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apologies for x-posting Dear all a few weeks ago I asked lists for information about the above specifically about practical systems for providing valid reliable indicators. Surprisingly few responses - but here is what I was told about so far:... David Collins told me about - Pinderfields and Pontefract Trust, Wakefield, West Yorkshire - (Mid Yorkshire Trust from 1 April) have system whereby the following are monitored > Pressure sore prevalence and incidence > Hospital acquired infection > Record keeping > Discharge planning > Information provided to patients and families > Individualised care planning > Pain assessment and management > Nutrition > Privacy and dignity > Rest and sleep > Medicine management and administration > care and prevention of DVT > Patients at risk from falling > Preceptorship and clinical supervision > > The areas were distilled from a survey of all nurse in Trust. They > were asked to identify the areas we should measure in order to be able to describe the quality of nursing care. In-house audit system we designed. 14 indicators are measured through a series of audits (team of about 100 nurses carryout audits). Results are handled in SPSS. Have nearly two years of data, usually an annual audit for each indicator unless there are problems. Standard format for audit: Indicator area - standard statement - questions to answer yes or no to assess compliance with standard. High scores used as beacon wards on that indicator. Low scores have action plan for improvement and re-audit before next annual cycle. System called 'Nursing Charter'. Elaine McColl passed on this information You may be interested in the Newcastle Satisfaction with Nursing Scale a survey instrument, developed here at the University of Newcastle. I attach a file of references to relevant papers. The questionnaire itself may be downloaded from http://www.ncl.ac.uk/chsr/publicn/tools/tools.htm We are currently updating the manual to accommodate the latest version of Epi-Info. Once the update is complete, it too will be available to download from the web site above. Gail Powell-Cope directed me to the American Nurses Association Quality Indicators Project. http://nursingworld.org/mods/working/QY/ceomfull.htm There is also work done by the UK Royal College of Nursing on a system called QUALPACS and the Dynamic Standard Setting Project. Thanks for your help - will be pleased to hear about any other relevant work in this area mark Mark Newman ESRC Research Fellow School of Life-long Learning and Education (SLLE) & School of Health & Social Sciences Middlesex University, Furnival Building, The Archway Campus, 2-10 Highgate Hill, London, N19 5LW. Tel: 020 8411 6702 Fax: 020 8411 6299 E-Mail: [log in to unmask]