This article is a qualitative research (descriptive study) because it addresses the perception of a patient-centered medical home (PCMH) model of providers and staff instead of testing hypotheses and identifying cause-and-effect relationships. The purpose of the research was to find out how the PCMH model was introduced in nurse-led primary care and conclude whether there were any barriers or facilitators during its implementation. Therefore, the article aimed at addressing the following research question: What is the perception of the introduction of the PCMH model among nurse-led practices staff? To address this issue, the researchers conducted in-depth interviews with staff and healthcare providers. The sample size included 32 interviewees employed by 25 nurse-led practices. Data was collected between September 2010 and September 2011. According to the findings of this article, employees of nurse-led practices perceive the PCMH model as beneficial for enhancing change in their healthcare settings. It can be explained by the major specificities of the model. Because it facilitates spending time with a patient and using outcome reports, fosters communication with both patients and colleagues, and divides responsibilities among all team members, most respondents believe the model is helpful for improving patient care. Nevertheless, the introduction of the PCMH model in nurse-led practices is inseparable from some critical barriers. Altering electronic medical record system, addressing complex patient needs, high staff turnover, and stressful work conditions are just some examples of the barriers to implementing it. Still, the major one is time necessary for embracing change (Frasso et al., 2017).
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Frasso, R., Golinkoff, A., Klusaritz, H., Kellom, K., Kollar-McArthur, H., Miller-Day, M., … Cronholm, P. F. (2017). How nurse-led practices perceive implementation of the patient-centered medical home. Applied Nursing Research, 34(1), 34-39. Web.
Silber, J. H., Rosenbaum, P. R., McHugh, M. D., Ludwig, J. M., Smith, H. L., Nikman. B. A., … Aiken, L. H. (2016). Comparison of the value of nursing environments in hospitals across different levels of patient risk. JAMA Surgery, 151(6), 527-536. Web.