The Quality, Implementation, and Evaluation Model: A Clinical Practice Model for Sustainable Interventions. (August 2014)

• Record Type: Journal Article
• Authors: Talsma, AkkeNeel; McLaughlin, Margaret; Bathish, Melissa; Sirihorachai, Rattima; Kuttner, Rafael
• Is Part Of: Western journal of nursing research. Volume 36:Number 7(2014)
• Page Start: 929
• Page End: 946
• Publication Date: 2014-08
• Subjects: implementation model -- evidence-based practice -- practice evaluation -- Donabedian's model -- alcohol-based skin preparation agent; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Nursing -- Research -- West (U.S.) -- Periodicals; Nursing -- West (U.S.) -- Periodicals; Nursing -- Periodicals; Nursing Research -- Periodicals; Soins infirmiers -- Recherche -- Périodiques; Soins infirmiers -- Périodiques; Soins infirmiers -- Recherche -- États-Unis (Ouest) -- Périodiques; Soins infirmiers -- États-Unis (Ouest) -- Périodiques; Soins infirmiers; Recherche; États-Unis (Ouest); Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 610.730702
• DOI: 10.1177/0193945914537121
• Languages: English
• ISSNs: 0193-9459

Abstract

Major efforts have been directed toward the implementation of sustainable quality improvement. To date, progress has been noted using various metrics and performance measures; however, successful implementation has proven challenging. The Quality, Implementation, and Evaluation (QIE) model, derived from Donabedian's structure component, presents a framework for implementation of specific activities. The QIE model consists of Policy, Patient Preparedness, Provider Competency, and Performance and Accountability, to guide specific practice initiatives. The implementation of alcohol-based pre-operative skin prep was evaluated in a sample of 17 hospitals and demonstrated that hospitals actively engaged in the components of the model demonstrated a significantly higher use of alcohol-based skin preparation agent than hospitals that did not engage in QIE model activities. The QIE model presents a powerful and actionable implementation model for mid-level management and clinical leadership. Future studies will further evaluate the impact of the specific components of the QIE model.