Community Health Nursing Audit: Issues Encountered During the Selection and Application of an Audit Instrument


  • Nancy Edwards B.Sc.N., M.,

    1. Sessional Lecturer, School of Nursing, University of Ottawa, Community Nurse Specialist, Ottawa Carlton Health Department, Ottawa, Ontario.
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  • Laura Pickard Hon. B.A., M.A.,

    1. Research Coordinator, Department of Clinical Epidemiology and Biostatis-tics, McMaster University, Hamilton, Ontario.
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  • Colleen Van Berkel R.N., B.Sc.N., M.H.Sc.

    1. Clinical Lecturer, McMaster University, Assistant Director of Nursing, Hamilton-Wentworth Department of Public Health Services, Hamilton, Ontario.
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Abstract Several issues were encountered by nurse-managers in a community agency while implementing an audit of community health nursing charts. They included the following: (1) what is the purpose of the audit? (2) are the required resources available to implement the audit process? (3) what is the selection process for charts to be audited? (4) how many charts have to be audited? (5) is the audit tool based on relevant and measurable criteria and standards? (6) have the measurement properties of the audit tool been determined, including validity and reliability? The validity, reliability, and weighting of scores of the Craig audit tool are explored. Results of an assessment of this tool's reliability are presented.