Tags

Type your tag names separated by a space and hit enter

The 'Releasing Time to Care--the Productive Ward' programme: participants' perspectives.
J Nurs Manag. 2012 Apr; 20(3):354-60.JN

Abstract

AIM

The aim of this study was to explore the perceptions of nursing staff concerning the implementation of the 'Releasing Time to Care - the Productive Ward' programme in a specialist cardiothoracic hospital.

BACKGROUND

The 'Releasing Time to Care - the Productive Ward' programme uses the 'lean' philosophy originally developed in the Japanese motor industry to improve the efficiency of hospital wards. Its aim is to increase the proportion of time that nurses are able to spend in direct patient care.

METHOD

This study used a descriptive qualitative method with a sample size of four nurses and two health-care support workers. Thematic analysis of the interview transcripts was undertaken using the procedure developed by Burnard.

RESULTS

Thematic content analysis identified five major themes: starting to implement the programme, anxiety and defensiveness, the importance of leadership and communication, challenges, and learning and personal development.

CONCLUSION

Overall, the programme had a positive impact on both the wards studied. Challenges that were identified included the need to sustain momentum once the initial enthusiasm had waned.

IMPLICATIONS FOR NURSING MANAGEMENT

This study highlighted the importance of key transformational leadership skills at ward manager level, such as the ability to inspire nurses to approach old problems in new ways, in the implementation of the 'Releasing Time to Care - the Productive Ward' programme.

Authors+Show Affiliations

Papworth Hospital NHS Trust, Cambridgeshire, UK. jaxd@btinternet.comNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22519613

Citation

Davis, Jacqueline, and John Adams. "The 'Releasing Time to Care--the Productive Ward' Programme: Participants' Perspectives." Journal of Nursing Management, vol. 20, no. 3, 2012, pp. 354-60.
Davis J, Adams J. The 'Releasing Time to Care--the Productive Ward' programme: participants' perspectives. J Nurs Manag. 2012;20(3):354-60.
Davis, J., & Adams, J. (2012). The 'Releasing Time to Care--the Productive Ward' programme: participants' perspectives. Journal of Nursing Management, 20(3), 354-60. https://doi.org/10.1111/j.1365-2834.2011.01266.x
Davis J, Adams J. The 'Releasing Time to Care--the Productive Ward' Programme: Participants' Perspectives. J Nurs Manag. 2012;20(3):354-60. PubMed PMID: 22519613.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The 'Releasing Time to Care--the Productive Ward' programme: participants' perspectives. AU - Davis,Jacqueline, AU - Adams,John, Y1 - 2011/11/02/ PY - 2012/4/24/entrez PY - 2012/4/24/pubmed PY - 2012/8/18/medline SP - 354 EP - 60 JF - Journal of nursing management JO - J Nurs Manag VL - 20 IS - 3 N2 - AIM: The aim of this study was to explore the perceptions of nursing staff concerning the implementation of the 'Releasing Time to Care - the Productive Ward' programme in a specialist cardiothoracic hospital. BACKGROUND: The 'Releasing Time to Care - the Productive Ward' programme uses the 'lean' philosophy originally developed in the Japanese motor industry to improve the efficiency of hospital wards. Its aim is to increase the proportion of time that nurses are able to spend in direct patient care. METHOD: This study used a descriptive qualitative method with a sample size of four nurses and two health-care support workers. Thematic analysis of the interview transcripts was undertaken using the procedure developed by Burnard. RESULTS: Thematic content analysis identified five major themes: starting to implement the programme, anxiety and defensiveness, the importance of leadership and communication, challenges, and learning and personal development. CONCLUSION: Overall, the programme had a positive impact on both the wards studied. Challenges that were identified included the need to sustain momentum once the initial enthusiasm had waned. IMPLICATIONS FOR NURSING MANAGEMENT: This study highlighted the importance of key transformational leadership skills at ward manager level, such as the ability to inspire nurses to approach old problems in new ways, in the implementation of the 'Releasing Time to Care - the Productive Ward' programme. SN - 1365-2834 UR - https://www.unboundmedicine.com/medline/citation/22519613/The_'Releasing_Time_to_Care__the_Productive_Ward'_programme:_participants'_perspectives_ L2 - https://doi.org/10.1111/j.1365-2834.2011.01266.x DB - PRIME DP - Unbound Medicine ER -