Evidence map›Paper›PMID 26492149›Full record

ArticleThe Journal of nursing administration2015

Implications of the Patient-Centered Medical Home for Nursing Practice.

Kenda R Stewart, Greg L Stewart, Michelle Lampman, Bonnie Wakefield, Gary Rosenthal, Samantha L Solimeo

Abstract read
In one paragraph

Article in The Journal of nursing administration, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Kenda R StewartAuthor Affiliations: Qualitative Analyst (Dr K. R. Stewart), Associate Director of Operations (Ms Lampman), Codirector (Dr Wakefield), Core Investigator (Dr G. L. Stewart), Director (Dr Rosenthal), Investigator (Dr Solimeo), US Department of Veterans Affairs, VISN 23 Patient Aligned Care Team Demonstration Lab; Research Health Science Specialists (Ms Lampman and Drs K. R. Stewart, Solimeo, Rosenthal, and Wakefield), US Department of Veterans Affairs, Center for Comprehensive Access & Delivery Research and Evaluation; and Qualitative Analyst (Dr K. R. Stewart), US Department of Veterans Affairs, Veteran Rural Health Resource Center Central Region, Iowa City VA Health Care System; Professor (Dr G. L. Stewart), Tippie College of Business, University of Iowa; and Interim Chair and Department Executive Officer (Dr Rosenthal), Assistant Professor (Dr Solimeo), College of Medicine, Division of General Internal Medicine, University of Iowa Carver, Iowa City.
Greg L Stewart
Michelle Lampman
Bonnie Wakefield
Gary Rosenthal
Samantha L Solimeo
United States Department of Veterans Affairs · USUniversity of Iowa · USL'Alliance Boviteq · CA

Funding

Center for Comprehensive Access & Delivery Research and Evaluation (CADRE)I50HX001242 · VA · IOWA CITY VA MEDICAL CENTER · PI PERENCEVICH, ELI N · 2015 to 2015
–
HSRD VA I50 HX001242HSRD VA IK2 HX001542
6 · The paper itself

Abstract

objectiveThe experiences of RNs and licensed practical nurses (LPNs) implementing a patient-centered medical home (PCMH) in the Department of Veterans Affairs (VA) primary care clinics were examined to understand model implications for nursing practice and professional identity.

backgroundNational implementation of the PCMH model, called patient-aligned care teams (PACTs) in VA, emphasizes areas of nursing expertise, yet little is known about the effect of medical homes on the day-to-day work of nurses.

methodsAs part of a formative evaluation to identify barriers and facilitators to PACT implementation, we interviewed 18 nurses implementing PACT.

resultsChallenges to nurse's organizational and professional roles were experienced differently by RNs and LPNs in the following areas: (1) diversified modes of care and expanded clinical duties, (2) division of labor among PACT nurses, and (3) interprofessional status in the team.

conclusionsHealthcare managers implementing PCMH should consider its inherent cultural and practice transformations.

Indexed as

Nursing HomesPatient-Centered CarePractice Patterns, Nurses'HumansInterviews as TopicMidwestern United StatesPrimary Health CareProgram DevelopmentUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID26492149
PMCPMC4618396
OpenAlexW2410138007

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.