Kan auditredskabet Cat-ch-Ing anvendes til måling af kvaliteten i sygeplejedokumentation baseret
på VIPS-modellen?
Engelsk titel: Can the audit instrument Cat-ch-Ing estimate the qualilty of nursing documentation based on the
VIPS-model?
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Författare:
Leth D
;
Höstrup H
;
Thulstrup AM
Email: dlc@sia.aaa.dk
Språk: Dan
Antal referenser: 29
Dokumenttyp:
Artikel
UI-nummer: 05073821
Sammanfattning
Background: Nursing documentation
is essential for quality
improvement and nursing research.
In Denmark the nursing
documentation is criticized for
being insufficient, unsystematic
and retrospective. The Swedish
documentation model, the VIPSmodel,
was consequently introduced,
and is now implemented in
several Danish hospitals.
An audit instrument, Cat-ch-Ing,
has developed from the VIPSmodel
and a Swedish validating
process found Cat-ch-Ing to be
reliable. Cat-ch-Ing has only
been tested in a few studies, but
none of these focused on interobserver
variation.
Object: To examine the interobserver
variation in Cat-ch-Ing.
Material: The study comprised
20 VIPS-adjusted nursing records
of women in confinement, hospitalized
for a minimum of 3 days,
and discharged directly to their
homes.
Methods: The inter-observer
variation was identified by the
average difference between the
estimates of two observers. The
agreement between the two
observers is visualized in Bland-
Altman plots.
Results: The mean difference between
the two observer estimates
was close to zero, but there was
considerable deviation between
them. The percentage of agreement
of the questions in Cat-ch-
Ing varied from 25-100 %.
Conclusion: The inter-observer
variation of the Cat-ch-Ing was
considerable. We recommend that
Cat-ch-Ing is further developed
and validated before being used
to audit records in Denmark.