| Pre (%) | Post (%) | p value |
1) Initial nursing assessment (<24 hours) | 97.0% | 98.0% | 1.0 |
2) Assessment findings documented (<24 hours) | 100.0% | 98.0% | 0.497 |
3) Patients screened for nutritional risk | 99.0% | 100.0% | 1.0 |
4) Patients screened for nutritional problems | 94.9% | 99.0% | 0.212 |
5) Patients screened for further functional assessment | 100.0% | 100.0% | --- |
6) Patients need functional assessment | 98.0% | 99.0% | 1.0 |
7) Available discharge planning | 100.0% | 100.0% | 1.0 |
8) Patients are reassessed | 99.0% | 100.0% | 1.0 |
9) Patients screened for pain | 98.0% | 98.0% | 1.0 |
10) Pain assessment referred. | 83.8% | 77.8% | 0.279b |
11) Treatment response reassessed | 84.8% | 86.9% | 0.683b |
12) Reassessment intervals | 93.9% | 92.9% | 0.774b |
13) Documented reassessments | 72.7% | 82.8% | 0.087b |
14) Demographic, emotional, physical and cognitive assessments | 86.9% | 91.9% | 0.248b |
15) Patient/family educational needs | 98.0% | 97.0% | 1.0 |
16) Patients and families understand the informed consent | 100.0% | 100.0% | --- |
17) Patients/families participate in care decisions | 100.0% | 100.0% | --- |
18) Patients/families understand diagnosis and treatment | 100.0% | 100.0% | --- |
19) Patients/families’ right to participate in care process. | 100.0% | 100.0% | --- |
20) Assessment findings for patient education | 100.0% | 98.0% | 0.497 |
21) Patients/families’ educational needs assessment | 89.9% | 91.9% | 0.621b |
22) Every record includes name, date and time. | 76.8% | 94.9% | <0.001b |
23) Date of entry | 81.8% | 98.0% | <0.001b |
24) Correct abbreviation | 90.9% | 100.0% | 0.003 |
25) Correction or revision | 85.9% | 98.0% | 0.002b |
26) Patient care needs based on the assessments and reassessments results | 89.9% | 65.7% | <0.001b |
27) Measurable goals | 92.9% | 83.8% | 0.046b |
28) Available postsurgical plan of care | 98.0% | 98.0% | 1.0 |