Integrative Strategies for Enhancing Patient Outcomes in Nursing and Health Systems

Abstract

Background:
Fragmentation in health systems disrupts the continuity of care and contributes to inconsistent patient outcomes. Poor communication during transitions between care settings, limited interdisciplinary collaboration, and inadequate use of evidence-based tools exacerbate these challenges (Coleman et al., 2006; Bodenheimer & Sinsky, 2014). Addressing these issues requires integrative, evidence-based approaches that align nursing practices with broader healthcare reforms.

Methods:
This study employed a mixed-methods design. Quantitative data were collected from clinical performance metrics, focusing on hospital readmission rates and patient satisfaction scores. Qualitative insights were obtained through structured focus groups with nurses, physicians, and patients to explore perceptions of integrative care strategies (Reeves et al., 2017; Wagner et al., 1996).

Results:
The implementation of integrative strategies resulted in a 35% improvement in patient satisfaction scores and a 20% reduction in hospital readmission rates over six months. Interdisciplinary collaboration, facilitated by improved communication and shared decision-making, was identified as a critical enabler (Naylor et al., 2011; Gittell et al., 2013).

Conclusion:
This study highlights the effectiveness and scalability of multidisciplinary, integrative strategies in improving patient outcomes. These findings align with global healthcare priorities, such as the World Health Organization’s call for person-centered, integrated care models and the Institute for Healthcare Improvement's Triple Aim framework (WHO, 2016; Berwick et al., 2008). By demonstrating measurable improvements, this research provides actionable insights for health systems aiming to enhance care quality, efficiency, and equity.