Identifying resident care areas for a quality improvement intervention in long-term care: a collaborative approach
<p>Abstract</p> <p>Background</p> <p>In Canada, healthcare aides (also referred to as nurse aides, personal support workers, nursing assistants) are unregulated personnel who provide 70-80% of direct care to residents living in nursing homes. Although they are an integr...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-09-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2318/12/59 |
| _version_ | 1818155827089899520 |
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| author | Cranley Lisa A Norton Peter G Cummings Greta G Barnard Debbie Batra-Garga Neha Estabrooks Carole A |
| author_facet | Cranley Lisa A Norton Peter G Cummings Greta G Barnard Debbie Batra-Garga Neha Estabrooks Carole A |
| author_sort | Cranley Lisa A |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>In Canada, healthcare aides (also referred to as nurse aides, personal support workers, nursing assistants) are unregulated personnel who provide 70-80% of direct care to residents living in nursing homes. Although they are an integral part of the care team their contributions to the resident care planning process are not always acknowledged in the organization. The purpose of the Safer Care for Older Persons [in residential] Environments (SCOPE) project was to evaluate the feasibility of engaging front line staff (primarily healthcare aides) to use quality improvement methods to integrate best practices into resident care. This paper describes the process used by teams participating in the SCOPE project to select clinical improvement areas.</p> <p>Methods</p> <p>The study employed a collaborative approach to identify clinical areas and through consensus, teams selected one of three areas. To select the clinical areas we recruited two nursing homes not involved in the SCOPE project and sampled healthcare providers and decision-makers within them. A vote counting method was used to determine the top five ranked clinical areas for improvement.</p> <p>Results</p> <p>Responses received from stakeholder groups included gerontology experts, decision-makers, registered nurses, managers, and healthcare aides. The top ranked areas from highest to lowest were pain/discomfort management, behaviour management, depression, skin integrity, and assistance with eating.</p> <p>Conclusions</p> <p>Involving staff in selecting areas that they perceive as needing improvement may facilitate staff engagement in the quality improvement process.</p> |
| first_indexed | 2024-12-11T14:48:35Z |
| format | Article |
| id | doaj.art-562705144cf346d5aa2628b5310233b1 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-11T14:48:35Z |
| publishDate | 2012-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-562705144cf346d5aa2628b5310233b12022-12-22T01:01:34ZengBMCBMC Geriatrics1471-23182012-09-011215910.1186/1471-2318-12-59Identifying resident care areas for a quality improvement intervention in long-term care: a collaborative approachCranley Lisa ANorton Peter GCummings Greta GBarnard DebbieBatra-Garga NehaEstabrooks Carole A<p>Abstract</p> <p>Background</p> <p>In Canada, healthcare aides (also referred to as nurse aides, personal support workers, nursing assistants) are unregulated personnel who provide 70-80% of direct care to residents living in nursing homes. Although they are an integral part of the care team their contributions to the resident care planning process are not always acknowledged in the organization. The purpose of the Safer Care for Older Persons [in residential] Environments (SCOPE) project was to evaluate the feasibility of engaging front line staff (primarily healthcare aides) to use quality improvement methods to integrate best practices into resident care. This paper describes the process used by teams participating in the SCOPE project to select clinical improvement areas.</p> <p>Methods</p> <p>The study employed a collaborative approach to identify clinical areas and through consensus, teams selected one of three areas. To select the clinical areas we recruited two nursing homes not involved in the SCOPE project and sampled healthcare providers and decision-makers within them. A vote counting method was used to determine the top five ranked clinical areas for improvement.</p> <p>Results</p> <p>Responses received from stakeholder groups included gerontology experts, decision-makers, registered nurses, managers, and healthcare aides. The top ranked areas from highest to lowest were pain/discomfort management, behaviour management, depression, skin integrity, and assistance with eating.</p> <p>Conclusions</p> <p>Involving staff in selecting areas that they perceive as needing improvement may facilitate staff engagement in the quality improvement process.</p>http://www.biomedcentral.com/1471-2318/12/59Quality improvementHealthcare providersQuality careLong-term care |
| spellingShingle | Cranley Lisa A Norton Peter G Cummings Greta G Barnard Debbie Batra-Garga Neha Estabrooks Carole A Identifying resident care areas for a quality improvement intervention in long-term care: a collaborative approach BMC Geriatrics Quality improvement Healthcare providers Quality care Long-term care |
| title | Identifying resident care areas for a quality improvement intervention in long-term care: a collaborative approach |
| title_full | Identifying resident care areas for a quality improvement intervention in long-term care: a collaborative approach |
| title_fullStr | Identifying resident care areas for a quality improvement intervention in long-term care: a collaborative approach |
| title_full_unstemmed | Identifying resident care areas for a quality improvement intervention in long-term care: a collaborative approach |
| title_short | Identifying resident care areas for a quality improvement intervention in long-term care: a collaborative approach |
| title_sort | identifying resident care areas for a quality improvement intervention in long term care a collaborative approach |
| topic | Quality improvement Healthcare providers Quality care Long-term care |
| url | http://www.biomedcentral.com/1471-2318/12/59 |
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