Featured projects (1)
Clinical microsystems' - and how well they work - are the focus of this call for research proposals. A clinical microsystem can be any health care team providing services to patients, for example, a General Practice, a hospital ward or a clinical unit. This proposal is to find out whether a way of trying to improve how staff in hospital wards work - called the 'Productive Ward' - has been successful in NHS acute hospitals in England and to help managers, doctors and nurses who are continuing to use the approach to make it as useful as possible. The Productive Ward aims to allow nurses on wards to change the way they work so that they are more efficient by reducing waste and stopping nurses from spending time on activities that do not benefit their patients. The Productive Ward was first tried in the NHS in 2007 and in the 8 years that have followed most hospitals in England have used this approach as a way of making some or all of their wards work better. Although the NHS has spent significant amounts of money on using the Productive Ward (over £50 million) still little is known about whether it has worked or not or what its effect has been on patients and carers. Nor do we know whether hospitals that began to use it in 2007 have seen any benefits last. The research team previously studied how the Productive Ward spread through the NHS and have a list of all the 102 hospitals that had began using it by 2009. The researchers now plan to find out whether the wards in those hospitals are working better now than wards that either started to use the Productive Ward at a later date or who have not used the Productive Ward at all. The researchers will survey all 160 NHS acute hospitals in England to update their earlier study and find out whether they are currently, or have previously, used the Productive Ward and, if they have, the way in which they have used it and whether it has worked well. From the results of the survey the researchers will identify 3 hospitals that began to use the Productive Ward first and 3 that started later. The researchers will then carry out research in 2 wards in each of these 6 hospitals. The researchers will interview staff and patients in the hospitals to find out whether using the Productive Ward has brought about any benefits, such as whether nurses spend less time looking for equipment and other unproductive activities that the Productive Ward was supposed to reduce. The researchers will also try to find out whether there have been other benefits of using the Productive Ward, such as developing nurse leaders and whether different ways of introducing the approach have had any impact on the success or otherwise of the Productive Ward. Finding this out will help managers, doctors and nurses and other clinical staff in other hospitals think about how they are using the approach and whether they should do things differently in order to maximise it's impact. The research will take 30 months to finish and will answer whether using the Productive Ward over a 10 year period (2008-17) has made wards in English NHS hospitals more efficient, with less time wasted by nursing staff on activities that do not benefit their patients whilst also improving staff experiences too.
Featured research (2)
At the time of writing (11th April 2020) there are 1.72 million Covid‐19 infections and 104,889 deaths worldwide. In the UK the first recorded death was on the 5th of March 2020 and in just 37 days 9,875 deaths in hospital have been recorded. The 10th of April saw the highest number of UK daily deaths (980) to date. These UK figures do not include those who died in care homes or in the community. Similar death rates have been experienced in China earlier this year (3,339) and are rising globally with particularly high death rates in the US (18,761 with over half of deaths in New York State), Italy (18,939), Spain (16,353) and France (13,197).
Productive Ward: Releasing Time to Care™ was a large-scale nursing quality-improvement programme introduced to English acute trusts a decade ago to improve productivity and reduce wastage on the ward. A multi-methods study looked at what remains of the programme today, how it was implemented and whether it has had any lasting impact. It concludes that it has useful lessons for the design, implementation and sustainability of other large-scale quality improvement programmes.
- School of Health Sciences
About Jill Maben
- I am passionate about creating positive practice environments for NHS staff and supporting staff in the work they do caring for patients. My programme of research has highlighted how ideals and values of new nursing students can become compromised and crushed in poor work environments and has highlighted the links between staff experiences of work and patient experiences of care.