Evaluation of the effect of a nursing system framework on nurse sensitive indicators, mortality and readmission in an NHS trust
Cannaby, Ann-Marie Carter, Vanda Warren, Katherine Gwinnett, Jason Bailey, Karla Mahmud, Sultan Gray, Richard
Cannaby, Ann-Marie
Carter, Vanda
Warren, Katherine
Gwinnett, Jason
Bailey, Karla
Mahmud, Sultan
Gray, Richard
Abstract
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.
Aim: To evaluate the efficacy of introducing a NSF in an NHS Trust, using nursing sensitive indicators and pre-selected mortality, data outcome measures.
Design: A before and after implementation, observational study.
Methods: 105,437 admissions were extracted at an admission record level. Data was extracted from 1st September 2018 through to the 31st August 2019.
Results: 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.
Conclusion: 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.
MIDER Authors
Affiliations
Royal Wolverhampton NHS Trust; Walsall Healthcare NHS Trust; British Telecommunications; La Trobe University, Melbourne
Citations
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Date
2023-02-10
Type
Article
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Citation
Cannaby AM, Carter V, Warren K, Gwinnett J, Bailey K, Mahmud S, Gray R. Evaluation of the effect of a Nursing System Framework on Nurse Sensitive Indicators, mortality and readmission in an NHS Trust. Nurs Open. 2023 Feb;10(2):953-966.