An evaluation of approaches to assessing the quality of nursing care using (predetermined) quality assurance tools

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dc.contributor.authorHarvey, G.
dc.date.issued1991
dc.description.abstractThis paper examines the implementation of four of the most common approaches to nursing quality assurance in England, namely Monitor, Qualpacs, nursing audits and a patient satisfaction questionnaire entitled 'What the Patient Thinks'. The primary aim of the study was to look more closely at the context, processes and outcomes of selecting and implementing specific quality assurance tools. Data were analysed at three distinct levels. The findings are presented around the structure of this three-level framework and indicate that the process of implementing a quality assurance tool is more important than the tool itself. It is suggested that a bottom-up approach to implementation, which locates ownership and control of the quality assurance tool with practitioners, is seen to result in more favourable staff responses and positive programme outcomes. The implementation of Qualpacs is used to illustrate some of the tensions that can occur between the inherent principles of the tool and the method of implementation. In studying the factors that might influence the method of implementing a quality assurance tool, a number of organizational and managerial factors are identified.
dc.description.statementofresponsibilityGillian Harvey
dc.identifier.citationJournal of Advanced Nursing, 1991; 16(3):277-286
dc.identifier.doi10.1111/j.1365-2648.1991.tb01650.x
dc.identifier.issn0309-2402
dc.identifier.issn1365-2648
dc.identifier.orcidHarvey, G. [0000-0003-0937-7819]
dc.identifier.urihttp://hdl.handle.net/2440/89009
dc.language.isoen
dc.publisherWiley
dc.rightsCopyright status unknown
dc.source.urihttps://doi.org/10.1111/j.1365-2648.1991.tb01650.x
dc.subjectHumans
dc.subjectNursing Care
dc.subjectAttitude of Health Personnel
dc.subjectNursing Evaluation Research
dc.subjectSystems Analysis
dc.subjectNursing Staff, Hospital
dc.subjectNursing, Supervisory
dc.subjectNursing Audit
dc.subjectQuality Assurance, Health Care
dc.subjectConsumer Behavior
dc.subjectSurveys and Questionnaires
dc.subjectOutcome and Process Assessment, Health Care
dc.titleAn evaluation of approaches to assessing the quality of nursing care using (predetermined) quality assurance tools
dc.typeJournal article
pubs.publication-statusPublished

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