title: Change for the better: an innovative model of care delivering positive patient and workforce outcomes.
abstract: OBJECTIVE
  To evaluate patient and workforce outcomes following the implementation of the Practice Partnership Model of Care.
  
  
  METHODS
  Pre-test-post-test design.
  
  
  METHODS
  A 29-bed surgical ward at a tertiary-level regional hospital.
  
  
  METHODS
  Summary de-identified data from all patients and ward nursing staff in the study period.
  
  
  METHODS
  The Practice Partnership Model of Care has four main components: working in partnership; clinical handover at the bedside; comfort rounds; and environmental modifications. These reflect patient-centered and quality focused initiatives and use a total quality improvement framework that aims to transform care at the bedside.
  
  
  METHODS
  Patient outcomes: changes in patient safety (measured by numbers of medication errors and patient falls); satisfaction with care (use of the call bell system, number of complaints and compliments). Workforce outcomes: changes in staff satisfaction (measured through staff sick leave).
  
  
  RESULTS
  A statistically significant reduction in use of nurse call bells (p=<0.001) post-implementation. Medication errors and patient falls reduced, with an overall reduction of 4% in staff sick leave.
  
  
  CONCLUSIONS
  The Practice Partnership Model of Care positively affected patient and workforce outcomes, suggesting further exploration of this model in other hospital contexts is warranted.
authors: Tropical Health Research Unit for Nursing and Midwifery Practice, Townsville Health Service District, Australia. Tina_Cann@health.qld.gov.au
authors: Tina
authors: T
authors: Cann
authors: Anne
authors: A
authors: Gardner
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D008297:Male; D016294:Models, Nursing; D009732:Nursing Care / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D061214:Patient Safety; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000458:organization & administration*; D015397:Program Evaluation; D011793:Queensland; D018582:Sick Leave / Q000706:statistics & numerical data; D017749:Total Quality Management / Q000458:organization & administration*