title: A model for evaluating systemic change: measuring outcomes of hospital discharge education redesign.
abstract: Hospitals have restructured job duties and responsibilities in response to market pressures and in an effort to improve quality. This study presents a model for evaluating patient satisfaction outcomes following a work redesign that included the realignment of responsibility for discharge education from clinical nurse specialists to cross-trained, multidisciplinary workers. The outcomes data cannot be generalized, as they relate to a particular redesign and one institution. However, this analysis provides a framework for a systematic, multidisciplinary approach to evaluating organizational change.
authors.affiliation: University of Kansas School of Nursing, Kansas City 66160, USA. csmith@kumc.edu
authors.forename: Carol E
authors.initials: CE
authors.lastname: Smith
authors.forename: Shelby
authors.initials: S
authors.lastname: Rebeck
authors.forename: Helen
authors.initials: H
authors.lastname: Schaag
authors.forename: Susie
authors.initials: S
authors.lastname: Kleinbeck
authors.forename: Janice M
authors.initials: JM
authors.lastname: Moore
authors.forename: Michael R
authors.initials: MR
authors.lastname: Bleich
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009738:Nursing Service, Hospital / Q000458:organization & administration*; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care / Q000379:methods*; D010348:Patient Care Team / Q000458:organization & administration*; D010351:Patient Discharge; D010353:Patient Education as Topic / Q000458:organization & administration*; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D014481:United States