title: Self assessment for quality and assurance. An essential component of effective health care delivery at the worksite.
abstract: Programs designed to ensure high quality performance, whatever name they are given, have the same basic elements. They measure compliance with established standards, provide feedback, institute changes as necessary to improve outcomes, and measure again. The first steps include determining which programs need evaluation and identifying the standards. Measurement tools are then developed and the self assessment takes place. After the results are analyzed, the necessary program changes are made, and the cycle is repeated. Failure to determine levels of compliance with government regulations can leave a company vulnerable to sanctions if noncompliance is significant. Self identification of problems before they become apparent outside the department allows the occupational and environmental health nurse to make program and process improvements before the problems become crises. Self assessments are designed to monitor activities, determine program or procedure effectiveness, validate decision making, and investigate unsolicited observations and comments. Self regulation is the hallmark of a mature profession (Phaneuf, 1972), and as such, occupational and environmental health nurses have a professional responsibility to actively engage in formalized self regulation activities.
authors.affiliation: Pinnacle West Capital Corporation, University of Phoenix, Phoenix, AZ, USA.
authors.forename: E N
authors.initials: EN
authors.lastname: Lukes
authors.forename: G A
authors.initials: GA
authors.lastname: Schiavone
mesh_terms: D004282:Documentation; D006801:Humans; D009785:Occupational Health Nursing / Q000458:organization & administration / Q000592:standards*; D009786:Occupational Health Services / Q000458:organization & administration / Q000592:standards*; D019982:Organizational Case Studies; D016730:Program Development; D011785:Quality Assurance, Health Care / Q000379:methods*; D014481:United States