{"title":"影响临床护士长护理交付模式实施成功的因素：来自国家级混合方法研究的结果。","authors":"Miriam Bender, Marjory Williams, Gianna Chandler","doi":"10.1097/NCQ.0000000000000706","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The clinical nurse leader (CNL) care model has existed since 2007. However, there is limited understanding how the model can best be implemented.</p><p><strong>Purpose: </strong>A validated CNL Practice Survey measuring domains theorized to influence CNL implementation was used to examine the link between CNL domains and CNL implementation success.</p><p><strong>Methods: </strong>Mixed methods were used to analyze data from a nationwide 2015 survey administered to clinicians and administrators involved in CNL initiatives.</p><p><strong>Results: </strong>Of total respondents (n = 920), 543 (59%) provided success scores, with 349 (38%) providing comments. Respondents with negative comments gave significantly lower average CNL success scores. The majority of negative comments mapped onto Readiness and Structuring domains, providing details of barriers to CNL implementation success.</p><p><strong>Conclusions: </strong>Findings provide information about structural domains that can be strategically targeted to better prepare settings for CNL implementation and success.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514233/pdf/","citationCount":"0","resultStr":"{\"title\":\"Factors Influencing Implementation Success of the Clinical Nurse Leader Care Delivery Model: Findings From a National-Level Mixed-Methods Study.\",\"authors\":\"Miriam Bender, Marjory Williams, Gianna Chandler\",\"doi\":\"10.1097/NCQ.0000000000000706\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The clinical nurse leader (CNL) care model has existed since 2007. However, there is limited understanding how the model can best be implemented.</p><p><strong>Purpose: </strong>A validated CNL Practice Survey measuring domains theorized to influence CNL implementation was used to examine the link between CNL domains and CNL implementation success.</p><p><strong>Methods: </strong>Mixed methods were used to analyze data from a nationwide 2015 survey administered to clinicians and administrators involved in CNL initiatives.</p><p><strong>Results: </strong>Of total respondents (n = 920), 543 (59%) provided success scores, with 349 (38%) providing comments. Respondents with negative comments gave significantly lower average CNL success scores. The majority of negative comments mapped onto Readiness and Structuring domains, providing details of barriers to CNL implementation success.</p><p><strong>Conclusions: </strong>Findings provide information about structural domains that can be strategically targeted to better prepare settings for CNL implementation and success.</p>\",\"PeriodicalId\":16931,\"journal\":{\"name\":\"Journal of nursing care quality\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514233/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of nursing care quality\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NCQ.0000000000000706\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/3/22 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000706","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/3/22 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Factors Influencing Implementation Success of the Clinical Nurse Leader Care Delivery Model: Findings From a National-Level Mixed-Methods Study.
Background: The clinical nurse leader (CNL) care model has existed since 2007. However, there is limited understanding how the model can best be implemented.
Purpose: A validated CNL Practice Survey measuring domains theorized to influence CNL implementation was used to examine the link between CNL domains and CNL implementation success.
Methods: Mixed methods were used to analyze data from a nationwide 2015 survey administered to clinicians and administrators involved in CNL initiatives.
Results: Of total respondents (n = 920), 543 (59%) provided success scores, with 349 (38%) providing comments. Respondents with negative comments gave significantly lower average CNL success scores. The majority of negative comments mapped onto Readiness and Structuring domains, providing details of barriers to CNL implementation success.
Conclusions: Findings provide information about structural domains that can be strategically targeted to better prepare settings for CNL implementation and success.
期刊介绍：
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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