2.50
Hdl Handle:
http://hdl.handle.net/10755/621185
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Other
Title:
Coordination of Care: Strategies, Lessons, & Implications
Author(s):
Wall, Danette Y.
Lead Author STTI Affiliation:
Omicron Delta
Additional Author Information:
Danette Y. Wall, DNP, MSN, MBA, HCM, ACRN
Advisors:
Brown, Kathleen M.; Waters, Shelley; Elnitsky, Christine
Degree:
DNP
Degree Year:
2011
Grantor:
Carlow University
Abstract:

Background: Care Coordination was identified as a fundamental process that can decrease care fragmentation. IOM and ANA identified Registered Nurses as capable of spearheading care coordination initiatives that will close the gap. It is well established that professional nurse environments positively affects nurse and patient outcomes, or conversely is a barrier when not present. A professional practice environment serves to facilitate care coordination (Duva, 2010).


Expanding this work, using Donebedian's SPO Framework, this quality improvement project examined the relationship between the care coordinators work environment and the work processes of care coordination.
 

Methods: A descriptive correlational design was used to survey 329 RNs from Veterans Health Administration Geriatric and Extended Care Line using Lake„s PES-NWI scale and Gittell's RCI instrument. Analyses included descriptive statistics, correlations, and multiple regression analysis (Stepwise Method).

Findings: Moderately positive significant correlations were found between the PES-NWI and RCI activities (r = .30, p< .001). Nurse participation in hospital affairs, staffing and resources adequacy, and Collegial Nurse-Physician relationship were significant predictors on overall perceptions of RCI, 24.8% of variance R2.248; F (3,110) = 12.11, p<0.001.


Discussion/Implications: Findings support the linkage between the RN, the practice environment, and activities of care coordination. Integrated service delivery systems require a RN workforce that is ready, trained, functioning at their highest level of performance, and available to meet the current and future needs of health care delivery. Findings provide an actionable profile of the RN Care Coordinator, their practice environment, and strategies to improve both. Future study is required.

Keywords:
care coordination; care quality
CINAHL Headings:
Continuity of Patient Care; Registered Nurses; Nursing Role; United States Department of Veterans Affairs; Veterans; Quality of Health Care; Quality of Health Care--Evaluation
Description:
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Repository Posting Date:
2017-01-11T17:48:13Z
Date of Publication:
2017-01-11

Full metadata record

DC FieldValue Language
dc.contributor.advisorBrown, Kathleen M.en
dc.contributor.advisorWaters, Shelleyen
dc.contributor.advisorElnitsky, Christineen
dc.contributor.authorWall, Danette Y.en
dc.date.accessioned2017-01-11T17:48:13Z-
dc.date.available2017-01-11T17:48:13Z-
dc.date.issued2017-01-11-
dc.identifier.urihttp://hdl.handle.net/10755/621185-
dc.descriptionThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.en
dc.description.abstract<p>Background: Care Coordination was identified as a fundamental process that can decrease care fragmentation. IOM and ANA identified Registered Nurses as capable of spearheading care coordination initiatives that will close the gap. It is well established that professional nurse environments positively affects nurse and patient outcomes, or conversely is a barrier when not present. A professional practice environment serves to facilitate care coordination (Duva, 2010).</p> <p><br />Expanding this work, using Donebedian's SPO Framework, this quality improvement project examined the relationship between the care coordinators work environment and the work processes of care coordination.<br /> </p> <p>Methods: A descriptive correlational design was used to survey 329 RNs from Veterans Health Administration Geriatric and Extended Care Line using Lake„s PES-NWI scale and Gittell's RCI instrument. Analyses included descriptive statistics, correlations, and multiple regression analysis (Stepwise Method).</p> <p>Findings: Moderately positive significant correlations were found between the PES-NWI and RCI activities (r = .30, p< .001). Nurse participation in hospital affairs, staffing and resources adequacy, and Collegial Nurse-Physician relationship were significant predictors on overall perceptions of RCI, 24.8% of variance R2.248; F (3,110) = 12.11, p<0.001.</p> <p><br />Discussion/Implications: Findings support the linkage between the RN, the practice environment, and activities of care coordination. Integrated service delivery systems require a RN workforce that is ready, trained, functioning at their highest level of performance, and available to meet the current and future needs of health care delivery. Findings provide an actionable profile of the RN Care Coordinator, their practice environment, and strategies to improve both. Future study is required.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectcare coordinationen
dc.subjectcare qualityen
dc.titleCoordination of Care: Strategies, Lessons, & Implicationsen_US
dc.typeDNP Capstone Projecten
dc.contributor.departmentOmicron Deltaen
thesis.degree.grantorCarlow Universityen
thesis.degree.levelDNPen
dc.primary-author.detailsDanette Y. Wall, DNP, MSN, MBA, HCM, ACRNen
thesis.degree.year2011en
dc.type.categoryFull-texten
dc.evidence.levelOtheren
dc.research.approachOtheren
dc.subject.cinahlContinuity of Patient Careen
dc.subject.cinahlRegistered Nursesen
dc.subject.cinahlNursing Roleen
dc.subject.cinahlUnited States Department of Veterans Affairsen
dc.subject.cinahlVeteransen
dc.subject.cinahlQuality of Health Careen
dc.subject.cinahlQuality of Health Care--Evaluationen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.