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![Page 1: The Productive Ward: Releasing Time to Care TM : A Review of the Literature for Implementation Mr. Mark White, HSE/WIT Professor John Wells, WIT Emeritus.](https://reader036.fdocuments.us/reader036/viewer/2022062712/56649c7b5503460f9492ee19/html5/thumbnails/1.jpg)
The Productive Ward: Releasing Time to Care TM: A Review of the Literature for
Implementation
Mr. Mark White, HSE/WIT
Professor John Wells, WIT
Emeritus Professor Tony Butterworth University of Lincoln
![Page 2: The Productive Ward: Releasing Time to Care TM : A Review of the Literature for Implementation Mr. Mark White, HSE/WIT Professor John Wells, WIT Emeritus.](https://reader036.fdocuments.us/reader036/viewer/2022062712/56649c7b5503460f9492ee19/html5/thumbnails/2.jpg)
The Productive Series
The Productive Leader
The Productive Ward
The Productive Mental Health Ward
The Productive Community Hospital
The Productive Community Services
The Productive Operating Theatre
![Page 3: The Productive Ward: Releasing Time to Care TM : A Review of the Literature for Implementation Mr. Mark White, HSE/WIT Professor John Wells, WIT Emeritus.](https://reader036.fdocuments.us/reader036/viewer/2022062712/56649c7b5503460f9492ee19/html5/thumbnails/3.jpg)
Key Points in Relation to the PW
• Structured, methodical ‘Lean’ approach that focuses on the ward team and the clinical leader
• Analyses the way the ward team works and suggests changes to improve processes
• Makes the environment more user friendly• Highlight KPI’s to demonstrate ‘knowing how we
are doing’ measures• Encourages a culture of continual improvement
![Page 4: The Productive Ward: Releasing Time to Care TM : A Review of the Literature for Implementation Mr. Mark White, HSE/WIT Professor John Wells, WIT Emeritus.](https://reader036.fdocuments.us/reader036/viewer/2022062712/56649c7b5503460f9492ee19/html5/thumbnails/4.jpg)
PATIENTS – THE REASON WE EXIST
INDIRECT NURSING TIME
DIRECT NURSING TIME
The Productive Ward aims to turn this...
NURSING CARE
25 - 40% direct time spent with patients
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INDIRECT NURSING TIME
DIRECT NURSING TIME
NURSING CARE
To this… 60%
…So that both patients and staff benefit
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And it looks like this……
![Page 7: The Productive Ward: Releasing Time to Care TM : A Review of the Literature for Implementation Mr. Mark White, HSE/WIT Professor John Wells, WIT Emeritus.](https://reader036.fdocuments.us/reader036/viewer/2022062712/56649c7b5503460f9492ee19/html5/thumbnails/7.jpg)
![Page 8: The Productive Ward: Releasing Time to Care TM : A Review of the Literature for Implementation Mr. Mark White, HSE/WIT Professor John Wells, WIT Emeritus.](https://reader036.fdocuments.us/reader036/viewer/2022062712/56649c7b5503460f9492ee19/html5/thumbnails/8.jpg)
2. PW in Ireland
• Designed by NHSi in 2005/2006• Piloted in 2006 & initial roll-out commenced
2007• 2 Early adopter sites in Ireland in 2010:
Roscommon and Cavan• NHSi/WIT Collaboration in early 2010• NHSi/WIT/HSE ‘Improvement and Innovation
Fellowship’ design 2010• ONMSD engagement and national rollout plan
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3. Model of Implementation in the HSENational Advisory Group
Chair – ONMSD Director
Director Nursing
Director of Public
Health Nursing
National SIPTU Rep.
National INMO Rep.
National PNA Rep.
National Therapy Leads Rep.
NMPDU Rep.
National PW Rep.
Clinical Program-
me Rep.
HEI Rep.
National Implementation Group
Productive Ward Areas/Sites
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4. National Phase 1 Productive Ward Sites
HSE West
•Letterkenny General Hospital
•Sligo General Hospital
•Our Lady’s Manorhamilton
•Roscommon County Hospital
•Ennis General Hospital
•St Johns Hospital Limerick
HSE South
•South Infirmary/Victoria University Hospital
•Cork University Maternity
Hospital
HSE DNE
•Cavan General Hospital
•OLOL Drogheda
•Beaurmont Hospital
•Connolly Hospital
HSE DML
• St. Vincent’s University Hospital
• Coombe University Hospital
•Midlands Regional Hospital Portlaois
•Midlands Regional Hospital Tullamore
HSE South (SE)
•Waterford Regional Hospital
•South Tipperary General Hospital
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4. Sites & Site selection Readiness Audit of applicant sites:
• Leadership at Executive level
• Aligned with strategic direction
• Governance of the programme
• Continuous improvement • Capability and knowledge
• Right people in place
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Progress
• All 17 sites (23 wards) have completed Module Implementation
• All 23 wards are have completed the 3 foundation modules & commenced process modules
• KHWD data is being Collected on Falls, Unplanned Absenteeisim, Infection Rates
• Preliminary results see improvements in the KHWD data and direct patient care times
(eg. Up to 30 mins/day on handover, 15 mins per dressing, 25mins per discharge, Unplanned Absenteeism from 17 episodes/pm to 1/pm )
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Barriers
• Executive buy-in & support• Backfill/Locum replacement• Finance to re-shape/layout the ward• Energy/Motivation to collect Data• Collecting the right data for improvement• Efficient reporting• Release for training and networking
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The PW Literature
• 3 NHSi Reports: Lessons for the PW 2010/Learning & Impact Review/Rapid Impact Assessment 2011
• Belfast Evaluation 2008, NHS Scotland 2009• Excellent Nursing Press and grey literature in
the UK and internationally• Peer Reviewed Journals from 2009
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Literature Review
Inclusion/removal criteria of
‘Implementation’ ‘challenges’
‘lessons learned’ 53 relevant articles
Duplicate and non-relevant removed=109
Potential74 articles for consideration.
318 PW references 210 RTC search theme
Exclusion criteria: Multiple/Eclectic
initiatives (Lean, TCAB and tPOT).
Key search : Productive Ward, Productive Series and Releasing Time to
Care.
Initial search of Standard Electronic Databases (Jan 2006
until June 2012).
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Enabling & Empowering Facilitator & Ward Lead
Roles
Appropriate Training & Support
Project Planning & Project Management
Role of LeadershipCorporate/Management Engagement & Support
A Financial & Human Resource Committment
A Robust & Engaging Communication Strategy
Productive Ward Implementation
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Next Steps
Project Implementation• Phase 2 Site recruitment Commenced • Continue with Phase 1 module
implementation.• Improvement metrics and reporting
being refined.• A project implementation evaluation
will take place 2013
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Many Thanks…
The Productive Ward: Releasing Time to Care™: What we can Learn from the Literature for Implementation.
In Press
Journal of Nursing Management