ArticleJournal of nursing care quality
Implementing Quality Improvement in Nursing Homes: Nurse Practitioner Perspectives on Barriers, Facilitators, and Lessons Learned.
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. Not yet cited in PubMed.
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Authors and funding
8 authors.
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Abstract
backgroundNursing homes (NHs) face persistent challenges implementing evidence-based quality improvement (QI). Many barriers were intensified during the COVID-19 pandemic. PURPOSE: To identify barriers and facilitators to nurse practitioner (NP)-led QI implementation in NHs and share lessons learned.
methodsFifty-six NHs in middle Tennessee were each assigned an NP mentor to support QI efforts during the COVID-19 pandemic. Structured qualitative interviews with project NPs identified barriers and facilitators to QI implementation using the Consolidated Framework for Implementation Research.
resultsFacilitators included leadership engagement, QI champions, a supportive culture, and evidence strength. Barriers included low prioritization, limited resources, low staff efficacy, and adaptability challenges.
conclusionsNP-led QI is feasible in NHs but requires leadership support, adequate staffing, and an organizational culture that values improvement.
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