Community Practitioners' and Health Visitors' Association

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Health Visitor Monitor


The Health Visitor Monitor, a tool used to measure performance. Below is a brief description.


As the full title indicates - `Monitor: An Index of the Quality of Nursing Care for Acute Medical and Surgical Wards' this tool was originally developed and applied in the more acute areas of general nursing. It was based on data which suggested that aspects of nursing care could be easily and objectively observed, and were valid and reliable indicators of quality.


The Monitor consists of four separate questionnaires appropriate to patients of difference dependency levels:

  • minimal care

  • average care

  • above average care

  • maximum or intensive are


Calculations can be done simply and a computer is not essential.


The method focuses on process rather than outcome. The items in Monitor are based on a core list of over 200 criteria which assess the quality of nursing in relation to four areas of care:

  • planning and management

  • physical care

  • non-physical care

  • evaluation of care


More information and steps in using the Montor in:


Stevie Holland
Open Learning Packs : Standards and Quality in Health Visiting
Health Visitors Association, 1991