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Published on: February 16, 2011
Creating Microclimates of Change: Transparency in Disseminating Nursing Quality Performance Data
Timothy Werlau1, Sharmila Soares-Sardinha, Angela S Overman
1Author Affiliations: Clinical Nurse IV (Mr Werlau and Ms Chutz), Patient Services Manager (Mss Soares, Emory, and Lee), Director of Nursing Surgery Service (Ms Overman), Magnet® Coordinator (Dr Jones), and Nurse Scientist (Dr Smith-Miller), Department of Nursing Quality and Research, UNC Medical Center, Chapel Hill, North Carolina; and Vice-chair of IRB Committee E (Dr Smith-Miller), University of North Carolina at Chapel Hill.
Objectives:
Study objectives were to: 1) explore how nursing care quality data (NCQD) was understood and interpreted; and 2) identify, compare, and contrast individual and group responses.
Background:
Little evidence exists on how to best disseminate NCQD information. This study explores the outcomes of implementing an NCQD and human-interest information slide show across an inpatient surgery nursing service line using electronic screens.
Methods:
Methods included semistructured interviews, qualitative analysis, and diagramming.
Results:
The human-interest content most often attracted viewers' attention, but they were also exposed to NCQD. Interpretations and understandings differed among groups and between individuals. Among staff members, the human-interest content facilitated team-building, whereas NCQD provided meaningful recognition. Nursing care quality data evidenced the efforts that were being made to improve and provide excellent patient care.
Conclusions:
Using innovative dissemination methods can enhance understanding of NCQD among clinical providers. Creating microclimates of change and innovation within complex healthcare environments can benefit staff members and patients.
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