Evidence map›Paper›PMID 36199258›Full record

Observational studyNursing open2023

Evaluation of the effect of a Nursing System Framework on Nurse Sensitive Indicators, mortality and readmission in an NHS Trust.

Ann-Marie Cannaby, Vanda Carter, Katherine Warren, Jason Gwinnett, Karla Bailey, Sultan Mahmud, Richard Gray

Abstract readObservational Study
In one paragraph

Observational study in Nursing open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ann-Marie CannabyRoyal Wolverhampton NHS Trust, UK.ORCID 0000-0001-8154-2140
Vanda CarterRoyal Wolverhampton NHS Trust, UK.ORCID 0000-0002-9997-319X
Katherine WarrenRoyal Wolverhampton NHS Trust, UK.
Jason GwinnettRoyal Wolverhampton NHS Trust, UK.
Karla BaileyRoyal Wolverhampton NHS Trust, UK.
Sultan MahmudBritish Telecommunications, London, UK.
Richard GrayLa Trobe University, Melbourne, Victoria, Australia.ORCID 0000-0001-9694-4206

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2018, an NHS Trust (UK) implemented an innovative Nursing System Framework (NSF). The NSF formalized a two-year strategy, which provided teams with clear aims and measurable objectives to deliver care. Failures of coordination of nursing services are well-recognized threats to the quality, safety and sustainability of care provision.

aimTo evaluate the efficacy of introducing a NSF in an NHS Trust, using nursing sensitive indicators and pre-selected mortality, data outcome measures.

designA before and after implementation, observational study.

methods105,437 admissions were extracted at an admission record level. Data was extracted from 1st September 2018 through to the 31st August 2019.

resultsUsing SQUIRE guidelines to report the study, insufficient evidence was found to reject a null hypothesis with a chi-squared test of association between in-hospital death and the NSF intervention period, with a p-value of .091. However, trends were seen in the data, which suggested a positive association.

conclusionThe NSF is a complex intervention, which provides direction for improvements but requires further research to understand the benefits for nurses, Midwives, Health Visitors and patients.

Indexed as

MidwiferyState MedicineFemaleHospital MortalityHumansPatient ReadmissionPregnancyclinical effectivenessevaluationhealth visitorleadershipmanagementmidwiferynursingqualitywork organization

Identifiers

PMID36199258
PMCPMC9834513

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.