Evidence-based characteristics of nurse-managed health centers for quality and outcomes. Nurs Outlook 2014;62(6):428-39
Date
08/03/2014Pubmed ID
25085326DOI
10.1016/j.outlook.2014.06.005Scopus ID
2-s2.0-84912529343 (requires institutional sign-in at Scopus site) 14 CitationsAbstract
There are approximately 250 nurse-managed health centers (NMHC) in the United States, but there are few consistent descriptions of their functions and even fewer reports of their outcomes. Because NMHCs have been identified as a unique and effectual health care delivery care model (Patient Protection and Affordable Care Act), a description of their characteristics and a framework for outcome evaluation are required for their continued evolution and expansion. This study identifies the principal characteristics of U.S. NMHCs described in the professional literature through an integrative review and classifies these characteristics through a multistage qualitative analysis in relation to Donabedian's structure-process-outcomes model, a well-established model for evaluating quality in health care. This study yielded an evidence-based definition of NMHCs that is more reflective of current NMHC practice across settings and recognizes the full scope of nursing practice that is considered one solution to the health care crisis in the country. Using the results from this study, NMHCs will be able to structure self-evaluations of quality care and compare their quality related to structure, processes, and outcomes with other primary health care delivery systems.
Author List
Holt J, Zabler B, Baisch MJAuthor
Bev Zabler MSN,PhD Clinical Assistant Professor in the Nursing department at University of Wisconsin - MilwaukeeMESH terms used to index this publication - Major topics in bold
AdultCommunity Health Services
Delivery of Health Care
Evidence-Based Nursing
Female
Humans
Male
Middle Aged
Models, Nursing
Nurse Administrators
Patient Protection and Affordable Care Act
Primary Health Care
Quality Assurance, Health Care
United States
