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    A Formative Program Evaluation of the Crucial Conversations™ Program

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    Author
    Trinidad, David Ralph
    Issue Date
    2013
    Keywords
    Crucial Conversations
    Formative Evaluation
    Nonlinear Systems Thinking
    Patient Safety
    Program Logic Model
    Nursing
    Central line associated blood stream infections
    Advisor
    Michaels, Cathleen L.
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    VitalSmarts® Crucial Conversations™ general program theory might be a possible countermeasure addressing organizational culture and communication factors affecting quality and safety. This practice inquiry reports: a VitalSmarts® Crucial Conversations™ general program logic model, a major medical center's Crucial Conversations™ historical implementation program logic model, a clinical exemplar central line associated blood stream infection program logic model; and, findings that describe the fidelity of the major medical center's Crucial Conversations™ historical implementation and clinical exemplar central line associated blood stream infection program logic model to the VitalSmarts® Crucial Conversations™ general program logic model. The results demonstrated there was no fidelity between the major medical center's Crucial Conversations™ program logic model and the VitalSmarts® Crucial Conversations™ general program logic model. The clinical exemplar CLABSI program logic model and VitalSmarts® Crucial Conversations™ general program logic model fidelity differed in intended outcomes. The results might suggest that program adaptability along with program fidelity are factors that influence program strength, and these factors must be uniquely balanced within organizational dynamics to realize intended outcomes. The formative evaluation and program logic model might be a feasible methodology and applicable tool for exploring quality and safety within complex adaptive systems, such as organizational culture, where constraints possibly could exclude more rigorous scientific methodologies until factors are more understood.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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