Research and Practice in Quality Improvement and Implementation Science: The Synergy for Change Model.

J Nurs Care Qual

Author Affiliations: Hirsh Institute (Dr Dolansky); and Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (Drs Dolansky, Horvat Davey, and Moore).

Published: May 2024

Background: Nurses play an essential role in the achievement of quality depicted by the Quintuple Aim to improve clinical outcomes, patient experience, equity, provider well-being, and reduction of costs. When quality gaps occur, practice change is required and is facilitated by quality improvement (QI) and implementation science (IS) methods. QI and IS research are required to advance our understanding of the mechanisms that explain how evidence is implemented and improvements are made.

Problem: Despite past efforts of the evidence-based practice and QI movements, challenges persist in sustaining practice improvements and translating research findings to direct patient care.

Approach: The purpose of this article is to describe the Synergy for Change Model that proposes that both QI and IS research and practice be used to accelerate improvements in health care quality.

Conclusions: Recognizing the synergy of QI and IS practice and research will accelerate nursing's contributions to high-quality and safe care.

Download full-text PDF

Source
http://dx.doi.org/10.1097/NCQ.0000000000000760DOI Listing

Publication Analysis

Top Keywords

quality improvement
8
improvement implementation
8
implementation science
8
synergy change
8
change model
8
practice
6
practice quality
4
science synergy
4
model background
4
background nurses
4

Similar Publications

Rationale: Bilateral gluteus medius contractures in adults are rare in clinical practice, with only a few cases reported. These contractures may result from repeated intramuscular injections during childhood. Understanding the clinical manifestations, diagnostic process, treatment, and outcomes can provide insights into effective management strategies.

View Article and Find Full Text PDF

Objective: Epilepsy is a common neurological disease affecting nearly 1% of the global population, and temporal lobe epilepsy (TLE) is the most common type. Patients experience recurrent seizures and chronic cognitive deficits that can impact their quality of life, ability to work, and independence. These cognitive deficits often extend beyond the temporal lobe and are not well understood.

View Article and Find Full Text PDF

Purpose: We aimed to determine whether implementation of clinical decision support (CDS) tool integrated into the electronic health record (EHR) of a multi-site academic medical center increased the proportion of patients with American Urological Association (AUA) "high risk" microscopic hematuria (MH) who receive guideline concordant evaluations.

Materials And Methods: We conducted a two-arm cluster randomized quality improvement project in which 202 ambulatory sites from a large health system were randomized to either have their physicians receive at time of test results an automated CDS alert for patients with 'high-risk' MH with associated recommendations for imaging and cystoscopy (intervention) or usual care (control). Primary outcome was met if a patient underwent both imaging and cystoscopy within 180 days from MH result.

View Article and Find Full Text PDF

This study, grounded in the Total Factor Productivity (TFP) theoretical framework, examines the impact of digital infrastructure on the productivity of Tibet's cultural industry from 2011 to 2021. It aims to uncover how the innovative allocation of production factors can enhance new-quality productivity. The core aspect of new-quality productivity is the improvement of TFP, with digital infrastructure promoting the cultural industry's development by optimizing industrial agglomeration, improving logistics efficiency, and reducing the urban-rural consumption gap.

View Article and Find Full Text PDF

Despite mandates requiring hospitals to offer advance directives to all patients, many adults do not have advance directives in place at the end of life. This quality improvement project aimed to implement an evidence-based, standardized protocol to increase advance directive completion rates for hospitalized patients with serious illnesses. A preimplementation and postimplementation design was used to evaluate the impact of an educational intervention and advance directive completion protocol.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!