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This version was published on October 1, 2008
Western Journal of Nursing Research, Vol. 30, No. 6, 690-703 (2008)
DOI: 10.1177/0193945907311321

A Nurse Coach Quality Improvement Intervention

Feasibility and Treatment Fidelity

Ann Minnick

Rush University

Catherine D. Catrambone

Rush University, cathy_ catrambone{at}rush.edu

Lois Halstead

Rush University

Steven Rothschild

Rush University

Stan Lapidos

Rush University

As the U.S. population ages and chronic illness prevalence increases, new approaches to care are needed. Although large health systems have begun to respond to this challenge, most Americans seek care from practitioners functioning in small office settings. Implementing systematic sustainable changes for quality improvement in this setting remains an unresolved challenge. In this study, trained Nurse Coaches (NCs) were employed to assist practices in adopting a new model of patient care called Virtual Integrated Practice (VIP). The feasibility and treatment fidelity of this approach were assessed through process measures and interviews in three practices. Findings document high acceptance of the NC approach and consistent delivery of the intervention. Enactment of the VIP model took place across practices, although to a variable degree. The study suggests that NCs may be an effective delivery method for quality and organizational improvements in small primary care practices.

Key Words: nurse coach • chronic disease management • interdisciplinary teams • diabetes


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