A nurse coach quality improvement intervention: feasibility and treatment fidelity.
West J Nurs Res
; 30(6): 690-703, 2008 Oct.
Article
em En
| MEDLINE
| ID: mdl-18263844
ABSTRACT
As the U.S. population ages and chronic illness prevalence increases, new approaches to care are needed. Although large health systems have begun to respond to this challenge, most Americans seek care from practitioners functioning in small office settings. Implementing systematic sustainable changes for quality improvement in this setting remains an unresolved challenge. In this study, trained Nurse Coaches (NCs) were employed to assist practices in adopting a new model of patient care called Virtual Integrated Practice (VIP). The feasibility and treatment fidelity of this approach were assessed through process measures and interviews in three practices. Findings document high acceptance of the NC approach and consistent delivery of the intervention. Enactment of the VIP model took place across practices, although to a variable degree. The study suggests that NCs may be an effective delivery method for quality and organizational improvements in small primary care practices.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Mentores
/
Gestão da Qualidade Total
/
Enfermeiras e Enfermeiros
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
País/Região como assunto:
America do norte
Idioma:
En
Revista:
West J Nurs Res
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Estados Unidos