Show simple item record

dc.contributor.authorBender, Miriam
dc.contributor.authorMurphy, Elizabeth A
dc.contributor.authorCruz, Maricela
dc.contributor.authorOmbao, Hernando
dc.date.accessioned2019-08-05T13:18:56Z
dc.date.available2019-08-05T13:18:56Z
dc.date.issued2019-05-25
dc.identifier.citationBender, M., Murphy, E. A., Cruz, M., & Ombao, H. (2019). System- and Unit-Level Care Quality Outcome Improvements After Integrating Clinical Nurse Leaders Into Frontline Care Delivery. JONA: The Journal of Nursing Administration, 49(6), 315–322. doi:10.1097/nna.0000000000000759
dc.identifier.doi10.1097/nna.0000000000000759
dc.identifier.urihttp://hdl.handle.net/10754/656352
dc.description.abstractOBJECTIVE:This study determined whether 1 health system's frontline nursing model redesign to integrate clinical nurse leaders (CNLs) improved care quality and outcome score consistency. METHODS:Interrupted time-series design was used to measure patient satisfaction with 7 metrics before and after formally integrating CNLs into a Michigan healthcare system. Analysis generated estimates of quality outcome: a) change point; b) level change; and c) variance, pre-post implementation. RESULTS:The lowest-performing unit showed significant increases in quality scores, but there were no significant increases at the hospital level. Quality metric consistency increased significantly for every indicator at the hospital and unit level. CONCLUSIONS:To our knowledge, this is the 1st study quantifying quality outcome consistency before and after nursing care delivery redesign with CNLs. The significant improvement suggests the CNL care model is associated with production of stable clinical microsystem practices that help to reduce clinical variability, thus improving care quality.
dc.publisherOvid Technologies (Wolters Kluwer Health)
dc.relation.urlhttp://Insights.ovid.com/crossref?an=00005110-201906000-00008
dc.rightsArchived with thanks to The Journal of nursing administration
dc.titleSystem- and Unit-Level Care Quality Outcome Improvements After Integrating Clinical Nurse Leaders Into Frontline Care Delivery.
dc.typeArticle
dc.contributor.departmentComputer, Electrical and Mathematical Sciences and Engineering (CEMSE) Division
dc.contributor.departmentStatistics Program
dc.identifier.journalThe Journal of nursing administration
dc.rights.embargodate2020-05-29
dc.eprint.versionPost-print
dc.contributor.institutionSue and Bill Gross School of Nursing, University of California, Irvine
dc.contributor.institutionMercy Health Saint Mary's, a member of Trinity Health, Grand Rapids, Michigan
dc.contributor.institutionDepartment of Statistics, University of California, Irvine
kaust.personOmbao, Hernando
dc.date.published-online2019-05-25
dc.date.published-print2019-06


This item appears in the following Collection(s)

Show simple item record