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Research-based measurement tools in the audit process: issues of use, validity and reliability
1Head of Department of Nursing and Midwifery. University of Glamorgan.
Nurse Researcher
|June 11, 2016
Summary
Healthcare audits must measure structures and processes, not just outcomes, for complete evaluation. This ensures accountability and links nursing interventions to patient results effectively.
Area of Science:
- Health Services Research
- Healthcare Management
- Nursing Research
Background:
- The UK National Health Service (NHS) is undergoing significant reforms emphasizing value for money.
- Audit has become a crucial activity within the NHS, with a focus on measurement tools.
- Existing literature highlights a trend towards measuring only outcomes in healthcare audits.
Purpose of the Study:
- To address the limitations of outcome-only measurement in healthcare audits.
- To emphasize the parallel measurement of structures and processes alongside outcomes.
- To improve the comprehensive evaluation of healthcare interventions and their impact.
Main Methods:
- Literature review and synthesis of existing research on audit practices in healthcare.
- Analysis of studies by Closs and Tierney, and Thomas and Bond regarding measurement in nursing research.
- Conceptual framework development for integrated measurement in healthcare audits.
Main Results:
- Measuring only outcomes provides an incomplete picture of healthcare quality and effectiveness.
- Structures and processes are often assumed or undefined, hindering the link between interventions and results.
- The exclusive focus on outcomes obscures the actual care processes and their contribution to patient results.
Conclusions:
- Healthcare audits require a balanced approach, measuring structures, processes, and outcomes concurrently.
- Integrating the measurement of structures and processes is essential for a complete evaluation of healthcare.
- Understanding the interplay between nursing input, processes, and outcomes is critical for improving healthcare quality and accountability.
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