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Developing and testing a matrix to achieve ready-everyday nursing standards (RENS): an observational study protocol.

Angela Ratsch1, Fiona Sewell2, Adrian Pennington2

  • 1Wide Bay Hospital and Health Service, Bundaberg, Queensland, Australia angela.ratsch@health.qld.gov.au.

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A new interactive matrix was developed to improve nursing care quality and ensure readiness for accreditation assessments in a Queensland health service. This system aims to align nursing practice with mandatory standards and enhance healthcare quality.

Keywords:
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Area of Science:

  • Healthcare Quality Improvement
  • Nursing Practice Standards
  • Health Service Management

Background:

  • A regional Queensland Hospital and Health Service (HHS) faced challenges in nursing care quality despite national accreditation (Australian Council on Healthcare Standards - ACHS) and mandatory Nursing and Midwifery Board of Australia (NMBA) standards.
  • Deficits in nursing care quality were identified, necessitating a project to significantly improve services and ensure readiness for accreditation.

Purpose of the Study:

  • To develop and implement a novel interactive matrix to enhance nursing care quality.
  • To ensure nursing practice aligns with NMBA standards and prepares the health service for ACHS accreditation.
  • To overcome barriers to quality improvement through critical system changes.

Main Methods:

  • A participatory action research design with a modified Delphi methodology for matrix development.
  • Organizational change management informed by Kotter's model and McKinsey 7S.
  • A 12-month pre-test/post-test design using quantitative and qualitative data to evaluate the matrix's impact on compliance and care quality.

Main Results:

  • The study protocol outlines the establishment, implementation, and evaluation of an interactive matrix.
  • The matrix links nursing care services to professional and practice standards, providing real-time quantitative output measures.
  • Data analysis will involve descriptive and comparative statistics for quantitative data and content analysis for qualitative data.

Conclusions:

  • The implemented matrix is expected to structurally and operationally support the achievement of improved nursing care quality.
  • The project aims for a quantum shift in nursing services, ensuring everyday readiness for accreditation and exemplary nursing practice.
  • Findings will be disseminated through seminars, conferences, and peer-reviewed publications.