Active collaboration and participation of managers is crucial in the facilitation of and sustainability of cultural change. Approaches adopted to develop and sustain the transformation of practice need to focus on developing the skills and attributes of leaders and managers as facilitators.
Objective The aim of the study was to evaluate a technological solution in the form of an App to implement and measure person-centredness in nursing. The focus was to enhance the knowledge transfer of a set of person-centred key performance indicators and the corresponding measurement framework used to inform improvements in the experience of care. Design The study used an evaluation approach derived from the work of the Medical Research Council to assess the feasibility of the App and establish the degree to which the App was meeting the aims set out in the development phase. Evaluation data were collected using focus groups (n = 7) and semi-structured interviews (n = 7) to capture the impact of processes experienced by participating sites. Setting The study was conducted in the UK and Australia in two organizations, across 11 participating sites. Participants 22 nurses from 11 sites in two large health care organizations were recruited on a voluntary basis. Intervention Implementing the KPIs and measurement framework via the APP through two cycles of data collection. Main Outcome Measures The main outcome was to establish feasibility in the use of the App. Results The majority of nurse/midwife participants found the App easy to use. There was broad consensus that the App was an effective method to measure the patient experience and generated clear, concise reports in real time. Conclusions The implementation of the person-centred key performance indicators using the App enhanced the generation of meaningful data to evidence patient experience across a range of different clinical settings.
Aims To explore the utility and feasibility of implementing eight person‐centred nursing key performance indicators in supporting community nurses to lead the development of person‐centred practice. Background Policy advocates person‐centred health care, but few quality indicators exist that explicitly focus on evaluating person‐centred practice in community nursing. Current quality measurement frameworks in the community focus on incidences of poor or missed opportunities for care, with few mechanisms to measure how clients perceive the care they receive. Methods An evaluation approach derived from work of the Medical Research Council was used, and the study was underpinned by the Person‐centred Practice Framework. Participatory methods were used, consistent with person‐centred research. Results Data were thematically analysed, revealing five themes: giving voice to experience; talking the language of person‐centredness; leading for cultural change; proud to be a nurse; and facilitating engagement. Conclusions The findings suggest that implementing the eight person‐centred nursing key performance indicators (KPIs) and the measurement framework is feasible and offers a means of evidencing person‐centredness in community nursing. Implications for Nursing Management Person‐centred KPI data, used alongside existing quality indicators, will enable nurse managers to evidence a high standard of care delivery and assist in the development of person‐centred practice.
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