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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.
BMJ Open
|August 26, 2019
Summary
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.
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.
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