The impact of the primary nursing model on cultural improvement: A mixed-method study

Rachele Ferrua, John W. Nelson, Claudia Gatta, Antonella Croso, Chiara Boggio Gilot, Alberto Dal Molin

Research output: Contribution to journalArticlepeer-review

Abstract

Evaluating the implementation of care models such as Primary Nursing requires assessment of both short-term and long-term outcomes. In a hospital in Piemonte, Italy, a mixed-method time-series study was conducted to assess if and how the organizational culture of nurses changed in relation to the implementation of a new organizational model of care. Instruments used included the Condition of Work Effectiveness Questionnaire (CWEQ II) and an investigator-developed questionnaire to evaluate perceptions of dimensions consistent with Primary Nursing. Results showed a significant culture change over time related to the implementation of Primary Nursing, mainly in terms of nurses' understanding of their professional role specifications. In addition, the results supported a relationship between being involved in the project implementation and the procedural and cultural approach adopted.

Original languageEnglish
Pages (from-to)259-267
Number of pages9
JournalCreative nursing
Volume22
Issue number4
DOIs
Publication statusPublished - 1 Jan 2016

Keywords

  • Care pattern
  • Cultural approach
  • Evaluation
  • Organizational culture
  • Primary nursing

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