Implementation of a heart failure quality initiative in a skilled nursing facility: Lessons learned

Arif Nazir, M. E. Dennis, Kathleen Unroe

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Skilled nursing facilities (SNFs) are organizations that represent complex adaptive systems, offering barriers to the implementation of quality improvement (QI) initiatives. The current article describes the authors' efforts to use the approach of reflective adaptive process to implement a new model of care (i.e., the Skilled Heart Unit Program) for effective heart failure (HF) care in one SNF. A team of stakeholders from the local hospital system and a local SNF was convened to design and implement this new model. Evaluation of the implementation processes confirmed the value of the implementation approach, which centered on team-based approaches, staff engagement, and flexibility of processes to respect the SNF's needs and culture. Interviews with facility staff and the administrator revealed their perceptions that the strategy resulted in better HF care, enhanced teamwork between staff and clinicians, and improved staff job satisfaction. This work provides a unique blueprint of strategic QI implementation for patients with HF in the SNF setting.

Original languageEnglish
Pages (from-to)26-33
Number of pages8
JournalJournal of Gerontological Nursing
Volume41
Issue number5
DOIs
StatePublished - 2015

Fingerprint

Skilled Nursing Facilities
Heart Failure
Quality Improvement
Job Satisfaction
Administrative Personnel
Interviews

ASJC Scopus subject areas

  • Gerontology
  • Medicine(all)

Cite this

Implementation of a heart failure quality initiative in a skilled nursing facility : Lessons learned. / Nazir, Arif; Dennis, M. E.; Unroe, Kathleen.

In: Journal of Gerontological Nursing, Vol. 41, No. 5, 2015, p. 26-33.

Research output: Contribution to journalArticle

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