[Evaluation of the quality of nursing care: qualitative and quantitative analysis on a sample of nursing documents]

The theory of continuous quality improvement is related to the principles of Total Quality and focuses on three main elements: client satisfaction, erogation of services and the informative system. In this wide context, the experience of the Niguarda Cà Granda Hospital regarding the introduction of certified nursing documents is described. The aspects considered are the introduction and management of the document, also taking into consideration the strategies adopted for modifying professional behaviour such as training. The evaluation confirms that any project aimed at improving the quality of care can be achieved as long as the Hospital management make a strategic decision and there is involvement of the individual professionals.