Describing a programme of implementation‐effectiveness research on the organization and implementation of frontline nursing care delivery into diverse health systems.
Aims: The longitudinal programme of research described in this paper seeks to generate knowledge about factors influencing the implementation of a system‐level intervention, the clinical nurse leader care model, involving nurses as leaders at the frontlines of care and the outcomes achievable with s...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 81; no. 11; pp. 8036 - 8050 |
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| Autores principales: | , |
| Formato: | tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188757891&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188757891 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Nov2025 vid: 81 iid: 11 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 188757891 179018014 188757891 188757891 10.1111/jan.16395 188757891 ppf: 8036 ppct: 14 formats: tig: atl: Describing a programme of implementation‐effectiveness research on the organization and implementation of frontline nursing care delivery into diverse health systems. aug: au: Bender, Miriam Williams, Marjory affil: Sue & Bill Gross School of Nursing, University of California, Irvine 854 Medical Sciences Quad, Irvine California,, USA sug: subj: Nursing Outcomes Research, Nursing Outcomes Research Program Implementation Nursing Practice, Evidence-Based Evaluation Nursing Care Health Care Delivery Clinical Nurse Leaders Nursing Models, Theoretical Program Evaluation Study Design Grounded Theory Case Studies Descriptive Research Correlational Studies Quasi-Experimental Studies Multimethod Studies Action Research Conceptual Framework Quality of Nursing Care Patient Safety Implementation Science Nursing Interventions Critical Path Research Support Institutional Review Sample Size Sampling Methods Instrument Validation Surveys Interrupted Time Series Analysis Data Analysis, Statistical Qualitative Studies Comparative Studies Psychometrics Evaluation Trust ab: Aims: The longitudinal programme of research described in this paper seeks to generate knowledge about factors influencing the implementation of a system‐level intervention, the clinical nurse leader care model, involving nurses as leaders at the frontlines of care and the outcomes achievable with successful implementation. The research programme has the following aims, (a) to clarify clinical nurse leader practice, (b) develop and empirically validate a translational model of frontline care delivery that includes clinical nurse leader practice and (c) delineate the patterns of and critical outcomes of successful implementation of the clinical nurse leader care model. Design: This programme of research follows a knowledge‐building trajectory involving multiple study designs in both qualitative (grounded theory, case study) and quantitative (descriptive, correlational and quasi‐experimental) traditions. Methods: Multiple mixed methods within a system‐based participatory framework were used to conduct this programme of implementation–effectiveness research. Results: Findings are demonstrating how the clinical nurse leader care model, as a complex system‐level intervention, can be implemented in diverse healthcare contexts to make a difference to patient care quality and safety. Findings also contribute to implementation science, helping to better understand the dynamic interdependencies between implementation, the interventions implemented and the contexts in which they are implemented. Conclusion: Findings translate into sets of evidence‐informed implementation 'recipes' that health systems can match to their specific contexts and needs. This allows health systems to take on strategies that both maximize resource impact within their existing structures and support achieving intended outcomes. Implication: This programme of research is producing actionable implementation and outcome evidence about ways to organize nursing knowledge and practice into care models that can be successfully adopted within real‐world healthcare settings to achieve safer and higher quality patient care. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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