Collaborative Approach To Delivering Clinical Preventive Services: A Three-Phase Developmental Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/151650
Type:
Presentation
Title:
Collaborative Approach To Delivering Clinical Preventive Services: A Three-Phase Developmental Study
Abstract:
Collaborative Approach To Delivering Clinical Preventive Services: A Three-Phase Developmental Study
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Griffith, Hurdis M., PhD, RN, FAAN
P.I. Institution Name:Rutgers, The State University of New Jersey
Title:Emeritus Dean and Professor
Co-Authors:Cynthia Guerrero-Ayres, PhD, RN
Objective(s): Three-phase study was conducted with overall objective to develop consistent approach to increase delivery of clinical preventive services (CPS). Phase 1. Reach agreement among NJ HPs on consistent set of CPS guidelines. Phase 2. Identify facilitators and barriers to guideline implementation. Phase 3. Evaluate clinicians' knowledge and use of CPS guidelines before and after receiving health plan consensus guidelines (HPCG). Design: Phase 1. Quasi-experimental pretest-posttest design. Phase 2. Descriptive study. Phase 3. Within subjects, repeated measures design. Sample, Population, Setting, Years: Phase 1. Nine NJ HP Medical Directors. Phase 2. Three focus groups consisting of clinicians (N=29) that deliver CPS. Phase 3. All NJ nurse practitioners and physicians providing preventive services. Intervention and Outcome Variable(s): Phase 1. Expected outcome was consensus on priority guidelines. Phase 2. Expected outcome was identification of facilitators and barriers to guideline implementation. Phase 3. Expected outcome was improvement in clinicians' knowledge and use of CPS guidelines between time prior to receiving HPCG and after. Methods: Phase 1. Delphi Method used to reach consensus on CPS guidelines. Interventions included consultation of experts and feedback of group ratings from initial surveys. Phase 2. Three focus groups used to identify facilitators and barriers. Phase 3. Clinicians were sent two questionnaires three months apart, assessing knowledge and use of CPS guidelines. Findings: Phase 1. Eighteen CPS priority guidelines identified. Phase 2. Themes revealed barriers and facilitators regarding cost and reimbursement, time constraints, inconsistency among HPs tools, tracking issues, internalization of guidelines, and issues affecting the patient-clinician relationship. Phase 3. HPCG significantly improved clinician delivery of CPS. Conclusions: Study provides approach for HPs nationwide to reach consensus on guidelines that support clinicians in delivery of CPS. Implications: This approach provides clinicians, including nurses, with organizational support to access and synthesize the best evidence to deliver preventive services in practice.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCollaborative Approach To Delivering Clinical Preventive Services: A Three-Phase Developmental Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151650-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Collaborative Approach To Delivering Clinical Preventive Services: A Three-Phase Developmental Study</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">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Griffith, Hurdis M., PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Rutgers, The State University of New Jersey</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Emeritus Dean and Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">griffith@nightingale.rutgers.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Cynthia Guerrero-Ayres, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">Objective(s): Three-phase study was conducted with overall objective to develop consistent approach to increase delivery of clinical preventive services (CPS). Phase 1. Reach agreement among NJ HPs on consistent set of CPS guidelines. Phase 2. Identify facilitators and barriers to guideline implementation. Phase 3. Evaluate clinicians' knowledge and use of CPS guidelines before and after receiving health plan consensus guidelines (HPCG). Design: Phase 1. Quasi-experimental pretest-posttest design. Phase 2. Descriptive study. Phase 3. Within subjects, repeated measures design. Sample, Population, Setting, Years: Phase 1. Nine NJ HP Medical Directors. Phase 2. Three focus groups consisting of clinicians (N=29) that deliver CPS. Phase 3. All NJ nurse practitioners and physicians providing preventive services. Intervention and Outcome Variable(s): Phase 1. Expected outcome was consensus on priority guidelines. Phase 2. Expected outcome was identification of facilitators and barriers to guideline implementation. Phase 3. Expected outcome was improvement in clinicians' knowledge and use of CPS guidelines between time prior to receiving HPCG and after. Methods: Phase 1. Delphi Method used to reach consensus on CPS guidelines. Interventions included consultation of experts and feedback of group ratings from initial surveys. Phase 2. Three focus groups used to identify facilitators and barriers. Phase 3. Clinicians were sent two questionnaires three months apart, assessing knowledge and use of CPS guidelines. Findings: Phase 1. Eighteen CPS priority guidelines identified. Phase 2. Themes revealed barriers and facilitators regarding cost and reimbursement, time constraints, inconsistency among HPs tools, tracking issues, internalization of guidelines, and issues affecting the patient-clinician relationship. Phase 3. HPCG significantly improved clinician delivery of CPS. Conclusions: Study provides approach for HPs nationwide to reach consensus on guidelines that support clinicians in delivery of CPS. Implications: This approach provides clinicians, including nurses, with organizational support to access and synthesize the best evidence to deliver preventive services in practice.</td></tr></table>en_GB
dc.date.available2011-10-26T11:09:09Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T11:09:09Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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