Developing the Green House Nursing Care Team: Variations on Development and Implementation
| Autor: | Kimberly Nolet, Barbara J. Bowers |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Concept Formation
media_common.quotation_subject Nurses Public policy Nurse's Role Culture change Grounded theory Interviews as Topic Nursing care Nursing Nursing Assistants Homes for the Aged Humans Medicine Quality (business) Models Nursing Qualitative Research Aged media_common Aged 80 and over business.industry Nursing research Visitor pattern Health Plan Implementation General Medicine Public relations Nursing Homes Nursing Supervisory Workforce Nursing Staff Geriatrics and Gerontology business Gerontology Research Article Qualitative research |
| Zdroj: | The Gerontologist. 54:S53-S64 |
| ISSN: | 1758-5341 0016-9013 |
| DOI: | 10.1093/geront/gnt109 |
| Popis: | Purpose of the Study: A core component of the Green House nursing home model is an altered supervisory relationship between the nurse and direct care workers. Some have expressed concern that the Green House model might weaken professional nursing oversight, threatening the quality of clinical care. This qualitative research study explores the role of the nurse as implemented in the Green House model, focusing on how variations in the nursing team influence clinical care practices. Design and Methods: Dimensional analysis, a “second generation” grounded theory methodology, was used to conduct this study. Data were collected through observations and interviews with 37 nurses, 68 CNAs, and 11 Guides working at 11 Green House sites. Results: Implementation of the nursing role within the Green House model varied both within and across sites. Four nursing model types were identified: Traditional, Visitor, Parallel, and Integrated. Care processes, CNA/Shahbaz skill development, and worker stress varied with each nursing model. Implications: Government policies have been enacted to support culture change. However, there is currently little guidance for regulators, providers, or consumers regarding variability in how culture change practices are implemented and consequences of these variations. This article outlines the importance of understanding these practices at a level of detail that distinguishes and supports those that are most promising. |
| Databáze: | OpenAIRE |
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