Evidence map›Paper›PMID 41180586›Full record

ArticleJournal of nursing management2025

Understanding Value-Based Healthcare: Qualitative Insights From Nurses and Nursing Managers in Hospital Settings.

Carolina E Watson, Juan M Leyva-Moral, Nina Granel, Maria Garro, Laura Navarrete-Reyes, Rebeca Gómez-Ibáñez

Abstract read
In one paragraph

Article in Journal of nursing management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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.

Carolina E WatsonNursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID 0000-0001-6237-7717
Juan M Leyva-MoralNursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID 0000-0003-4241-4992
Nina GranelNursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID 0000-0001-7404-0564
Maria GarroCentre d'Atenció Primària Sanllehy, Gerència d'Àmbit d'Atenció Primària Barcelona Ciutat, Institut Català de la Salut, Barcelona, Spain.ORCID 0000-0001-6696-3238
Laura Navarrete-ReyesNursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID 0000-0001-9750-6048
Rebeca Gómez-IbáñezNursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID 0000-0002-2049-8630

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To explore nurses' and nursing managers' perceptions regarding Value-Based Healthcare (VBHC) and the implementation of patient-reported measures in hospital settings in Barcelona, Spain. Background: VBHC aims to improve patient outcomes while optimizing resource allocation. Patient-reported measures are essential components of this approach, yet their implementation in clinical practice remains challenging. Understanding nurses' perspectives is crucial for successful integration of VBHC principles into nursing practice. Methods: A qualitative thematic analysis approach was used. Semistructured interviews were conducted with a total of 19 participants (nurses and nursing managers) from tertiary public hospitals in Barcelona between December 2022 and June 2023. Data were analyzed using Braun and Clarke's six-phase thematic analysis framework. The study adhered to the SRQR guidelines for reporting qualitative research. Results: Four themes were identified: key elements of value in healthcare, conceptualization of VBHC through established healthcare models, practical aspects of implementing VBHC, and opportunities and systemic challenges in VBHC. Conclusions: Nurses and nursing managers in hospital settings showed a good understanding of VBHC principles, often conceptualizing them through familiar patient-centered care models. They acknowledged VBHC's potential to enhance care quality and patient outcomes but identified significant implementation challenges such as unclear strategies, need for interdisciplinary collaboration, and comprehensive training. Nurses focused mainly on personal and allocative value, with less emphasis on cost considerations and societal value. Implications for Nursing Management: Nursing managers are crucial to implementing VBHC by fostering a culture that prioritizes outcomes that matter to patients over traditional volume-based metrics. Addressing identified practical challenges and broadening the understanding of VBHC components are key steps for nurses to effectively contribute to VBHC implementation, enhance their professional recognition, and improve healthcare outcomes and value.

Indexed as

Nurse AdministratorsNursesAdultAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchQuality of Health CareSpainValue-Based Health Care

Identifiers

PMID41180586
PMCPMC12575028

What OpenQuestion holds

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Registered trials

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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.