title: [Quality and general practice development in Swiss acute hospitals as a result of study results - a follow-up survey of nursing directors of RN4CAST hospitals].
abstract: In the RN4CAST (Nurse forecasting in Europe) study all 35 participating Swiss hospitals received a study report, which allowed them to anonymously compare findings in relation to structure, process and outcome variables. Thus, this benchmarking allowed the hospitals to identify potentials for improvement and to plan counter measures for developing the quality of their practice environment. We surveyed the RN4CAST hospitals 18 months after submitting the study report and asked chief nursing officers if the results of the RN4CAST study report had been discussed and analysed within their hospitals and if the results had led to any quality improvement or practice development projects. Out of 35 questionnaires 30 were returned (response rate = 85 %). The study report was discussed and analysed in 27 hospitals (90 %), whereby the quality (n = 27) and the usefulness (n = 22) were rated as good or very good. Less then half of the hospitals (41 %) discussed the results with the hospital units. The study report stimulated practice development and quality improvement efforts in view of the nurses' work environment (n = 20) and safety culture/climate (n = 16). Replicating the RN4CAST study in the participating hospital would allow evaluating changes on the measured variables, e. g., due to this quality improvement and practice development projects.
authors: Institut für Pflegewissenschaft, Universität Basel.
authors: Dietmar
authors: D
authors: Ausserhofer
authors: Institut für Pflegewissenschaft, Universität Basel.
authors: Beatrice
authors: B
authors: Gehri
authors: Institut für Pflegewissenschaft, Universität Basel.
authors: Sabina
authors: S
authors: De Geest
authors: Institut für Pflegewissenschaft, Universität Basel.
authors: Katharina
authors: K
authors: Fierz
authors: Institut für Pflegewissenschaft, Universität Basel.
authors: René
authors: R
authors: Schwendimann
mesh_terms: D001291:Attitude of Health Personnel; D019985:Benchmarking / Q000458:organization & administration / Q000639:trends; D005500:Follow-Up Studies; D005544:Forecasting; D019538:Health Care Surveys; D006779:Hospitals, Public / Q000458:organization & administration* / Q000639:trends; D006801:Humans; D009718:Nurse Administrators / Q000639:trends; D058996:Quality Improvement / Q000458:organization & administration* / Q000639:trends; D011787:Quality of Health Care / Q000458:organization & administration* / Q000639:trends; D013557:Switzerland
keywords: Akutspitäler; Benchmarking; Praxis- und Qualitätsentwicklung; Studienbericht; acute care hospitals; practice development; quality improvement; study report