This study addresses the linkages between processes of nursing care and quality of patient outcomes, and identifies facilitators and barriers to successful adoption of research findings for improving nursing care in rural hospitals. The purpose is to: (1) conduct a phased randomized controlled trial to evaluate the effect of a rural hospital collaborative on heart failure (HF) patient care at 6 and 12 months; (2) identify hospital and nursing characteristics that are associated with improvements in HF patient care at 6 and 12 months; and (3) evaluate the cost effectiveness of a collaborative approach to improve HF patient care for rural hospitals. Using a phased randomized controlled trial design, 30 rural hospitals will be assigned to an experimental or control group (with delayed intervention) to participate in a quality collaborative implementing an evidence-based HF toolkit. Survey data will be collected from providers and patients and supplemented by administrative data. A focus group will capture major barriers encountered and suggestions for future collaborative initiatives. Analysis of outcomes include changes from pre- to post-intervention period, comparison of changes between the control group and intervention group, as well as within hospital changes over time using t-tests, regression models, and longitudinal data analysis.
Amount Awarded $300,000.00
Awarded on: 7/31/2007
Time frame: 9/1/2007 - 8/31/2009
Grant Number: 62573