Improving patients’ and staff’s experiences of acute care
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Improving patients’ and staff’s experiences of acute care

Rob Chaplin Research fellow, Royal College of Psychiatrists, London
Jacob Crawshaw Previously employed as project worker, Royal College of Psychiatrists, Centre for Quality Improvement, London
Chloe Hood Programme manager, Royal College of Psychiatrists, London

Wards participating in the Quality Mark programme gather rich data at two stages to help pinpoint what aspects have changed for the better, and reveal possible reasons for this. Rob Chaplin and colleagues explore the results of one such audit

The aim of this audit was to assess the effect of the Quality Mark programme on the quality of acute care received by older patients by comparing the experiences of staff and older adults before and after the programme. Data from 31 wards in 12 acute hospitals were collected over two stages. Patients and staff completed questionnaires on the perceived quality of care on the ward. Patients rated improved experiences of nutrition, staff availability and dignity. Staff received an increase in training and reported better access to support, increased time and skill to deliver care and improved morale, leadership and teamwork. Problems remained with ward comfort and mealtimes. Overall, results indicated an improvement in ratings of care quality in most domains during Quality Mark data collection. Further audits need to explore ways of improving ward comfort and mealtime experience.

Nursing Older People. 27, 2, 25-30. doi: 10.7748/nop.27.2.25.e663


Peer review

This article has been subject to double blind peer review

Conflict of interest

All authors worked for the Royal College of Psychiatrists who run the Quality Mark programme

Received: 17 November 2014

Accepted: 20 January 2015