Lexus Ujano-De Motta, Marina McCreight, Lauren McKown, Brianne Morgan, Marguerite Daus, Heidi Sjoberg, Robert P Klocko, Chelsea Leonard, Christine D Jones
{"title":"项目基础设施在维持退伍军人护理协调项目中的作用：一项定性研究。","authors":"Lexus Ujano-De Motta, Marina McCreight, Lauren McKown, Brianne Morgan, Marguerite Daus, Heidi Sjoberg, Robert P Klocko, Chelsea Leonard, Christine D Jones","doi":"10.1097/NCQ.0000000000000906","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Program infrastructure is essential for sustainment of care coordination programs, yet current infrastructure models remain understudied in clinical settings.</p><p><strong>Purpose: </strong>To understand perspectives and experiences of frontline nurse implementors regarding plans, barriers, and facilitators to sustainment of an evidence-based care coordination program for Veterans known as the Transitions Nurse Program.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 7 nurse implementors across 2 program waves. Data were analyzed using iterative, team-based deductive and inductive content analysis.</p><p><strong>Results: </strong>Four key program infrastructure factors emerged: nuances of dual nurse roles, leadership support, financial considerations, and social work integration.</p><p><strong>Conclusions: </strong>Transitions Nurse Program sustainment is informed by the interplay of program infrastructure factors. Leadership should consider how hiring nurses with dual roles impacts program sustainment.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Program Infrastructure's Role on Sustainment of a Veterans Care Coordination Program: A Qualitative Study.\",\"authors\":\"Lexus Ujano-De Motta, Marina McCreight, Lauren McKown, Brianne Morgan, Marguerite Daus, Heidi Sjoberg, Robert P Klocko, Chelsea Leonard, Christine D Jones\",\"doi\":\"10.1097/NCQ.0000000000000906\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Program infrastructure is essential for sustainment of care coordination programs, yet current infrastructure models remain understudied in clinical settings.</p><p><strong>Purpose: </strong>To understand perspectives and experiences of frontline nurse implementors regarding plans, barriers, and facilitators to sustainment of an evidence-based care coordination program for Veterans known as the Transitions Nurse Program.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 7 nurse implementors across 2 program waves. Data were analyzed using iterative, team-based deductive and inductive content analysis.</p><p><strong>Results: </strong>Four key program infrastructure factors emerged: nuances of dual nurse roles, leadership support, financial considerations, and social work integration.</p><p><strong>Conclusions: </strong>Transitions Nurse Program sustainment is informed by the interplay of program infrastructure factors. Leadership should consider how hiring nurses with dual roles impacts program sustainment.</p>\",\"PeriodicalId\":16931,\"journal\":{\"name\":\"Journal of nursing care quality\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-08-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of nursing care quality\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NCQ.0000000000000906\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"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.0000000000000906","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Program Infrastructure's Role on Sustainment of a Veterans Care Coordination Program: A Qualitative Study.
Background: Program infrastructure is essential for sustainment of care coordination programs, yet current infrastructure models remain understudied in clinical settings.
Purpose: To understand perspectives and experiences of frontline nurse implementors regarding plans, barriers, and facilitators to sustainment of an evidence-based care coordination program for Veterans known as the Transitions Nurse Program.
Methods: Semi-structured interviews were conducted with 7 nurse implementors across 2 program waves. Data were analyzed using iterative, team-based deductive and inductive content analysis.
Results: Four key program infrastructure factors emerged: nuances of dual nurse roles, leadership support, financial considerations, and social work integration.
Conclusions: Transitions Nurse Program sustainment is informed by the interplay of program infrastructure factors. Leadership should consider how hiring nurses with dual roles impacts program sustainment.
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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