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Quality of Care: Ecological Study for the Evaluation of Completeness and Accuracy in Nursing Assessment

Author

Listed:
  • Angela Iula

    (Degree in Nursing & Midwifery Sciences, Università Cattolica del Sacro Cuore, Largo Francesco Vito, 1, 00168 Rome, Italy
    These authors contributed equally to this work.)

  • Carola Ialungo

    (Degree in Nursing & Midwifery Sciences, Università Cattolica del Sacro Cuore, Largo Francesco Vito, 1, 00168 Rome, Italy
    These authors contributed equally to this work.)

  • Chiara de Waure

    (Department of Experimental Medicine, University of Perugia, 06123 Perugia, Italy)

  • Matteo Raponi

    (Internal Audit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Matteo Burgazzoli

    (Internal Control System and Auditing Functions, Università Cattolica del Sacro Cuore, 20123 Milan, Italy)

  • Maurizio Zega

    (Department UOC SITRA, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy)

  • Caterina Galletti

    (Degree in Nursing & Midwifery Sciences, Università Cattolica del Sacro Cuore, Largo Francesco Vito, 1, 00168 Rome, Italy)

  • Gianfranco Damiani

    (Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
    Department of Health Sciences and Public Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy)

Abstract

Nursing documentation is an important proxy of the quality of care, and quality indicators in nursing assessment can be used to assess and improve the quality of care in health care institutions. The study aims to evaluate the completeness and the accuracy of nursing assessment, analyzing the compilation of pain assessment and nutritional status (body mass index (BMI)) in computerized nursing records, and how it is influenced by four variables: nurse to patient ratio, diagnosis related group weight (DRG), seniority of charge nurse, and type of ward (medical, surgical or other). The observational ecological pilot study was conducted between September and October 2018 in an Italian Tertiary-Level Teaching Hospital. The nursing documentation analyzed for the ‘Assessment’ phase included 12,513 records, 50.4% concerning pain assessment, and 45% BMI. The nurse–patient ratio showed a significant direct association with the assessment of nutritional status ( p = 0.032). The average weight DRG has a negative influence on pain and BMI assessment; the surgical units positively correlate with the compilation of nursing assessment (BMI and pain). The nursing process is an essential component for the continuous improvement in the quality of care. Nurses need to be accountable to improve their knowledge and skills in nursing documentation.

Suggested Citation

  • Angela Iula & Carola Ialungo & Chiara de Waure & Matteo Raponi & Matteo Burgazzoli & Maurizio Zega & Caterina Galletti & Gianfranco Damiani, 2020. "Quality of Care: Ecological Study for the Evaluation of Completeness and Accuracy in Nursing Assessment," IJERPH, MDPI, vol. 17(9), pages 1-9, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3259-:d:355022
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    References listed on IDEAS

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    1. Saman Khalatbari-Soltani & Pedro Marques-Vidal, 2018. "Adherence to hospital nutritional status monitoring and reporting guidelines," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-13, September.
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    Cited by:

    1. Becky Tsarfati & Daniela Cojocaru, 2022. "The Importance of Receiving Training in Computerized Technology for Nurses to Maintain Sustainability in the Health System," Sustainability, MDPI, vol. 14(23), pages 1-19, November.

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