara F. Weller, (2011), Bailliere’s Nurses’ Dictionary. 25th edition. Hercourt Brace and Company Limited, Oval Road London.
  27. 27.  Suzanne C. Smeltzer (2010) et al, Brunner& Suddarth’s Textbook of Medical-Surgical Nursing. 12th edition, Wolters Kluwer Pvt. Ltd, New Delhi.  www.currentnursing.com (10th December, 2010)  www.slideshare.net/nursingaudit(24th May, 2012)  www.currentnursing/nurs.mng/nursingaudit (24th May, 2012)  www.authorstream.com/presentation (24th May, 2012)  www.wikipedia.com/clinical audit(24th May, 2012)
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it is a presentation that highlights what makes nursing audit a tool for quality care to patients. it further highlight the challenges and its prospects

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