Improving patient and staff outcomes using practice development.
Purpose The purpose of this paper is to examine the impact of a practice development program, "Essentials of Care" (EOC), on patient and staff outcomes, workplace culture and service delivery. Design/methodology/approach A descriptive study design was used to explore the impact of EOC in a district hospital rehabilitation ward. EOC focuses on embedding a person-centered culture within clinical areas and is structured from practice development methodologies. EOC was implemented in a metropolitan district hospital rehabilitation, older person 20-bed, ward. Findings Two projects were implemented during EOC. These projects led to nine significant patient and staff outcomes for medication and continence care practices. Outcomes included a reduction in older person complaints by 80 percent, pressure injuries by 62 percent, ward multi resistant staphylococcus aureus infection rates by 50 percent, clinical incidents by 22 percent, older person falls by 14 percent (per 1,000 bed days) and nursing sick leave by 10 percent. There was also a 13 percent improvement in the post nursing workplace satisfaction survey. Research limitations/implications This is a single site study and findings may not be suitable for generalizing across ward settings and broader population groups. Originality/value The EOC program led to significant improvements for and in clinical practices, staff satisfaction and ward culture. Specifically, the EOC program also identified significant cost savings and brought together the healthcare team in a cohesive and integrated way not previously experienced by staff. Practice development strategies can champion service quality improvement, optimal patient outcomes and consistency within healthcare.
Nursing and Midwifery Directorate, Northern Sydney Local Health District, Sydney, Australia.
Catherine Elizabeth
CE
Hennessey
Nursing and Midwifery Directorate, Northern Sydney Local Health District, Sydney, Australia.
Margaret
M
Fry
D016208:Databases, Factual; D006748:Hospital Departments; D006801:Humans; D008505:Medical Staff, Hospital / Q000592:standards*; D019370:Observation; D015279:Organizational Culture; D009936:Organizational Innovation; D017060:Patient Satisfaction; D011785:Quality Assurance, Health Care; D019145:Rehabilitation Nursing / Q000592:standards*; D011795:Surveys and Questionnaires
Essentials of Care; Older person; Rehabilitation nursing; Service delivery; Transformational practice development; Workplace culture