Clinical Audit Analysis 2022

Running head: CLINICAL AUDIT
CLINICAL AUDIT OF PROCEDURES AND QUALITY IN
PRESSURE INJURY AGAINST NSQHS STANDARD ONE:
CLINICAL GOVERNANCE
Name of the Student
Name of the University
Author Note

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CLINICAL AUDIT
Table of Contents
1.0 Introduction................................................................................................................................2
2.0 Background................................................................................................................................2
3.0 Aim and Objective.....................................................................................................................4
4.0 National Standards.....................................................................................................................4
5.0 Audit Methodology....................................................................................................................5
5.1 Location and Duration...........................................................................................................5
5.2 Recruitment Process, Sample size and Inclusion/ Exclusion Criteria...................................5
5.3 Ethical Considerations and Consent of Participants..............................................................6
5.4 Measurement Tools...............................................................................................................6
5.5 Data Collection......................................................................................................................7
5.6 Data Management..................................................................................................................7
6.0 Data Analysis.............................................................................................................................7
7.0 Dissemination of Results...........................................................................................................8
8.0 Recommendations......................................................................................................................9
References......................................................................................................................................10
Appendix........................................................................................................................................12

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CLINICAL AUDIT
1.0 Introduction
Pressure injury is the factor of health care which can be stated as one of the most crucial
aspect for the care procedure of the immobile patients. The quality of this procedure should be
effectively dependent on the knowledge and the understanding of the care providers. This factor
of care should be done with the consideration of the National Safety and Quality Health Service
(NSQHS) standard one that is the Clinical Governance standard (Safetyandquality.gov.au, 2017).
The audit has been conducted by the graduate registered nurse with the help of the Ward Audit
tool of Queensland Department of Health (Clinical Excellence Queensland, 2018). The audit
helps in the identification of the clinical safety, clinical quality and also the factor of the clinical
knowledge of the nurses in the ward.
2.0 Background
Immobility and the prolonged pressure on a certain area of the skin can cause the
development of the pressure injury or pressure ulcer. The classification of the pressure ulcer is
dependent on the severity of the condition of the injury and the condition of the tissues
underlying the skin layer as well. According to Edsberg et al. (2016), there is a staging system
developed in order to classify the different types of the pressure injuries. Based on the
assessment of the authors it can be stated that the pressure injury can be prevented among the
patient by the proper diagnosis and utilizing different strategies including the mobility and also
the position changing of the patient along with providing proper support to the patient as well.
Roberts et al. (2016), highlighted that the nurses have a primary role in the pressure ulcer
prevention process and they also stated that the factor of the pressure ulcer care is dependent on
the knowledge and the strategies developed by the nurses. However, they also stated that the
factor of the pressure ulcer care would be dependent on the proper patient participation and also

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CLINICAL AUDIT
the acceptance of the patients in these processes of the prevention of this condition. According to
the International Council of Nurses (ICN) the documentation of the nurses play a key role in the
planning and also the management of the nursing care, analysis of patient outcomes and also the
policy development process for the pressure injury care (Icn.ch, 2013).
On the other hand study of Usher et al. (2018), highlighted that the factor of the
knowledge of the pressure ulcer care is very low among the nursing professionals and also the
nursing students. The approximate statistical figure for the amount of who actually know the
factors of the pressure ulcer treatment is 51 percent. Whether the aspects of the attitude towards
the process are high that is 78 percent. Thus on the basis of this result it can be stated that the
factor of the knowledge for the pressure ulcer prevention is low among the nurses. According to
the NSQHS standards the clinicians would be responsible for the partnering with the health care
service and also making decision for service planning, care model development and also
evaluation of the system of care (Safetyandquality.gov.au, 2012). Based on the views of Latimer,
Gillespie and Chaboyer (2017), there are lacking details about the condition of the pressure
injury care in the Australian context. Thus the authors conducted a study on this aspect and
found that the knowledge of the nurses on this context is not satisfactory. On the other hand the
process of the care for the pressure injury is not satisfactory as well as the knowledge is not
adequate among the care professionals. Moreover, it can be seen that the factor of the attitude for
the development of the knowledge and also providing the proper care to the patients with
immobility and pressure ulcer are effectively positive among the nursing students and also the
registered nurses in the country.