Evidence map›Paper›PMID 30480614›Full record

ArticleJournal of nursing care quality

Blended Facilitation as an Effective Implementation Strategy for Quality Improvement and Research in Nursing Homes.

Camilla B Pimentel, Whitney L Mills, Jennifer A Palmer, Kristen Dillon, Jennifer L Sullivan, Nancy J Wewiorski, Andrea Lynn Snow, Rebecca S Allen, Susan D Hopkins, Christine W Hartmann

Abstract read
In one paragraph

Article in Journal of nursing care quality. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors.

Camilla B PimentelNew England Geriatric Research, Education and Clinical Center (Dr Pimentel), Hospice and Palliative Care (Dr Dillon), and Center for Healthcare Organization and Implementation Research (Drs Wewiorski and Hartmann), Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts; Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts (Dr Pimentel); Center for Innovation in Long-Term Services and Supports, Providence VA Medical Center, Providence, Rhode Island (Dr Mills); Institute for Aging Research, Hebrew SeniorLife, Roslindale, Massachusetts (Dr Palmer); Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts (Dr Sullivan); Department of Health Law, Policy and Management, School of Public Health, Boston University, Boston, Massachusetts (Drs Sullivan and Hartmann); Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, Alabama (Dr Snow and Ms Hopkins); and Alabama Research Institute on Aging and the Department of Psychology, The University of Alabama, Tuscaloosa (Drs Snow and Allen).
Whitney L Mills
Jennifer A Palmer
Kristen Dillon
Jennifer L Sullivan
Nancy J Wewiorski
Andrea Lynn Snow
Rebecca S Allen
Susan D Hopkins
Christine W Hartmann

Funding

Implementation Research Training Program in Cancer Prevention and ControlR25CA172009 · NCI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI HOUSTON, THOMAS K, LEMON, STEPHENIE C. · 2014 to 2018
$1.9M
Developing and Implementing a Toolkit for Measuring CLC Cultural TransformationI01HX000797 · VA · EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL · PI HARTMANN, CHRISTINE W · 2015 to 2015
–
Improving Veteran Transitions from VA Community Living Centers to the CommunityIK2RX001241 · VA · PROVIDENCE VA MEDICAL CENTER · PI MILLS, WHITNEY L · 2014 to 2019
–
HSRD VA I01 HX000797NCI NIH HHS R25 CA172009RRD VA IK2 RX001241
6 · The paper itself

Abstract

backgroundBlended facilitation, which leverages the complementary skills and expertise of external and internal facilitators, is a powerful strategy that nursing stakeholders and researchers may use to improve implementation of quality improvement (QI) innovations and research performed in nursing homes. PROBLEM: Nursing homes present myriad challenges (eg, time constraints, top-down flow of communication, high staff turnover) to QI implementation and research. APPROACH: This methods article describes the theory and practical application of blended facilitation and its components (external facilitation, internal facilitation, relationship building, and skill building), using examples from a mixed QI and research intervention in Veterans Health Administration nursing homes.

conclusionsBlended facilitation invites nursing home stakeholders to be equal partners in QI and research processes. Its intentional use may overcome many existing barriers to QI and research performed in nursing homes and, by strengthening relationships between researchers and stakeholders, may accelerate implementation of innovative care practices.

Indexed as

Evidence-Based PracticeHumansNursing HomesQualitative ResearchQuality ImprovementQuality of Health CareUnited StatesUnited States Department of Veterans AffairsVeterans

Identifiers

PMID30480614
PMCPMC6685683

What OpenQuestion holds

Textmetadata
LicenceTDM
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.