RT Journal Article
SR Electronic
A1 Pavlová, Petra
A1 Holá, Jana
T1 Study of the design, validation and evaluation of nursing audit tool in perioperative care
JF Profese Online
YR 2016
VO 9
IS 1
SP 23
OP 30
DO 10.5507/pol.2016.004
UL https://profeseonline.upol.cz/en/artkey/pol-201601-0004.php
AB Background: It is expected that health care will be provided at the highest quality. To achieve a high level of quality in nursing perioperative care is necessary the continuous monitoring, measurement and subsequent evaluation of quality indicators.  Perioperative care is defined as care for a patient before, during and immediately after the end of the operation. An audit is appropriate instrument for the monitoring of quality of care. Audits inspect the status of the established processes and lead to the prevention of risks. The quality of perioperative care focuses on the safety and health protection as patients so staffs of operating theatres.
Aim: The aim of the paper is to present the checklist, designed for audits of nursing perioperative care. This paper describes a methodology of making the checklist and the procedure was validated. Another aim is to present the results of the external audits, when the proposed checklist was used.
Methods: The first step in the research framework was extensive search of relevant legislation and literature in the databases Scopus and Medline for the period 2010-2015. Then the checklist for nursing audits on the operating theatres was designed. The checklist was evaluated by a pilot audit and expert interviews with experts. Reliability and validity of the checklist was verified by the five audits of nursing perioperative care and with comparison of the audit´s results. The audit was realized in the course of the entire perioperative process,
i.e. from the beginning of an operation to finishing of the surgery. Subsequently the checklist was again discussed together with the results of the audits on the individual departments.
Results: The study has verified the applicability and validity of the checklist and brought a feedback about the level of nursing perioperative care from five acute care hospitals.  Perturbations in processes of hygiene-epidemiological regime were the most serious. Least three adverse events were logged in the course of all audits.
Conclusions: The evaluation was submitted to the management audits of hospitals as the basis for the planned improvement of nursing practice within the operating tract. The control sheet on quantitative verification passes within acute care hospitals in Czech Republic.