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Nursing Clinical Information System01:27

Nursing Clinical Information System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Embedding Convergent Care Theory: Implementing a System-wide Clinical Inquiry Model to Optimize Healthcare Outcomes.

Penelope Gorsuch1, Karrie Boss, Seungman Kim

  • 1Assistant Professor, Nursing Leadership & Strategy in Healthcare Specialty Track Director (Dr Gorsuch), The Ohio State University, Columbus, OH; System Director Evidence-Based Practice (Dr Boss), Summa Health, Akron, OH; Sr. Research Associate (Dr Kim), School of Nursing, Texas Tech University Health Sciences Center; Dean and Professor, School of Nursing (Dr Wei), Texas Tech University Health Sciences Center, Lubbock, TX.

The Journal of Nursing Administration
|May 18, 2026
PubMed
Summary
This summary is machine-generated.

Implementing a theory-informed professional practice model (PPM) significantly reduced nurse turnover and improved patient safety and engagement, leading to substantial cost savings for healthcare organizations.

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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Quality Improvement

Background:

  • Healthcare organizations struggle with high nurse turnover, staff disengagement, and fragmented care.
  • Professional Practice Models (PPMs) can align nursing practice and leadership but often lack effective operationalization.

Purpose of the Study:

  • To develop and implement a theory-informed Professional Practice Model (PPM).
  • To evaluate the impact of the PPM on workforce, quality, engagement, and financial outcomes.

Main Methods:

  • An evidence-based practice Quality Improvement initiative implemented a PPM based on Convergent Care Theory.
  • A structured, multiphase clinical inquiry infrastructure was utilized.
  • Aggregated organizational data were analyzed for workforce, patient safety, staff engagement, and cost avoidance.

Main Results:

  • Over 2500 nurses participated in system-wide inquiry and strategic planning.
  • One-year Registered Nurse (RN) turnover decreased from 22.14% to 10.42% (P=0.002), yielding estimated cost avoidance of $4.6 million.
  • Catheter-associated urinary tract infection rates declined by 48%, and Leapfrog Hospital Safety Grades improved.

Conclusions:

  • System-wide operationalization of a theory-based PPM enhanced nurse retention.
  • The PPM positively impacted patient outcomes, staff engagement, and organizational cost avoidance.