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Is audit a task for nurses?

D Kozlowski1

  • 1Northumberland NHS Mental Health Trust, Morpeth.

Nursing Times
|September 18, 1998
PubMed
Summary

Psychiatric nurses developed a quality audit system to empower front-line staff in assessing patient care. This initiative aimed to integrate quality improvement directly into daily nursing practice at the ward level.

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Area of Science:

  • Nursing Quality Improvement
  • Healthcare Auditing
  • Psychiatric Care Standards

Background:

  • Challenges in assessing nursing care quality at the ward level.
  • Need for front-line staff involvement in quality assurance.
  • Context of St George's Hospital's residential psychiatric sector.

Purpose of the Study:

  • To develop a practical method for auditing the quality of psychiatric nursing care.
  • To empower front-line nursing staff in quality assessment.
  • To integrate quality improvement processes into grassroots nursing practice.

Main Methods:

  • Collaboration between psychiatric nurses and a quality coordinator.
  • Design and implementation of a ward-level quality audit tool.
  • Focus on involving front-line nursing staff in the audit process.

Main Results:

  • A devised system for auditing nursing care quality.
  • Increased engagement of front-line staff in quality assessment.
  • Establishment of a bottom-up approach to quality improvement.

Conclusions:

  • Empowering front-line staff is key to effective nursing quality audits.
  • Grass-roots involvement enhances the relevance and utility of quality improvement initiatives.
  • The developed audit process can be a model for other psychiatric settings.

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