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Table 1 Allocation of questions to the dimensions of quality in health care

From: A mixed-methods study of quality differences between applied documentation approaches in nursing homes

Quality dimension

Subareaa

Question

Structure

â–Ş Qualification

â–Ş Work organisation

1. How often do you use nursing documentation to gather information about the care situation of a resident?

2. How often does nursing documentation provide quick access to relevant information about the resident in order to prepare an up-to-date record?

3. How often does nursing documentation help you to use standardised professional nomenclature?

4. If you record at least partially in handwriting: How often do you find nursing documentation legible? b

5. How often do you find nursing documentation understandable?

Process

â–Ş Documentation in line with the care process

â–Ş Care organisation (holistic care, nursing rounds)

â–Ş Management methodology (including rota, communication)

6. How often does nursing documentation support the organisation of your care provision, e.g., as a systematic task list or as a reminder?

7. How often does nursing documentation support you in team work, e.g., during information exchanges with colleagues and supervisors?

8. How often does nursing documentation provide all relevant information about the nursing process of a resident?

9. How often does nursing documentation help you to identify important care events in a timely manner?

10. How often does nursing documentation help you to prevent a deterioration of the care situation?

Outcome

â–Ş Client satisfaction

â–Ş Employee satisfaction

11. How often does nursing documentation support you in aligning your care activities with residents’ wishes? b

12. How often do you feel that you spend too much time on nursing documentation?

13. How often are you demotivated because of nursing documentation?

14. Taking all these points [questions above] and your estimates of required time and costs together: How satisfied are you with the nursing documentation approach that you are using?

  1. aThe presented subareas were suggested by Zieme [24] who followed Donabedian’s framework for measures of the quality of care [23]
  2. bItems 4 and 11 were removed from final score analysis because this improved the overall reliability with a slightly higher Cronbach’s alpha (for item 4 from 0.75 to 0.78, and for item 11 from 0.78 to 0.81). However, this reduced the total number of analysed items in the questionnaire to 12