PubMed · 7603868
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T Agnew. Making a difference.. https://pubmed.ncbi.nlm.nih.gov/7603868/
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Demands are increasing for accurate rates of wound infection in surgical units. However, definitions vary widely and resources are limited. Wound scoring methods improve objectivity and have the power to show changes with time, but they can be laborious. Without community surveillance, inpatient rates can also be misleading.
This paper describes a complex set of patient and nursing data from 83 psychiatric wards. It explains how the data were collected and organized into a meaningful format using a quality league-table. The patient and nursing characteristics of high quality psychiatric wards ranking above the 74th percentile and the characteristics of low quality wards falling below the 26th percentile are compared and examined in detail. Startling similarities and differences in patient activity, nursing activity, and nursing quality in high and low quality wards are highlighted. Finally, some implications of the findings for nursing practice, management, and education are considered.