The scientific literature on nursing audit and quality of records

Abstract

Objectives: To know about the scientific production about nursing audit and to identify the importance of the nursing record in medical records for the audit. Method: Narrative literature review, it was selected articles related to nursing audit and nursing records in the electronic databases Scientific Electronic Library Online, and Latin American Literature and Caribbean Health Sciences, published between 2000 and 2010. Results: The articles analyzed indicated that there are few studies about this subject. It was identified that nursing audit is currently conducted by the retrospective method in the medical records and it is facing the accounting framework, and that nursing records are unsatisfactory quality as a tool to collect data. Conclusion: There are prospects that pass the audit to investigate the quality of care and to have an educational character that will enable the quality of care.