Premium
The ‘Releasing Time to Care – the Productive Ward’ programme: participants’ perspectives
Author(s) -
DAVIS JACQUELINE,
ADAMS JOHN
Publication year - 2012
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/j.1365-2834.2011.01266.x
Subject(s) - thematic analysis , enthusiasm , transformational leadership , nursing , content analysis , time management , nursing management , psychology , qualitative research , health care , nursing care , medicine , management , sociology , social psychology , political science , social science , law , economics
davis j. & adams j. (2012) Journal of Nursing Management 20, 354–360
The ‘Releasing Time to Care – the Productive Ward’ programme: participants’ perspectives Aim The aim of this study was to explore the perceptions of nursing staff concerning the implementation of the ‘Releasing Time to Care – the Productive Ward’ programme in a specialist cardiothoracic hospital. Background The ‘Releasing Time to Care – the Productive Ward’ programme uses the ‘lean’ philosophy originally developed in the Japanese motor industry to improve the efficiency of hospital wards. Its aim is to increase the proportion of time that nurses are able to spend in direct patient care. Method This study used a descriptive qualitative method with a sample size of four nurses and two health‐care support workers. Thematic analysis of the interview transcripts was undertaken using the procedure developed by Burnard. Results Thematic content analysis identified five major themes: starting to implement the programme, anxiety and defensiveness, the importance of leadership and communication, challenges, and learning and personal development. Conclusion Overall, the programme had a positive impact on both the wards studied. Challenges that were identified included the need to sustain momentum once the initial enthusiasm had waned. Implications for Nursing Management This study highlighted the importance of key transformational leadership skills at ward manager level, such as the ability to inspire nurses to approach old problems in new ways, in the implementation of the ‘Releasing Time to Care – the Productive Ward’ programme.