Amalgamation of Marginal Gains (<scp>AMG</scp>) as a potential system to deliver high‐quality fundamental nursing care: A qualitative analysis of interviews from high‐performance <scp>AMG</scp> sports and healthcare practitioners

Pentecost, Claire; Richards, David; Frost, Julia

doi:10.1111/jocn.14186

Cited by 8 publications

(10 citation statements)

References 28 publications

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“…Our findings have clinical implications for practice. Alongside our previous systematic review (Richards et al, ) and work to understand the practical application of Amalgamation of Marginal Gains (Pentecost et al, ), the findings will help us to develop a nursing care intervention that may have reasonable chance of operationalisation. We will include our qualitative findings to inform the development of an intervention to improve nursing care alongside additional work involving patients and nurses.…”

Section: Discussionmentioning

confidence: 88%

“…Patient representatives and nurses, including healthcare assistants and senior nurses should be involved in processes to identify areas to make small changes to patient care, to identify optimal ways to measure and monitor successes, and methods to feedback the results of care practices to all involved. There should be a clear organisational emphasis of the importance of nursing care practice determined by an agreed collective target reflecting an improvement in the quality of fundamental nursing care that represents the needs of all concerned (Pentecost et al, ); the patients, nurses, leaders and the wider organisation. When the target is understood and agreed the process of identification of small areas to make changes to achieve can follow.…”

Section: Discussionmentioning

confidence: 99%

“…Our nursing intervention is based on a model for improving performance used in sport and health care called Amalgamation of Marginal Gains (AMG) (Richards, ), a process of finding many candidate small improvements and making changes that when combined have a large impact on the desired outcome (Richards, ). In our previous work to understand how AMG has been applied to improve performance, we determined that AMG included whole group or team desire to achieve an overarching objective, a process of identification and selection of marginal gains, implementation of marginal gains changes with monitoring, feedback and regular review, and leadership to drive new practices (Pentecost, Richards, & Frost, ).…”

Section: Introductionmentioning

confidence: 99%

“…Our innovative nursing intervention will incorporate synthesised evidence from our systematic review of effective candidate fundamental nursing behaviours (Richards et al, ), a logic model derived from our qualitative data on the key processes of successful AMG innovation (Pentecost et al, ) and, finally, the results of a synthesis of qualitative studies identified in our systematic review (Richards et al, ) presented here in this third paper. In this final study, we aimed to elicit data on factors that impact on the quality and experiences of care in the essential areas of hygiene, mobility, elimination and nutrition, and potential mechanisms of interventions to construct an explanatory model of relationships between the core concepts identified (Frost, Garside, Cooper, & Britten, ).…”

Section: Introductionmentioning

confidence: 99%

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Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis

Pentecost

Frost

Sugg

et al. 2019

Journal of Clinical Nursing

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Aims and objectives: To systematically identify, appraise and synthesise patients', residents' and nurses' experiences of fundamental nursing care for nutrition, elimination, mobility and hygiene. Background: The evidence base for effective nursing behaviours to assist people with their fundamental care needs is sparse, hampering the development of effective interventions. Synthesising data on patients' and nurses' experiences of fundamentals of nursing care could contribute to the development of such an intervention.Methods: Systematic review and synthesis of qualitative data from qualitative studies on patients' and nurses' experiences of fundamental nursing care behaviours addressing peoples' nutrition, elimination, mobility and hygiene needs. We appraised study quality and relevance and used a narrative approach to data synthesis, fulfilling PRISMA criteria (Appendix S2). Results:We identified 22,374 papers, and 47 met our inclusion criteria. Most papers were of low quality. Sixteen papers met our quality and relevance criteria and were included for synthesis. Papers were about nutrition (2) elimination (2), mobility (5), hygiene (5) and multiple care areas (2). We found nurses and patients report that fundamental nursing care practices involve strong leadership, collaborative partnerships with patients and cohesive organisational practices aligned to nursing care objectives and actions. Conclusions: To improve fundamental care and interventions suitable for testing may require attention to leadership, patient-nurse relationships and organisational coherence plus the fundamentals of care nursing interventions themselves. Relevance to clinical practice: More rigorous mixed methods research about fundamental nursing care is needed to inform nursing practice and improve patient's • We have identified preferred nursing practices in four essential care areas, nutrition, elimination, mobility and hygiene.• High-quality and relevant studies have been synthesised, and three conceptual themes were identified: nurse leadership, partnerships with patients and organisational practices.• Nurse leadership and organisational practices need to demonstrate prioritisation of partnerships with patients in delivering essential nursing care in order that nursing care quality and patients experience of care is improved.• We will use the framework from our Amalgamation of Marginal Gains logic model to incorporate this knowledge and design our fundamentals of care nursing intervention to be empirically evaluated.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis

Pentecost

Frost

Sugg

et al. 2019

Journal of Clinical Nursing

Self Cite

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“…NPT used to shape the study approach, facilitate data collection and guide the analysis Multiple Countries Multiple Settings 49. Pentecost et al [ 92 ] Normalisation Process Theory To identify a set of principles that can be built into an innovative fundamental nursing care protocol to embed the system into nursing practice. NPT used in analysis to map process data onto NPT concepts United Kingdom Nursing Education 50.…”

Section: Resultsmentioning

confidence: 99%

Making change last? Exploring the value of sustainability approaches in healthcare: a scoping review

Lennox

Linwood-Amor

Maher

et al. 2020

Health Res Policy Sys

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Background Numerous models, tools and frameworks have been produced to improve the sustainability of evidence-based interventions. Due to the vast number available, choosing the most appropriate one is increasingly difficult for researchers and practitioners. To understand the value of such approaches, evidence warranting their use is needed. However, there is limited understanding of how sustainability approaches have been used and how they have impacted research or practice. This review aims to consolidate evidence on the application and impact of sustainability approaches in healthcare settings. Methods A systematic scoping review was designed to search for peer-reviewed publications detailing the use of sustainability approaches in practice. A 5-stage framework for scoping reviews directed the search strategy, and quality assessment was performed using the Mixed Method Appraisal Tool. Searches were performed through electronic citation tracking and snowballing of references. Articles were obtained through Web of Science, PubMed and Google Scholar. Six outcome variables for sustainability were explored to ascertain impact of approaches. Results This review includes 68 articles demonstrating the application of sustainability approaches in practice. Results show an increase in the use of sustainability approaches in peer-reviewed studies. Approaches have been applied across a range of healthcare settings, including primary, secondary, tertiary and community healthcare. Approaches are used for five main purposes, namely analysis, evaluation, guidance, assessment and planning. Results outline benefits (e.g. improved conceptualisation of sustainability constructs and improved ability to interpret sustainability data) and challenges (e.g. issues with approach constructs and difficulty in application) associated with using a sustainability approach in practice. Few articles (14/68) reported the sustainability outcome variables explored; therefore, the impact of approaches on sustainability remains unclear. Additional sustainability outcome variables reported in retrieved articles are discussed. Conclusions This review provides practitioners and researchers with a consolidated evidence base on sustainability approaches. Findings highlight the remaining gaps in the literature and emphasise the need for improved rigour and reporting of sustainability approaches in research studies. To guide future assessment and study of sustainability in healthcare settings an updated list of sustainability outcome variables is proposed. Trial Registration This review was registered on the PROSPERO database CRD 42016040081 in June 2016.

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Initial Approach to Damage Control Resuscitation

Lax

2022

Textbook of Acute Trauma Care

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Amalgamation of Marginal Gains (AMG) as a potential system to deliver high‐quality fundamental nursing care: A qualitative analysis of interviews from high‐performance AMG sports and healthcare practitioners

Cited by 8 publications

References 28 publications

Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis

Patients' and nurses' experiences of fundamental nursing care: A systematic review and qualitative synthesis

Making change last? Exploring the value of sustainability approaches in healthcare: a scoping review

Initial Approach to Damage Control Resuscitation

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