Forty-one of 68 palliative care clinicians responded to an anonymous q
uestionnaire assessing the attitudinal, training, management, and supp
ort needs for introducing audit. Most respondents (88%) felt it was a
good idea; reservations concerned the increase in work load. Although
66% of respondents had received audit training, only 39% were currentl
y involved in audit. Respondents identified a need for more informatio
n and feedback, experienced assistance, and support. These concerns ha
ve to be addressed by health care managers if audit is to be successfu
lly maintained. Current training sessions do not adequately meet staff
needs; palliative care staff require an advanced audit training that
includes staff motivation, analysis of results, and the provision of f
eedback.