Findings From a Nursing Care Audit Based on the Nursing Process: A Descriptive Study

Abstract

Background:Although using the nursing process improves nursing care quality, few studies have evaluated nursing performance in accordance with nursing process steps either nationally or internationally.Objectives:This study aimed to audit nursing care based on a nursing process model.Patients and Methods:This was a cross-sectional descriptive study in which a nursing audit checklist was designed and validated for assessing nurses’ compliance with nursing process. A total of 300 nurses from various clinical settings of Tehran university of medical sciences were selected. Data were analyzed using descriptive and inferential statistics, including frequencies, Pearson correlation coefficient and independent samples t-tests.Results:The compliance rate of nursing process indicators was 79.71 ± 0.87. Mean compliance scores did not significantly differ by education level and gender. However, overall compliance scores were correlated with nurses’ age (r = 0.26, P = 0.001) and work experience (r = 0.273, P = 0.001).Conclusions:Nursing process indicators can be used to audit nursing care. Such audits can be used as quality assurance tools.

Diagnósticos de enfermagem na assistência ambulatorial ao paciente com ferida: mapeamento cruzado [Nursing diagnoses in ambulatory care for wound patients: cross-mapping]

“…Neste contexto, a substituição do curativo aplicado na lesão, confere o risco de desenvolvimento de hipersensibilidade ao produto 15 . Assim, justifica a necessidade de consultas de enfermagem periódicas, nas quais a aplicação das etapas do processo de enfermagem viabilizarão reavaliações contínuas para identificação de mudanças nas respostas 16 . E isto fica evidente com a presença do diagnóstico Risco de Resposta Alérgica e Risco de Infecção, para o qual, o pró-prio rompimento da barreira da pele já é um indicativo de risco 17 , revelando mais uma vez, a importância das habilidades de vigilância em saúde nas quais o enfermeiro, por meio da implementação das etapas do processo de enfermagem é capaz de promover saúde, prevenir e tratar complicações e reabilitar pacientes nos diversos cenários de atuação profissional 16 .…”

“…Assim, justifica a necessidade de consultas de enfermagem periódicas, nas quais a aplicação das etapas do processo de enfermagem viabilizarão reavaliações contínuas para identificação de mudanças nas respostas 16 . E isto fica evidente com a presença do diagnóstico Risco de Resposta Alérgica e Risco de Infecção, para o qual, o pró-prio rompimento da barreira da pele já é um indicativo de risco 17 , revelando mais uma vez, a importância das habilidades de vigilância em saúde nas quais o enfermeiro, por meio da implementação das etapas do processo de enfermagem é capaz de promover saúde, prevenir e tratar complicações e reabilitar pacientes nos diversos cenários de atuação profissional 16 . Desse modo, identificar a inter-relação dos diagnósticos Deambulação Prejudicada e Perfusão Tissular Periférica Ineficaz, como fatores diretamente relacionados aos problemas da pele 8 , aponta mais uma vez para a complexidade contextual.…”

The effects of applying an assessment form based on the health functional patterns on nursing student's attitude and skills in developing the nursing process

“…Also, it is considered as a practical standard for the assessment of nurses' performance [2]. One of the indicators in determining the quality of nursing care is the nursing process [3]. In addition, nurses can focus explicitly on patient-specific care [4].…”

Nursing Care Quality in the Cardiac Care Unit: A Cross-Sectional Study

“…The mean compliance scores did not significantly differ by education level and gender. However, the overall compliance scores were correlated with nurses' age (r = 0.26, P = 0.001) and work experience (r = 0.273, P = 0.001) (14). In another research titled "Audit of Endotracheal Tube Suction in a Pediatric Intensive Care Unit", Davies et al (2017) reported the outcomes of a clinical audit examining criteria used in clinical practice to rationalize endotracheal tube (ETT) suction, and the extent of which these criteria matched the Endotracheal Suction Assessment Tool (ESAT).…”

“…The total rate of compliance with the standard hand hygiene in pre-intervention was 71.1% that improved after the implementation of the intervention (73.59%) (13). In addition, the findings reported by Poortaghi et al (2015) in a research titled "Findings from a Nursing Care Audit Based on the Nursing Process: A Descriptive Study" showed that the compliance rate with nursing process indicators was 79.71 ± 0.87. The mean compliance scores did not significantly differ by education level and gender.…”