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Nurses' participation in audit: a regional study.

F M Cheater1, M Keane

  • 1Eli Lilly National Clinical Audit Centre, University of Leicester, UK. fc8@le.ac..uk

Quality in Health Care : QHC
|February 6, 1998
PubMed
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Nurses actively support audit but face barriers to full participation, including hierarchical structures and workload. Addressing these obstacles is crucial for improving patient care through multidisciplinary audit.

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Quality Improvement

Background:

  • Healthcare audit is essential for improving patient care and outcomes.
  • Multidisciplinary audit aims to involve various healthcare professionals in quality improvement processes.
  • Understanding nurses' participation in audit is key to optimizing healthcare quality initiatives.

Purpose of the Study:

  • To evaluate the extent of nurses' perceived participation in healthcare audit.
  • To identify factors hindering nurses' involvement in audit processes.
  • To assess the progress of multidisciplinary audit implementation in healthcare settings.

Main Methods:

  • A qualitative research design was employed.
  • Data were collected through focus groups and interviews.

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  • Participants included audit leads and support staff across various healthcare sectors.

    • Main Results:

    • Nurses are perceived as enthusiastic audit supporters but participate less actively than doctors, especially in acute care.
    • Barriers to nurses' participation include hierarchical relationships, workload, lack of protected time, and insufficient knowledge/skills.
    • Multidisciplinary audit progress is variable, with medically dominated groups still prevalent; audit support staff play a vital role in fostering collaboration.

    Conclusions:

    • Despite nurses undertaking and leading audit initiatives, structural, organizational, and interprofessional factors impede their full engagement.
    • Acknowledging and addressing the obstacles faced by nurses is essential for enhancing their active contribution to audit.
    • Effective multidisciplinary audit, crucial for patient care improvement, requires overcoming these identified barriers to nurse participation.