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Process Evaluation of Group Well Child Visits for One-Month-Old Infants

Banks, Kristina L
http://rave.ohiolink.edu/etdc/view?acc_num=casednp1460750207

Abstract Details

2016, Doctor of Nursing Practice , Case Western Reserve University, School of Nursing.
Background Standards for high quality well child care, a vital part of child health promotion and developmental surveillance, are evolving due to health care reform, Bright Futures guidelines, and changing American families. Group visits, with a history of improved quality and efficiency, were utilized by a pediatric practice who launched a one-month group well child check. Purpose The purpose of this study is to evaluate the process involved in the development of a group-based well child visit for one-month-old infants at their current practice. Methods A process and outcome program evaluation utilizing 360 degree stakeholder feedback was done. Mothers bringing their one-month-old infants to group well visits at a large, private pediatric practice and Patient-Centered Medical Home in an inner-ring suburb of a medium-sized Midwestern city, as well as office staff, were eligible to provide feedback in the form of anonymous surveys following each group visit. Retrospective data analysis of survey feedback was used to answer process and outcome evaluation questions of how the visits impact the staff workload, quality of patient care, staff and mother satisfaction, and overall qualitative evaluation of the visits. Results The impact on workload of reception staff and medical assistants was neutral to positive; on practice administrators, neutral to negative; and on the NP group facilitator and RN co-facilitator, positive. Overall efficiency was improved; however, the positive workload effect perceived by the NP and RN was diminished in largest groups. The impact on quality of care was strongly positive, including postpartum depression screening, anticipatory guidance, information exchange, clinician-patient relationship, and social support. Mothers of the one-month-old infants and office staff were very satisfied with the new program. Staff suggestions for improvement centered on process and workflow, and many of these changes were implemented. Mothers’ suggestions for improvement were few, and were often conflicting and reflective of individual preferences. Clinical Implications This process evaluation gives strong support for utilizing group-based well child visits, particularly in one-month-old infants. This paper may serve as a guide for launching group well visits for other ages and for children with chronic concerns conducive to addressing within the group setting.
Marguerite DiMarco, PhD, RN, CPNP (Advisor)
Deborah Lindell, DNP, RN, CNE, ANEF (Committee Member)
Shelly Senders, MD (Committee Member)
124 p.
Families and Family Life; Health; Health Care; Health Care Management; Health Sciences; Nursing
group visits; group well visits; one month; one-month-old; infant; process evaluation; 360 degree feedback; multisource feedback; stakeholders; workload; anticipatory guidance; satisfaction

Recommended Citations

Citations

  • Banks, K. L. (2016). Process Evaluation of Group Well Child Visits for One-Month-Old Infants [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1460750207

    APA Style (7th edition)

  • Banks, Kristina. Process Evaluation of Group Well Child Visits for One-Month-Old Infants . 2016. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=casednp1460750207.

    MLA Style (8th edition)

  • Banks, Kristina. "Process Evaluation of Group Well Child Visits for One-Month-Old Infants ." Doctoral dissertation, Case Western Reserve University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1460750207

    Chicago Manual of Style (17th edition)

casednp1460750207
147
© 2016, all rights reserved.
This open access ETD is published by Case Western Reserve University Doctor of Nursing Practice and OhioLINK.