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How does feedback shared with interprofessional health care teams shape nursing performance improvement systems? A rapid realist review protocol
BACKGROUND: Nursing care quality varies between hospitals, and even between departments within the same institution. Suboptimal care can have deleterious consequences for patients such as lengthened hospital stay, nosocomial infection, pressure ulcers or death. Experts recommend the implementation o...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6647156/ https://www.ncbi.nlm.nih.gov/pubmed/31331381 http://dx.doi.org/10.1186/s13643-019-1097-2 |
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author | Rapin, Joachim Pellet, Joanie Mabire, Cedric Gendron, Sylvie Dubois, Carl-Ardy |
author_facet | Rapin, Joachim Pellet, Joanie Mabire, Cedric Gendron, Sylvie Dubois, Carl-Ardy |
author_sort | Rapin, Joachim |
collection | PubMed |
description | BACKGROUND: Nursing care quality varies between hospitals, and even between departments within the same institution. Suboptimal care can have deleterious consequences for patients such as lengthened hospital stay, nosocomial infection, pressure ulcers or death. Experts recommend the implementation of nursing performance improvement systems to assess team performance and monitor patient outcomes and efficiency savings. In practice, these systems are expected to include feedback processes directed towards nursing teams and interprofessional staff in order to facilitate adjustments and improve their performance. Unfortunately, feedback appears somewhat haphazard and, at times, overlooked. This could be explained by an ongoing absence of clear recommendations. As a result, feedback effects are inconclusive: some teams improve their practice, others do not. Although feedback has been conceptualised and studied from different theoretical perspectives, ongoing empirical inconsistencies remain unexplained. The goal of this rapid realist review protocol is to develop a theory that explains how feedback shared with interprofessional health care teams shape nursing performance improvement systems. METHOD: This study follows standard guidelines established for realist reviews. Mechanisms at work will be analysed using Actor-Network Theory. All scientific documents are selected from five databases, are published in both English and French between 2010 and 2018, and include empirical research, reviews and grey literature. First, selection of documents will proceed on the basis of titles and abstracts; followed by a second selection by reading the remaining full texts. Inclusion criteria and a data extraction form will be pilot tested with 40 articles prior to completion by two reviewers. Data will be summarised in the form of [context, mechanism, outcome] equations to theorise operational feedback. DISCUSSION: The innovative combination of Actor-Network Theory with a realist methodology holds promise for the identification of explanatory equations in complex systems and theory development. A rapid realist review is relevant to address an enduring knowledge gap which requires theory development. This preliminary study lays the groundwork for a pioneering theory on feedback in nursing performance improvement systems that will subsequently inform a multiple case study. SYSTEMATIC REVIEW REGISTRATION: Prospero CRD42018110128 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13643-019-1097-2) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6647156 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-66471562019-07-31 How does feedback shared with interprofessional health care teams shape nursing performance improvement systems? A rapid realist review protocol Rapin, Joachim Pellet, Joanie Mabire, Cedric Gendron, Sylvie Dubois, Carl-Ardy Syst Rev Protocol BACKGROUND: Nursing care quality varies between hospitals, and even between departments within the same institution. Suboptimal care can have deleterious consequences for patients such as lengthened hospital stay, nosocomial infection, pressure ulcers or death. Experts recommend the implementation of nursing performance improvement systems to assess team performance and monitor patient outcomes and efficiency savings. In practice, these systems are expected to include feedback processes directed towards nursing teams and interprofessional staff in order to facilitate adjustments and improve their performance. Unfortunately, feedback appears somewhat haphazard and, at times, overlooked. This could be explained by an ongoing absence of clear recommendations. As a result, feedback effects are inconclusive: some teams improve their practice, others do not. Although feedback has been conceptualised and studied from different theoretical perspectives, ongoing empirical inconsistencies remain unexplained. The goal of this rapid realist review protocol is to develop a theory that explains how feedback shared with interprofessional health care teams shape nursing performance improvement systems. METHOD: This study follows standard guidelines established for realist reviews. Mechanisms at work will be analysed using Actor-Network Theory. All scientific documents are selected from five databases, are published in both English and French between 2010 and 2018, and include empirical research, reviews and grey literature. First, selection of documents will proceed on the basis of titles and abstracts; followed by a second selection by reading the remaining full texts. Inclusion criteria and a data extraction form will be pilot tested with 40 articles prior to completion by two reviewers. Data will be summarised in the form of [context, mechanism, outcome] equations to theorise operational feedback. DISCUSSION: The innovative combination of Actor-Network Theory with a realist methodology holds promise for the identification of explanatory equations in complex systems and theory development. A rapid realist review is relevant to address an enduring knowledge gap which requires theory development. This preliminary study lays the groundwork for a pioneering theory on feedback in nursing performance improvement systems that will subsequently inform a multiple case study. SYSTEMATIC REVIEW REGISTRATION: Prospero CRD42018110128 ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13643-019-1097-2) contains supplementary material, which is available to authorized users. BioMed Central 2019-07-22 /pmc/articles/PMC6647156/ /pubmed/31331381 http://dx.doi.org/10.1186/s13643-019-1097-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Protocol Rapin, Joachim Pellet, Joanie Mabire, Cedric Gendron, Sylvie Dubois, Carl-Ardy How does feedback shared with interprofessional health care teams shape nursing performance improvement systems? A rapid realist review protocol |
title | How does feedback shared with interprofessional health care teams shape nursing performance improvement systems? A rapid realist review protocol |
title_full | How does feedback shared with interprofessional health care teams shape nursing performance improvement systems? A rapid realist review protocol |
title_fullStr | How does feedback shared with interprofessional health care teams shape nursing performance improvement systems? A rapid realist review protocol |
title_full_unstemmed | How does feedback shared with interprofessional health care teams shape nursing performance improvement systems? A rapid realist review protocol |
title_short | How does feedback shared with interprofessional health care teams shape nursing performance improvement systems? A rapid realist review protocol |
title_sort | how does feedback shared with interprofessional health care teams shape nursing performance improvement systems? a rapid realist review protocol |
topic | Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6647156/ https://www.ncbi.nlm.nih.gov/pubmed/31331381 http://dx.doi.org/10.1186/s13643-019-1097-2 |
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