Koch T
Department of Nursing, Manchester University, England.
J Adv Nurs. 1992 Jul;17(7):785-94. doi: 10.1111/j.1365-2648.1992.tb01999.x.
This paper presents an overview of frameworks used in nursing quality assurance, an outline of the quality assurance movement in nursing, and its current concerns. It is argued that quality assurance activity appears to be propelled by market forces, regulation, coercion and professionalism. The concern with measurement places quality assurance activity within the quantitative paradigm. The problems associated with measurement are discussed and the writer presents qualitative research as a complementary approach to quality assurance and improving care.
本文概述了护理质量保证中使用的框架，勾勒了护理领域质量保证运动的轮廓及其当前关注点。有人认为，质量保证活动似乎受到市场力量、监管、强制手段和专业精神的推动。对测量的关注将质量保证活动置于定量范式之中。文中讨论了与测量相关的问题，作者提出定性研究作为质量保证和改善护理的一种补充方法。
