Impact of Provider Coordination on Nurse and Physician Perceptions of Patient Care Quality

McIntosh, Nathalie; Burgess, James; Meterko, Mark; Restuccia, Joseph D.; Alt-White, Anna C.; Kaboli, Peter J.; Charns, Martin P.

doi:10.1097/ncq.0000000000000055

Cited by 8 publications

(5 citation statements)

References 30 publications

(22 reference statements)

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“…Additionally, the findings of the study are consistent with the results of previous studies discussing the impact of the structured NLR and nurse leader practices on enhancing the coordination of care and the discharge process (Alaloul, Williams, Myers, Jones, & Logsdon, ; McIntosh et al, ). A structured NLR is an opportunity for the nurse manager to ensure that all discharge instructions, education, and coordination of care after discharge are in place before discharge (Eggenberger, Garrison, Hilton, & Giovengo, ; Page et al, ; Sharma et al, ).…”

Section: Discussionsupporting

confidence: 89%

Impact of Structured Nurse Leader Rounds on Satisfaction With Nursing Care Among Patients With Cancer

Ayaad

Alloubani

Al‐rafaay

et al. 2019

J of Nursing Scholarship

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Background The patient satisfaction rate is considered a challenge for nurse leaders, especially among patients with cancer, due to the complexity of the disease, diagnostic procedures, and treatment. Aim The purpose of this study was to evaluate the impact of structured nurse leader rounds (NLRs) on satisfaction with nursing care among patients with cancer. Moreover, we assessed the relationship among NLRs, patient satisfaction, and demographical variables. Methods A two‐group posttest design was used in four adult inpatient oncology units in a specialized oncology center. A stratified random sampling technique was utilized to select 169 patients for the experimental group (80 patients) and control group (89 patients). Structured leader rounds were conducted by nurse leaders using a scripted nurse leader tool to standardize the rounds in the experimental group, while the unstructured leader round was conducted in the control group. Patient satisfaction was measured using the Patient Satisfaction with Nursing Care Quality Questionnaire. Results The findings revealed that there was a significant difference in total score of patients’ satisfaction between study groups (t = −9.213, p > .001). Conversely, the structured leader round has a significant impact on the patient’s experience with nurse concern and caring (t = −2.054, p = .042). Conclusions Adoption of a structured NLR has a significant impact on improving patient satisfaction in an oncology setting where patients receive care from many disciplines, such as surgical, medical, radiotherapy, and radiology. Clinical Relevance Efficient structured NLRs of nursing professionals are important for enhancing the quality of nursing care and patient satisfaction.

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Section: Discussionsupporting

confidence: 89%

Impact of Structured Nurse Leader Rounds on Satisfaction With Nursing Care Among Patients With Cancer

Ayaad

Alloubani

Al‐rafaay

et al. 2019

J of Nursing Scholarship

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“…For example, in the airline industry, relational coordination across 12 workgroups was associated with quality outcomes such as fewer passenger complaints, fewer late arrivals, and fewer baggage handling errors (Gittell, 2001). Similarly, subsequent studies in health care found relational coordination among interdisciplinary staff was positively associated with quality outcomes such as postoperative functional status, patient-reported quality of care and quality of life, family satisfaction with care, patient trust and confidence in their providers, and patient psychological well-being (Azar et al, 2017;Bae et al, 2010;Cramm et al, 2014;Cramm & Nieboer, 2012a, 2014aDeJesus, 2015;Gittell, 2002a;Gittell et al, 2000;Gittell et al, 2008;Havens et al, 2010;Noël et al, 2013;Romanow et al, 2018;Sakai et al, 2015;Sakai et al, 2016;Weinberg et al, 2007) as well as staff-reported quality of care (McDermott et al, 2017;McIntosh et al, 2014). These findings were further replicated in studies conducted in the pharmacy, professional services, higher education, and elder care industries (Alvarez, 2014;Drewery et al, 2016;Gittell et al, 2008;Hoos et al, 2012;Margalina et al, 2017;Skakon, 2014).…”

Section: Quality Outcomesmentioning

confidence: 95%

Revisiting Relational Coordination: A Systematic Review

Bolton

Logan

Gittell

2021

The Journal of Applied Behavioral Science

131

201

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Work is increasingly complex, specialized, and interdependent, requiring coordination across roles, disciplines, organizations, and sectors to achieve desired outcomes. Relational coordination theory proposes that relationships of shared goals, shared knowledge, and mutual respect help to support frequent, timely, accurate, problem-solving communication, and vice versa, enabling stakeholders to effectively coordinate their work across boundaries. While the theory contends that cross-cutting structures can strengthen relational coordination, and that relational coordination promotes desired outcomes for multiple stakeholders, the empirical evidence supporting the theory has not previously been synthesized. In this article, we systematically review all empirical studies assessing the predictors and outcomes of relational coordination published from 1991 to 2019. We find evidence supporting the existing theory and discuss how that evidence supports expanding the theory from a linear structure–process–outcomes model to a dynamic model of change. An agenda for researchers and practitioners is proposed.

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“…Relational coordination among nurses in inpatient settings has also been found to be positively associated with nurse-rated quality of care (McIntosh et al, 2014). Other studies have also generally found positive associations between RC and quality of care (Cramm, & Nieboer, 2012; Noel, Lanham, Palmer, Leykhum, & Parchman, 2013; Hartgerink, et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Contributions of relational coordination to care management in accountable care organizations

Rundall

Lewis

et al. 2016

Health Care Management Review

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Background The accountable care organization (ACO) is a new type of health care organization incentivized to improve quality of care, improve population health, and reduce the total cost of care. An ACO’s success in meeting these objectives will depend greatly upon its ability to improve patient care management. Numerous studies have found relational coordination to be positively associated with key measures of organizational performance in health care organizations, including quality and efficiency. Purpose The purpose of this paper is twofold: (1) identify the extent to which ACO leaders are aware of the dimensions of relational coordination, and (2) identify the ways these leaders believe the dimensions influenced care management practices in their organization. Methodology/Approach We performed content analysis of interviews with managerial and clinical leaders from a diverse group of 11 ACOs to assess awareness of relational coordination and identify the ways that dimensions of relational coordination were perceived to influence development of care management practices. Findings ACO leaders mentioned four relational coordination dimensions: shared goals, frequency of communication, timeliness of communication, and problem solving communication. Three dimensions – shared knowledge of team members’ tasks, mutual respect, and accuracy of communication – were not mentioned. Our analysis identified numerous ways leaders believed the four mentioned dimensions contributed to the development of care management, including contributions to standardization of care, patient engagement, coordination of care, and care planning. Discussion We propose two hypotheses for future research on relational coordination and care management. Practice Implications If relational coordination is to have a beneficial influence on ACO performance, organizational leaders must become more aware of relational coordination and its various dimensions and become cognizant of relational coordination’s influence on care management in their ACO. We suggest a number of means by which ACO leaders could become more aware of relational coordination and its potential effects.

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Impact of Provider Coordination on Nurse and Physician Perceptions of Patient Care Quality

Cited by 8 publications

References 30 publications

Impact of Structured Nurse Leader Rounds on Satisfaction With Nursing Care Among Patients With Cancer

Impact of Structured Nurse Leader Rounds on Satisfaction With Nursing Care Among Patients With Cancer

Revisiting Relational Coordination: A Systematic Review

Contributions of relational coordination to care management in accountable care organizations

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