Care essentials audits

Care Essentials is an audit tool that was developed in partnership with patients and their carers, and as such reflects the views of their health care needs and preferences - the patient's experience.

The audit takes place twice a year (April and October) The audits take place in all inpatient areas across the organisation – Waikato Hospital, Thames, Tokoroa, Taumarunui, Te Kuiti hospitals and Rhoda Read and Matariki continuing care facilities. and includes two elements

  1. direct observation of nurse / patient interaction
  2. feedback from patients around 
      • communication,
      • partnership/coordination, 
      • physical and emotional needs. 

These care domains are aligned to patient-centred care, are grounded on Health and Disability Standards (NZS8134:2008) and benchmark best practice.

October 2014 Care Essentials audits

In October the Nursing Directorate and senior nurses audited all Waikato DHB hospitals and facilities.  

Overall the results were good and reflect a positive experience for our patients.

Of the 25 elements of care audited 14 of these show an improvement over the April 2014 results. 
However there were some areas that we need to do more work on around emotional and physical needs of our patients.

What patients told us

92% of our patients felt they were involved in decisions about their care

90% of our patients agreed their meals time were protected and free from unnecessary disturbance

82% of our patients felt their meal needs and preferences were met – down from 91% in April

What we observed

100% of our patients felt their modesty was maintained

76% of our staff wearing identification badges – up from 56% in April

66% of bedside signage named the patients’ nurse or midwife – up from 37% in April

What we are doing about it

Where our patients told us what can be improved we have listened. So where the results have been less than excellent nurse managers are working with charge nurse/midwife managers and developing quality improvement plans. 

Across all of our hospitals and in-patient facilities we are making improvements that enable our patients to identify who is involved in their care.
This includes

  • better signage on the wards to identify who is in charge
  • signage that clearly identifies the nurse taking care of the patient
  • and name badges so our patients know who is caring for them.