Royal Wolverhampton NHS Trust, UK.
Walsall Healthcare NHS Trust, UK.
Nurs Open. 2023 Feb;10(2):953-966. doi: 10.1002/nop2.1362. Epub 2022 Oct 5.
In 2018, an NHS Trust (UK) implemented an innovative Nursing System Framework (NSF). The NSF formalized a two-year strategy, which provided teams with clear aims and measurable objectives to deliver care. Failures of coordination of nursing services are well-recognized threats to the quality, safety and sustainability of care provision.
To evaluate the efficacy of introducing a NSF in an NHS Trust, using nursing sensitive indicators and pre-selected mortality, data outcome measures.
A before and after implementation, observational study.
105,437 admissions were extracted at an admission record level. Data was extracted from 1st September 2018 through to the 31st August 2019.
Using SQUIRE guidelines to report the study, insufficient evidence was found to reject a null hypothesis with a chi-squared test of association between in-hospital death and the NSF intervention period, with a p-value of .091. However, trends were seen in the data, which suggested a positive association.
The NSF is a complex intervention, which provides direction for improvements but requires further research to understand the benefits for nurses, Midwives, Health Visitors and patients.
2018 年，一家英国国民保健署信托基金（NHS Trust）实施了一项创新的护理系统框架（NSF）。该 NSF 使一项为期两年的战略正式化，为团队提供明确的目标和可衡量的目标，以提供护理。护理服务协调失败是对护理提供的质量、安全性和可持续性的公认威胁。
使用护理敏感指标和预先选定的死亡率数据结果测量指标，评估在 NHS 信托基金中引入 NSF 的效果。
实施前后的观察性研究。
在入院记录层面提取了 105437 例入院。数据从 2018 年 9 月 1 日提取到 2019 年 8 月 31 日。
使用 SQUIRE 指南报告研究结果，卡方检验关联分析显示，院内死亡与 NSF 干预期之间无显著关联（p 值为.091），因此无法拒绝零假设。然而，数据中出现了一些趋势，表明存在正相关。
NSF 是一项复杂的干预措施，为改进提供了方向，但需要进一步研究以了解对护士、助产士、保健访视员和患者的益处。
