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A model for evaluating systemic change: measuring outcomes of hospital discharge education redesign
Carol E Smith1, Shelby Rebeck, Helen Schaag
1University of Kansas School of Nursing, Kansas City 66160, USA. csmith@kumc.edu
Abstract:
Hospitals have restructured job duties and responsibilities in response to market pressures and in an effort to improve quality. This study presents a model for evaluating patient satisfaction outcomes following a work redesign that included the realignment of responsibility for discharge education from clinical nurse specialists to cross-trained, multidisciplinary workers. The outcomes data cannot be generalized, as they relate to a particular redesign and one institution. However, this analysis provides a framework for a systematic, multidisciplinary approach to evaluating organizational change.
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