title: Development of the Quality of Australian Nursing Documentation in Aged Care (QANDAC) instrument to assess paper-based and electronic resident records.
abstract: OBJECTIVE
  To develop an Australian nursing documentation in aged care (Quality of Australian Nursing Documentation in Aged Care (QANDAC)) instrument to measure the quality of paper-based and electronic resident records.
  
  
  METHODS
  The instrument was based on the nursing process model and on three attributes of documentation quality identified in a systematic review. The development process involved five phases following approaches to designing criterion-referenced measures. The face and content validities and the inter-rater reliability of the instrument were estimated using a focus group approach and consensus model.
  
  
  RESULTS
  The instrument contains 34 questions in three sections: completion of nursing history and assessment, description of care process and meeting the requirements of data entry. Estimates of the validity and inter-rater reliability of the instrument gave satisfactory results.
  
  
  CONCLUSIONS
  The QANDAC instrument may be a useful audit tool for quality improvement and research in aged care documentation.
authors.affiliation: University of Wollongong, Wollongong, New South Wales, Australia.
authors.forename: Ning
authors.initials: N
authors.lastname: Wang
authors.forename: Catrin
authors.initials: C
authors.lastname: Björvell
authors.forename: David
authors.initials: D
authors.lastname: Hailey
authors.forename: Ping
authors.initials: P
authors.lastname: Yu
mesh_terms: D001315:Australia; D004282:Documentation / Q000592:standards*; D057286:Electronic Health Records / Q000592:standards; D005851:Geriatric Nursing / Q000592:standards*; D006707:Homes for the Aged / Q000592:standards*; D006801:Humans; D008499:Medical Records / Q000592:standards*; D009731:Nursing Audit / Q000592:standards*; D009735:Nursing Homes / Q000592:standards*; D015588:Observer Variation; D058996:Quality Improvement / Q000592:standards; D019984:Quality Indicators, Health Care / Q000592:standards*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*
keywords: nursing audit; nursing records; quality assurance; residential facilities