Does the use of an assessment tool in the accident and emergency department improve the quality of care?

Abstract

The aim of this study was to evaluate the effect of introducing a nursing record, using the SOAPE model, in the accident and emergency department. A working group was formed to design and implement a new record and evaluate its effect. A 6-month teaching programme was run to prepare staff. Quality of documentation was measured using the Phaneuf Audit Tool both before and after the implementation of the new record and the teaching sessions. The results were compared. It was concluded that, overall, the documentation showed significant improvement. Therefore, it could be assumed that there had been an improvement in the quality of care.

Developing care plan documentation: an action research project

“…Nursing documentation provides the principle source of information about patient care (Gropper 1988) and forms the pivotal point of the delivery system (Costello & Summers 1985). It therefore reflects the competence and caring abilities of the nurse (Feutz-Harter 1989) and its development may be a source of dynamism and creativity (Christie 1993).…”

Strategies to Improve Compliance with Clinical Nursing Documentation Guidelines in the Acute Hospital Setting: A Systematic Review and Analysis

“…Thirty two studies used new forms as one of their strategies for improving nursing documentation (Aparanji et al, 2018; Björvell et al, 2002; Bono, 1992; Cahill et al, 2011; Chineke et al, 2020; Christie, 1993; Dahlstrom et al, 2011; de Rond et al, 2000; Dehghan et al, 2015; Elliott et al, 2017; Ellis et al, 2007; Enright et al, 2015; Florin et al, 2005; Förberg et al, 2012; Gerdtz et al, 2013; Gordon et al, 2008; Hayter & Schaper, 2015; Higuchi et al, 1999; Hospodar, 2007; Hübner et al, 2015; Kamath et al, 2011; Karp et al, 2019; Khresheh & Barclay, 2008; Mansfield et al, 2001; Mitchell et al, 2010; Nomura et al, 2018; Nøst et al, 2017; O’Connor et al, 2014; Stewart et al, 2009; Stocki et al, 2018; Thoroddsen & Ehnfors, 2007; Unaka et al, 2017). Seventeen of the 32 studies had a final compliance rate ≥ 70%.…”

“…Prompts were used in four of the studies (Chineke et al, 2020;Hom et al, 2019;Kamath et al, 2011;Sandau et al, 2015), and except for Sandau et al (2015) they all had a final compliance of ≥ 80%. Thirty two studies used new forms as one of their strat-egies for improving nursing documentation (Aparanji et al, 2018;Björvell et al, 2002;Bono, 1992;Cahill et al, 2011;Chineke et al, 2020;Christie, 1993;Dahlstrom et al, 2011;de Rond et al, 2000;Dehghan et al, 2015;Elliott et al, 2017;Ellis et al, 2007;Enright et al, 2015;Florin et al, 2005;Förberg et al, 2012;Gerdtz et al, 2013;Gordon et al, 2008;Hayter & Schaper, 2015;Higuchi et al, 1999;…”