Improving patient and staff outcomes using practice development

Hennessey, CE; Fry, M

Improving patient and staff outcomes using practice development

Hennessey, CE Fry, M

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Publication Type:: Journal Article
Citation:: International Journal of Health Care Quality Assurance, 2016, 29 (8), pp. 853 - 863
Issue Date:: 2016-01-01

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Field	Value	Language
dc.contributor.author	Hennessey, CE	en_US
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096	en_US
dc.date.issued	2016-01-01	en_US
dc.identifier.citation	International Journal of Health Care Quality Assurance, 2016, 29 (8), pp. 853 - 863	en_US
dc.identifier.issn	0952-6862	en_US
dc.identifier.uri	http://hdl.handle.net/10453/98708
dc.description.abstract	© 2016, © Emerald Group Publishing Limited. 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.	en_US
dc.relation.ispartof	International Journal of Health Care Quality Assurance	en_US
dc.relation.isbasedon	10.1108/IJHCQA-02-2016-0020	en_US
dc.subject.classification	Health Policy & Services	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Rehabilitation Nursing	en_US
dc.subject.mesh	Observation	en_US
dc.subject.mesh	Databases, Factual	en_US
dc.subject.mesh	Medical Staff, Hospital	en_US
dc.subject.mesh	Hospital Departments	en_US
dc.subject.mesh	Organizational Culture	en_US
dc.subject.mesh	Organizational Innovation	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	Quality Assurance, Health Care	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.title	Improving patient and staff outcomes using practice development	en_US
dc.type	Journal Article
utslib.citation.volume	8	en_US
utslib.citation.volume	29	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	8	en_US
pubs.publication-status	Published	en_US
pubs.volume	29	en_US

Abstract:

© 2016, © Emerald Group Publishing Limited. 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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/98708