Health Services Research & Development

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Pimentel CB, Mills WL, Palmer JA, Dillon K, Sullivan JL, Wewiorski NJ, Snow AL, Allen RS, Hopkins SD, Hartmann CW. Blended Facilitation as an Effective Implementation Strategy for Quality Improvement and Research in Nursing Homes. Journal of nursing care quality. 2019 Jul 1; 34(3):210-216.
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Abstract: BACKGROUND: Blended facilitation, which leverages the complementary skills and expertise of external and internal facilitators, is a powerful strategy that nursing stakeholders and researchers may use to improve implementation of quality improvement (QI) innovations and research performed in nursing homes. PROBLEM: Nursing homes present myriad challenges (eg, time constraints, top-down flow of communication, high staff turnover) to QI implementation and research. APPROACH: This methods article describes the theory and practical application of blended facilitation and its components (external facilitation, internal facilitation, relationship building, and skill building), using examples from a mixed QI and research intervention in Veterans Health Administration nursing homes. CONCLUSIONS: Blended facilitation invites nursing home stakeholders to be equal partners in QI and research processes. Its intentional use may overcome many existing barriers to QI and research performed in nursing homes and, by strengthening relationships between researchers and stakeholders, may accelerate implementation of innovative care practices.