Christiansen Angela, Barnes Tracey, Bewley Toni, Kaehne Axel, Lynes Dave, Kirkcaldy Andrew
Faculty of Health, Engineering and Science, Edith Cowen University, Perth, WA, Australia.
Faculty of Health and Social Care, Edge Hill University, Ormskirk, UK.
J Nurs Manag. 2016 Sep;24(6):755-65. doi: 10.1111/jonm.12379. Epub 2016 Mar 23.
To explore the impact of the National Health Service England's Open and Honest Care Programme on patient safety, patient and staff experience and improvement practices within acute National Health Service settings.
The Open and Honest Care Programme forms a key tenet of the Nursing Midwifery and Care Staff Strategy launched by the Department of Health in England and Wales in 2012.
An electronic survey (n = 387) was administered to National Health Service staff. Semi-structured telephone interviews (n = 13) were conducted with senior nurses and ward managers.
Over 70% of the survey respondents agreed that the programme increased transparency with the public about the quality of care, helped the working experience of National Health Service staff and improved patient safety respectively. Interviews revealed the Open and Honest Care Programme had enabled National Health Service staff to appraise the effectiveness of their improvement efforts.
The Open and Honest Care Programme could be an important part of the National Health Service Improvement Strategy. The collection of metric and narrative information highlighted where patient-centred improvements were required, facilitating the targeting and development of specific interventions or resources.
The results indicate that the programme may assist managers to identify areas for improvement and that programmes such as this deserve consideration by health-care management globally.
探讨英国国家医疗服务体系（NHS）的“坦诚关爱计划”对NHS急性病医疗环境下患者安全、患者及医护人员体验以及改进措施的影响。
“坦诚关爱计划”是2012年英格兰和威尔士卫生部发起的护理、助产及医护人员战略的一项关键原则。
对NHS工作人员进行了一项电子调查（n = 387）。对高级护士和病房管理人员进行了半结构化电话访谈（n = 13）。
超过70%的调查受访者分别认为该计划提高了医疗质量对公众的透明度，改善了NHS工作人员的工作体验并提高了患者安全。访谈显示“坦诚关爱计划”使NHS工作人员能够评估其改进工作的成效。
“坦诚关爱计划”可能是NHS改进战略的重要组成部分。指标和叙述性信息的收集突出了需要以患者为中心进行改进的方面，有助于确定具体干预措施或资源的目标并推动其发展。
结果表明该计划可能有助于管理人员确定改进领域，全球医疗保健管理部门值得考虑此类计划。
