Using a Shared Governance Structure to Evaluate the Implementation of a New Model of Care

Myers, Mary Ann; Parchen, Debra A.; Geraci, Marilla; Brenholtz, Roger; Knisely-Carrigan, Denise; Hastings, Catherine

doi:10.1097/nna.0b013e3182a3e7ff

Cited by 10 publications

(4 citation statements)

References 27 publications

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“…To facilitate the development, implementation, and evaluation of an NCDM, focusing on the role of nursing [ 16 ] in terms of development strategies [ 17 ] and system evaluation control is crucial [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method

Cocchieri

Magon²,

Cavalletti³

et al. 2021

BMC Nurs

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Background The primary nursing care model is considered a personalized model of care delivery based on care continuity and on the relationship between the nurse and patient. Primary nursing checklists are not often mentioned in the literature; however, they represent a valid instrument to develop, implement, and evaluate primary nursing. The aim of this study was to create a structured checklist to explore hospital compliance in primary nursing. Methods The Delphi method was used to develop and validate a checklist. The preliminary version was created and sent to three experts for their opinions. Their comments were ultimately used in the first version, which included four components with 19 items regarding primary nursing characteristics. A two-round Delphi process was used to generate consensus items. The Delphi panel consisted of six experts working in primary nursing contexts and/or teaching or studying primary nursing. Data were collected using a structured questionnaire from July 2020 to January 2021. These experts were asked to rate each element for relevance using a 4-point Likert-type scale. Furthermore, the consensus among the panel of experts was set at ≥78%, with selected items being voted “quite relevant” and “highly relevant”. Content validity index (I-CVI) and modified kappa statistic were also calculated. Following expert evaluation, the first version of the checklist was modified, and the new version, constituting 17 items, was sent to the same experts. Results The first version of the checklist demonstrated a main relevance score of 3.34 (SD = 0.83; range = 1.3–4; mean I-CVI = 0.84; range: 0.83–1), but three items did not receive an adequate I-CVI score, that is, lower than 0.78. After the second round, the I-CVIs improved. The main score of relevance was 3.61 (SD: 0.35; range = 2.83–4; mean = I-CVI: 0.93). The S-CVI/UA was 0.58, and the S-CVI/Ave was 0.93. Conclusion Measuring primary nursing compliance should be implemented to provide continuous feedback to nurses. Moreover, utilizing valid checklists could permit comparing different results from others’ research. Future research should be conducted to compare the results from the checklist with nursing outcomes.

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Section: Introductionmentioning

confidence: 99%

Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method

Cocchieri

Magon²,

Cavalletti³

et al. 2021

BMC Nurs

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“…Clinical Senates are another strategy adopted in some countries to provide “clinical leadership by developing strategies to safeguard and promote the delivery of high quality, safe and sustainable patient care” (Imison, ; National Health Service, ; Queensland Health, ). Although evidence exists supporting the implementation of the above initiatives, their limitations have also been reported (Anthony, ; Kothari et al., ; Myers et al., ; National Health Service, ; Newman, ; Queensland Health, ; Rašula, Vukšić, & Štemberger, ; Welikala, ). Is not within the scope of this article to explore these shortcomings more thoroughly, nonetheless, KM, Magnet status, shared governance and clinical senates, at the very least, provide a “portal” by which nurses’ tacit knowledge of caring expressed by nurses in responses to the ethical demand might be mobilized to help transform organizational processes and outcomes.…”

Section: A Theory Of Ethics For Person‐centred Care—the Ethical Demandmentioning

confidence: 99%

“…Other initiatives that have the potential to allow for nursing knowledge to be mobilized in ways that enhance services provided by healthcare organizations is the Magnet status award system admin- [shared governance is]…a professional practice model founded on the cornerstone principles of partnership, equity, accountability and ownership that form a culturally sensitive and empowering framework, enabling sustainable and accountability-based decisions to support and interdisciplinary design for excellent patient care (Vanderbilt University Medical Center, 2017) Clinical Senates are another strategy adopted in some countries to provide "clinical leadership by developing strategies to safeguard and promote the delivery of high quality, safe and sustainable patient care" (Imison, 2011;National Health Service, 2013;Queensland Health, 2017). Although evidence exists supporting the implementation of the above initiatives, their limitations have also been reported (Anthony, 2004;Kothari et al, 2011;Myers et al, 2013;National Health Service, 2013;Newman, 2011;Queensland Health, 2017;Rašula, Vukšić, & Štemberger, 2012;Welikala, 2014).…”

Section: The Act Of Parrhêsia Intra-organizational Reflexivity Andmentioning

confidence: 99%

Reconciling conceptualizations of ethical conduct and person‐centred care of older people with cognitive impairment in acute care settings

Rushton

Edvardsson

2017

Nursing Philosophy

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Key commentators on person-centred care have described it as a "new ethic of care" which they link inextricably to notions of individual autonomy, action, change and improvement. Two key points are addressed in this article. The first is that few discussions about ethics and person-centred are underscored by any particular ethical theory. The second point is that despite the espoused benefits of person-centred care, delivery within the acute care setting remains largely aspirational. Choices nurses make about their practice tend to comply more often with prevailing norms than those championed by person-centred care. We draw on elements of work by moral philosopher Løgstrup and Foucault to provide insight into nurses' ethical conduct and ask why nurses would want to act otherwise, when what they think and do is viewed as normal, or think and act otherwise if doing so is seen within the organization as transgressive? To address these more specific questions, we discuss them in relation to the following constructs: the ethical demand, sovereign expressions of life and parrhêsia. We conclude by arguing that a ethical theoretical framework enables nurses to increase their perceptibility and appreciation of the ethical demand particularly those emanating from incommensurability between organizational norms and the norms invoked by person-centred care. We argue that nurses' responses to the ethical demand by way of parrhêsia can be an important feature of intra-organizational reflexivity and its transformation towards the delivery care that is more person-centred, particularly for older people with cognitive impairment. We conclude the article by highlighting the implications of this for nursing education and research.

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“…Evidence-based practice was introduced through the Clinical Practice Committee (CPC) through a revision of the guidelines for document review to include the EBP steps (11). Since all SG participants were either at Levels 3, 4 or 5 of the competency, they were well prepared to carry out the necessary steps to ensure that all the standards of practice and procedures were evidence-based.…”

Section: The Strategic Planmentioning

confidence: 99%

Developing Competency to Sustain Evidence-Based Practice

Fisher

Cusack

Cox

et al. 2016

JONA: The Journal of Nursing Administration

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Organizations must ensure that nursing care delivery is based on best evidence. This paper describes how a clinical research hospital used a competency-based approach to structure the development and execution of a strategic plan and integrated evidence-based practice concepts into the activities of nurses at all levels. The paper will also describe the process for developing and implementing the competency across our department including outcomes achieved.

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Using a Shared Governance Structure to Evaluate the Implementation of a New Model of Care

Cited by 10 publications

References 27 publications

Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method

Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method

Reconciling conceptualizations of ethical conduct and person‐centred care of older people with cognitive impairment in acute care settings

Developing Competency to Sustain Evidence-Based Practice

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