The level of nursing care provided and its effects on clients are assessed by using the nursing process to examine client outcomes
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Methods of assessment include audits of open and closed records, peer review, questionnaires filled out by clients' families, and direct observation by the nurse
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Sources of nursing care standards include state nurse practice acts and other rules and regulations that legally define nursing
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Nurses regularly complete performance improvement/quality assurance procedures:
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they identify standards, goals, and methods of performing quality assurance activities
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they measure actual performance
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they compare results of measured performance with standards and goals
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they take action to correct weaknesses and reinforce strengths
