Understanding Determinants of Sustainability Through a Realist Investigation of a Large-Scale Quality Improvement Initiative (Lean): A Refined Program Theory.

Rachel FlynnShannon D Scott

Published in: Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing (2019)

It is important to understand and explain determinants of sustainability through theory-driven evaluative research in order to assist key stakeholders in sustaining the effective research-based initiatives made to improve healthcare services, patient care, and outcomes.

Keyphrases

quality improvement
healthcare
patient safety
primary care
mental health
life cycle
type diabetes
metabolic syndrome
skeletal muscle
weight loss
insulin resistance