title: [Quality assurance in nursing: self evaluation and peer review of nursing standards. Review of 2 years' experience].
abstract: Within the quality assurance programme of nursing in a teaching hospital in Switzerland two steps are considered to be essential: the evaluation of standards by the authors themselves (self-evaluation) and the evaluation by peers from the hospital (peer review). These evaluations are part of a decentralized model of quality assurance. This paper describes the systematic control of the standards of care over a period of two years. In particular the author reviews the development of the instruments for self-evaluation and peer review; the education and allocation of peers: the selection of standards for the control process; finally the first results of the evaluations and the ensuing measures. The author goes on to describe her experience with the instruments of control. Conformity with a preestablished policy and continuity within the group of peers are considered to be important prerequisites for the quality of the evaluations. Development and control of mainly monodisciplinary standards are considered to be a transition and preparation for an eventually interdisciplinary quality assurance programme.
authors.affiliation: Pflegedienst, Kantonsspital St. Gallen.
authors.forename: C
authors.initials: C
authors.lastname: Schmidli-Bless
mesh_terms: D019983:Guideline Adherence; D006784:Hospitals, Teaching; D006801:Humans; D016294:Models, Nursing; D015401:Nursing Administration Research; D009732:Nursing Care / Q000592:standards*; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology / Q000592:standards*; D018024:Peer Review, Health Care / Q000379:methods*; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D012647:Self-Assessment; D013557:Switzerland
vernacular_title: Qualitätssicherung in der Pflege: Selbst- und Fremdüberprüfung von Pflegestandards. Rückblick auf zwei Jahre Erfahrung.