Primary and Community Care.
The most widespread tool, although only officially recognized in the USA, is the Community Health Needs Assessment (CHNA), reported by Akintobi et al. [ 13 ]; Carlton and Singh [ 14 ]; Cain et al. [ 15 ]; Evans-Agnew et al. [ 16 ]; Pennel et al. [ 17 ]; Pennel et al. [ 18 ] (2015); Wilder et al. [ 19 ]; Kuehnert et al. [ 20 ]; and Sharma [ 21 ].
The CHNA is a systematic process involving the community to identify and analyze community health needs. The process provides a way for communities to prioritize health needs and to plan and act upon unmet community health needs.
Sharma [ 21 ] created a conceptual model for a community health assessment divided into eight steps: (1) know thyself , (2) know the community , (3) creating a participatory infrastructure , (4) developing a strategic plan , (5) establishing feedback mechanisms , (6) establishing priorities , (7) selecting interventions and (8) presentation of a joint report .
The Patient Protection and Affordable Care Act [ 22 ] has demanded that nonprofit hospitals must conduct a CHNA once every three years. The purposes are to adapt health services, implement strategies to address health priorities and improve population health.
Another tool, used in South Korea, is the Comprehensive Health and Social Needs Assessment (CHSNA) by Park et al. [ 23 ]. This validated system is characterized by user-friendly images and can be used by healthcare professionals, social workers and community residents to evaluate the reasoning underlying health and social needs, to facilitate the identification of more appropriate healthcare plans and to guide community residents to receive the best healthcare services. In detail, the assessment covers three areas: a basic health assessment, a life and activity assessment and an in-depth health assessment.
Through the literature research, another measurement method has been identified, such as the Community-Based Collaborative Action Research (CBCAR) by Van Gelderen et al. [ 24 ] and Krumwiede et al. [ 25 ]. This tool seems to facilitate community engagement and promote critical dialogue.
The Community-Based Participatory Research (CBPR) [ 13 ] is a partnership approach to research that equitably involves community members, organizations and researchers in all aspects of the research process. All partners shared expertise, decision-making and ownership. The aim of this tool is to increase the knowledge and understanding of a given phenomenon and to integrate the knowledge gained with interventions for policy or social change benefiting the community members.
The Precede–Proceed Model [ 26 ] is a cost–benefit evaluation framework proposed in 1974 by Green that could help health program planners, policy makers and other evaluators to analyze situations and design health programs efficiently. It provides a comprehensive structure for assessing health and quality of life needs, and for designing, implementing and evaluating health promotion and other public health programs to meet those needs.
The Participatory Rural Appraisal (PRA) [ 27 ] is an approach used by nongovernmental organizations (NGOs) and other agencies involved in international development that incorporates the knowledge and opinions of rural people in the planning and management of projects and programs.
Other tools, specific for certain categories of the population or patients, are used; for example, the Carer Support Needs Assessment Tool (CSNAT), used by Horseman et al. [ 28 ], Alvariza et al. [ 29 ], Ewing et al. [ 30 ] and Aoun et al. [ 31 ] is an evidence-based tool that enables the comprehensive assessment of carers’ support needs, facilitating tailored support for the family members and friends of adults with long-term, life-limiting conditions (palliative care, motor neuron disease, etc.). It comprises 14 areas of need in which carers commonly request support. Carers may use this tool to state what they need both to allow them to care for their family member or friend and to preserve their own health and well-being within the caregiving role.
The Questionnaire for Assessing Community Health Nurses’ Learning Needs [ 32 ] is destined for community health nurses.
The EASY-care [ 33 ], is a comprehensive geriatric assessments (CGA) instrument designed for assessing the physical, mental and social functioning and unmet health and social needs of older people in community settings or primary care.
The SPICE assessment tool [ 34 ], a shorter version of the Camberwell Assessment of Need for the Elderly, has been developed for routine use in primary care, focusing on five domains: Senses, Physical ability, Incontinence, Cognition, and Emotional distress (SPICE).
The University of Kansas Community Tool Box and the HRSA Compliance Manual have been used by Burns et al. [ 35 ] to conduct a needs assessment aimed at enhancing the service delivery of African-American adolescents and young adults at an urban federally qualified health center.
Finally, a modified version of the Patient Centered Medical Home Assessment (PCMH-A) has been developed by Kimble et al. [ 36 ] to assess primary care nurses’ perceptions of their practice.
Some other tools reported in literature are: the Community Health Assessment toolkit [ 37 ], Mobilizing for Action through Planning and Partnerships (MAPP) [ 38 ], State Health Improvement Planning (SHIP) Guidance and Resources [ 39 ], Community Health Assessment and Group Evaluation (CHANGE) [ 40 ], Needs Assessment, Resource Guide [ 41 ], Healthy People 2030 and MAP-IT [ 42 ].
Moreover, some data collection methods expressed in the literature are: the triangulation of data, methods and researchers [ 13 , 26 ], surveys [ 43 ] and public database consultation [ 19 ], focus groups [ 13 , 30 , 44 , 45 , 46 , 47 ], questionnaires [ 13 , 27 , 47 , 48 ], semi-structured interviews in person, by post or telephone [ 13 , 15 , 27 , 43 , 45 , 49 , 50 ] and, in particular, to a community’s key members [ 13 , 19 ] and technological tools such as visual tools [ 27 ], video clips [ 15 ] and applications for smartphones, tablets and PC [ 46 ].
Among these methods, those that deserve further exploration for their flexibility, innovativeness, effectiveness in identifying a community’s needs and for the involvement and empowerment of citizens are listed below.
Another important source of information which requires dedicated deepening, with transversal value at the international level, is the Community Health Needs Assessment—An introductory guide for the family health nurse in Europe [ 9 ]. It is a tool designed for services planning at the level of families, communities and populations, highlighting the importance of the nurses’ contribution in the process. It describes how the evaluation of needs can identify priorities, directing resources to address inequalities and to activate a mechanism of involvement and participation of the local population.
The first part of the tool provides practical and user-friendly guidance to nurses through some general definitions and more specific advice regarding the needs assessment, dividing the process into three sections: profiling of the population , how do you find out and what to do with the information . The second part is a training pack written for trainers involved in nursing education about community health needs assessments.
Lastly, ‘A Framework for Community Health Nursing Education’ is a document produced by WHO [ 51 ] representing a possible approach to analyzing the community context through a participatory process between the reference stakeholders of the territory.
An overview of the common aspects of these tools with the WHO framework is reported in Table 2 .
Comparison of the tools identified through the literature review with the WHO “Community Health Needs Assessment” (2001).
Author, Year | TOOL | Profiling the Population | Deciding on Priorities for Action and Planning Public Healthcare Programmes | Implementing the Planned Activities | Evaluation of Health Outcomes | Multidisciplinary/Multisectoral Activity | Flexibility | Involving the Community | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Entire population | Population with specific diseases | Convenience sample (community leaders, socio-health professionals, etc.) | Nurses | Healthcare professionals | Other public services | Of the assessment process | In the use of the tool | ||||||
Sharma R. K. (2003) [ ] | 1 | X | X | X | X | X | X | X | X | ||||
Robertson J. F. (2004) [ ] | 12 | X | |||||||||||
Yoshioka-Maeda, et al. (2006) [ ] | 12 | X | X | X | X | ||||||||
Running, A., et al. (2007) [ ] | 12 | X | X | X | X | X | X | X | |||||
Li, Y., et al. (2009) [ ] | 2 | X | X | X | |||||||||
Akhtar-Danesh, N., et al. (2010) [ ] | 3 | X | |||||||||||
Krumwiede, K.A., et al. (2014) [ ] | 4 | X | X | X | X | ||||||||
Kuehnert, P., et al. (2014) [ ] | 1 | X | X | X | |||||||||
Aoun, S.M., et al. (2015) [ ] | 5 | X | X | X | |||||||||
Craig, C., et al. (2015) [ ] | 6 | X | X | X | X | ||||||||
Pennel, C. L., et al. (2015) [ ] | 1 | X | X | X | X | ||||||||
Pennel C.L., et al. (2016) [ ] | 1 | X | X | X | X | X | X | ||||||
Wilder, V., et al. (2016) [ ] | 1 | X | X | X | |||||||||
Cain, C. L., et al. (2017) [ ] | 1;12 | X | X | X | X | X | X | ||||||
Coats, H., et al. (2017) [ ] | 12 | X | X | X | |||||||||
Evans-Agnew, R., et al. (2017) [ ] | 12 | X | |||||||||||
Massimi, A., et al. (2017) [ ] | 12 | X | X | X | X | ||||||||
Alvariza, A., et al. (2018) [ ] | 5 | X | X | X | X | X | |||||||
Akintobi, T. H., et al. (2018) [ ] | 1;7 | X | X | X | X | X | X | X | |||||
Balsinha, C., et al. (2018) [ ] | 8 | X | X | X | X | ||||||||
Careyva, B. A., et al. (2018) [ ] | 12 | X | X | X | X | X | |||||||
Carlton, E. L., and Singh, S. R. (2018) [ ] | 1 | X | X | ||||||||||
Cho, S., et al. (2018) [ ] | 12 | X | X | X | |||||||||
Ewing, G., et al. (2018) [ ] | 5 | X | X | X | |||||||||
Van Gelderen, S.A., et al. (2018) [ ] | 4 | X | X | X | X | X | X | X | |||||
Haldane V., et al. (2019) [ ] | 12 | X | X | X | X | ||||||||
Horseman, Z., et al. (2019) [ ] | 5 | X | X | X | |||||||||
Miller, K., et al. (2019) [ ] | 12 | X | X | X | X | ||||||||
Okura M. (2019) [ ] | 12 | X | |||||||||||
Park, M., et al. (2019) [ ] | 9 | X | X | X | |||||||||
Poitras, M., et al. (2019) [ ] | 12 | X | X | X | X | ||||||||
Burns, J.C., et al. (2020) [ ] | 10;11 | X | X | X | X | X | |||||||
Kimble, L.P. et al. (2020) [ ] | 12 | X | X | X | |||||||||
Kim, S., et al. (2021) [ ] | 12 | X | X | ||||||||||
Papadopoulou, C., et al. (2021) [ ] | 12 | X | X | ||||||||||
van Vuuren, J., et al. (2021) [ ] | 12 | X | X |
Community health assessments are the basis to defining, implementing and evaluating the services and educational programs necessary to reach public health, through the definition of the main health problems and the factors influencing them, the identification of the community’s resources, the development potential and the involvement and empowerment of the people belonging to the community [ 9 ].
By identifying research using various community assessment tools, this review was able to find several recurring themes.
The relevance of education to improving how community health is assessed has been highlighted in numerous papers [ 19 , 24 , 25 , 44 , 47 , 49 ]. Education should be advanced [ 43 , 52 ] and specific to some professional fields, such as palliative care [ 53 , 54 ].
Evans-Agnew et al. [ 16 ] stated that the assessments of community health needs through academic and practical partnerships offer new opportunities for skills development, not only for professionals, but also for nursing students.
For education planning, it is necessary to determine the areas of competence development of family and community nurses through the assessment of learning needs [ 16 , 25 , 32 , 36 , 50 ].
The assessment process is defined as a core competence for the community/public health nurse (C/PHN) [ 9 ]. Nevertheless, among the selected studies, there is a limited number of those that refer to nurses, both as responsible for the assessment and as a processes member with other professionals [ 16 , 27 , 29 , 32 , 33 , 47 , 49 , 50 , 52 ].
In Cho et al.’s [ 47 ] work, it is argued that nurses play a key role in identifying the needs of the population and in reducing health inequalities.
Running et al. [ 27 ] consider nurses as professionals who can establish a real trust relationship with community members, the main actors in the assessment process [ 16 , 29 , 32 , 33 , 50 ].
Wilder et al. [ 19 ] offers a different point of view: the assessment process is carried out exclusively by doctors. Their work states that conducting a CHNA in a primary care training program can helps the next generation of family physicians become culturally competent and community-focused.
Yoshioka-Maeda et al. [ 50 ] found that providing support from PHNs to citizens considered as “difficult clients” was the starting point for identifying community health problems and the need for new services in their daily practice. The results showed that PHNs first took care of their “difficult clients” and, after, gradually identified the existence of community health problems. This is different from a traditional community assessment, in which the identification of community health problems is considered the first step in the development of a new service or action and is necessary to gather sufficient information to understand the community and to clarify its specific health problems.
In addition, community/public health nurses (C/PHN) during their daily practice make choices based on their responsibility and professional authority, determining if the different needs identified and/or problems may be addressed independently or in teams or, in general, with other professionals on an interdisciplinary level [ 47 , 50 ].
This perspective recognizes the usefulness of teamwork in assessment and planning: shared decision making (SDM) is an interpersonal and interdependent process in which the healthcare provider, the person and his or her family members relate to and influence each other, collaborating in healthcare decisions.
The SDM focuses on the evidence-based experiences of healthcare professionals and the unique attributes of the “patient” and her/his family [ 57 ]. This allows people to improve their knowledge of available options and clarify which ones are more important, taking into account your own values.
The data produced by community assessments are as important as the process itself, because it allows a population’s engagement to be activated which leads to the empowerment of the individual and the community. The assessment process, therefore, depends on the underpinning methodological and theoretical orientation. Sharma [ 21 ] examined two possible types with different outcomes. The first has been described as a directive assessment, characterized by goals and subject matters defined by the professional, service delivery-focused, centralized decision-making, a focused task definition, a community as an object and with an expert practitioner that sees him/herself as having whole knowledge of the problem and whole responsibility for results. The second has been defined as a nondirective assessment where community members are involved in the decision-making process and play a vital role in defining their priority health needs and in taking action to meet them, with decentralized decision-making, open-ended task definitions, community as the subject and with a reflective practitioner that spends more time studying the problem and engaging the community in a dialogue regarding problems and their possible solutions.
Community engagement has a positive impact on health, particularly if supported by strong organizational and community processes [ 55 ].
The systematic review by Haldane et al. [ 55 ] argues that community participation is a key element of an equitable, rights-based approach to health that has been shown to be effective in optimizing the health interventions for positive public health outcomes in a wide range of health areas and on multiple levels: organizational, community and individual.
Indeed, engagement makes it possible to establish trusting partnerships, to collect human and financial resources, to enhance communication processes and to improve health outcomes [ 24 ].
A theme closely related to engagement is empowerment; in fact, the participation of community members in decisions about their health reflects the process of empowerment itself [ 27 ] and is considered, along with the establishment of trusting relationships between citizens and professionals, to be a key element of health.
Furthermore, the citizens themselves express their willingness to be actively involved by health organizations [ 15 ]. Nevertheless, CHNAs often use quantitative data, revisions of the public data in databases and rarely incorporate directly the “voices” of the local community members. Then, what emerges is only an average of the data and not the specific, actual needs of the community, leading to an increasing risk to not identify and/or to underestimate the needs of some minority groups, such as ethnic minorities [ 15 ], or to not recognize the needs at the family/individual level, keeping in too-general terms.
Among the examined studies, Running et al. [ 27 ] grounds its theoretical foundations on Leininger’s theories of transcultural nursing and the process of community involvement of Hildebrandt’s model of health empowerment. Several studies show the importance of using an approach and tools for the assessment that at the same time involve the general population [ 15 , 27 , 54 ] and the specific community considered, keeping a high sensitivity to the local community and minorities’ culture [ 15 , 27 , 31 , 35 , 45 , 46 , 48 , 54 ].
The population itself [ 15 ] asks that social health organizations treat culture as a useful resource for health.
Conducting a health needs assessment can guide policies and systems, approaches to environmental change, community-administered grants and job creation [ 13 ]. Furthermore, it improves hospital community continuity [ 14 ] and reshapes the path of care of elderly or end-of-life patients [ 56 ]. All of the above requires attention to community stakeholder involvement in collaborative assessment and planning, an understanding of the etiology of diseases, identification and intervention on the broader determinants of health, adopting a public health assessment and planning model and, finally, emphasis on improving population health [ 18 ].
The CHNA may be conducted by a variety of organizations thanks to its adaptability and the possibility to customize. Every community and hospital is different in terms of resources, demographic data, health issues, partners, history and other contextual factors that contribute to the manner in which organizations and community members work together, make decisions, identify and address problems and resources. Therefore, although the tool refers to the American context, thanks to these features, it could also be applied in other countries.
However, without more specific guidance or evaluation criteria, the usefulness, the applicability and the potential improvement of community outcomes are difficult to identify [ 17 ]. For this reason, Pennel [ 18 ] gives some recommendations to improve assessments and outcomes on a population’s health.
In addition, organizations may carry out the CHNA using different methodologies, producing results that cannot be compared effectively. In fact, many authors have demonstrated information gaps [ 14 , 17 , 20 ].
The WHO [ 9 ] suggested that for several contexts, the tools can be adapted, up to the use of different tools combined each other, in order to create one that is effective and suitable for the considered community, the social and health characteristics of the citizens and for the network of services present.
The tool and the adopted approach need to be multidisciplinary and allow community engagement and empowerment [ 9 , 15 , 23 , 46 ].
To the best of our knowledge, this scoping review is the first attempt to provide an overview of community assessment tools, keeping the guidance provided by the WHO as a reference.
This study has some limitations. First, this article does not perform a critical assessment of the literature included. However, as a scoping review, the aim of this study was not to synthetize evidence, but to pool together elements and core concepts from a various body of knowledge. The literature review was performed until May 2021, exposing this work to a publication bias. Nevertheless, the COVID-19 pandemic may also have led to differences in perspectives among studies conducted from 2020 onward compared with those from previous years.
Community assessments are a core competence for nurses but their role must be better defined, both as an autonomous and a collaborative one. According to Friedman [ 5 ], nurses work with individuals, families and communities at different levels and degrees.
From the literature review and the analysis of regulatory references emerges a multi-professional approach, both in assessing the health needs of the community and in the treatment of identified needs. It means that the global assessment of the community and the definition of programs and services are carried out by a multi-professional team, with the equal participation of the community members.
When nurses work with families and communities, their goal is to guide them in the identification of problems and strengths, supporting analysis and decision-making. Community health can, in fact, be defined as the satisfaction of the collective needs of its members through the identification of problems and the management of interactions within the community [ 58 ].
The multidisciplinary approach in “individuals’ and communities’ health needs identification” must not, however, leave behind the fundamental and widespread role of every nurse involved in the everyday care of individuals, as: a source for activity data collection, which will then be aggregated; indirect community health promotion, supporting the individual health; the reinforcement of the social responsibility of each citizen, through health education.
This research received no external funding.
C.P., S.S. and Y.L. conceived the study. S.S. and Y.L. designed the methodology and coordinated the activity planning. C.P., C.C., N.V.U., Y.L. and S.S. independently reviewed the papers and disagreements were resolved by a consensus. C.P., C.C. and N.V.U. drafted the manuscript. A.T., S.S. and Y.L. revised the manuscript and contributed with intellectual ideas. All authors have read and agreed to the published version of the manuscript.
Informed consent statement, data availability statement, conflicts of interest.
All authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.
The average Purdue Global military student is awarded 54% of the credits needed for an associate's and 45% of the credits needed for a bachelor's.
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Community health nurses are a vital link in the health and welfare of neighborhoods. These registered nurses focus on improving the lives of diverse communities of infants, children, adolescents, and adults through education, prevention, and treatment.
“They assist with equalizing health care in diverse populations, so that care is more equitable, affordable, and well-coordinated,” says Sheila Rucki , faculty member in the Purdue Global School of Nursing.
“Community health nurses look at the broader needs of a population, not just an individual,” says Jessica Gordon , associate dean. “The agenda is health promotion, disease prevention, and recognizing the needs of the community.”
Learn more about the role of community health nurses, what their future looks like, and how to become one.
Community health nurses start by building trust and relationships with individuals and local leaders. They also develop a strong understanding of people’s backgrounds, experiences, and the social factors that influence health, with the goal of practicing cultural humility with empathetic care.
Many members of the community who take advantage of these services might not otherwise have access to private physicians or testing services, among other medical necessities.
“Ethnically diverse and culturally diverse populations are the most underserved,” Rucki says. “Those are the individual groups that benefit most from this kind of health care."
Community health nurses often participate in mobile clinics to help underserved populations, she says.
“The homeless are hard to reach because they are mobile,” Rucki says. “They benefit greatly from the care provided by community-focused providers, particularly nurses.”
Community health nurses work in a variety of settings from community-based centers to government agencies to shelters to vaccine distribution sites. They build coalitions, craft policies, educate the public, manage public health programs, and more.
The American Public Health Association lists 10 essential public health services provided by community nurses and other front-line professionals:
“Community health nurses are this incredible file cabinet of resources. They can point people in the right direction for what they need at that time,” Gordon says. “They're dealing with the community, but they provide education on where the community can get the help they need for individualized attention.”
For example, if a community has a high diabetes rate, one of the focuses for that area might be diabetes prevention education.
“Every single community health nurse works based on the population and the needs of that population specifically,” Gordon says.
Other health issues that could affect a community include:
Community health nurses, like other registered nurses, often work in local hospitals, trauma centers, and clinics. Many work in locations more focused on underserved communities, such as:
“A lot of the community-based care centers are in parts of town or areas of the country or state where access to care might be limited or not affordable,” Rucki says. “Being based directly in the community provides access opportunities that might otherwise not be available to diverse populations.”
Community health nurses have a bright future, but some serious challenges remain ahead.
“We’re seeing an increased need because what we thought was the traditional way of delivering care is really no longer applicable,” Rucki says. “Community-based care is becoming the primary way for many people today.”
The national nursing shortage, which has been exacerbated by the pandemic, will continue to fuel a 9% job growth rate through 2030, according to the U.S. Bureau of Labor Statistics . The agency projects employers to add 276,800 RN positions from 2020–2030.*
Because of these growing needs, becoming a community health nurse has some advantages:
According to the U.S. Centers for Disease Control and Prevention, community health worker programs particularly need nurses trained in preventing and controlling infectious diseases, to deliver home-based care to low-income people.
The National Institutes of Health indicate that public nurses face many challenges aside from the day-to-day demands of practice, including:
However, Gordon says a greater challenge facing community nurses is resistance.
“This can happen whether you're in acute care or community health, but you often see a population as a whole resisting care,” she says. “It can be incredibly frustrating when you've provided quality education and care. But you persevere. The challenge is not being rejected, it's how you overcome it.”
“It may take time to build trust in populations,” Rucki says. “Once you build trust and build that ongoing relationship, you're more likely to see change, behavior changes in people’s health care practices.”
You need certain qualities and qualifications if you’re interested in becoming an effective community health nurse.
At a minimum, you must earn an associate or bachelor’s degree in nursing and pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN). † Some may wish to complete a two-year master's degree program in nursing. Employers often prefer community health nurses who have one to two years of nursing experience.
“Because this is such an education-heavy job, there's a strong preference toward those with a bachelor's degree,” Gordon says.
Community health nurses also are strongly encouraged to have ties to the areas in which they wish to work. Participating in volunteer programs both before and after becoming a community health nurse is highly recommended.
Community health nurses should also consider certification. One exam, the Advanced Public Health Nurse certification exam, is being phased out.
“However, there are opportunities in interprofessional groups to demonstrate excellence and receive certifications,” Rucki says.
Currently, there is no certification specific to public health nursing at the generalist level. However, nurses with a bachelor’s degree and at least five years of public health experience can obtain the Certification in Public Health (CPH). Visit the National Board of Public Health Examiners for more information on the CPH.
A panel convened by the National Institutes of Health agreed that a successful nurse needs such qualities as being analytical, communicative, cooperative, coordinating, disseminating knowledge, empathic, evidence driven, innovative, and introspective.
Community health nurses should also be connected to their community, open-minded to those different from them, sensitive to different opinions, and objective in their view of the communities they serve.
“An essential component to these roles is a passion for serving the communities that are around them,” Gordon says. “These nurses have a connection and they understand the populations. They want to see them thrive and do better.”
“What's really so rewarding for nurses is this long-term engagement with a population,” Rucki says. “In an acute care setting, you're engaged with the patient and family for a short period of time. But in the community, they're your patients for life. You see families grow and care for them over a number of years.
“That ability to connect and learn and know about the individuals that make up your community is so rewarding for nurses.”
“Community-based nurses are very strong force for change in a community,” Rucki says. Gordon says this theme is woven throughout all programs at Purdue Global.
Purdue Global’s online nursing programs can help you start on the road to becoming a community health nurse. ‡ Reach out for more information today .
About the Author
Purdue Global
Earn a degree you're proud of and employers respect at Purdue Global, Purdue's online university for working adults. Accredited and online, Purdue Global gives you the flexibility and support you need to come back and move your career forward. Choose from 175+ programs, all backed by the power of Purdue.
Learn more about online programs at Purdue Global and download our program guide.
Connect with an Advisor to explore program requirements, curriculum, credit for prior learning process, and financial aid options.
* Job Growth Projections: National long-term projections may not reflect local and/or short-term economic or job conditions, and do not guarantee actual growth.
† NCLEX Exam : Graduates must meet state licensing and certification requirements and pass the NCLEX-RN exam to become a registered nurse or the NCLEX-PN to become a licensed practical nurse. The University cannot guarantee students will be eligible to sit for or pass exams. NCLEX is a registered trademark of the National Council of State Boards of Nursing, Inc. Licensure-track programs may limit enrollment to students in certain states. Refer to Purdue Global’s State Licensure and Certifications page for state-specific licensure.
‡ Employment and Career Advancement: Purdue Global does not guarantee employment placement or career advancement. Actual outcomes vary by geographic area, previous work experience and opportunities for employment.
Starting a capstone project is a significant milestone for a student, marking the shift from classroom learning to practical application. However, the process of choosing the right project idea can feel overwhelming.
In this article, we'll provide a helpful guide to spark nursing project ideas and ensure your capstone leaves a lasting impact. If you need help with actually writing a paper, please consult our guide on how to write a nursing essay .
A nursing capstone project is a comprehensive, culminating academic endeavor undertaken by nursing students nearing the completion of their degree program. It allows students to integrate and apply their knowledge, skills, and clinical experiences gained throughout their education.
Typically completed in collaboration with healthcare professionals or community organizations, the capstone project allows students to address real-world healthcare challenges, conduct research, implement evidence-based interventions, and evaluate outcomes. Through this experiential learning process, learners demonstrate their readiness for professional practice while making meaningful contributions to the healthcare field with their nursing capstone project idea.
Keep in mind that our nursing essay writing service also covers such papers as capstones, theses, and dissertations.
Here are seven excellent sources for generating nursing capstone project ideas:
Clinical Experiences
Reflect on your clinical rotations and experiences. Did a particular patient population or healthcare issue stand out to you? Perhaps you noticed a gap in care or an opportunity for improvement during your clinical practice.
Evidence-Based Practice Journals
Explore journals like the Journal of Nursing Scholarship, Nursing Research, or the American Journal of Nursing. These publications often feature research articles highlighting current trends, challenges, and innovations in practice, which can inspire potential nursing capstone ideas.
Healthcare Policy Reports
Investigate reports and publications from organizations like the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC), or your country's Ministry of Health. These sources often identify pressing public health issues or policy priorities that could be the basis for a meaningful capstone project.
Professional Organizations
Check out the websites and publications of professional nursing organizations such as the American Nurses Association (ANA), the National League for Nursing (NLN), or specialty-specific organizations like the Oncology Nursing Society (ONS). They often provide resources, research, and initiatives relevant to current nurse practice and areas for improvement.
Community Needs Assessments
To assess needs, collaborate with local healthcare organizations, community health centers, or public health departments. Identifying your community's health needs and priorities can help you develop a capstone project that addresses real-world issues and makes a positive impact.
Interdisciplinary Collaboration
Consider interdisciplinary collaboration with professionals from other healthcare disciplines, such as medicine, social work, public health, or psychology. Exploring shared challenges or areas where nursing intersects with other fields can lead to innovative capstone project ideas and solutions.
Literature Reviews and Meta-Analyses
Conduct comprehensive literature reviews or meta-analyses on topics of interest within nursing. Identifying gaps or controversies in the existing literature can inspire research questions or areas for further exploration in your capstone project.
Use a dedicated essay writer service to save time browsing manifold sources of information and expedite an overall writing process.
Medical surgery nursing capstone project ideas.
Nursing capstone project ideas cover comprehensive care, assisting in procedures, monitoring patient vital signs, administering medications, and facilitating patient recovery in surgical settings according to our expert human essay writer .
Nursing is critical for mental health patients as it offers compassionate care, builds therapeutic relationships, supports recovery, and advocates for holistic treatment approaches, ultimately enhancing well-being and quality of life.
Studying nursing project ideas regarding leadership fosters a supportive and empowering environment, drives innovation, advocates for patient-centered care, and facilitates professional growth to ensure quality healthcare delivery and positive outcomes.
General nursing encompasses providing holistic care to individuals of all ages, addressing a wide range of health needs and promoting overall well-being across diverse healthcare settings.
Pediatric nursing involves providing specialized healthcare to infants, children, and adolescents, addressing their unique physical, emotional, and developmental needs in various healthcare settings.
The role of nursing in women's health involves providing comprehensive care, education, and support tailored to women's unique health needs.
Nursing burnout is a state of physical, emotional, and mental exhaustion resulting from prolonged exposure to stressors in the nurse profession, often leading to reduced job satisfaction and impaired performance.
Patient falls refer to unintentional descents to the ground or lower levels, posing risks of injury, and are a significant concern in healthcare settings.
Emergency nursing involves providing immediate care to patients of all ages and across diverse medical conditions in critical and time-sensitive situations within emergency departments.
Nursing informatics integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nurse practice.
Should you need more nursing essay topics , consult this guide, too.
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Running out of topic ideas for your nursing research paper?
Stay on this page to find really cool and helpful lists of interesting research topics for your nursing dissertation or thesis.
Whenever students are asked to work on a research paper or present their thesis, the very first concern for them is choosing a unique, interesting, and research-worthy topic that makes their research significant and has enough future scope.
When it comes to finding a unique topic without working on something that’s already been done, most of the nursing and healthcare students struggle. A good research topic should be unique, relevant to current times, and have future scope as well. And you’ll find all three qualities in the topics mentioned below:
Primary healthcare refers to essential or basic health care service based on socially acceptable and scientifically sound methods and technology. Since it includes physical, social, emotional, and mental well-being, there are many topics for nursing scholars to explore:
Healthcare management is the management, administration, or oversight of healthcare systems, hospitals, public health systems, and other medical facilities. Since it comprises the overall management of all the work of the hospitals, it opens avenues for a lot of research work. Take, for example, the following:
Pain management, in nursing, includes study of all the interventions nurses can make during their hospital hours – mainly to relieve a patient’s pain or ailments through medicinal interventions. Pain is complex, with many treatment options such as therapies, medicines, and also mind-body techniques. Nursing research scholars can research about the following topics:
In Pediatric nursing, the nursing staff is responsible for medical care of the children and neonates, and adolescents – mainly in a day-clinic or the in-patient setting. Though the main role of child health nursing is administering procedures and medicines to all children as per their prescribed nursing care plans, the research scholars can write papers on the following topics:
Nursing is a high-pressure job. It demands patience, determination, and perseverance. As a high-pressure job, it gets quite challenging and leads to issues from time to time. Some of the examples being staff shortages, long working hours, workplace hazards, personal health, and workplace violence. All of these can be addressed in nursing research papers:
If you are here to find more important topics for your nursing dissertations, then scroll through this section for topics that are often discussed in nursing classes. Nursing research articles and topics change over time. However, we find these relevant to current times and challenges in healthcare:
Nurse-midwife, as a licensed healthcare professional, specialises in child birth and also women’s reproductive health. Apart from attending pregnant women during childbirth, they are responsible for several roles during emergencies, and pre and postnatal care. Hence, opening avenues for research topics such as:
Health promotion mainly comes from behavioral social science which draws from the environmental, biological, psychological, medical, and physical sciences for promoting health and preventing diseases. For health promotion, the research topics include the following:
As a nursing scholar, you can also write research papers on adult healthcare, disease prevention, and management. Take, for example, reasons behind anxiety disorders in adults. Find more topics in the list below:
Nurses working in Geriatric care and management are responsible for coordinating and planning care of the elderly people dealing with mental or physical disabilities. Some of the research work topic ideas for geriatric care include the following:
If you’re facing the challenge of choosing a recent nursing research topic, we’ve got your back. Many nurses, including experienced and freshers, are faced with this challenge at some point. But there’s no need to panic. So, without further ado, let’s jump-start the list of most recent research topics for nursing students:
Research topics related to women’s health are always trending, relevant, and have future scope as well. Hence, these topics are still worth exploring and researching:
Research papers focusing on mental health are still one of the most read and referred papers. And there’s still more scope for research on topics such as:
If you’d like to take an expert’s opinion before choosing a topic for your nursing dissertation, this section will be helpful. Our list of best nursing research topics doesn’t end here. We’ve got here more interesting topics that are recommended by nursing leaders and experts. Take a look at some more relevant topics:
Nursing research topics for a dissertation or thesis should not be difficult to find through the ideas suggestion above. Just make sure that you provide a twist (segment or expand the topic, perhaps) and come up with a unique topic for your paper.
During the initial stages of finalising a nursing research topic, you can struggle with a lot of choices or overwhelming information. However, when you start to consider a research topic’s limitations and scope, and outline your topic into a question, you’ll be able to get a better understanding of the topic you can manage in terms of workload.
We hope these nursing research topics mentioned above help you find that unique thesis statement or idea you’re looking for. In case you’re still having a tough time making a choice, leave us a comment or drop a mail, and we will direct you to better resources.
Evidence-based practice in nursing: beyond the scientific proof of care, nursing research definition: the importance and nurses roles.
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Disparities in enumeration of staff nurses in developing countries are not researched on.
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Are you interested in making a Nursing project and willingly searching for the nursing project topics? Don’t worry your search ends here. This blog will serve as a guide for you in making effective nursing project. Also, we will explore some of the best nursing project topics.
Table of Contents
Nursing is a healthcare profession that involves the provision of care to individuals, families, and communities. It aims to promote health and wellbeing, prevent illness, and manage health conditions. Nurses work with other healthcare professionals to assess, plan, implement, and evaluate care for patients.
Nurses work in various settings such as hospitals, clinics, nursing homes, schools, and community health centers. They play a crucial role in promoting and maintaining the health of individuals and communities. Often they are the primary point of contact between patients and the healthcare system.
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Nursing projects are important because they allow nurses to explore issues and challenges related to patient care and healthcare delivery.
It aims to develop and implement solutions that improve patient outcomes and enhance the quality of care.
Nursing projects can take many forms, such as research studies, quality improvement initiatives, evidence-based practice projects, and community outreach programs.
Nursing projects can help nurses to:
By conducting research nurses can identify gaps in knowledge where current practice may not align with evidence-based guidelines.
This information can help inform future practice and contribute to the advancement of nursing knowledge.
Nursing projects can focus on improving patient outcomes by improving care processes.
For example, a project focused on reducing hospital-acquired infections can help prevent patient harm. It improves overall health outcomes.
Nursing projects can identify areas for improvement in the delivery of care. It includes reducing wait times or improving communication between healthcare providers. By implementing changes, nurses can help enhance the quality of care and improve patient satisfaction.
Nursing projects often involve collaboration with other healthcare providers, such as physicians, pharmacists, and social workers.
This collaboration can help improve communication and teamwork. Thus, leading to better patient outcomes and more efficient delivery of care.
But the most significant step in making a nursing project is to find the most suitable nursing project topics. Worry not; this blog will help you.
As the nursing profession continues to evolve, nurses are increasingly taking on leadership roles. They are driving changes in healthcare delivery.
Here are nursing project topics that nurses can explore to make a meaningful impact on healthcare:
Hospital-acquired infections can have serious consequences for patients.
It includes prolonged hospital stays and even death.
Nurses can explore ways to reduce the incidence of hospital-acquired infections, such as through better hand hygiene practices or improved infection control procedures.
Patient safety is a top priority for nurses and there are many areas where improvements can be made. It is also one of the best nursing project topics.
Nurses can investigate ways to reduce medication errors.
Also, they must improve communication between healthcare providers to enhance patient safety.
Patient education is an important aspect of nursing practice.
It empowers patients to take an active role in managing their health.
Nurses can develop educational materials that help patients better understand their health conditions and treatment options.
Nurse-led clinics are becoming increasingly popular as a way to improve access to care, reduce healthcare costs, and improve patient outcomes.
Nurses can explore the feasibility of establishing nurse-led clinics in their communities and develop plans for implementation.
Evidence-based practice involves using the best available evidence to inform clinical decision-making.
Nurses can investigate ways to implement evidence-based practice in their healthcare settings.
Also, it develop interventions to promote its adoption.
Health disparities exist across many different populations.
Therefore, nurses can play an important role in addressing these disparities.
Nurses can investigate ways to improve access to care and reduce health disparities among underserved populations.
Chronic conditions such as diabetes and hypertension are increasingly prevalent. Also, they can have serious consequences for patients.
Nurses can develop interventions to help patients manage their chronic conditions and improve their overall health outcomes.
Hospital readmissions can be costly and disruptive for patients. In such situations, nurses can explore ways to reduce the incidence of readmissions.
This could involve interventions such as improved discharge planning or better communication between healthcare providers.
End-of-life care is an important aspect of nursing practice.
Nurses can explore ways to improve the quality of care provided to patients at the end of life.
This could involve developing educational materials for patients and families. It involves implementing palliative care interventions.
Nurses can play an important role in promoting healthy lifestyles among their patients.
This could involve developing interventions to promote healthy eating habits, physical activity, and smoking cessation.
Telehealth programs can help improve access to care and reduce healthcare costs.
Nurses can explore ways to develop and implement telehealth programs in their healthcare settings.
Care coordination is an important aspect of healthcare delivery.
Nurses can investigate ways to improve care coordination between healthcare providers and patient.
Care pathways provide a structured approach to patient care.
They can help improve patient outcomes and reduce healthcare costs.
Nurses can develop care pathways for specific health conditions or patient populations.
Pain management is an important aspect of nursing practice.
Nurses can develop interventions to improve pain management practices.
This will reduce the incidence of pain-related complications.
Nurses can play a leadership role in healthcare delivery.
Nurses can explore ways to enhance their leadership skills and promote nursing leadership in their healthcare settings.
Nursing research studies can help advance nursing knowledge and improve patient outcomes.
Nurses can develop research studies that investigate important
Child care is the provision of education, supervision, and enrichment for children outside their homes on a regular basis.
It provides experiences for each child’s social, emotional, intellectual, and physical development.
This career is a great choice for those who want to work with kids and make an impact on their lives.
It can also be a great way to earn money while working with your own schedule.
If you’re a nursing student looking to write a research paper on child care, there are plenty of topics to choose from.
However, it’s important to do your research first and find relevant sources.
Health promotion is a broad field that focuses on enabling people to improve their health.
It involves a wide range of social and environmental interventions.
Nurses play an important role in health promotion and can significantly impact the well-being of society.
For example, nurses can educate individuals on the importance of preventing under-five mortality by providing them with information about healthy eating and physical activities.
To be successful, a health promotion initiative needs to have a sound epidemiological basis.
It also needs to be well planned and implemented.
Mental health is a major concern for nurses in many settings.
In addition to addressing patients’ medical needs, you also need to be able to connect with those who have mental health problems, as well as their families and friends.
Nurse burnout is a widespread phenomenon that negatively impacts nurses on both an individual and professional level.
It can hinder job performance, change how nurses view their role, and even put patients in danger.
Nurses work long hours and accept too many responsibilities, often sacrificing their personal life to help others.
This is especially problematic in today’s highly demanding healthcare industry.
There are a number of factors that contribute to nurse burnout, including poor work environments and unsupportive leadership.
The best nursing project topics involve addressing these factors and developing solutions that improve the overall health of nurses.
Emergency nurses are responsible for managing a wide range of patients with different needs.
It includes those who have suffered an injury or disease.
Their duties include rapid patient assessment, making accurate diagnoses, allocating priorities for care and delivering treatment interventions.
As with general nursing, emergency nurses must have a variety of specialist skills to meet the unique needs of their patients.
They are also required to work within the assessment – planning – intervention – evaluation (APIE) framework.
Human resources management is the process of employing and training employees, developing workplace policies and retaining workers.
It also includes adherence to employment laws and worker protection.
The growing number of federal, state and local employment laws has posed significant challenges for HR professionals.
This includes monitoring and complying with new legislation, classifying workers correctly, responding to employee grievances and providing a safe work environment.
For this reason, human resource management is a popular topic for nursing students to write about for their capstone projects.
Research on this topic will help students gain a deeper understanding of the role of human resources and how it impacts an organization’s success.
When students are in the final phase of their nursing degree, they handle a capstone project.
This is a paper that showcases their ability to do independent research and to write a detailed analysis of an issue in the field.
Generally, the capstone project is a poster or PowerPoint presentation.
It includes a background, problem, and purpose; methodology; and key findings and implications to nursing practice or research.
When writing a nursing capstone paper, students are advised to use multiple sources and avoid plagiarism. However, this is not always easy. This is the last nursing project among other nursing project topics.
The main aim of this project is to explore the role of nurses in promoting end-of-life care and advance care planning. It will assess nurses’ knowledge and attitudes towards end-of-life discussions, evaluate the impact of nurse-led interventions on patient and family satisfaction, and identify barriers to effective end-of-life communication.
This project will focus on improving geriatric nursing care in long-term care facilities. It will examine the unique needs of older adults, explore strategies to enhance person-centered care and quality of life, and evaluate the impact of specialized geriatric nursing training programs.
This project will examine the role of advanced practice nurses, such as nurse practitioners, in providing comprehensive primary care. It will evaluate their impact on patient outcomes, access to care, and healthcare costs.
This project aims to promote cultural sensitivity and competence in nursing care. It will explore nurses’ attitudes towards cultural diversity, exploring their knowledge of different cultural practices and beliefs, and propose strategies for providing culturally sensitive care to various patient populations.
The main aim of this project is to examine the role of maternal-child health nurses in improving maternal and child health outcomes. It will explore the impact of nurse-led interventions, such as prenatal education and postpartum support, on maternal and infant well-being.
This project will focus on the role of nurses as health educators in promoting healthy lifestyles among individuals and communities. It will explore the effectiveness of nurse-led health education programs in preventing chronic diseases and improving overall population health.
This project is used to explore strategies for enhancing nursing leadership within healthcare organizations. It will examine the qualities and skills required for effective nurse leaders and explore the impact of strong nursing leadership on organizational culture, staff satisfaction, and patient outcomes.
This project will explore the role of nurses in advocating for health equity among underserved populations. It will examine the impact of nursing interventions, such as community outreach programs and policy advocacy, on reducing health disparities and improving access to care.
Nursing projects typically involve several key elements, including:
This involves identifying an area of healthcare that could benefit from improvement or investigation.
The problem or issue should be clearly defined and well-understood before proceeding with the project.
Conducting a comprehensive review of the relevant literature is an important element of nursing projects.
This allows the nurse to learn about best practices, and identify potential solutions to the problem.
The nurse must design a project plan that outlines the project’s goals, objectives, methods, and timeline.
This plan should be based on the information gathered during the literature review. Also, it should be feasible given the resources available.
Data collection and analysis are critical elements of nursing projects.
This involves gathering data related to the problem or issue, analyzing the data, and drawing conclusions based on the findings.
Based on the findings of the project, the nurse may implement interventions to address the problem or issue.
This could involve changes in healthcare delivery, staff education, or the use of new technologies or treatments.
Finally, the nurse must evaluate the effectiveness of the project in achieving its goals and objectives.
This may involve gathering additional data and comparing outcomes before and after the intervention.
It may lead to further refinements or modifications to the project.
The ultimate goal of nursing projects is to improve patient care and outcomes.
After searching one of the most appropriate nursing project ideas, work on making the project efficiently. Here are some ways to make nursing projects more efficient:
The problem statement should be clear, concise, and well-defined.
This will help focus the project and ensure that efforts are not wasted on non-essential tasks.
The project goals and timelines should be realistic and achievable.
This will help ensure that the project stays on track. Also, the progress is being made towards the desired outcomes.
It’s important to involve stakeholders, such as patients, families, and other healthcare professionals in the project.
This will help ensure that the project is relevant to the needs of those who will be impacted by it.
Evidence-based practices should be used whenever possible.
This will help ensure that the interventions being implemented are supported by research.
Also, they are likely to be effective.
Data collection and analysis should be planned from the outset of the project.
This will help ensure that the necessary data is being collected.
Also, it is being analyzed in a way that will yield meaningful results.
The project should be monitored regularly to ensure that progress is being made towards the goals.
If the project is not progressing as expected, adjustments may need to be made to the project plan.
Regular communication with team members is essential to keep everyone informed and engaged in the project.
This will help ensure that everyone is working towards the same goals.
Also, the progress is being made efficiently.
By following these tips, nursing projects can be completed efficiently and effectively.
Also, this will leads to improved patient outcomes and better healthcare delivery.
This is the end of this post, which is about nursing project topics. On the other hand, nursing project topics can provide nurses with an opportunity to explore important issues and investigate best practices.
It helps to develop and implement interventions that improve patient outcomes and enhance the quality of care.
The nursing project topics outlined here represent just a few of the many areas where nurses can make a meaningful impact on healthcare delivery.
It is important for nurses to continue to engage in nursing projects and research studies.
Also, efficient nursing project topics play a critical role in advancing nursing knowledge and driving positive change in healthcare delivery.
Some innovative nursing project topics include virtual reality in nursing education, telemedicine in healthcare delivery, digital health solutions for chronic disease management, artificial intelligence in nursing practice, social media in patient engagement, cultural competency in nursing care, and mindfulness practices in nursing.
Yes, collaborating with healthcare professionals can enhance the quality and relevance of your nursing project. You can contact healthcare providers, researchers, and policymakers to gather insights and perspectives on your topic. Collaborating with other nursing students or colleagues is also beneficial.
To choose a unique nursing project topic, consider your personal experiences, interests, and areas of curiosity within the nursing field. Look for gaps in current research or emerging healthcare trends that intrigue you. Brainstorm ideas with your peers, mentors, or healthcare professionals to uncover unique and innovative topics.
In most nursing schools, you might be required to work on a capstone project, often known as a senior capstone. It is usually a prerequisite for your final course in a degree program that requires its completion. Most nursing students prefer undertaking a capstone nursing course.
A capstone project is an individualized research project on a specific nursing topic of your professional or personal interest. It is usually completed within between 4 to 12 weeks, depending on the nursing school and the program you are pursuing. It is usually part of a project-based nursing capstone course that runs within a selected duration and is led by a capstone instructor. The first step of writing a capstone is choosing a topic that focuses on the quality improvement process, procedure, or policy and creating a nursing capstone project proposal/nursing project proposal or presentation.
A standard nursing capstone project is between 20 to 100 pages, but that depends on the institutional requirements and the preference of your capstone instructor. It is a chance to show what you have learned, enhance your professional development, specialize in your nursing career, and investigate/solve community-related health issues. The capstone project paper is based on evidence-based practice (EBP) project , which makes it necessary to follow the PICO format . Therefore, the first step is choosing the topic when doing the capstone at BSN, MSN, or DNP level.
This guide is about the first step, specifically to help you choose a good and manageable topic for your nursing capstone project. Cognizant that selecting a topic depends on the area of specialization that you are interested in (Family nursing, forensic nursing, informatics, pediatrics, nursing administration and management, nursing education, or public health, etc.), we have categorized the ideas and topics into nursing specialties to make it easier for you to brainstorm and choose a good topic for your nursing capstone paper.
Forensic nursing is a very lucrative area of specialization in nursing. If you consider specializing in forensic nursing to become a Nurse Death Investigator (NDI), sexual assault nurse examiner (SANE), legal nurse consultant, forensic psychiatry nurse, correctional nurse consultant, forensic nurse educator, or forensic nurse examiner, consider these topics and ideas for your capstone. It is not exhaustive but gives you an upper hand when selecting a suitable topic for your forensic nursing capstone project. If you are looking for nursing ebp project ideas related to forensic nursing, check out these:
You can find more topics concerning forensic nursing from Topics by Science.gov
Critical care nursing, also called intensive care nursing , is a domain of nursing practice that deals with seriously ill patients. If you are interested in pursuing critical care/ICU nursing, you can focus your capstone project on a related topic. Here are some ideas for critical nursing or ICU nursing capstone project.
Nursing education is a vast area. You can never run out of ideas to explore in your nursing education capstone. Here are some potential rn to bsn capstone project ideas to consider:
You can also consider topics related to mental health issues or mentally ill patients. The goal is to find the best topic to stand out among the nursing capstone projects submitted to your professor.
Patient falls management is another excellent area to consider for your capstone. You should inquire into some of the best strategies to solve patient falls associated with mortality and morbidity. Reducing falls is an indicator of quality improvement in healthcare settings. Here are some ideas and topics to get you started:
If you are struggling to develop a perfect topic for your capstone project and are interested in emergency nursing, you can consider these capstone ideas and topics. Emergency nurse practitioners often face many challenges, including workplace incivility, lateral violence, bullying, brownout, stress, and high workload, which is a great place to start. You can also address their roles in emergency preparedness and management. Here are some ideas:
To find more topics you can search for nursing capstone project examples pdf online and peer-reviewed nursing journals. You can be inspired to choose a unique, memorable, and manageable topic.
For topics on nursing informatics, check out our exclusive blog article, where we share a list of nursing informatics topics that you can choose for your capstone project.
Related Reading:
The main goal of a capstone project is for the nursing student to demonstrate their ability to identify specific health issues, conduct community assessments, and develop evidence-based strategies, interventions, or plans to address these critical health problems in the healthcare environment.
It is also a chance for students to demonstrate their awareness of the importance of nursing research and the nursing profession/practice in addressing societal challenges. It also helps students disseminate knowledge on pertinent issues that face the rapidly changing healthcare industry from the nursing perspective within a scholarly environment. A nursing student who completes a nursing capstone is ready to undertake leadership, administration, management, and educational functions, which promotes career growth and development.
We understand that the senior nursing capstone is an intensive and demanding project, so we have writers who can help you at every stage. As you work with your nursing capstone instructor, preceptor, or supervisor (visiting nurse), our nursing capstone project writers will work with you to produce relevant papers.
After choosing your topic from the list above or developing one of your own, you can get help from our website. As a leading nursing writing website , we guarantee 100% confidential, private, reliable, and available service. You will also get 100% original paper written from scratch using nursing lingo, format, and peer-reviewed sources published in the last 5 years.
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Five groups of Eastern Mennonite University nursing students implemented community health projects that reached hundreds this fall.
For their community health nursing course’s semester-long “community project” with a local agency, the students defined and described a patient population, conducted a needs assessment in their project area, formulated an intervention plan, and, once the plan was implemented, evaluated the intervention.
The five groups in the course this fall focused on a variety of public health issues in as many settings – and “directly touched the lives of over 300 individuals in our community ranging in age from five to 80-plus years old,” said Professor Kate Clark :
For their project at EMS, senior nursing majors Louisa Quaynor , Connor Faint and Laurie Serrell screened kindergarten, third, seventh and tenth graders, and identified students in need of vision care.
Working across grade levels developed the group’s communication skills, Serrell said, as “kindergartners definitely require a different approach than tenth graders.”
The group also organized a health fair about influenza prevention and the health hazards of electronic cigarette usage among teens, in particular JUULing. JUUL is a brand name of an inconspicuous but powerful e-cigarette that is shaped like a USB flash drive and contains “extremely high levels of nicotine,” according to the U.S. Centers for Disease Control and Prevention . Available in “kid-friendly” flavors, JUUL use by students in schools has been “widely reported.”
The national statistics about JUUL use surprised the group: Approximately one in ten youth aged 15-17 have used a JUUL, according to the Truth Initiative .
As a result of the health fair, Quaynor said, high school students at EMS “now know the real effects of JUULing and will hopefully avoid it.”
Discover a world of impactful nursing projects. Explore EBP nursing project ideas that can transform healthcare and elevate your nursing practice.
In the dynamic world of healthcare, nursing professionals are the unsung heroes of patient well-being. The essence of patient care isn’t just in the textbooks; it’s in your innovative spirit and commitment to making a difference.
Evidence-Based Practice (EBP) is your canvas to paint the future of patient care, and we’ve got a palette of captivating EBP project ideas just for you.
EBP isn’t a dull chore; it’s your chance to be a healthcare magician, conjuring new ways to enhance patient care and revolutionize nursing practice.
These aren’t just projects; they’re your ticket to crafting a brighter, healthier future for your patients and your profession. So, fasten your seatbelts, and let’s explore the innovative world of EBP nursing projects!
Table of Contents
Check out the power of EBP in nursing:-
Evidence-Based Practice (EBP) isn’t just another acronym; it’s the secret weapon in a nurse’s arsenal. It’s the art of blending cutting-edge research, real-life know-how, and patient preferences into a care superpower.
Every nursing journey starts with clinical expertise, the magical blend of skills, intuition, and bedside wisdom. It’s the bedrock upon which nurses build their EBP castles.
EBP champions patient values and preferences, making every patient the hero of their care story. It’s a tale of collaboration and shared decision-making, where nurses and patients write the script together.
EBP dances to the rhythm of research. It’s the beat of the latest scientific evidence that keeps nurses on their toes, ensuring they deliver the best, evidence-backed care.
EBP conducts a symphony of consistency, harmonizing care across different settings. It’s the sheet music that ensures everyone in the orchestra plays the same notes, leading to safer, more standardized care.
EBP is the safety net that catches potential errors before they become a high-wire act. It’s the thorough examination of practices, ensuring that every step is based on solid evidence, not guesswork.
EBP is the captain of innovation. It urges nurses to cast a critical eye on established practices and dream of better ways. It’s the path to challenging the norm and seeking fresh solutions.
EBP is the story of never-ending improvement. It’s a narrative that nurses write with each patient interaction. It’s about always asking, “How can we make this better?”
EBP transforms nursing from practice to pinnacle. It’s the elevator to excellence, lifting nurses to new heights of impact on patient outcomes and the healthcare world.
EBP is the portal to endless possibilities. It’s the treasure map to improving patient care, conducting groundbreaking research, and pioneering the future of healthcare. So, grab your compass, nurse, and let’s set sail to new horizons!
The power of EBP in nursing isn’t just about care; it’s about empowerment, innovation, and the promise of a brighter, patient-centered future.
Check out EBP nursing project ideas:-
These EBP nursing project ideas span various domains of healthcare, offering a rich tapestry of opportunities for nursing professionals to improve patient care and make a lasting impact in their field.
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When it comes to diving into the world of Evidence-Based Practice (EBP) nursing research, choosing the right topic is your compass.
It’s not just about ticking boxes; it’s about finding a topic that truly resonates with you. So, what makes a great EBP nursing topic? Here’s the lowdown:
How about unraveling the mystery of keeping our beloved seniors safe from falls? Dive into the world of interventions for preventing falls in older adults and make a real impact on their well-being.
If you’re a heart enthusiast, exploring the impact of nurse-led education on medication adherence in heart failure patients could be your calling. It’s like helping hearts beat stronger!
Pain matters. Research different pain management strategies and see how they affect patient satisfaction and overall well-being. You might just become the go-to pain guru.
Diabetic foot ulcers are a challenging adversary, but you can be the hero. Investigate which wound care dressings work best to promote healing and give patients a spring in their step.
Embrace technology and explore the impact of nurse-led telehealth programs on COPD patients. You’re not just a nurse; you’re a digital healthcare pioneer.
If maternal and child health is your passion, check out the effects of various breastfeeding support interventions. It’s like being a guardian angel for new moms and their bundles of joy.
Ready to tackle catheter-associated urinary tract infections (CAUTIs)? Research the most effective strategies to prevent them and become the defender of patient comfort.
Sepsis is a formidable foe, but a nurse-led intervention can make a world of difference. Explore the impact on patient satisfaction and outcomes, and you could be a lifesaver.
No one wants pressure ulcers. Research different nursing care interventions to prevent them and become the champion of patient comfort.
Nursing isn’t just a profession; it’s a calling. Find out how to reduce stress and burnout in the nursing community. You could be the spark that keeps the flame burning brightly.
Stand by cancer patients as you research the impact of nurse-led programs on patient satisfaction and outcomes. Your care can be the ray of hope they need.
Kids need special care. Investigate different interventions for pain management in children and make healthcare less scary for them.
Promoting physical activity in older adults is like sprinkling the fountain of youth. Explore various strategies and help seniors live their best lives.
These topics aren’t just research ideas; they’re potential adventures that align with your passions and expertise.
If you’re ever in doubt, chat with a wise nurse educator or a seasoned colleague—they’ll help you find the perfect EBP nursing topic that sets your soul on fire.
Remember, it’s not just a topic; it’s your chance to make a real impact on patient care, one passion-driven project at a time.
Selecting the perfect nursing capstone project is akin to discovering a hidden gem that’s not only relevant to your nursing practice but also exudes clinical significance.
It should be a topic that fuels your passion and, most importantly, holds the potential to leave a positive mark on the nursing profession. Here’s a glimpse of some inspiring nursing capstone project ideas:
Craft a cutting-edge educational program tailored for nurses, focusing on specific topics such as pain management or wound care. Share knowledge that lights the way for fellow nurses.
Become a quality improvement trailblazer by initiating a novel improvement project within your nursing unit or hospital. Transform the care you provide into a benchmark for excellence.
Evaluate the effectiveness of new nursing interventions or technologies, unlocking the potential to redefine patient care practices.
Venture into uncharted nursing territory, be it telehealth or palliative care. Expand your nursing expertise and bring innovation to the forefront.
Develop a groundbreaking policy or procedure that enhances the safety and quality of nursing care, raising the standard for healthcare.
Tackle nursing-related ethical dilemmas, from informed consent to end-of-life care, and be the voice for ethical integrity in healthcare.
Investigate how social and environmental factors, like poverty or climate change, impact health, shedding light on critical issues that affect us all.
Embark on a journey of discovery by developing a new research protocol that unravels previously unexplored nursing phenomena.
These are just a few rays of inspiration, and the world of nursing capstone projects brims with numerous other enticing ideas.
As you embark on this quest, remember to consult with your faculty advisor to ensure your chosen topic aligns with your goals and the academic requirements.
Once you’ve chosen your topic, it’s time to craft your capstone project proposal. This proposal is your roadmap, outlining your research question, methodology, expected outcomes, resource requirements, and a timeline for completion. It’s your declaration of commitment to advancing nursing knowledge.
Nursing capstone projects, though challenging, are immensely rewarding. They are your canvas to showcase your expertise, skills, and unwavering dedication to the nursing profession.
By the journey’s end, you won’t just be a nurse; you’ll be a transformative force within the healthcare world, leaving a legacy of excellence.
Evidence-based practice (EBP) projects are like thrilling adventures through the world of nursing. These quests are designed to unlock the secrets of effective nursing interventions and practices.
Ultimately raising the bar for the quality of nursing care and patient well-being. Join us on this exciting journey as we navigate the essential steps of EBP projects:
Your quest begins with identifying a clinical challenge or a golden opportunity for improvement within nursing practice. It’s like setting out on a treasure hunt, scouring the literature, conversing with patients and their families, or closely observing nursing practices for clues.
As you uncover your quest’s mission, the next step is to craft a research question. This question is your guiding compass, leading you with its SMART attributes—Specific, Measurable, Achievable, Relevant, and Time-bound.
With your mission in hand, it’s time to embark on a quest for knowledge. You’ll venture into databases, use search engines, and explore various resources to gather the wealth of information needed for your adventure.
Like a seasoned detective, you’ll critically appraise the evidence gathered to separate the gems from the pebbles. You’re on a quest for quality and relevance, ensuring that your findings are the brightest stars in the night sky.
Your journey continues by weaving together the evidence to create a compelling narrative. It’s the puzzle of the EBP world, and as you piece it together, a clear picture of implications for nursing practice emerges.
The climax of your quest is the application of evidence in the real world of nursing practice. This is where the magic unfolds; it could involve creating new interventions, refining existing practices, or even revolutionizing how nursing care is delivered.
EBP projects are not solo endeavors; they can be led by individuals, courageous nursing teams, or dedicated researchers.
Whether your quest is small or grand, it can unfold in diverse healthcare settings, from bustling hospitals to serene community health centers.
As you embark on your EBP adventure, remember you’re the hero of the story, the explorer of the unknown, and the guardian of nursing excellence.
Your journey has the power to transform healthcare, one evidence-based step at a time. So, don your armor, unsheathe your sword of knowledge, and step boldly into the world of EBP. Your quest awaits!
In the realm of nursing, an example of an Evidence-Based Practice (EBP) question might be:
“What’s the most effective way to prevent falls in older adults within a hospital setting?”
This question isn’t just a mere query; it’s a powerful beacon, guiding us on a journey that’s Specific, Measurable, Achievable, Relevant, and Time-bound (SMART).
It’s a question that resonates with clinical significance, for falls are a major concern, particularly among older adults in hospital settings.
To unravel this question, a nurse embarks on a quest through the corridors of knowledge:
The journey commences with a thorough literature search, a quest for the wisdom hidden within the pages of research. It’s like an archeological expedition, excavating treasures that could transform nursing practice.
With evidence in hand, the nurse becomes a detective, meticulously appraising the quality and relevance of each piece of the puzzle. This step separates the gems from the pebbles.
Like an artisan weaving a masterpiece, the nurse synthesizes the evidence, connecting the dots to reveal a comprehensive narrative. It’s a process that unveils the implications for nursing practice.
The final act of this quest is the application of evidence in nursing practice. It’s where the nurse becomes a maestro, composing new fall prevention interventions or orchestrating changes to existing ones.
This EBP question isn’t just a curiosity; it’s a quest for excellence, a call to action. It’s a journey that can impact the lives of older adults in hospital settings, enhancing their safety and well-being.
So, when we pose such questions in nursing, we embark on a noble quest to elevate patient care and illuminate the path to excellence.
As we wrap up our exhilarating journey through the world of EBP nursing project ideas, one thing becomes abundantly clear—nursing isn’t just a profession; it’s a calling, a commitment to making a profound difference in the lives of patients and their families.
Evidence-Based Practice (EBP) is the magical wand that transforms this commitment into tangible innovations and enhanced patient care.
These projects aren’t just abstract ideas; they are the sparks that ignite change, the keys to a brighter future of healthcare.
They beckon nursing professionals to step into the arena, to question norms, and to create a healthcare revolution, one project at a time.
In the realm of patient safety and quality improvement, we’ve unveiled projects that are like guardian angels, tirelessly working to reduce medication errors, prevent falls, and make the pain bearable.
They stand as sentinels of patient well-being, ensuring that each healthcare encounter is safer and more effective.
The patient education and engagement category radiates with projects that are like friendly guides, empowering patients with knowledge and support.
From personalized education materials to programs that nudge us toward healthier lifestyles, these initiatives forge stronger bonds between healthcare providers and those they care for.
Workplace and staffing optimization projects are akin to harmony conductors, orchestrating better conditions for nursing professionals and patients.
They adjust nurse-patient ratios, fine-tune communication, and promote resilience, all to create an environment where everyone thrives.
In the era of technology and telehealth, EBP projects invite us to explore the brave new world of healthcare.
Telehealth services, mobile apps, and advanced EHR systems are the instruments through which nursing professionals compose a symphony of healthcare that’s more accessible and personalized.
Readmission reduction projects are our allies in ensuring that patients’ journeys continue smoothly even after they leave the hospital. Enhanced discharge planning, follow-up calls, and transitional care programs extend the circle of care beyond the hospital walls.
At the forefront of our journey are innovations in nursing practice, where the spotlight is on specialized care, advanced wound management, and patient advocacy.
These projects embody the ever-evolving nature of nursing, a profession that constantly seeks growth and excellence.
As nursing professionals embark on their EBP journey, they wield the power to reshape patient care, improve practices, and enrich the healthcare experience. The future of nursing isn’t just a vision; it’s a reality, sculpted with every EBP project undertaken.
So, as you embark on your mission to enhance patient care, remember that the path to transformation begins with a single idea, one project that can change the game.
Nursing isn’t just a profession; it’s a calling to be a healthcare superhero, and these projects are your cape.
Together, they compose the epic tale of a future where patient care is better, lives are healthier, and the healthcare system is a constant evolution. Embrace it, nurse, and let your EBP projects be the hero of the story.
What is the first step in starting an ebp project in nursing.
The first step is to identify a specific issue or problem in your clinical practice that can benefit from evidence-based interventions. This forms the foundation of your EBP project.
To make your EBP project stand out, stay updated on the latest research and innovations in healthcare. Consider collaboration with colleagues and mentors for fresh ideas.
Yes, many resources, including EBP guidelines, research databases, and support from experienced mentors, can aid in the development and execution of your EBP project.
The success of your project can be measured by tracking relevant outcomes, such as improved patient safety, reduced medication errors, or increased patient satisfaction. Define clear metrics for success at the project’s outset.
Yes, sharing your EBP project findings through research publications or presentations at healthcare conferences is a great way to contribute to the field and highlight your innovations.
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At Sheffield Hallam we have always been passionate about supporting our local communities. In creating our Civic University Agreement , we asked ourselves a fundamental question about who we are and how we can make a difference: “How can we use our key assets as a university – students, staff, research – to make the biggest impact in our region?” That question has been especially important to one key civic theme over the last two years: Our health and wellbeing.
Sheffield Hallam is one of the largest providers of nursing education in the UK, with 2,500 pre-registration students studying nursing in 2022. This includes education and training for all fields of nursing including adult, child, mental health and learning disabilities. As part of their training student nurses undertake placements in a range of local trusts, private and voluntary organisations across our region including in South Yorkshire, Derbyshire, Lincolnshire and Nottinghamshire.
In the first year of the nursing degree courses at Sheffield Hallam, students learn and develop a range of clinical skills. In year one they undertake a simulated placement block as part of the 600 hours they complete over the duration of their course. Sheffield Hallam is investing significantly into specialist equipment, staff, software and clinical spaces such as mock wards so students can strengthen their decision making and clinical skills as well as building their confidence as they train. These simulated placements are part of the 2,300 hours of clinical placements each student completes as part of their training. In year two students take part in a simulated community placement – working with local charities and organisations in the community to undertake a health promotion and education project.
In 2022 a cohort of 600 second year nursing students were given three weeks to design and deliver a health promotion or health education project either face-to-face or virtually within local communities. Students had to find and approach a local charity or organisation to work with and were supported by the Sheffield Hallam’s employability team and the volunteering team at the Student’s Union.
The initiative had a clear ethos: that nursing isn’t just treating illness – it is also teaching people to be healthy and preventing ill health through sharing knowledge and ideas. Local charities involved in the projects included organisations related to drugs and alcohol rehabilitation, families of prisoner offenders support groups, Baby Basics, foodbanks, schools, Guide and Scout groups.
“I recently had the pleasure of welcoming some of your students to come and talk to my Y9 pupils at my school - about period poverty. I just wanted to let you know how impressed I was with their delivery, their maturity and the way in which they conducted themselves. They are a credit to your establishment! I would be more than happy to welcome them back at any stage in the future.” Eileen Ronan, Teacher of Vocational Education, Oakwood High School, Rotherham
Here, we describe three community projects that our nursing students have delivered over the last 12 months, helping to support local people lead healthier lives, whilst building their skills for their future careers in nursing.
A group of nursing students from Sheffield Hallam visited the 142 nd Guides unit in Frechville, Sheffield to teach the girls aged 10–14 years about nursing. The workshop delivered some basic first aid skills including bandaging wounds and CPR training. The students also gave the girls an overview to nursing as a profession and held a discussion about nurturing positive mental health and wellbeing.
The group chose to approach the Guides because they wanted them to feel empowered if they ever found themselves in a situation which required first aid. The nursing students also aimed to inspire a new generation of young women to consider a career in the nursing profession. The feedback from the session was very positive and the student group said if they were to run the event again, they would factor in more time for greater discussion and the expansion of the topics covered as the Guides were such an enthusiastic audience.
"I hope we were able to act as good role models, inspiring these amazing girls and empowering them to believe in themselves, who they are and show them they can do anything they put their minds to.’’ Becky Howsham, Sheffield Hallam student
Children from Listerdale Primary School and 30 th Scout unit in Rotherham took part in an art project run by a group of nursing students to support the elderly population in the local community. The children wrote poems and letters, and created visual artwork in the form of paintings, postcards and booklets. These were distributed to residents of care homes and dementia centres in the local area.
‘‘We hope to provide some happiness to people with dementia as well as hopefully easing loneliness, while teaching our children the value of community, kindness and looking after our elderly.’’ Leanne Walsh, Sheffield Hallam student
The significant impact the pandemic has had and continues to have on children’s mental health was chosen as a community project by one of the groups of nursing students from Sheffield Hallam. The group designed a booklet for schools to use as a teaching resource with children aged six to nine years of age. The key focus was producing a child-friendly booklet, which young children could understand, interact with, and learn from. The group decided to use the characters from the Disney film Inside Out , which featured five characters each representing an emotion: anger, sadness, disgust, fear and joy. The work booklet gives each child an opportunity to engage in self-reflection in their own time to support how they manage their own feelings.
"As student paediatric nurses, this project helped us to gain knowledge, skills and insight into how to speak to children about sensitive topics such as mental health, consider their psychosocial needs and collaborate as a team - all which will support us in future practice." Dani Reynolds, Sheffield Hallam Student
To conclude their community projects the nursing students produced a report summarising their findings and a poster to promote their chosen health topic. The reports found that the student’s work in the community had encouraged the groups to become more aware of their health and take ownership of their health, which could prevent future illness.
This ongoing community focused aspect of Sheffield Hallam’s student nursing training is valued by our communities and cements our commitment to working together for positive change within community health and wellbeing.
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As healthcare continues to evolve, so does the understanding and approach to caring for LGBTQ (Lesbian, Gay, Bisexual, Transgender, Queer/Questioning) individuals. Here are some insightful discussion questions to explore in the course setting to help your students understand LGBTQ healthcare needs.
1. Health Disparities : What are some specific health disparities faced by LGBTQ individuals compared to the general population?
2. Barriers to Care: What are common barriers that LGBTQ individuals may encounter when seeking healthcare, and how can healthcare providers address these barriers?
3. Cultural Competence: Why is cultural competence important in providing healthcare to LGBTQ patients? What steps can healthcare providers take to enhance their cultural competence?
Help your Students Create an Inclusive Healthcare Environment
4. Language and Terminology: How does the use of inclusive language and respectful terminology contribute to creating a welcoming healthcare environment for LGBTQ patients?
5. Patient-Centered Care: What does patient-centered care look like in the context of LGBTQ healthcare, and why is it important?
6. Addressing Bias and Discrimination: How can healthcare providers recognize and address bias and discrimination against LGBTQ patients within healthcare settings?
Clinical Considerations your Students need to know in LGBTQ Healthcare
7. Routine Screening: What are some important routine screenings and health assessments that should be prioritized for LGBTQ patients, and why?
8. Mental Health Support: Why is mental health support crucial for LGBTQ individuals, and what are effective strategies for providing this support in primary care settings?
9. Hormone Therapy and Gender-Affirming Care: What are the considerations and ethical implications of hormone therapy and gender-affirming care for transgender patients?
Practical Application and Role-Play for your Students
10. Studies: Discuss case studies involving LGBTQ patients in primary care settings. How can providers navigate these cases effectively while respecting patient autonomy and identity?
11.Playing Scenarios : Engage in role-playing scenarios where students practice inclusive communication and care strategies when interacting with LGBTQ patients.
The 3rd Edition of, Women’s Healthcare in Advanced Practice Nursing , includes engaging discussion questions for the course, aimed at enhancing understanding and sensitivity in primary care settings. Additionally, the text offers a sample conversation below to assess sexual orientation and sexual activity .
These discussion questions are designed to deepen understanding and stimulate critical thinking about the primary care needs of the LGBTQ community. By exploring these topics in the course, your students can better prepare themselves to deliver respectful, inclusive, and competent care to LGBTQ patients. Emphasizing empathy, cultural sensitivity, and ongoing education is key to fostering a healthcare environment where all individuals feel valued and supported in their health journey.
Discover incisive and comprehensive information on the healthcare needs of women, transgender, and nonbinary persons in the third edition of this distinguished text, Women’s Healthcare in Advanced Practice Nursing.
Insights and strategies for impactful community-based scholarship.
Join us for, " Advancing Health Equity through Education: Insights and Strategies for Impactful Community-Based Scholarship ," an engaging panel discussion featuring Maranda Ward, EdD, MPH, and Patrick Corr, EdD. They will dive into topics such as preparing for your first academic position, fostering community and mentoring for early career faculty, and offering invaluable advice for graduate students, postdocs, and new faculty. Gain insights into navigating the unique challenges faculty face in academic medical centers, early career experiences, and lessons learned. Additionally, they will explore the dynamics of collaborative research and its benefits for early career faculty.
This engaging panel discussion, co-sponsored by the MGH Institute of Health Professions and the Peter L. Slavin, MD Academy for Applied Learning in Health Care, will take place on August 13, 2024 , from 11:00 AM to 2:00 PM at 2 Constitution Wharf, Charlestown, MA.
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Event Highlights:
We understand that schedules can be busy, so please feel free to stay for as little or as much of the event as your time allows. We would appreciate any amount of time you could spend with us.
Breakout Sessions:
Following the panel discussion, we will have breakout sessions to delve deeper into topics such as:
Maranda C. Ward, EdD, MPH Dr. Maranda Ward is a distinguished educator and health equity expert. She is a 2024 finalist for AMEE's Patil Teaching Innovation Award and is listed among the nation's 2024 Health Innovators to Watch by the Boston Congress of Public Health. Dr. Ward has made significant contributions in designing and teaching health equity curricula. Her work relies on an anti-racist and DEIJ lens within health professions education. Her expertise on disparities is sought out by NPR, The Washington Post, Black Enterprise Magazine, Ebony.com, and MedPage Today, to name a few. Dr. Ward's research includes HIV disparities, Black women's health, and youth identity. She is the PI on the "Two in One: HIV and COVID Screening & Testing Model" project as a researcher in the DC Center for AIDS Research.
Patrick Corr, EdD Dr. Patrick Corr is a dedicated educator and researcher focusing on health equity, subjective well-being, and addressing academic and social inequities. He teaches qualitative research methods, academic writing, and health equity. Dr. Corr directs the Governor's Health Sciences Academy, fostering a dual enrollment partnership with Alexandria City Public Schools. He earned his doctorate in education at George Washington University and has a rich background in education and gender studies.
Please contact Ellen Foley at efoley2 [at] mghihp.edu (efoley2[at]mghihp[dot]edu) with any questions.
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Addiction Science & Clinical Practice volume 19 , Article number: 58 ( 2024 ) Cite this article
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Although clinical substance use disorder (SUD) care is multidisciplinary there are few opportunities to collaborate for quality improvement or systems change. In Oregon, the Project ECHO (Extension for Community Healthcare Outcomes) model was adapted to create a novel multidisciplinary SUD Leadership ECHO. The objective of this study was to understand the unique effects of the adapted ECHO model, determine if the SUD Leadership ECHO could promote systems change, and identify elements that enabled participant-leaders to make changes.
Four focus groups were conducted between August and September of 2022 with a purposive sample of participants from the second cohort of the Oregon ECHO Network’s SUD Leadership ECHO that ran January to June 2022. Focus group domains addressed the benefits of the adapted ECHO model, whether and why participants were able to make systems change following participation in the ECHO, and recommendations for improvement. Thematic analysis developed emergent themes.
16 of the 53 ECHO participants participated in the focus groups. We found that the SUD Leadership ECHO built a multi-disciplinary community of practice among leaders and reduced isolation and burnout. Three participants reported making organizational changes following participation in the ECHO. Those who successfully made changes heard best practices and how other organizations approached problems. Barriers to initiating practice and policy changes included lack of formal leadership authority, time constraints, and higher-level systemic issues. Participants desired for future iterations of the ECHO more focused presentations on a singular topic, and asked for a greater focus on solutions, advocacy, and next steps.
The adapted ECHO model was well received by focus group participants, with mixed reports on whether participation equipped them to initiate organizational or policy changes. Our findings suggest that the SUD Leadership ECHO model, with fine-tuning, is a promising avenue to support SUD leaders in promoting systems change and reducing isolation among SUD leaders.
COVID-19 emerged in the midst of a relentless overdose crisis. The syndemics of COVID-19 and the overdose crisis created an urgent, unique need for increased communication and collaboration within SUD treatment [ 1 ]. Diverse disciplines participate in clinical SUD care, but opportunities to collaboratively advance quality improvement or systems change are rare [ 2 ]. In addition, quality improvement in health care settings is typically slow and methodical. Change often relies on published evidence, which lags behind real-time needs [ 3 , 4 ]. COVID-19 and the arrival of non-pharmaceutical fentanyl on the West Coast prompted a need for urgent expansion and adaptations in SUD care delivery [ 5 , 6 ] such as telehealth services for low-barrier access to medications [ 7 ]. Nationally, there has been a windfall of new addiction medicine legislation in the wake of COVID-19 and the continued opioid crisis [ 8 ]. In Oregon, the landmark Drug Addiction Treatment and Recovery Act was passed to decriminalize small-quantity drug possession and expand funding for SUD services [ 9 ].These rapid changes have two implications. First, Oregon’s SUD providers were caught in a rapidly changing landscape, and it was unclear how local and organization level systems would adapt to higher-level shifts. Second, SUD providers nationally may have increased opportunities to be involved directing reform in a time when the public eye is turning to overdose and SUD [ 10 ].
As SUD care providers adapted their care delivery to meet the ongoing needs of these co-existing crises, addiction medicine faculty at Oregon Health and Science University (OHSU) re-purposed the Project Extension for Community Healthcare Outcomes (ECHO) model to support SUD care leaders in this time of turmoil [ 11 ]. ECHO traditionally uses case-based tele-mentoring to equip health professionals to deliver best-practice care and has been implemented to address multiple medical conditions, including for substance use disorder. ECHOs recruit broadly via email listservs, meet virtually in one-hour weekly sessions, and combine didactic curriculum with case presentations. Curriculum topics are set months in advance of the program based on the expert faculty team’s choice of priority topics and previous participant feedback. De-identified patient or systems-level cases are presented by participants and case discussions conclude with recommendations by the ECHO faculty experts and participants in the session. The SUD Leadership ECHOs were distinctly different than traditional ECHO programs; unique goals required a special development process, individual recruitment of participants, curated session content, and a modified once-monthly session format. To address the aforementioned need for increased collaboration, the SUD Leadership ECHO was designed to include participants from different roles and leadership levels within SUD treatment and harm reduction. The ECHO’s development team hypothesized that the differing perspectives and multi-level leadership nature of the group would help to promote novel learning and systems change.
In partnership with the Oregon ECHO Network (OEN), a statewide utility that supports ECHO programming in Oregon, OHSU Addiction Medicine faculty launched a 12-session SUD COVID Response ECHO to convene Oregon’s leaders in SUD care, identify barriers to effective care, and pioneer solutions together [ 12 , 13 ]. The program launched in April 2020 and focused primarily on COVID-related changes within the SUD treatment system. Following the success of the SUD COVID Response ECHO, the SUD Leadership ECHOs cohort 1 and 2 launched in September 2020 and January 2022 respectively. These iterations featured broader learning objectives: to brief leaders about emerging SUD issues in Oregon, explore solutions, and motivate systems improvement.
Clinical outcomes from ECHO programs have previously been evaluated [ 14 , 15 ], however, higher-level systems may remain slow or unaware of change directed by ECHO. Therefore, this study aimed to understand the flexibility of the ECHO model, determine if the SUD Leadership ECHOs could drive systems change, and identify what factors may enable participant-leaders to make changes.
This qualitative study used focus groups to understand how participants benefited from their involvement in the SUD Leadership ECHO. The study was conducted by a multidisciplinary team with expertise in SUD clinical care, ECHO program management, and qualitative methods as a partnership between the Oregon Rural Practice-based Research Network, the OEN, and the OHSU Section of Addiction Medicine. Data collection and analysis occurred from August to November 2022 and focused on the SUD Leadership ECHO’s cohort 2. The study was deemed “not human subject research” by the OHSU Institutional Review Board.
The SUD Leadership ECHO cohort 2 was comprised of six sessions. Cohort 2 topic and description are listed in Table 1 below. One-hour sessions were hosted on Zoom and were divided in halves for a didactic presentation and a systems case discussion. Recruitment for cohort participants was an intensive iterative process, by invitation only. The goal of recruitment was to enroll SUD care leaders across the state of Oregon diversely representing ethnicities, gender identities, geographic and organizational settings, and experiential knowledge: clinicians, pharmacists, payor representatives, harm reductionists, persons who use drugs, advocates, and public health professionals. Table 2 provides further descriptions of leadership types considered for recruitment.
Direct outreach to attendees of at least one session of cohort 2 ( n = 53) was conducted via email by the principal investigator (DH).
A semi-structured, 15 question guide was developed by the qualitative analyst (NR) and explored SUD leadership ECHO participants’ experiences. The guide was iteratively refined by the larger study team as data collection progressed based on de-briefing of early focus groups. The focus group guide can be found in Appendix A.
Four focus groups were conducted by an experienced qualitative analyst (NR) by Zoom videoconference. Focus groups lasted an average of 51 min (range 40–58), contained an average of 4 participants (range 2–6), were digitally recorded with verbal consent, and were transcribed professionally. Transcriptions were validated, de-identified, and assigned a participant ID by a qualitative analyst (EM). Data was monitored for saturation (e.g., participants presented no new information), at which point recruitment stopped [ 16 ].
Transcripts were uploaded to Atlas.ti for data management and analysis. Data was analyzed concurrently using Braun and Clarke’s approach to thematic analysis [ 17 ]. An initial code book was developed using a combination of deductive and inductive codes. The code book was tested on a subset of transcripts and coded by a second analyst (EM) to ensure reliability; it was iteratively refined through analytic team meetings which included qualitative analysts (NR, EM), OEN director (MMM), and the ECHO’s project coordinator (KG). Transcripts were then dual-coded by qualitative analysts (NR, EM) using the finalized code book. Emergent themes were identified in a dialogue-based refinement process.
Participant information such as age, credential, location, and type of practice was collected from ECHO registration data. The Addiction Medicine ECHO Program director (DH) and the OEN director (MMM) collaboratively classified participants’ organizations into leadership categories as described in Table 2 .
16 individuals participated in the focus groups out of 53 SUD Leadership ECHO participants. Focus group participants were representative of the overall ECHO participants, as their demographics were similar as seen in Table 3 below. Focus group participants represented 7 of the 36 counties in Oregon, with 25% of participants practicing in rural areas. On average, focus group participants attended 4.5 of the sessions as compared to 3.4 sessions attended by overall participants. Focus group participants were mainly classified as Organization/Program leaders (50%) or State/Regional system leaders (38%), and had diverse credentials. Detailed descriptions and example roles for each category of leadership are included in Table 2 . They represented a wide variety of settings, including large health systems, specialty addiction and behavioral health treatment, primary care, accountable care organizations, the state health authority, and county health departments.
Overall, participants reported that the SUD Leadership ECHO sessions were beneficial. Three participants were inspired to make practice and policy changes within their systems. However, many leaders who were unable to make changes identified several barriers. Leaders also suggested modifications to improve future SUD leadership ECHO sessions. Below we summarize the results in three themes: SUD Leadership ECHO benefits, practice and policy changes, and recommendations for improving ECHO sessions.
Community building across disciplines and organizations allowed for cross-pollination of ideas.
Many participants commented that the chosen SUD Leadership ECHO topics were timely and relevant to what was occurring at in their practice or organization. However, when asked directly about the benefits of participation, many did not reference specific topics and needed prompting to remember specific session content. Instead, participants pointed to the multidisciplinary nature of the ECHO and the exchange of information between leaders.
The majority appreciated hearing about pressing SUD treatment and harm reduction topics from multiple perspectives by accessing, engaging, and connecting with a community of thinkers, advocates, and policy makers. This was described as “moving beyond their siloes”, with multiple participants sharing that outside of this group, few opportunities exist for direct interaction with other leaders or colleagues who lead SUD work in Oregon. Participants remarked positively about “having access to a community of thinkers” and that it was valuable “to hear and see what works.”
Participants also appreciated sharing diverse experiential knowledge. This helped them develop new perspectives on complex emerging SUD issues with less concern for gaps in their understanding. For example, one participant (17, State/Regional systems leader) remarked on the importance of having high-level leaders present to understand how things functioned on the administrative and policy side, explaining “[it’s] nice to have people that understand higher up level change and what we need to do and how systems work and not just like, oh, we need to do this, but don’t understand the background of it.” Similarly, another participant (15, Direct Care leader) mentioned the uniqueness of engaging with high level leaders in this setting, saying “I don’t think [the state health authority] comes to any other CME I do.” Other participants (4, Direct Care leader) reflected on the importance of including folks with lived experience with SUD, describing how it “changed some of the conversations that are happening in the community” and that “it [is] beneficial for folks who are in policy, who are in direct care to be hearing about those. So we have more of the spokes present around this shared purpose of people having access to great care.” A fourth participant (14, State/Regional systems leader) commented on how the SUD Leadership ECHO engaged providers beyond physicians, when compared to other societies, saying, “It [State Society of Addiction Medicine], is primarily physicians, and I don’t participate in those activities in general…there’s something really nice about the crosscutting nature of who comes to this ECHO.”
Participants reflected that the SUD leadership ECHO created a communal space where there was shared understanding that SUD treatment and harm reduction work is challenging, with a shared commitment to persevere. Participants explained that SUD leaders can feel uniquely isolated, describing feeling a mission and drive to improve SUD care and policy, while simultaneously feeling fatigued, isolated, or defeated when change doesn’t happen. These sentiments were captured by two participants who said:
For me, being kind of isolated out here and just being able to sit in a room full of other people grappling with some of the same issues, efforts to implement in the hospital and the million harm reduction things that we would, could, should be doing and are struggling to try to implement in a conservative community, just having the space to come and be with other folks has been of massive benefit to me. - Participant 8 (State/Regional systems leader). Being in community with people who already understand that it’s hard… In a room of normy’s explaining the work we do and why it’s important, is a lot of work. And so being able to be with this group of people who I don’t have to explain why what I do is important. - Participant 16 (Organization/Program leader).
Participants observed that the focus on local implementation was unique and informed them of policies and practices taking effect in real time across the state. This was cited as different from other learning communities, conferences, or SUD focused groups that participants were a part of, which focused on more didactic approaches, and were slower to provide relevant information. One participant (8, State/Regional Systems leader) clarified the value of shared systems context: “I always enjoy the fact that it’s folks from around our state specifically who just have to deal with the same policies and governance structures and understand how things operate in Oregon.” Another participant (7, Organization/Program leader) explained, “I hear and I learn a lot about what’s going on in other parts of the country, but then for the, ‘well, how does that translate to Oregon, or are we doing….’ And these forums seem to be a great way to learn about what’s happening in Oregon and where I might be able to connect with somebody here.”
Leaders who successfully made changes heard best practices and how other organizations approached problems.
Three participants mentioned making practice or policy changes; two were Organization & Program leaders and one was State & Regional leader. Changes included the creation of a two-day training to support changes in Suboxone prescribing policy, updates to staff engagement and retention operational policies, and partnering with the local jail to initiate Suboxone prescribing. All three described drawing inspiration from the exchange of ideas and being influenced by the approaches of others. Two of these participants felt that adopting a model tried successfully by others within the state helped convince stakeholders in their home organizations to embrace changes. Participants placed a high importance on gaining insights for real-life implementation in complex contexts, echoing findings from the previous section. One participant (3, Organization/Program leader) shared that their position specifically empowered them to make changes incited by the ECHO; program and policy implementation was an explicit part of their role. This participant also had a clinician partner enrolled in a separate addiction medicine ECHO. Their collaboration was instrumental in driving change within their organization:
And I think my doctor partner, she had the same experience [in a different SUD ECHO] where she’s like, ‘Why are we doing this, this way? I’m hearing from these other leaders, they’re doing it this other way.’ And so between the two of us, we were able to really influence our teams. (Participant 3, Organization/Program leader).
In contrast, five others reported no practice or policy changes. One participant self-identified as merely an informal leader in their organization, and felt they lacked power to initiate changes. They “wonder(ed) if that [informal vs. formal leadership role] correlates to who feels they can make change.” (Participant 15, Direct Care leader) Participants further explained that policy changes take time, often longer than a year or two, so changes might not have occurred in the time span of this evaluation. A few participants recognized that high level systems obstructed the possibility of organizational-level changes, such as pharmacy-level buprenorphine shortages or state or federal-level policy restrictions. For example, one participant (8, State/Regional Systems leader) described that although practices they heard about in the ECHO sessions were in alignment with conversations they were having in their organization, changes “are not feasible just yet for typically a variety of policy reasons.”
Even for participants who did not report making changes, ECHO may have catalyzed future developments. One participant (11, Organization/Program leader) encapsulated this saying, “Even though I can’t think of a direct way that it led to any specific changes, it does stimulate conversation and ideas to start going.”
Tension existed between wanting to explore local implementation and national sud context.
While the focus on Oregon-centric policy and implementation was identified as a strength, some participants acknowledged that a balance of perspectives from the national landscape would help explore new ideas. As one participant (7, Organization/Program leader) described, “As much as I really enjoy being able to learn about what’s happening in Oregon and find a lot of value there. There are things that are happening in other parts of the country that aren’t happening here… To spark the conversation of, ‘What does that look like in Oregon?’”.
The criticism raised most often was that there was too much content in each 1-hour session. Participants felt that “we were trying to squeeze a lot into a small amount of time…the topics chosen were not quick, easy.” Discussions were robust, but “we had to pivot either to the next topic or to the end of the time when there was still some really great idea generation and discussion happening that I would’ve loved to like been able to continue with” (Participant 8, State/Regional systems leader). To remedy this, one participant (2, State/Regional systems leader) suggested, “to have multiple different type of experts or people with different types of experiences talk about … the same topic.”
Discomfort at the close of ECHO sessions was also tied to a desire to focus on solutions, particularly as participants felt this group had the expertise to solve the problems discussed. There was agreement about dysfunctional systems but the discussion yielded “no tangible next step” (Participant 3, Organization/Program leader). One participant (14, State/Regional Systems leader) commented that the lack of “real accountability” was “a limitation of the Leadership ECHO” even though it gave “visibility and transparency where the problems are.” Time was a barrier to developing solutions; one participant (16, Organization/Program level leader) expressed, “this leadership ECHO is really more solutions based, than it actually got to be. We talked about a lot of problems, and then ran out of time before we could discuss solutions.”
The participants were interested in further contributing to advocacy. A few suggested the ECHO faculty team could: 1) facilitate petitions, 2) create intentional sub-committees to develop changes postulated during the ECHO, and 3) add accountability by tracking follow-through between sessions. On the theme of sub-committees, participants were interested but unsure how to organize. As one participant (5, State/Regional Systems leader) pointed out “Some folks are going to be more invested in certain ideas or areas of change and have more experience or insights into it” but may not have “an ability to commit to a timing around it.” However, participant 3 (Organization/Program leader) described leveraging the collective power of the leaders present, “It just doesn’t make sense that we’re raising our voices in silos. It would be much more powerful if we all put our voices together and had some sort of shared mission agenda something in writing that said, ’This is what our community SUD Leadership wants.’”.
Participants emphasized that the greatest benefit was connecting with other leaders with diverse perspectives who were dealing with similar issues in their organizations, and that these connections reduced isolation. Addiction treatment providers may be at heightened risk for burnout as they support a patient population with highly complex social and behavioral needs with significant trauma [ 18 , 19 , 20 ]. Prior research has described social support as a key antidote to improving resilience and reducing burnout for healthcare providers [ 21 , 22 ]. New evidence suggests that for addiction medicine providers, specifically, enhancing their ability to advocate and engaging with others across institutions to enact higher-level change may improve satisfaction and increase resiliency [ 20 ]. Our data shows that the SUD leadership ECHO empowered and connected leaders, and suggests that the community built by these sessions may represent one avenue to reduce burnout in these highly susceptible leaders.
Notably, unlike prior evaluations of ECHOs, the presented content was not named as a reason for attending [ 14 , 23 , 24 ]. In fact, the majority of participants could not recall specific session topics without prompting. This was particularly surprising for two reasons. First, in the typical ECHO model, the didactic topics form the backbone of the program and curriculum topics are advertised to promote attendance. Second, for the SUD Leadership ECHO, extra effort was invested to curate attractive and timely content. When the ECHO was repeated, the faculty team sought out brand new presenters and topics to keep the sessions relevant. These findings indicate that ECHO participants in leadership roles may have different needs than the typical medical provider population that ECHO traditionally serves, and special attention may need to be paid to the interactive, networking, and mutual-support aspects to provide value.
Leaders also highlighted several limitations of the ECHO. Sessions featured two topics in a single hour at the expense of depth. Cohorts 1 and 2 of the SUD Leadership ECHO held the traditional ECHO adult learning model of didactic and case studies within each session. The ECHO’s faculty team hoped to promote attendance by using a familiar model, but around half of program participants were brand new to ECHO programming. A second goal was to provide high-yield sessions by hosting condensed but meaningful discussions on two topics per session. The faculty team tried to achieve this vision by preparing extensively, coaching presenters to distill their information, and actively facilitating. However, the didactic and case model left many unsatisfied since the topics covered were complex and it was difficult to explore them adequately in 30 min. In light of these findings, the faculty team adapted to single topic sessions with panel presentations for Cohort 3. This marks a significant diversion from the typical ECHO model but promises to better meet the needs of the unique audience and uniquely complex topics; future work will assess the tradeoffs of this shift in content and structure.
Facilitating policy change was a primary goal of the SUD Leadership ECHO, however, participants often could not make changes directly. Networking and information sharing were sometimes adequate for participants to make changes within their own organizations. Participants reported this worked best when the problem was primarily unsolved because it was new to the organization. Borrowing good ideas from SUD leadership ECHO colleagues was less effective if problems were systemic in scope, needed higher level action to achieve change, or necessitated new legislation. Additionally, there was limited follow-up assistance provided by ECHO to carry change ideas forward. In Cohort 3, responding to this feedback, the ECHO hosted the advocacy officer for the American Society of Addiction Medicine and facilitated participants to comment during the rulemaking process for federal changes to methadone regulation [ 25 ].
While the number of participants who initiated organizational changes was small, two key factors were identified that helped support changes. First, those able to initiate changes typically had a leadership role with access to organizational operations. This is well-supported, as policy and implementation change typically require adaptations to organizational contexts and financial resources which direct care providers may not have authority over [ 26 , 27 ]. Second, one participant illustrated that having like-minded colleagues within their organization allowed them to build a stronger case for change. Generally, only one person per organization attended the SUD Leadership ECHO; the faculty intended through careful recruitment to maximize diversity in the program rather than recruit multiple leaders per organization. However, this approach may have undermined the goal of organizational-level change.
Participants also requested more avenues to generate solutions during and after the ECHO sessions. Suggestions included facilitated petition letters, sub-committee formation, and follow up in the full ECHO forum to ensure accountability. These suggestions highlight that the greatest barrier to progress may not be lack of time, even though conversations felt unfinished. Instead, change is a longitudinal process and effective advocacy is challenging, even for this group of experienced leaders. Promoting longitudinal changes is outside the scope of the traditional ECHO, which suggests the need to divert from the traditional model when designing sessions for this unique population. Future iterations of the SUD leadership ECHO could include adding an experienced advocate to the ECHO faculty team, or partnering with advocacy organizations to facilitate advocacy activities.
Our study has a few limitations. First, it might be affected by selection bias. Participants who were more significantly influenced by the ECHO and engaged in Oregon’s addiction medicine ECHO program may have been more likely to enroll in the focus groups. This could have resulted in a more positively biased evaluation of the ECHO. Second, the evaluation of changes was constrained by our timeframe. We conducted our post-program evaluation two months after the ECHO sessions were completed. As noted by several participants, organizational change can take months to years, and we may not have captured all practice and policy changes that will be made in response to participation in this ECHO. Future work could explore whether this novel ECHO model was successful in driving leaders to initiate changes within their organization over a lengthier time frame. Despite these limitations, our study provides valuable insight into this novel adaptation of the ECHO model, its drawbacks, and how it uniquely met needs for SUD care leaders.
Overall, the SUD Leadership ECHO was well received by focus group participants, with mixed reports on whether initiating organizational or policy change was achieved. This study confirms that replication of the SUD Leadership ECHO model, with fine-tuning, is promising. The feedback provided shows that there is untapped potential in branching away from the traditional ECHO model to meet the unique needs of SUD care leaders. Further research is needed to understand how SUD care leaders are served by ECHO versus their national professional societies and local chapters and assess if ECHO is the best forum to fill these gaps and meet SUD care leader’s needs. Furthermore, future studies should identify the avenues and program structures that are most beneficial to support organizational and local-regional SUD leaders in promoting systems change to improve substance use care.
Introductory script.
Thank you for joining our Focus Group today. We are interested in learning the ways in which participants benefited from their involvement in the SUD Leadership ECHO; whether and what SUD practices and/or policies changed as a result of their participation in the SUD Leadership ECHO; participants’ recommendations for improving the SUD Leadership ECHO; and whether and what opportunities participants see for group advocacy around improving SUD prevention, harm reduction, recovery, and supporting people with SUD in Oregon.
This work is funded by the SUD leadership ECHO program, however, we will not share specific details about you (e.g., your name, clinic) or directly link you to your responses when reporting findings back. We are hoping to publish a paper from these findings so that others replicate some of the successful practices that were developed here.
Today, I will be acting as the facilitator of this focus group—I will be presenting the topic areas and probing for any follow-up details. I am joined by [ECHO Program Lead], [Qualitative Analyst], [ECHO project coordinator], who are here to take notes, help me keep track of time, and monitor the chat.
A focus group differs from an interview in that we are interested in your discussions around the topic. We encourage you to interact and discuss with each other. There are no right or wrong answers, so please share your experiences and thoughts as we continue.
We would like to record this focus group so we can accurately capture your experiences in your own words. This recording will be transcribed and all proper names and places will be removed to protect your identity and privacy. Do I have permission to audiotape this focus group?
Great, thank you. I may ask at times to clarify who’s speaking to make sure I’m tracking your responses. If you agree with what others are saying, please feel free to emphasize this in your replies!
Before we dive in to our questions, I want to share ground rules for today’s conversation: Before we get started we would like to remind you that everything said here should remain confidential. Stories shared here should not be shared outside of the group. Second, we would like to hear from all participants. If you are someone who finds yourself speaking up a lot, please remember to step back at times to let others speak. On the contrary, if you are someone who finds yourself listening and observing, please step up and share your experiences, it’s extremely valuable for us to hear all opinions, especially if they are different from the majority. Any questions regarding these?
Please share your name, organization, role, in the chat.
Feedback on structure and content of ECHO
How were you connected to the SUD leadership ECHO?
Probe: What motivated you to first attend the SUD leadership ECHO sessions?
Probe: Why did you continue attending the SUD Leadership ECHO sessions?
What were the benefits of your involvement in the SUD Leadership ECHO program?
Which sessions were most impactful? Why?
Probe: Didactic/ SBAR, structural pieces, what the amount of content just right, not enough, or too much.
What new professional connections did you make? How has this impacted your current practice?
What new resources did you access? How has this impacted your current practice?
What sets the SUD leadership ECHO sessions apart from other forums (conferences, CME training, etc.)?
What made it easy to participate in the SUD Leadership ECHO program? What went well?
What opportunities are there for the SUD Leadership ECHO to be improved?
Probe: What changes could be made to how the sessions are facilitated?
Probe: What changes could be made to the structure of the ECHO?
Probe: What additional strategies could be used to build relationships and make the sessions interactive?
Probe: Was anyone missing from the conversation? If so, who should be invited to these conversations? (specific as possible: ex. name, organization, rationale for inclusion)
Are you continuing to participate in the SUD Leadership ECHO? Why or why not?
Why didn’t you attend more sessions?
Practice and/or Policy Changes
Did anything about your current practices change as a result of participating in the SUD Leadership ECHO?
Probe: If so, please describe the specific actions you took to make such changes.
Has your organization changed – or started to think about changing – any policies or practices as a result of your participating in the SUD Leadership ECHO?
Probe: If so, please describe specific actions your organization as took or plans to take to make such changes.
Opportunities for Systems Change and Advocacy
Do you see any opportunities for how SUD Leadership ECHO participants may advocate for systems change around SUD prevention, harm reduction, treatment or better supporting populations with SUD?
Probe: What areas do you see opportunities and what could that advocacy look like?
Probe: If not, please describe barriers to group collaboration and advocacy.
Probe: How could the ECHO support in making these changes? (e.g., what is already happening, what could be happening?)
Probe: How else can ECHO support systems changes and advocacy (e.g., letters to certain parties)?
Is there anything else you’d like to share?
Thank you for participating in the focus group today and your candidness in discussing these topics related to SUD. Your responses will be used to inform future ECHOs around SUD. Don’t hesitate to reach out to us if things come to mind after this focus group. We can incorporate those thoughts into our analysis, too.
Thank you so much, and enjoy the rest of your [day].
The datasets generated and/or analysed during the current study are not publicly available due privacy protection of participants.
Extension for community healthcare outcomes
Oregon echo network
Oregon health & science University
Substance use disorder
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The research team would like to acknowledge our SUD ECHO leadership members who participated in the focus groups. We would also like to thank Katherin Gomez- Arboleda who assisted with participant recruitment and thematic refinement.
Research reported in this publication was supported by Substance Abuse and Mental Health Services Administration under award number 1H79TI083316-01, State Opioid Response 2. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Substance Abuse and Mental Health Services Administration.
Authors and affiliations.
Department of Medicine, Section of Addiction Medicine, Oregon Health & Science University, Portland, OR, USA
Fora Health, Addiction Treatment Center, Portland, OR, USA
Eowyn Rieke
Oregon ECHO Network (OEN), Oregon Health & Science University, Portland, OR, USA
Maggie McLain McDonnell
Oregon Rural Practice-based Research Network (ORPRN), Oregon Health & Science University, 3181 S.W. Sam Jackson Park Road, Mail Code: UHN 30, Portland, OR, USA
NithyaPriya Ramalingam, Maggie McLain McDonnell & Emily Myers
Project ECHO (Extension for Community Healthcare Outcomes), Oregon Health & Science University, Portland, OR, USA
Eowyn Rieke, Maggie McLain McDonnell & Dan Hoover
Recovery Works Northwest, Portland, United States
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ER, DH, and MMM managed and contributed to the operation of the SUD Leadership ECHO program cohort two, and originated the idea for this manuscript. EM and NR led data collection and interpretation, with guidance from ER, DH, and MMM. NR and DH took the lead in writing this manuscript. All authors provided critical feedback, contributed to the writing of the manuscript, and approved the manuscript draft for submission.
Correspondence to NithyaPriya Ramalingam .
Ethics approval and consent to participate.
As part of Oregon ECHO Network program evaluation, the study was deemed “not human subject research” by the OHSU Institutional Review Board.
Not applicable.
All authors declare no potential conflicts of interest.
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Ramalingam, N., Rieke, E., McDonnell, M.M. et al. “Moving beyond silos”: focus groups to understand the impact of an adapted project ECHO model for a multidisciplinary statewide forum of substance use disorder care leaders manuscript authors. Addict Sci Clin Pract 19 , 58 (2024). https://doi.org/10.1186/s13722-024-00485-3
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Published : 08 August 2024
DOI : https://doi.org/10.1186/s13722-024-00485-3
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