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A systematic literature review of R eleasing T ime to C are: T he P roductive W ard
Author(s) -
Wright Stella,
McSherry Wilfred
Publication year - 2013
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.12074
Subject(s) - cinahl , systematic review , inclusion (mineral) , nursing , medicine , health care , psychology , patient safety , medline , psychological intervention , social psychology , political science , law
Aims and objectives This systematic review provides an overview of the literature published on R eleasing T ime to C are: T he P roductive W ard between 2005 and J une 2011. Background R eleasing T ime to C are: T he P roductive W ard programme was developed by the NHS I nstitute for I nnovation and I mprovement and launched in E ngland in 2007. The programme comprises thirteen modules that aim to increase time for direct patient care, improve the patient and staff experience and make changes to the ward environment to improve efficiency. Design A systematic literature review. Methods The terms ‘ R eleasing T ime to C are’ and ‘ P roductive W ard’ were applied to key healthcare databases; CINAHL , M edline, S cience D irect, P ro Q uest, H ealth B usiness E lite, B ritish N ursing I ndex, E mbase, H ealth M anagement I nformation C onsortium and P sychInfo. All papers were read and subject to a quality assessment. Results The literature search identified 95 unique sources. A lack of research on T he P roductive W ard programme meant it was necessary to include non‐empirical literature. In total, 18 articles met the inclusion criteria. Seven key themes were identified: the patient and staff experience, direct care time, patient safety, financial impact, embedding and sustainability, executive support and leadership, and common barriers and determinants of success. It also highlighted areas that require further exploration such as long‐term sustainability of the programme and consistent data measurement between organisations. Conclusion The review tentatively reports how T he P roductive W ard programme has been used to transform nursing practice for the benefit of patients and frontline staff, and how it resulted in cost savings. The literature review identified a potential positive results bias in the current literature whereby favourable outcomes were reported. Relevance to clinical practice This paper summarises the types of evidence and current literature on T he P roductive W ard providing a reference for frontline staff implementing the programme.