Change for the better: an innovative model of care delivering positive patient and workforce outcomes

Cann, Tina, and Gardner, Anne (2012) Change for the better: an innovative model of care delivering positive patient and workforce outcomes. Collegian, 19 (2). pp. 107-113.

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Objective: To evaluate patient and workforce outcomes following the implementation of the Practice Partnership Model of Care.

Design: Pre-test–post-test design.

Setting: A 29-bed surgical ward at a tertiary-level regional hospital.

Subjects: Summary de-identified data from all patients and ward nursing staff in the study period.

Interventions: 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.

Main outcome measures: 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.

Item ID: 23394
Item Type: Article (Research - C1)
ISSN: 1876-7575
Keywords: nursing practice; model of care; patient satisfaction; nursing workforce; workforce issues
Date Deposited: 08 Oct 2012 02:34
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111099 Nursing not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920210 Nursing @ 100%
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