NDLI: Practitioner based quality improvement: a review of the Royal College of Nursing's dynamic standard setting system.

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Year: 1997, Volume: 6

Year: 1997, Volume: 6, Issue: 4

Year: 1997, Volume: 6, Issue: 3

Year: 1997, Volume: 6, Issue: 2

Year: 1997, Volume: 6, Issue: 1

Randomised controlled trials in nursing.

Identification and analysis of randomised controlled trials in nursing: a preliminary study.

Impact of litigation on senior clinicians: implications for risk management.

Randomised controlled trial of reminders to enhance the impact of audit in general practice on management of patients who use benzodiazepines.

Changing preventive practice: a controlled trial on the effects of outreach visits to organise prevention of cardiovascular disease.

Use of the critical incident technique in primary care in the audit of deaths by suicide.

Practitioner based quality improvement: a review of the Royal College of Nursing's dynamic standard setting system.

Essential dataset for ambulatory ear, nose, and throat care in general practice: an aid for quality assessment.

Systematic design of healthcare processes.

Maryland Hospital Quality Indicator Project in the United Kingdom: an approach for promoting continuous quality improvement.

Systematic reviews: a cautionary note

Year: 1996, Volume: 5

Year: 1995, Volume: 4

Year: 1994, Volume: 3

Year: 1993, Volume: 2

Year: 1992, Volume: 1

Practitioner based quality improvement: a review of the Royal College of Nursing's dynamic standard setting system.

Content Provider	PubMed Central
Author	Morrell, C. Harvey, G. Kitson, A.
Abstract	OBJECTIVE: To explore and describe the implementation of the Royal College of Nursing's approach to audit--the dynamic standard setting system--within the current context of health care, in particular to focus on how the system has developed since its inception in the 1980s as a method for uniprofessional and multiprofessional audit. DESIGN: Qualitative design with semistructure interviews and field visits. SETTING: 28 sites throughout the United Kingdom that use the dynamic standard setting system. SUBJECTS: Quality and audit coordinators with a responsibility for implementing the system; clinical staff who practice the system. MAIN MEASURES: Experiences of the dynamic standard setting system, including reasons for selection, methods of implementation, and observed outcomes. RESULTS: Issues relating to four themes emerged from the data: practical experiences of the system as a method for improving patient care; issues of facilitation and training; strategic issues of implementation; and the use of the system as a method for multiprofessional audit. The development of clinical practice was described as a major benefit of the system and evidence of improved patient care was apparent. However, difficulties were experienced in motivating staff and finding time for audit, which in part related to the current format of the system and the level of training and support available for clinical staff. Diverse experiences were reported in the extent to which the system had been integrated at a strategic level of quality improvement and its successful application to multiprofessional clinical audit. CONCLUSIONS: The Royal College of Nursing's dynamic standard setting system can successfully be used as a method for clinical audit at both a uniprofessional and multiprofessional level. However, to capitalise on the strengths of the system, several issues need to be considered further. These include modifications to the system itself, as well as a more strategic focus on resources and support for audit, better integration of quality initiatives in health care, and a continuing focus on ways to achieve true multiprofessional collaboration and involvement of patients in clinical audit.
Starting Page	29
File Format	PDF
ISSN	09638172
Journal	Quality in Health Care
Issue Number	1
Volume Number	6
Language	English
Publisher Date	1997-03-01
Access Restriction	Open
Subject Keyword	Medicine Healthcare Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Leadership and Management Nursing Public Health, Environmental and Occupational Health

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