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Exploring the Effectiveness of Practice Development Interventions on Patient and Staff Outcomes: A Systematic Review.
Hazel A Smith1, Vanda Carter2, Charlotte Phillips2
1Centre for Health Innovation/Centre for NMAHP Research and Education Excellence (CeNREE), University of Staffordshire/University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Journal of Advanced Nursing
|July 5, 2026
Summary
Practice Development interventions positively impact healthcare environments for staff and patients. However, consistent improvements in clinical outcomes or quality of life require further investigation.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Nursing Research
Background:
- Practice Development (PD) interventions aim to improve healthcare settings.
- Understanding the impact of PD on patient and staff outcomes is crucial.
- Contextual factors significantly influence the effectiveness of PD.
Purpose of the Study:
- To explore Practice Development interventions and their associated contextual factors.
- To understand the impact of these interventions on patient and staff outcomes and experiences.
- To synthesize findings from a systematic review of relevant literature.
Main Methods:
- Systematic review adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Utilized multiple reviewers and consensus methods for study selection and quality appraisal (Mixed Methods Appraisal Tool).
- Qualitative data analyzed using Reflexive Thematic Analysis; quantitative data presented narratively.
Main Results:
- Twenty-nine studies were included, with 18 meeting all quality criteria.
- Qualitative analysis revealed themes of 'Shaping Practice,' 'Enablers and constraints,' and 'Collective empowerment.'
- Limited quantitative data and inconsistent measures restricted in-depth quantitative analysis.
Conclusions:
- Practice Development generally enhances staff working environments and patient care contexts.
- Current evidence does not consistently demonstrate improvements in clinical outcomes or quality of life.
- Further research is needed to address knowledge gaps in the generalizability and transferability of PD interventions.
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