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Type: Journal article
Title: An evaluation of approaches to assessing the quality of nursing care using (predetermined) quality assurance tools
Author: Harvey, G.
Citation: Journal of Advanced Nursing, 1991; 16(3):277-286
Publisher: Wiley
Issue Date: 1991
ISSN: 0309-2402
Statement of
Gillian Harvey
Abstract: This 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.
Keywords: Humans
Nursing Care
Attitude of Health Personnel
Nursing Evaluation Research
Systems Analysis
Nursing Staff, Hospital
Nursing, Supervisory
Nursing Audit
Quality Assurance, Health Care
Consumer Behavior
Surveys and Questionnaires
Outcome and Process Assessment, Health Care
Rights: Copyright status unknown
DOI: 10.1111/j.1365-2648.1991.tb01650.x
Published version:
Appears in Collections:Aurora harvest 2
Nursing publications

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