NHS London, 105 Victoria Street, London, UK.
J Nurs Manag. 2011 Mar;19(2):170-6. doi: 10.1111/j.1365-2834.2011.01230.x. Epub 2011 Feb 16.
The aim of the study was to evaluate the 'Back to the floor Friday' (BtfF) initiative, whereby senior nurses returned to the floor, in particular its impact on patient experience and patient care.
Propositions were that improvements would result from strengthened visible clinical leadership through monitoring standards, supporting staff, resolving problems, acting as advocates and implementing change.
Participatory action research: BtfF population surveyed; five focus groups comprising 20 multi-professional staff; interviews with nine therapists, 45 nurses, one nurse specialist and four patients. Data analysed using qualitative content analysis.
Empowerment, learning together, professional networking, communication, championing change and 'Matron Power' were positive themes and perceived staff benefits arising from BtfF. Staff provided anecdotal examples of patient benefits but tangible evidence of improvements were more difficult to identify.
Long-term evaluation of the impact of BtfF on patients is needed. Nurse specialists, matrons and clinical educators felt that the initiative did not impact significantly on day-to-day roles. Nurses across the workforce needed clarity around propositions behind the change.
Enablers to the initiative were supportive line management, senior leadership and peer support. Clarity of purpose is important to drive effective change.
研究目的是评估“星期五回到病房（BtfF）”倡议，即高级护士回到病房，特别是其对患者体验和护理的影响。
有观点认为，通过监测标准、支持员工、解决问题、充当拥护者和实施变革，可以从加强可见的临床领导力中获得改进。
参与式行动研究：对 BtfF 人群进行调查；由 20 名多专业人员组成的五个焦点小组；对 9 名治疗师、45 名护士、1 名护士专家和 4 名患者进行访谈。使用定性内容分析对数据进行分析。
授权、共同学习、专业网络、沟通、倡导变革和“护士长权力”是积极的主题，也是 BtfF 带来的员工受益。员工提供了患者受益的轶事证据，但更难以确定改进的具体证据。
需要对 BtfF 对患者的长期影响进行评估。护士专家、护士长和临床教育者认为，该倡议对日常角色没有显著影响。整个劳动力的护士都需要明确变革背后的主张。
该倡议的推动者是支持性的一线管理、高层领导和同行支持。明确目的对于推动有效的变革很重要。
