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The transition of a large-scale quality improvement initiative: a bibliometric analysis of the Productive Ward: Releasing Time to Care programme.
J Clin Nurs. 2014 Sep; 23(17-18):2414-23.JC

Abstract

AIMS AND OBJECTIVES

To examine the literature related to a large-scale quality improvement initiative, the 'Productive Ward: Releasing Time to Care', providing a bibliometric profile that tracks the level of interest and scale of roll-out and adoption, discussing the implications for sustainability.

BACKGROUND

Productive Ward: Releasing Time to Care (aka Productive Ward) is probably one of the most ambitious quality improvement efforts engaged by the UK-NHS. Politically and financially supported, its main driver was the NHS Institute for Innovation and Improvement. The NHS institute closed in early 2013 leaving a void of resources, knowledge and expertise. UK roll-out of the initiative is well established and has arguably peaked. International interest in the initiative however continues to develop.

METHODS

A comprehensive literature review was undertaken to identify the literature related to the Productive Ward and its implementation (January 2006-June 2013). A bibliometric analysis examined/reviewed the trends and identified/measured interest, spread and uptake.

RESULTS

Overall distribution patterns identify a declining trend of interest, with reduced numbers of grey literature and evaluation publications. However, detailed examination of the data shows no reduction in peer-reviewed outputs. There is some evidence that international uptake of the initiative continues to generate publications and create interest.

CONCLUSIONS

Sustaining this initiative in the UK will require re-energising, a new focus and financing. The transition period created by the closure of its creator may well contribute to further reduced levels of interest and publication outputs in the UK. However, international implementation, evaluation and associated publications could serve to attract professional/academic interest in this well-established, positively reported, quality improvement initiative.

RELEVANCE TO CLINICAL PRACTICE

This paper provides nurses and ward teams involved in quality improvement programmes with a detailed, current-state, examination and analysis of the Productive Ward literature, highlighting the bibliometric patterns of this large-scale, international, quality improvement programme. It serves to disseminate updated publication information to those in clinical practice who are involved in Productive Ward or a similar quality improvement initiative.

Authors+Show Affiliations

Nursing & Midwifery Planning & Development Unit, HSE-South, Kilkenny, Ireland.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

24646373

Citation

White, Mark, et al. "The Transition of a Large-scale Quality Improvement Initiative: a Bibliometric Analysis of the Productive Ward: Releasing Time to Care Programme." Journal of Clinical Nursing, vol. 23, no. 17-18, 2014, pp. 2414-23.
White M, Wells JS, Butterworth T. The transition of a large-scale quality improvement initiative: a bibliometric analysis of the Productive Ward: Releasing Time to Care programme. J Clin Nurs. 2014;23(17-18):2414-23.
White, M., Wells, J. S., & Butterworth, T. (2014). The transition of a large-scale quality improvement initiative: a bibliometric analysis of the Productive Ward: Releasing Time to Care programme. Journal of Clinical Nursing, 23(17-18), 2414-23. https://doi.org/10.1111/jocn.12585
White M, Wells JS, Butterworth T. The Transition of a Large-scale Quality Improvement Initiative: a Bibliometric Analysis of the Productive Ward: Releasing Time to Care Programme. J Clin Nurs. 2014;23(17-18):2414-23. PubMed PMID: 24646373.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The transition of a large-scale quality improvement initiative: a bibliometric analysis of the Productive Ward: Releasing Time to Care programme. AU - White,Mark, AU - Wells,John S G, AU - Butterworth,Tony, Y1 - 2014/03/20/ PY - 2014/02/10/accepted PY - 2014/3/21/entrez PY - 2014/3/22/pubmed PY - 2015/12/15/medline KW - Productive Ward KW - Releasing Time to Care KW - health service research KW - implementation KW - lean healthcare KW - multidisciplinary care team KW - quality improvement SP - 2414 EP - 23 JF - Journal of clinical nursing JO - J Clin Nurs VL - 23 IS - 17-18 N2 - AIMS AND OBJECTIVES: To examine the literature related to a large-scale quality improvement initiative, the 'Productive Ward: Releasing Time to Care', providing a bibliometric profile that tracks the level of interest and scale of roll-out and adoption, discussing the implications for sustainability. BACKGROUND: Productive Ward: Releasing Time to Care (aka Productive Ward) is probably one of the most ambitious quality improvement efforts engaged by the UK-NHS. Politically and financially supported, its main driver was the NHS Institute for Innovation and Improvement. The NHS institute closed in early 2013 leaving a void of resources, knowledge and expertise. UK roll-out of the initiative is well established and has arguably peaked. International interest in the initiative however continues to develop. METHODS: A comprehensive literature review was undertaken to identify the literature related to the Productive Ward and its implementation (January 2006-June 2013). A bibliometric analysis examined/reviewed the trends and identified/measured interest, spread and uptake. RESULTS: Overall distribution patterns identify a declining trend of interest, with reduced numbers of grey literature and evaluation publications. However, detailed examination of the data shows no reduction in peer-reviewed outputs. There is some evidence that international uptake of the initiative continues to generate publications and create interest. CONCLUSIONS: Sustaining this initiative in the UK will require re-energising, a new focus and financing. The transition period created by the closure of its creator may well contribute to further reduced levels of interest and publication outputs in the UK. However, international implementation, evaluation and associated publications could serve to attract professional/academic interest in this well-established, positively reported, quality improvement initiative. RELEVANCE TO CLINICAL PRACTICE: This paper provides nurses and ward teams involved in quality improvement programmes with a detailed, current-state, examination and analysis of the Productive Ward literature, highlighting the bibliometric patterns of this large-scale, international, quality improvement programme. It serves to disseminate updated publication information to those in clinical practice who are involved in Productive Ward or a similar quality improvement initiative. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/24646373/The_transition_of_a_large_scale_quality_improvement_initiative:_a_bibliometric_analysis_of_the_Productive_Ward:_Releasing_Time_to_Care_programme_ L2 - https://doi.org/10.1111/jocn.12585 DB - PRIME DP - Unbound Medicine ER -