title: Manual for monitoring the quality of nursing home care records.
abstract: OBJECTIVE
  to build and validate an instrument aimed at monitoring the quality of nursing records in the Home Care Program (HCP) of a university hospital.
  
  
  METHODS
  methodological study involving the elaboration of a manual, whose content was later submitted to six experts for validation, reaching a ≥ 80% consensus. The data collection process was carried out in 2012 by means of a questionnaire comprised of the following issues: nursing evolution, nursing diagnosis, and nursing prescription, and standards for the nursing team recommended by the Regional Nursing Council of São Paulo and by the assessed institution. Manual items were judged according to the following variables: relevance, pertinence, clarity and simplicity.
  
  
  RESULTS
  of the 39 propositions, 100% achieved ≥ 80% agreement in the relevance, pertinence and clarity variables; 92.3% in the simplicity variable. Sleep/rest, Mobility and Check-out variables did not reach a favorable minimum consensus in the prescribed activities and were improved following suggestions from the experts.
  
  
  CONCLUSIONS
  we believe that the instrument will enable the improvement of the HCP's work process.
authors.affiliation: Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Silvia Freitas
authors.initials: SF
authors.lastname: Barbosa
authors.affiliation: Departamento de Orientação Profissional, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Daisy Maria Rizatto
authors.initials: DM
authors.lastname: Tronchin
mesh_terms: D005260:Female; D064650:Home Health Nursing; D006801:Humans; D008370:Manuals as Topic; D008875:Middle Aged; D009737:Nursing Records / Q000592:standards*; D011787:Quality of Health Care