Crowd Science: Magnet????Hospitals Collaborate to Define Discharge Models of Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/601986
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Crowd Science: Magnet????Hospitals Collaborate to Define Discharge Models of Care
Other Titles:
Methods to Obtain Nationally Recognized Facility Designations [Session]
Author(s):
Costa, Linda; Weiss, Marianne; Bobay, Kathleen; Hughes, Ronda
Lead Author STTI Affiliation:
Kappa
Author Details:
Linda Costa, RN, costa@son.umaryland.edu; Marianne Weiss, RN; Kathleen Bobay, APRN, BC; Ronda Hughes, RN, CLNC, FAAN
Abstract:
Session presented on Sunday, July 26, 2015: Purpose: The American Nurses Credentialing Center (ANCC) commissioned an innovative pay-to-participate multisite study focused on preventing hospital readmissions. More than thirty Magnet hospitals joined the study with an anticipated 25,000 patients to be recruited. An increasing amount of scientific research is done in an open collaborative method and sometimes referred to ???crowd science???. Large scale studies in Magnet Hospitals leverage the power of Magnet Hospitals to engage in research on topics of importance to nursing practice, engage clinical nurses in research about their practice, and create learning opportunities about nursing research in clinical practice settings. The Readiness Evaluation and Discharge Interventions (READI) study is focused on discharge preparation as a primary function of hospital-based nursing.?? The first phase of the READI study was to assess the standard of care discharge model in participating hospitals. ??Methods: Phase one of the READI study included a discharge model of care survey sent to participating Magnet hospitals to explore the model for discharge preparation in use at each site. The purpose of the survey was to: (1) Describe how Magnet hospitals are operationalizing discharge preparation processes and (2) Provide information on discharge practices to build context variables for the READI study. ??Thirty-two Magnet hospitals participating in the READI study completed a Web-based survey with each hospital reporting on two units (implementation and control).??Descriptive analysis was completed with grouping by unit type and hospital size for some sections of the analysis. ??Results: General findings include: (1). Each hospital operationalized?? their discharge model of care differently; (2) Many hospitals are participating in national discharge initiatives and customizing aspects of these models into their unique discharge models of care; (3)Unit-based registered nurse (RN) Case managers are being used extensively for discharge planning; and (4) Clinical RNs are the primary discharge teachers. Specific results describing discharge preparation components (discharge coordination, discharge teaching, discharge planning) will be discussed. ??Conclusion: No one approach to discharge preparation or discharge model of care is completely successful in preventing readmissions. The role of the clinical nurse, the primary discharge teacher, is understudied.?? The READI study focuses on the clinical nurse???s contribution to discharge readiness. Research implementation in multiple hospitals requires intense coordination to maintain intervention fidelity. The READI study uses an adaptation of the Conceptual Model for Considering the Determinants of Diffusion, Dissemination, and Implementation of Innovations in Health Services Delivery and Organizations as an overall framework to guide the study. Key components of the adapted framework will be shared.
Keywords:
Discharge care models; Multisite research strategies
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15H03
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleCrowd Science: Magnet????Hospitals Collaborate to Define Discharge Models of Careen
dc.title.alternativeMethods to Obtain Nationally Recognized Facility Designations [Session]en
dc.contributor.authorCosta, Lindaen
dc.contributor.authorWeiss, Marianneen
dc.contributor.authorBobay, Kathleenen
dc.contributor.authorHughes, Rondaen
dc.contributor.departmentKappaen
dc.author.detailsLinda Costa, RN, costa@son.umaryland.edu; Marianne Weiss, RN; Kathleen Bobay, APRN, BC; Ronda Hughes, RN, CLNC, FAANen
dc.identifier.urihttp://hdl.handle.net/10755/601986-
dc.description.abstractSession presented on Sunday, July 26, 2015: Purpose: The American Nurses Credentialing Center (ANCC) commissioned an innovative pay-to-participate multisite study focused on preventing hospital readmissions. More than thirty Magnet hospitals joined the study with an anticipated 25,000 patients to be recruited. An increasing amount of scientific research is done in an open collaborative method and sometimes referred to ???crowd science???. Large scale studies in Magnet Hospitals leverage the power of Magnet Hospitals to engage in research on topics of importance to nursing practice, engage clinical nurses in research about their practice, and create learning opportunities about nursing research in clinical practice settings. The Readiness Evaluation and Discharge Interventions (READI) study is focused on discharge preparation as a primary function of hospital-based nursing.?? The first phase of the READI study was to assess the standard of care discharge model in participating hospitals. ??Methods: Phase one of the READI study included a discharge model of care survey sent to participating Magnet hospitals to explore the model for discharge preparation in use at each site. The purpose of the survey was to: (1) Describe how Magnet hospitals are operationalizing discharge preparation processes and (2) Provide information on discharge practices to build context variables for the READI study. ??Thirty-two Magnet hospitals participating in the READI study completed a Web-based survey with each hospital reporting on two units (implementation and control).??Descriptive analysis was completed with grouping by unit type and hospital size for some sections of the analysis. ??Results: General findings include: (1). Each hospital operationalized?? their discharge model of care differently; (2) Many hospitals are participating in national discharge initiatives and customizing aspects of these models into their unique discharge models of care; (3)Unit-based registered nurse (RN) Case managers are being used extensively for discharge planning; and (4) Clinical RNs are the primary discharge teachers. Specific results describing discharge preparation components (discharge coordination, discharge teaching, discharge planning) will be discussed. ??Conclusion: No one approach to discharge preparation or discharge model of care is completely successful in preventing readmissions. The role of the clinical nurse, the primary discharge teacher, is understudied.?? The READI study focuses on the clinical nurse???s contribution to discharge readiness. Research implementation in multiple hospitals requires intense coordination to maintain intervention fidelity. The READI study uses an adaptation of the Conceptual Model for Considering the Determinants of Diffusion, Dissemination, and Implementation of Innovations in Health Services Delivery and Organizations as an overall framework to guide the study. Key components of the adapted framework will be shared.en
dc.subjectDischarge care modelsen
dc.subjectMultisite research strategiesen
dc.date.available2016-03-17T13:00:50Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T13:00:50Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.