Innovative nursing care models and culture of health: Early evidence

Nurse-Designed Care Models and Culture of Health: Review of Three Case Studies

“…However, in the survey, none of the case study participants listed making health a shared value as their strongest focus area and two of the three case study participants (CenteringPregnancy and the Network) reported that they focused on this action area least. These findings are consistent with previous work that suggests that nurse-designed care models do not traditionally focus on making health a shared value (Martsolf et al, 2016). During the interviews and site visits, however, we found that in fact the nurse-designed care models are undertaking a number of activities consistent with making health a shared value.…”

“…Two of the models (e.g., the Network and CenteringPregnancy) had a particularly strong focus on Action Area 4. Previous work has demonstrated that nurse-designed care models have a particularly strong focus on this action area, which is not surprising given that nurses are traditionally within the health care system and work across various health care sectors (Martsolf et al, 2016). The sort of health service integration that the Edge Runners were able to achieve was largely driven by a committed focus to broadening the notion of health and focusing on a whole-person orientation.…”

“…At the beginning of the project, we retreived 196 documents related to the 39 Edge Runner models that were active as of June 2015 (Martsolf et al, 2016). Of those 196 documents, 36 were related to the three Edge Runner models that were the focus of our case studies.…”

“…Moreover, the nursing model's focus on patientcentered care provides a holistic view of patients that incorporates aspects of their family, community, and work environment and emphasizes the promotion of health and well-being (Smith, 1995). A recent study found that nurse-designed models focus extensively on issues related to a Culture of Health, making them a useful context for examining how other providers might contribute to such a culture (Martsolf et al, 2016). This study reviewed documentation from innovative nurse-designed care models and found that nearly all of the reviewed models focused on activities consistent with the Culture of Health action framework.…”

Building Innovation and Sustainability in Programs of Research

“…The need to address policy changes and socio‐economic factors is similarly confirmed in a comprehensive study of the American Academy of Nursing Edge Runner Models (Martsolf, Mason, Sloan, Sullivan, & Villarruel, ; Martsolf et al., ;), which are innovative nurse‐designed care models with evidence of improved clinical and financial outcomes. Many of these models are research based and have demonstrated regional and also national impact and address a multitude of health (pregnancy to elder care) and health system (coordination of care, delivering comprehensive primary care) issues.…”