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Large-Scale Cultural Transformation Evaluation Models

To implement the latest models of patient-centered care, it is essential to understand the evaluation models and targets that have to be addressed. According to Bokhour et al. (2018), leadership commitment is the most important aspect, as its cooperation is vital to the implementation of initiatives. A model that focuses on leadership can increase the speed at which the action is adopted. However, referring solely to administration when considering patient-centered care can compromise some aspects of the change. In particular, the working staff will not necessarily be involved in the initiative to the degree that maximizes its effects.

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As such, a model that focuses on employee engagement would also likely be beneficial to the implementation of the change. Solman and Wilson (2016) claim that nurses tend to be highly interested in the making of appropriate decisions. As such, engaging them can lead to considerable benefits to the organization through the combination of their expertise. With that said, nurses can also be resistant to change and slow the process down or reduce the effectiveness of the initiative. To overcome these barriers, it can be beneficial to address the structure of the organization to ensure commitment.

If nurses feel that they are included in the organization’s decision-making and responsible for its performance, they will likely apply more effort in their efforts to improve. Roux (2017) discusses shared governance models, which are defined as structures where the staff is involved in decision-making. These models can be beneficial because the workers would form committees that develop effective measures to address specific issues, which the organization could then adopt. However, robust nurse leadership is necessary so that the initiatives are useful, which may not be present at some organizations.

References

Bokhour, B. G., Fix, G. M., Mueller, N. M., Barker, A. M., Lavela, S. L., Hill, J. N., Solomon, J. L., & Lukas, C. V. (2018). How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation. BMC Health Services Research, 18(1).

Roux, G. (2017). Issues and trends in nursing (2nd ed.). Jones & Bartlett Learning.

Solman, A., & Wilson, A. (2016). Person-centredness in nursing strategy and policy. In B. McCormack & T. McCance (Eds.), Person-centred practice in nursing and health care: Theory and practice (2nd ed.) (pp. 77-85). Wiley.

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