2.50
Hdl Handle:
http://hdl.handle.net/10755/147656
Type:
Presentation
Title:
Standardizing the Nursing Role in the Guided Care Model
Abstract:
Standardizing the Nursing Role in the Guided Care Model
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Giddens, Jean Foret, PhD, RN
P.I. Institution Name:University of New Mexico
Co-Authors:Charles Boult, MD, MPH, MBA
[Scientific session research presentation] Guided Care is an interdisciplinary model designed to improve the quality of life and efficiency of resource use for medically complex adults. Central to the success of the Guided Care model is the Guided Care Nurse (GCN), who improves health by functioning as a liaison with complex patients, their caregivers, and the health care system. With federal and foundation funding, a multi-site randomized clinical trial (RCT) of Guided Care is now under way. The importance of defining the GCN role and standardizing GCN performance to minimize variability in outcomes cannot be overstated. As the centerpiece of this RCT, we developed and evaluated a curriculum to educate nurses to practice in the Guided Care Model. Health care professionals from nursing, medicine, social work, public health, and psychology were involved in this effort. Articulation of the envisioned roles and competencies for GCN practice provided the general direction for curriculum development which included identification of goals and objectives, content, structure for content delivery, and evaluation strategies. Content categories included Patient and Family Assessment, Proactive Monitoring, Coaching for Self-Management, Transitional Care, Coordination of Providers, and Accessing community Services. Content delivery included a combination of independent learning using Web-based instruction modules and social learning in the form of seminars, workshops, and practicum sessions. Learning strategies included readings, lecture, small group discussion, role-play, and information technology skill development. A rubric was used for standardized assessment of learner performance and feedback. GCN learners completed self-evaluations, program evaluations, and participated in individual interviews.  Evaluation data reflected that the 6-week time frame was excessive, but that the educational process was necessary and effective for role attainment. A mechanism for efficient, widespread access and delivery of a revised GCN curriculum and learner evaluation must be developed to facilitate diffusion of the Guided Care Model throughout American health care.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleStandardizing the Nursing Role in the Guided Care Modelen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147656-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Standardizing the Nursing Role in the Guided Care Model</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Giddens, Jean Foret, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of New Mexico</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jgiddens@salud.unm.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Charles Boult, MD, MPH, MBA</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Guided Care is an interdisciplinary model designed to improve the quality of life and efficiency of resource use for medically complex adults. Central to the success of the Guided Care model is the Guided Care Nurse (GCN), who improves health by functioning as a liaison with complex patients, their caregivers, and the health care system. With federal and foundation funding, a multi-site randomized clinical trial (RCT) of Guided Care is now under way. The importance of defining the GCN role and standardizing GCN performance to minimize variability in outcomes cannot be overstated. As the centerpiece of this RCT, we developed and evaluated a curriculum to educate nurses to practice in the Guided Care Model. Health care professionals from nursing, medicine, social work, public health, and psychology were involved in this effort. Articulation of the envisioned roles and competencies for GCN practice provided the general direction for curriculum development which included identification of goals and objectives, content, structure for content delivery, and evaluation strategies. Content categories included Patient and Family Assessment, Proactive Monitoring, Coaching for Self-Management, Transitional Care, Coordination of Providers, and Accessing community Services. Content delivery included a combination of independent learning using Web-based instruction modules and social learning in the form of seminars, workshops, and practicum sessions. Learning strategies included readings, lecture, small group discussion, role-play, and information technology skill development.&nbsp;A rubric was used for standardized assessment of learner performance and feedback. GCN learners completed self-evaluations, program evaluations, and participated in individual interviews.&nbsp; Evaluation data reflected that the 6-week time frame was excessive, but that the educational process was necessary and effective for role attainment. A mechanism for efficient, widespread access and delivery of a revised GCN curriculum and learner evaluation must be developed to facilitate diffusion of the Guided Care Model throughout American health care.</td></tr></table>en_GB
dc.date.available2011-10-26T09:34:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:34:46Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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