Neighbourhood Team Development to promote resident centred approaches in nursing homes: a protocol for a multi component intervention

Author:

Boscart Veronique M.ORCID,Sidani Souraya,Ploeg Jenny,Dupuis Sherry L.,Heckman George,Kim Jessica Luh,d’Avernas Josie,Brown Paul

Abstract

Abstract Background As the demand for nursing home (NH) services increases, older adults and their families expect exceptional services. Neighbourhood Team Development (NTD) is a multi-component intervention designed to train team members (staff) in the implementation of resident-centered care in NH settings. A neighbourhood is a 32-resident home area within a NH. This paper presents the protocol used to implement and evaluate NTD. The evaluation aimed to 1) examine fidelity with which the NTD was implemented across NHs; 2) explore contextual factors associated with implementation and outcomes of the NTD; and 3) examine effects of NTD on residents, team members, family, and organizational outcomes, and the association between level of implementation fidelity and outcomes. Methods The study employed a repeated measure, mixed method design. NTD consisted of a 30-month standardised training and implementation plan to modify the physical environment, organize delivery and services and align staff members to promote inter-professional team collaboration and enhanced resident centeredness. Training was centred in each 32-resident neighbourhood or home area. Quantitative and qualitative data were collected with reliable and valid measures over the course of 3 years from residents (clinical outcomes, quality of life, satisfaction with care, perception of person centeredness, opportunities for social engagement), families (satisfaction with care for relative, person centeredness, relationship opportunities), team members (satisfaction with job, ability to provide person centered care, team relationships) and organizations (retention, turnover, staffing, events) in 6 NHs. Mixed models were used for the analysis. Discussion The advantages and limitations of the NTD intervention are described. The challenges in implementing and evaluating this multi-component intervention are discussed as related to the complexity of the NH environment. Trial registration ClinicalTrials.gov ID: NCT03415217 (January 30, 2018 – Retrospectively registered).

Funder

Canadian Institutes of Health Research

Publisher

Springer Science and Business Media LLC

Subject

Health Policy

Reference15 articles.

1. World Health Organization (WHO). 10 facts on dementia. 2015. http://www.who.int/features/factfiles/dementia/en/. Accessed 7 Mar 2017.

2. Department of Economic and Social Affairs Population Division (DESA). World Population Ageing 2013. 2013. http://www.un.org/en/development/desa/ population/publications/pdf/ageing/WorldPopulationAgeing2013.pdf. Accessed 7 Mar 2017.

3. Sherwin S, Winsby M. A relational perspective on autonomy for older adults residing in nursing homes. Health Expect. 2011;14:182–90.

4. Alzheimer Society of Canada. Rising tide: The impact of dementia on Canadian society. 2010. http://www.alzheimer.ca/~/media/Files/national/Advocacy/ASC_Rising_ Tide_Full_Report_e.pdf. Accessed 7 Mar 2017.

5. Kane R, Kling K, Bershadsky B, Kane R, Giles K, Degenholtz H, et al. Quality of life measures for nursing home residents. J Geron A Biol Sci Med Sci. 2003;58:240–8.

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3