针对护理文件标准化和质量差的调查结果,NHS威尔士于2014年通过国家电子护理文档计划开始了变革之旅。到2019年发展成为威尔士护理记录(WNCR),该计划旨在简化实践并提高准确性,合规,通过标准化的数字平台提高效率。案例研究探索了综合项目设计,强调循证实践,治理流程和国家护理信息学角色的引入。从2021年4月到2023年9月,WNCR的实施在符合条件的病房中实现了79%的推广,以战略投资为标志,健壮的训练,分阶段部署。迄今为止的评估显示对关键绩效指标的积极影响,以每位患者节省9分钟的时间为例。经验教训指出了用户参与的重要性,文化转型,以及正在进行的员工发展,为包括全国实施在内的未来战略铺平道路,利益实现,和数据可视化计划。
In response to findings indicating poor standardisation and quality in nursing documentation, NHS Wales embarked on a transformative journey with the National Electronic Nursing Documentation Programme in 2014. Evolving into the Welsh Nursing Care Record (WNCR) by 2019, this initiative sought to streamline practices and enhance accuracy, compliance, and efficiency through a standardised digital platform. The case study explores the comprehensive project design, emphasising evidence-based practices, governance processes and the introduction of National Nursing Informatics roles. Accomplished from April 2021 to September 2023, the WNCR implementation achieved a 79% roll out across eligible wards, marked by strategic investments, robust training, and phased deployment. Evaluations to date show positive impacts on key performance indicators, exemplified by a 9-minute time saving per patient. Lessons learned noted the significance of user engagement, cultural transformation, and ongoing staff development, paving the way for future strategies including nationwide implementation, benefits realisation, and data visualisation initiatives.