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