Adaptation of a nursing home culture change research instrument for frontline staff quality improvement use.

Autor:	Hartmann CW; Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial VA Hospital., Palmer JA; Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial VA Hospital., Mills WL; Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center., Pimentel CB; Department of Quantitative Health Sciences, University of Massachusetts Medical School., Allen RS; Alabama Research Institute on Aging, University of Alabama., Wewiorski NJ; Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial VA Hospital., Dillon KR; Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial VA Hospital., Snow AL; Tuscaloosa Veterans Affairs Medical Center.
Jazyk:	angličtina
Zdroj:	Psychological services [Psychol Serv] 2017 Aug; Vol. 14 (3), pp. 337-346.
DOI:	10.1037/ser0000137
Abstrakt:	Enhanced interpersonal relationships and meaningful resident engagement in daily life are central to nursing home cultural transformation, yet these critical components of person-centered care may be difficult for frontline staff to measure using traditional research instruments. To address the need for easy-to-use instruments to help nursing home staff members evaluate and improve person-centered care, the psychometric method of cognitive-based interviewing was used to adapt a structured observation instrument originally developed for researchers and nursing home surveyors. Twenty-eight staff members from 2 Veterans Health Administration (VHA) nursing homes participated in 1 of 3 rounds of cognitive-based interviews, using the instrument in real-life situations. Modifications to the original instrument were guided by a cognitive processing model of instrument refinement. Following 2 rounds of cognitive interviews, pretesting of the revised instrument, and another round of cognitive interviews, the resulting set of 3 short instruments mirrored the concepts of the original longer instrument but were significantly easier for frontline staff to understand and use. Final results indicated frontline staff found the revised instruments feasible to use and clinically relevant in measuring and improving the lived experience of a changing culture. This article provides a framework for developing or adapting other measurement tools for frontline culture change efforts in nursing homes, in addition to reporting on a practical set of instruments to measure aspects of person-centered care. (PsycINFO Database Record ((c) 2017 APA, all rights reserved).)
Databáze:	MEDLINE
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