Clinical Effectiveness Framework: An Operational Approach to Aligning Context, Care Coordination, and Team Effectiveness for Reliable Care.

Document Type

Article

Publication Title

The Journal of nursing administration

Abstract

Despite substantial investment in clinical education, gaps in quality, safety, and care coordination persist, reflecting misalignment between traditional approaches and organizational needs. This perspective argues that task-based, decontextualized education constrains the development of system-level clinical capability. The Clinical Effectiveness Framework offers a unified, practice-based strategy that integrates context, care coordination, and team effectiveness. It also operationalizes these domains across hiring, policy, education, and leadership to support the reliable execution of evidence-based care and improved quality and safety outcomes.

First Page

413

Last Page

417

DOI

10.1097/NNA.0000000000001781

Publication Date

8-1-2026

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