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Evaluating the Productive Ward at an acute NHS trust: experiences and implications of releasing time to care.
J Clin Nurs. 2014 Jul; 23(13-14):1866-76.JC

Abstract

AIMS AND OBJECTIVES

To demonstrate how a national programme aimed to increase the amount of direct time nurses spend with patients', impacts on both staff and patient experience.

BACKGROUND

The Productive Ward is an improvement programme developed by the NHS Institute for Innovation and Improvement (2007, http://www.institute.nhs.uk/quality_and_value/productivity_series/productive_ward.html) which aims to enable nurses to work more efficiently by reviewing process and practice, thus releasing more time to spend on direct patient care. However, there is little empirical published research around the programme, particularly concerning impact, sustainability and the patient perspective.

DESIGN

This manuscript presents the findings from qualitative interviews involving both staff and patients.

METHODS

Semi-structured one-to-one interviews were conducted with patients (n = 8) and staff (n = 5) on five case study wards. Seven focus groups were held according to staff grade (n = 29).

RESULTS

Despite initial scepticism, most staff embraced the opportunity and demonstrated genuine enthusiasm and energy for the programme. Patients were generally complimentary about their experience as an inpatient, reporting that staff made them feel safe, comfortable and cared for.

CONCLUSION

Findings showed that the aims of the programme were partially met. The implementation of Productive Ward was associated with significant changes to the ward environment and improvements for staff. The programme equipped staff with skills and knowledge which acted as a primer for subsequent interventions. However, there was a lack of evidence to demonstrate that Productive Ward released time for direct patient care in all areas that implemented the programme.

RELEVANCE TO CLINICAL PRACTICE

Developing robust performance indicators including a system to capture reinvestment of direct care time would enable frontline staff to demonstrate impact of the programme. Additionally, staff will need to ensure that reorganisation and instability across the NHS do not affect sustainability and viability of the Productive Ward in the long term.

Authors+Show Affiliations

NISCHR CRC North Wales Research Network, Abergele, Conwy.No affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

24313355

Citation

Wright, Stella, and Wilfred McSherry. "Evaluating the Productive Ward at an Acute NHS Trust: Experiences and Implications of Releasing Time to Care." Journal of Clinical Nursing, vol. 23, no. 13-14, 2014, pp. 1866-76.
Wright S, McSherry W. Evaluating the Productive Ward at an acute NHS trust: experiences and implications of releasing time to care. J Clin Nurs. 2014;23(13-14):1866-76.
Wright, S., & McSherry, W. (2014). Evaluating the Productive Ward at an acute NHS trust: experiences and implications of releasing time to care. Journal of Clinical Nursing, 23(13-14), 1866-76. https://doi.org/10.1111/jocn.12435
Wright S, McSherry W. Evaluating the Productive Ward at an Acute NHS Trust: Experiences and Implications of Releasing Time to Care. J Clin Nurs. 2014;23(13-14):1866-76. PubMed PMID: 24313355.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluating the Productive Ward at an acute NHS trust: experiences and implications of releasing time to care. AU - Wright,Stella, AU - McSherry,Wilfred, Y1 - 2013/12/06/ PY - 2013/05/30/accepted PY - 2013/12/10/entrez PY - 2013/12/10/pubmed PY - 2015/11/3/medline KW - Productive Ward KW - care KW - improvement KW - lean KW - nursing KW - patient experience KW - qualitative KW - quality and safety KW - releasing time to care KW - staff development SP - 1866 EP - 76 JF - Journal of clinical nursing JO - J Clin Nurs VL - 23 IS - 13-14 N2 - AIMS AND OBJECTIVES: To demonstrate how a national programme aimed to increase the amount of direct time nurses spend with patients', impacts on both staff and patient experience. BACKGROUND: The Productive Ward is an improvement programme developed by the NHS Institute for Innovation and Improvement (2007, http://www.institute.nhs.uk/quality_and_value/productivity_series/productive_ward.html) which aims to enable nurses to work more efficiently by reviewing process and practice, thus releasing more time to spend on direct patient care. However, there is little empirical published research around the programme, particularly concerning impact, sustainability and the patient perspective. DESIGN: This manuscript presents the findings from qualitative interviews involving both staff and patients. METHODS: Semi-structured one-to-one interviews were conducted with patients (n = 8) and staff (n = 5) on five case study wards. Seven focus groups were held according to staff grade (n = 29). RESULTS: Despite initial scepticism, most staff embraced the opportunity and demonstrated genuine enthusiasm and energy for the programme. Patients were generally complimentary about their experience as an inpatient, reporting that staff made them feel safe, comfortable and cared for. CONCLUSION: Findings showed that the aims of the programme were partially met. The implementation of Productive Ward was associated with significant changes to the ward environment and improvements for staff. The programme equipped staff with skills and knowledge which acted as a primer for subsequent interventions. However, there was a lack of evidence to demonstrate that Productive Ward released time for direct patient care in all areas that implemented the programme. RELEVANCE TO CLINICAL PRACTICE: Developing robust performance indicators including a system to capture reinvestment of direct care time would enable frontline staff to demonstrate impact of the programme. Additionally, staff will need to ensure that reorganisation and instability across the NHS do not affect sustainability and viability of the Productive Ward in the long term. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/24313355/Evaluating_the_Productive_Ward_at_an_acute_NHS_trust:_experiences_and_implications_of_releasing_time_to_care_ L2 - https://doi.org/10.1111/jocn.12435 DB - PRIME DP - Unbound Medicine ER -