title: Directions and dilemmas in nursing quality assurance.
abstract: Effects of the health care environment have been a catalyst for the evolution of nursing quality assurance programs. Changes can be summarized as an increased focus on actual clinical practice, an increased participation by professional nurses, and an increased sophistication in the methods used to monitor and evaluate. Much work remains to be done in creating environments that assure quality of care.
mesh_terms: D002983:Clinical Competence; D006801:Humans; D009739:Nursing Services / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care; D011785:Quality Assurance, Health Care / Q000458:organization & administration*