Value-Based Healthcare (VBHC) has emerged as a key global healthcare reform strategy, emphasizing patient-centered care and systematic value evaluation. Nurse managers play a vital role in clinical decision-making, team coordination, and quality monitoring, making their insights essential for effective VBHC implementation. Grounded in Porter and Lee’s (2013) Value Agenda framework, this study developed 36 Q statements validated by five experts (S-CVI/Ave = 0.975) and employed Q methodology to examine nurse managers’ subjective viewpoints. Nine participants completed the Q-sorting process. Principal component analysis with Varimax rotation identified two distinct factors, explaining 59% of the total variance. The first factor, "Pragmatic Clinical Integration Orientation," emphasizes bottom-up implementation through interprofessional collaboration and clinical workflow integration. The second factor, "Data-Driven Value Integration Orientation," focuses on system-level information integration and the structured use of patient outcome data. While both perspectives value patient outcomes and teamwork, they diverge in their preferred implementation pathways, representing complementary clinical and system governance approaches. These findings suggest that VBHC training for nurse managers should integrate competencies in clinical coordination and data literacy to facilitate the transition toward value-oriented healthcare systems.

Authors:
Wan-Hsiang Wang, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taiwan
Ming Shinn Lee, National Dong Hwa University, Taiwan

About the Presenter(s)
Wan-Hsiang Wang, RN, currently serves as the Deputy Director of the Department of Nursing at Hualien Tzu Chi Hospital.Additionally, she is a Ph.D. candidate in the Department of Education and Human Potential Development (specializing in Curriculum an

See this presentation on the full schedule – Tuesday Schedule

Bookmark