2.50
Hdl Handle:
http://hdl.handle.net/10755/164244
Category:
Abstract
Type:
Presentation
Title:
Collecting Data For Improvement Of Healthcare Systems: A Framework For CNS-Lead Focus Groups
Author(s):
Ebright, Patricia; Cangany, Martha; McEwen, Kathy; Greenan, Lisa; Rapala, Katherine
Author Details:
Patricia Ebright, DNS, CNS, RN, Indiana University School of Nursing, Indianapolis, Indiana, USA, email: nacnsorg@nacns.org; Martha Cangany, MSN, APRN; Kathy McEwen, MBA, RN; Lisa Greenan, BSN, RN; Katherine Rapala, JD, RN, Clarian Health Partners, Indianapolis, Indiana, USA
Abstract:
Problem: Innovative approaches are needed to understand the dynamics of healthcare provider work in actual situations. Failure to understand work in actual situations is a barrier to making progress in patient safety and quality. Purpose: To provide the CNS with a structured framework for conducting focus groups that results in data about actual work situations including challenges and obstacles, and trade-offs made by healthcare workers to manage patient care. Significance/Justification: Improvement in patient safety and quality is a major focus of healthcare organizations. Most are including system redesign and/or technology as approaches to making improvements. Approaches that are not based on understanding of real work may not be cost-effective, and may introduce new paths to error. Efficient strategies for identification and prioritization of what and how to redesign, and what to anticipate after implementation, are important for success. Practice Innovation/Methods: Using the Blunt End-Sharp End model, a structured framework that includes five sequential questions for conducting a focus group will be presented. Focus group goals may be centered on specific processes, procedures, and/or care situations. Evaluation: Using the focus group framework has resulted in elicitation of detailed information about real work in actual care situations not apparent from alternative data collection methods. Examples of data from two CNS-lead focus groups on management of intravenous procedures, and follow-up interventions and outcomes-to-date, will be presented. Implications for Practice: As healthcare systems become more complex, and supplies of human and fiscal resources increasingly limited, efficient and effective approaches are needed to guide improvement efforts through redesign. This focus group strategy provides rich data very quickly for understanding work and systems, and the potential impact of redesign efforts.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleCollecting Data For Improvement Of Healthcare Systems: A Framework For CNS-Lead Focus Groupsen_GB
dc.contributor.authorEbright, Patriciaen_US
dc.contributor.authorCangany, Marthaen_US
dc.contributor.authorMcEwen, Kathyen_US
dc.contributor.authorGreenan, Lisaen_US
dc.contributor.authorRapala, Katherineen_US
dc.author.detailsPatricia Ebright, DNS, CNS, RN, Indiana University School of Nursing, Indianapolis, Indiana, USA, email: nacnsorg@nacns.org; Martha Cangany, MSN, APRN; Kathy McEwen, MBA, RN; Lisa Greenan, BSN, RN; Katherine Rapala, JD, RN, Clarian Health Partners, Indianapolis, Indiana, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164244-
dc.description.abstractProblem: Innovative approaches are needed to understand the dynamics of healthcare provider work in actual situations. Failure to understand work in actual situations is a barrier to making progress in patient safety and quality. Purpose: To provide the CNS with a structured framework for conducting focus groups that results in data about actual work situations including challenges and obstacles, and trade-offs made by healthcare workers to manage patient care. Significance/Justification: Improvement in patient safety and quality is a major focus of healthcare organizations. Most are including system redesign and/or technology as approaches to making improvements. Approaches that are not based on understanding of real work may not be cost-effective, and may introduce new paths to error. Efficient strategies for identification and prioritization of what and how to redesign, and what to anticipate after implementation, are important for success. Practice Innovation/Methods: Using the Blunt End-Sharp End model, a structured framework that includes five sequential questions for conducting a focus group will be presented. Focus group goals may be centered on specific processes, procedures, and/or care situations. Evaluation: Using the focus group framework has resulted in elicitation of detailed information about real work in actual care situations not apparent from alternative data collection methods. Examples of data from two CNS-lead focus groups on management of intravenous procedures, and follow-up interventions and outcomes-to-date, will be presented. Implications for Practice: As healthcare systems become more complex, and supplies of human and fiscal resources increasingly limited, efficient and effective approaches are needed to guide improvement efforts through redesign. This focus group strategy provides rich data very quickly for understanding work and systems, and the potential impact of redesign efforts.en_GB
dc.date.available2011-10-27T11:44:43Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:43Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.