White Mark, Wells John Sg, Butterworth Tony
Nursing and Midwifery Planning and Development Unit, HSE-South, Kilkenny, Ireland.
J Nurs Manag. 2014 Oct;22(7):914-23. doi: 10.1111/jonm.12069. Epub 2013 Jun 18.
This paper reviews the Productive Ward: Releasing Time to Care™ literature, identifying and discussing the key characteristics that may contribute to successful implementation.
It is 5 years since the official UK launch of the Productive Ward, and the Republic of Ireland commenced a phased, national implementation programme in 2011. Thus it is timely to reflect on the implementation lessons learned to date and described in the literature.
Using taxonomic mapping, this paper evaluates the current state of the literature that pertains to Productive Ward implementation experience; success factors; reports, and assessments.
Seven common contextual characteristics were identified: robust and engaging communication; enabling and empowering roles; appropriate training; project planning and management; leadership; corporate/management engagement and support; and financial and human resource commitment.
The key characteristics identified have a direct impact on the implementation of the Productive Ward. The interplay between these key characteristics and how this interplay influences successful implementation of the Productive Ward warrants further research.
Acknowledging and embracing the seven characteristics during implementation will positively improve the progress and success of the initiatives implementation.
本文回顾了“高效病房：释放护理时间”™的相关文献，识别并讨论可能有助于成功实施的关键特征。
自英国正式推出“高效病房”已有5年，爱尔兰共和国于2011年开始了分阶段的全国实施计划。因此，及时反思迄今在文献中描述的实施经验教训很有必要。
本文采用分类映射法，评估了与“高效病房”实施经验、成功因素、报告及评估相关的文献现状。
确定了七个常见的背景特征：强有力且引人关注的沟通；促成和赋予权力的角色；适当的培训；项目规划与管理；领导力；企业/管理层的参与和支持；以及财务和人力资源投入。
所确定的关键特征对“高效病房”的实施有直接影响。这些关键特征之间的相互作用以及这种相互作用如何影响“高效病房”的成功实施值得进一步研究。
在实施过程中认识并接纳这七个特征将积极改善举措实施的进展和成功率。
