Embedding Convergent Care Theory: Implementing a System-wide Clinical Inquiry Model to Optimize Healthcare Outcomes.

IF 1.8 4区医学 Q2 NURSING

Journal of Nursing Administration Pub Date : 2026-06-01 Epub Date: 2026-05-15 DOI:10.1097/NNA.0000000000001741

Penelope Gorsuch, Karrie Boss, Seungman Kim, Holly Wei

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引用次数: 0

Abstract

Objective: Describe the development and implementation of a theory-informed professional practice model (PPM) and examine associated workforce, quality, engagement, and financial outcomes.

Background: Healthcare organizations face persistent challenges related to workforce turnover, disengagement, and fragmented care delivery. PPMs align nursing practice, leadership, and outcomes, but are often insufficiently operationalized.

Methods: This evidence-based practice QI initiative implemented a PPM grounded in Convergent Care Theory using a structured, multiphase clinical inquiry infrastructure. Aggregated organizational data were analyzed to assess workforce, patient quality and safety, staff engagement, and conservative cost avoidance.

Results: More than 2500 nurses engaged in system-wide inquiry and strategic planning. One-year RN turnover decreased from 22.14% to 10.42% (P=0.002), associated with an estimated $4.6 million in conservative cost avoidance. Catheter-associated urinary tract infection rates decreased by 48%, and Leapfrog Hospital Safety Grades improved.

Conclusions: Operationalizing theory through a system-wide PPM improved workforce retention, patient outcomes, engagement, and organizational cost avoidance.

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嵌入融合护理理论：实现一个系统范围的临床查询模型，以优化医疗保健结果。

目标：描述一个基于理论的专业实践模型（PPM）的开发和实施，并检查相关的劳动力、质量、敬业度和财务结果。背景：医疗保健组织面临着与员工流动、离职和分散的医疗服务相关的持续挑战。PPMs将护理实践、领导和结果结合起来，但往往无法充分运作。方法：这个基于证据的实践QI倡议实施了基于融合护理理论的PPM，使用结构化的多阶段临床调查基础设施。对汇总的组织数据进行分析，以评估劳动力、患者质量和安全、员工敬业度和保守的成本规避。结果：2500多名护士参与了全系统的调查和战略规划。一年的注册护士周转率从22.14%下降到10.42% (P=0.002)，与保守成本节约估计为460万美元相关。导尿管相关尿路感染率下降48%，Leapfrog医院安全等级提高。结论：通过全系统的PPM操作化理论提高了员工保留率、患者预后、敬业度和组织成本规避。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Administration 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.