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Delegation of Work Within a Patient-Centered Medical Home.
J Nurs Adm. 2022 Dec 01; 52(12):679-684.JN

Abstract

OBJECTIVE

The aim of this study was to analyze the perceptions of core team members implementing patient-centered medical home (PCMH) within the Veterans Health Administration regarding delegation of work.

BACKGROUND

Significant overlap exists in the performance of work tasks among PCMH team members (primary care providers, RNs, clinical associates, clerks), and scant literature exists on appropriate delegation within PCMH teams.

METHODS

This study conducted used a quantitative and qualitative analysis of 4254 respondents to a 2018 survey.

RESULTS

Primary care providers rely heavily on team members, and nurses report being relied upon at high levels. Lack of role clarity and a perceived need for a team leader were concerns voiced by participants.

CONCLUSIONS

Findings indicated a need for clear guidance on roles and responsibilities within the team. Patient-centered medical home team members need information about the scope of practice of each professional group to allow providers to function at the top of their scope of practice and ensure effective delegation.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Wakefield BJ
Author Affiliations: Investigator (Drs Wakefield and Farag) and Analyst (Ms Ferguson), Veterans Integrated Service Network 23, Primary Care Analytic Team (Ms Paez), Iowa City VA Healthcare System, Iowa; Associate Professor (Dr Wakefield), Sinclair School of Nursing, University of Missouri, Columbia; Investigator (Dr Lampman), Ethnographic Methods and Implementation Core (EMIC) Program Manager (Ms Paez), and Director (Dr Stewart), Veterans Integrated Service Network 23, PCAT and VA Office of Patient Care Services, Iowa City VA Healthcare System, Iowa; Assistant Professor (Dr Lampman), Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota; EMIC Program Manager (Ms Paez), The Comprehensive Access and Delivery Research and Evaluation Center, Iowa City VA Healthcare System, Iowa; and Associate Professor (Dr Farag), University of Iowa College of Nursing; and Professor (Dr Stewart), Tippie College of Business, University of Iowa, Iowa City.
Lampman MA
No affiliation info available
Paez MB
No affiliation info available
Farag A
No affiliation info available
Ferguson H
No affiliation info available
Stewart GL
No affiliation info available

MeSH

United StatesHumansPrimary Health CarePatient Care TeamUnited States Department of Veterans AffairsPatient-Centered CareSurveys and Questionnaires

Pub Type(s)

Journal Article

Language

eng

PubMed ID

36409262

Citation

Wakefield, Bonnie J., et al. "Delegation of Work Within a Patient-Centered Medical Home." The Journal of Nursing Administration, vol. 52, no. 12, 2022, pp. 679-684.
Wakefield BJ, Lampman MA, Paez MB, et al. Delegation of Work Within a Patient-Centered Medical Home. J Nurs Adm. 2022;52(12):679-684.
Wakefield, B. J., Lampman, M. A., Paez, M. B., Farag, A., Ferguson, H., & Stewart, G. L. (2022). Delegation of Work Within a Patient-Centered Medical Home. The Journal of Nursing Administration, 52(12), 679-684. https://doi.org/10.1097/NNA.0000000000001231
Wakefield BJ, et al. Delegation of Work Within a Patient-Centered Medical Home. J Nurs Adm. 2022 Dec 1;52(12):679-684. PubMed PMID: 36409262.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Delegation of Work Within a Patient-Centered Medical Home. AU - Wakefield,Bonnie J, AU - Lampman,Michelle A, AU - Paez,Monica B, AU - Farag,Amany, AU - Ferguson,Heidi, AU - Stewart,Greg L, PY - 2022/11/21/entrez PY - 2022/11/22/pubmed PY - 2022/11/24/medline SP - 679 EP - 684 JF - The Journal of nursing administration JO - J Nurs Adm VL - 52 IS - 12 N2 - OBJECTIVE: The aim of this study was to analyze the perceptions of core team members implementing patient-centered medical home (PCMH) within the Veterans Health Administration regarding delegation of work. BACKGROUND: Significant overlap exists in the performance of work tasks among PCMH team members (primary care providers, RNs, clinical associates, clerks), and scant literature exists on appropriate delegation within PCMH teams. METHODS: This study conducted used a quantitative and qualitative analysis of 4254 respondents to a 2018 survey. RESULTS: Primary care providers rely heavily on team members, and nurses report being relied upon at high levels. Lack of role clarity and a perceived need for a team leader were concerns voiced by participants. CONCLUSIONS: Findings indicated a need for clear guidance on roles and responsibilities within the team. Patient-centered medical home team members need information about the scope of practice of each professional group to allow providers to function at the top of their scope of practice and ensure effective delegation. SN - 1539-0721 UR - https://www.unboundmedicine.com/medline/citation/36409262/Delegation_of_Work_Within_a_Patient_Centered_Medical_Home_ DB - PRIME DP - Unbound Medicine ER -