Date on Paper
7-2023
Document Type
Doctoral Paper
Degree Name
D.N.P.
Department
Nursing
Committee Chair
Harrington, Candace
Committee Member
Skinner, Mary
Author's Keywords
geriatrics; value-based care; interprofessional; ethnocultural
Abstract
Background/Significance: Providers may unknowingly impede residents’ equitable treatment without understanding ethnocultural diversity and values, thus preventing residents and their families from receiving care consistent with residents’ values and beliefs.
Purpose: This project aimed to improve equitable healthcare with spiritual and ethnocultural congruence integrated into care processes and workflow in a skilled nursing facility.
Methods: The Institute of Healthcare Improvement model for improvement (MFI) and an adapted evidence-based practice guideline guided the quality improvement project, implemented in one section of a 60-bed long-term care unit at a skilled nursing facility.
Practice Change: Process and care delivery workflow changes included three aims: (1) resident and family members' satisfaction with value-based care processes, (2), staff and providers' acceptability and usability and (3) implementation compliance were analyzed and revised with three rapid quality improvement cycles.
Results: Aim one was exceeded with a 28.5% positive percentage of change in resident satisfaction with mental well-being assessment and consideration from baseline to week four and a 14.3% positive percentage of change in resident satisfaction with mental well-being assessment at week eight. Aim two, to exceed the 70% benchmark for acceptability and useability of the care process changes, was met (83%) at week eight. Aim three was exceeded with a 166.7% positive change noted in the provider administration of the adopted assessments at week eight.
Implications: The project leader demonstrated quality improvement for value-based resident-centered care processes and workflows is possible and improves equitable care in long-term care settings.
Recommended Citation
Mitchell, Alisha, "Improving interprofessional value-based care for residents in skilled nursing facilities." (2023). Doctor of Nursing Practice Papers. Paper 131.
Retrieved from https://ir.library.louisville.edu/dnp/131
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