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Program Infrastructure's Role on Sustainment of a Veterans Care Coordination Program: A Qualitative Study
Lexus Ujano-De Motta1, Marina McCreight1, Lauren McKown1
1United States Department of Veterans Affairs (VA), VA Eastern Colorado Health Care System, Denver-Seattle Center of Innovation (COIN), Aurora, Colorado (Mrs Ujano-De Motta, Mrs McCreight, Dr McKown, Mrs Morgan, Dr Daus, Mrs. Sjoberg, Mr Klocko, Dr Leonard, Dr.Jones).
Background:
Program infrastructure is essential for sustainment of care coordination programs, yet current infrastructure models remain understudied in clinical settings.
Purpose:
To understand perspectives and experiences of frontline nurse implementors regarding plans, barriers, and facilitators to sustainment of an evidence-based care coordination program for Veterans known as the Transitions Nurse Program.
Methods:
Semi-structured interviews were conducted with 7 nurse implementors across 2 program waves. Data were analyzed using iterative, team-based deductive and inductive content analysis.
Results:
Four key program infrastructure factors emerged: nuances of dual nurse roles, leadership support, financial considerations, and social work integration.
Conclusions:
Transitions Nurse Program sustainment is informed by the interplay of program infrastructure factors. Leadership should consider how hiring nurses with dual roles impacts program sustainment.
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