Introducing Rapid Change Escalades to Adjust Organisational Issues in Clinical Practice

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Very good

Comments:

The Results are consistent with the increase in team satisfaction in all professions with none of the professional groups encountering any difficulty with the new procedure. The Discussion offers a thorough and detailed analysis of the findings of the present study taking all the relevant literature into account. The policlinic nurse team introduced weekly mini-huddles of maximum 15 minutes to discuss work organisational issues, with structured access to collaborating professionals and their hierarchies. The study is apt in Concluding that by cautious and collaborative proceeding, and the choice of an earnest issue by front nurses, it levelled the nurse’s workload and pleased patients and professional teams.

Literature

Q: Does the author utilize relevant literature?

A: Very good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Good

Writing style

Q: Is it clear and understandable?

A: Good

Further comments on the paper

Comments: This study successfully experiments with an organisational change practice that would take little time and effort for the team when attempting to improve a collaborative patient care process. The study holds significance as there is currently no report on a method of quick improvement measures that are universal and robust enough to apply to the whole hospital context, handling chained initiatives as well as introducing change across different professions. The new process discussed in this study efficiently decreased the average stock of nurse’s team over-time from 65.5 to 46.8 hours (-29%), and the nurse’s absenteeism from 4.6 % to 1.97 % (-57%). No formal assessment of the level of satisfaction of patients and staff due to lack of time comes out as one of the limitations of the study.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team