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This paper discusses a development of Flanagan's critical incident technique (CIT) to elicit indicators of high and low quality nursing from patients and their nurses on medical, surgical and elderly care wards. Stages in undertaking the CIT are identified and presuppositions held by most researchers about the nature of the technique are identified. The(More)
This paper describes our test of Kitson's structured observation and scoring technique (the Therapeutic Nursing Function Matrix--TNFM) and our development of her technique (referred to as the Quality Assessment Project scheme--QAP scheme) as methods of assessing the quality of patient care in hospital wards. Both techniques were tested for inter-observer(More)
This paper describes the content and administration of Monitor and Senior Monitor and the difficulties encountered, together with suggestions for avoiding or overcoming these difficulties. This work forms part of a study, funded by the Department of Health, which is examining the reliability and validity of the quality assessment instruments, Monitor,(More)
The claim that generic quality assessment instruments provide an objective assessment of quality of nursing care is questioned. Recent research suggests that most instruments are in need of extensive validity testing, particularly in relation to the concepts that they purport to assess. This paper outlines a research study designed to test the validity of(More)
This study examines the value of Kitson's (1991) Therapeutic Nursing Function Indicator (TNFI) as a predictor of the quality of nursing care in hospital wards. The TNFI was updated and modified for use in medical and surgical as well as elderly care wards, and was administered to the sister and deputy of 11 wards. Kitson's Therapeutic Nursing Function(More)
This paper describes inter-rater reliability of three quality assessment instruments: Monitor, Senior Monitor and Qualpacs. The work forms part of a Department of Health funded study examining the reliability and validity of these three instruments. Inter-rater reliability is not a fixed entity and therefore should be tested every time raters or the setting(More)
In parallel with developments in medicine much has been written in the nursing press, particularly over the past few years, on quality assurance and audit. In nursing early approaches focused on broad, proselytising statements about the nature of nursing, why quality was often not achieved, and the changes required.'1 Later, nursing practice was compared(More)
Similarities and differences between the two U.K. generic quality assessment instruments, Monitor and Senior Monitor, are outlined. The relative merits of each are explored to determine the most valid instrument for assessing the quality of care of elderly patients. Both instruments were simultaneously administered to 46 patients aged 70 years or over in(More)
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