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A pluralistic evaluation of nursing/practice development units.

K Gerrish1

  • 1School of Nursing and Midwifery, University of Sheffield, Northern General Hospital, UK. k.a.gerrish@sheffield.ac.uk

Journal of Clinical Nursing
|February 1, 2002
PubMed
Summary

Nursing/practice development units (N/PDU) foster innovation and practitioner growth. However, their success hinges on leadership, resources, and support, with patient benefit needing further substantiation.

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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Organizational Development

Background:

  • Nursing/practice development units (N/PDU) are recognized for pioneering innovative practices and professional development.
  • Accreditation programs aim to standardize and enhance the effectiveness of these units.
  • Understanding stakeholder perceptions is crucial for evaluating N/PDU success.

Purpose of the Study:

  • To conduct a pluralistic evaluation of the University of Leeds' N/PDU accreditation programme.
  • To identify stakeholder perceptions of successful N/PDU characteristics.
  • To assess the alignment between N/PDU rhetoric and operational reality.

Main Methods:

  • Pluralistic evaluation research design.
  • Individual and focus group interviews with diverse stakeholders (clinical leaders, nurses, managers, medical practitioners, etc.).

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  • Analysis of stakeholder perceptions against identified success criteria.

    • Main Results:

    • Seven key criteria for N/PDU success were identified, including optimum practice, patient-orientation, innovation dissemination, teamwork, practitioner development, strategic change, and autonomy.
    • While units engaged in innovation, evaluation, and dissemination, success was influenced by clinical leadership, member commitment, financial resources, and managerial/institutional support.
    • A gap exists between the perceived benefits of N/PDU and substantiated patient outcomes.

    Conclusions:

    • N/PDUs demonstrate progress in healthcare practice and practitioner development.
    • Factors like leadership, resources, and support significantly impact N/PDU effectiveness.
    • Further research is needed to empirically demonstrate the direct benefits of N/PDUs for patient care.