Implementation of the Acute Inpatient Medicine-High Reliability, Learning Environment, and Workforce Development Initiative (AIM-HI) in rural Veterans Health Administration hospitals: A mixed methods evaluation protocol

被引：0

作者：

Gilmartin, Heather M. ^{[1
,2
]}

Connelly, Brigid ^{[1
]}

Daus, Marguerite ^{[1
]}

Hess, Edward ^{[1
]}

Leonard, Chelsea ^{[1
]}

Morgan, Brianne ^{[1
]}

Nolan Jr, John P. ^{[3
]}

Perry, Paige ^{[1
]}

Sjoberg, Heidi ^{[1
]}

Subramaniam, Soumya ^{[1
]}

Anderson III, Melver L. ^{[4
,5
,6
]}

机构：

[1] VA Eastern Colorado Healthcare Syst, Denver Seattle Ctr Innovat Vet Ctr & Value Driven, 1700 N Wheeling St, Aurora, CO 80045 USA

[2] Univ Colorado, Colorado Sch Publ Hlth, Dept Hlth Syst Management & Policy, Anschutz Med Campus, Aurora, CO USA

[3] Vet Partner, El Dorado, AR USA

[4] Vet Hlth Adm, VHA Hosp Med, Specialty Care Program Off, Washington, DC USA

[5] VA Eastern Colorado Healthcare Syst, Hosp Med Sect, Aurora, CO USA

[6] Univ Colorado, Anschutz Sch Med, Div Hosp Med, Aurora, CO USA

来源：

JOURNAL OF HOSPITAL MEDICINE | 2025年 / 20卷 / 01期

关键词：

ENHANCING WORK PRACTICES; CARE; SAFETY;

D O I：

10.1002/jhm.13474

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

IntroductionFew rural hospital medicine programs include workforce development training that provides social and professional support for interdisciplinary teams. Even fewer include training that creates supportive learning environments that result in higher staff satisfaction, lower burnout, and reduced turnover. The Acute Inpatient Medicine-High Reliability, Learning Environment, and Workforce Development Initiative (AIM-HI) aims to create supportive learning environments in Veterans Health Administration (VA) rural hospital medicine teams.MethodsAIM-HI is a type II hybrid implementation study utilizing a convergent mixed methods approach to evaluate the Relational Playbook, a workforce development intervention, and three implementation strategies: behavioral nudges, learning and leadership collaboratives, and leadership coaching. AIM-HI implementation will occur in waves, enrolling additional hospitals every 12 months. In the first wave, AIM-HI will be implemented at three tertiary VA hospitals that treat at least 1000 rural Veterans annually and have an active inpatient hospital medicine program. The primary outcomes in year 1 will be the acceptability, appropriateness, and feasibility of AIM-HI assessed through participant surveys and interviews. In subsequent years, trends in the learning environment, job satisfaction, burnout, and turnover scores will be assessed using a linear mixed-effect model.DiscussionThe anticipated impact of AIM-HI is to evaluate the utility of the implementation strategies and assess trends in Playbook intervention outcomes. The Playbook has strong face validity; however, before large-scale adoption across the VA enterprise, it is essential to establish the acceptability, appropriateness, and feasibility of the Playbook and implementation strategies, as well as to gather data on AIM-HI effectiveness.

引用

页码：33 / 41

页数：9