34 research outputs found
Learning as a way of achieving quality improvement in long-term care: A qualitative evaluation of The Story as a Quality Instrument
No full textAim/ObjectiveThis study aimed to evaluate the use of the narrative quality instrument ‘The Story as a Quality Instrument’ (or SQI) for learning as a way of achieving quality improvement.BackgroundLearning is a widespread aim in long-term care. If professionals share detailed information about their views on the quality of care, they can see it from each other’s perspective and create a new joint perspective that may generate a broader meaning in total. One useful source for learning and improvement is the narratives of older adults. These narratives enable reflection and learning, which encourages action. In care organizations, there is a drive to find methods that can be used to facilitate learning and encourage quality improvement.DesignA qualitative evaluation design.MethodsData collection was performed in 2021–2022 at six field sites of four large care organizations providing long-term care to older adults in the Netherlands. At each field site, SQI was applied: an action plan was formulated in a quality meeting and, 8–12 weeks later, the progress was evaluated in a follow-up meeting. The data collected was participants’ responses during focus groups: the verbatim transcripts of both meetings and the observation reports of the researchers. 46 participants took part in the quality meetings and 34 participants were present at the follow-up meetings. The data was analyzed using thematic analysis.ResultsThe results are mechanisms that help learning, participant responses, and practical challenges and conditions. Four mechanisms became visible that encourage learning among participants for achieving quality improvements: in-depth discussions, exchange of perspectives, abstraction, and concretization. The participants listed several outcomes regarding individual learning such as change of attitude, viewing older adults more holistically and the realization that possibilities for working on quality improvement could be just a small and part of everyday work. Participants learned from each other as they came to understand each other’s perspectives. The added value lay in getting insights into the individual perceptions of clients, the concrete areas for improvement as an outcome, and getting a picture of the perspectives of diverse people and functions represented. Time was found to be the main challenge when applying SQI.ConclusionsSQI is deemed promising for practice, as it allows care professionals to learn in their workplace in a structured way from narratives of older adults in order to improve the quality of care
Het verhaal als kwaliteitsinstrument:Een gedegen aanpak voor narratief kwaliteitsonderzoek
No full textThe story as a quality instrument: Developing an instrument for quality improvement based on narratives of older adults receiving long-term care
No full textThe individual experiences of older adults in long-term care are broadly recognized as an important source of information for measuring wellbeing and quality of care. Narrative research is a special type of qualitative research to elicit people’s individual, diverse experiences in the context of their lifeworld. Narratives are potentially useful for long-term care improvement as they can provide a rich description of an older adult’s life from their own point of view, including the provided care. Little is known about how narratives can best be collected and used to stimulate learning and quality improvement in long-term care for older adults. The current study takes a theoretical approach to developing a narrative quality instrument for care practice in order to discover the experiences of older adults receiving long-term care. The new narrative quality instrument is based on the available literature describing narrative research methodology. The instrument is deemed promising for practice, as it allows care professionals to collect narratives among older adults in a thorough manner for team reflection in order to improve the quality of care. In the future, the feasibility and usability of the instrument will have to be empirically tested
The feasibility of the story as a quality instrument as a narrative quality improvement method
No full textBackground and objective: Stories from older adults give insight into their personal lives and in the care they receive. The story as a quality instrument is a narrative quality improvement method with which care professionals can interview older adults about how care is experienced. Each performed interview will be translated into a portrait containing the core themes of the shared story. The objective of this study was to assess the feasibility of and experiences with the story as a quality instrument amongst care professionals and older adults receiving long-term care. Methods: Five care locations providing nursing home care and one providing home care participated in the current study. In total 19 trained care professionals performed interviews with 52 older adults. Both the performed interviews and written portraits were scored according to preset criteria to establish the compliance to the predetermined protocol. Next to that, experiences from care professionals as insider researchers and respondents were gathered. Results: Overall the fidelity for performing the interview was good. In 90% of cases interviewers posed one inviting open question. Following, interviewers used proposed interviewing techniques such as asking in depth questions, asking for an example or summarizing what has been said. In 20 of the interviews, the respondents input accounted for over 80% of the total number of words, and in 27 interviews the respondents’ input accounted for 60%-80%. Fidelity with the protocol for drawing up portraits was sufficient in most cases. In 66% the portrait contained all important themes and in 32% the majority of important themes. One portrait missed a significant proportion of themes mentioned during the interview. The experiences from care professionals consist of successes, challenges, added value and prerequisites. Conclusions: Care professionals were mostly capable of following the method according to protocol after being trained. The method is believed to be a promising innovation because care professionals play a key role in gathering and using stories to improve quality of care. The outcomes can be used by care professionals to learn and improve within their care location according to the quality framework for nursing home care
Training students for complex sustainability issues:a literature review on the design of inter- and transdisciplinary higher education
No full textPurposeTo prepare students to address complex sustainability issues, they need to be trained in inter- and transdisciplinarity. This paper aims to contribute to better understanding how to do this, by providing insight into design elements and strategies deployed in inter- and transdisciplinary sustainability education.Design/methodology/approachA systematic literature search was conducted to select inter- and transdisciplinary sustainability programmes. Through deductive and inductive qualitative analysis, design elements and strategies were identified and defined.FindingsEleven inter- and transdisciplinary programmes were identified. A comprehensive overview of their design elements and strategies is provided. Moreover, three patterns emerged: students were often only involved in the execution, but not in the preparation and evaluation stages of projects, and thus not trained in these; many programmes relied on diverse student representation for interdisciplinary learning and did not explicitly train interdisciplinary integration; and the societal value of transdisciplinary collaboration received little attention in the evaluation of outcomes and impacts.Research limitations/implicationsFollow-up research into the effectiveness of design elements and strategies for inter- and transdisciplinary sustainability education is needed, because the field seems to be understudied.Practical implicationsThe comprehensive overview of design elements and strategies for inter- and transdisciplinary sustainability education holds the promise to inform design of novel programmes with similar ambitions. Moreover, the findings urge additional attention for explicitly training interdisciplinary integration and safeguarding the societal value of transdisciplinarity.Originality/valueThis review presents new insights into strategies and design elements for inter- and transdisciplinary sustainability education
Silver Empowerment
No full textThe strengths and opportunities of ageing and the ageing population.
Silver empowerment is a valuable paradigm to improve care and support systems for older persons. It aims to counteract the dominant image of ageing, which is all too often one of decline, dependency and vulnerability, and rather sees ageing and the ageing population as a challenge that opens up new opportunities. By focusing on the strengths and connections of older persons, silver empowerment strives for an inclusive, age-friendly society that will allow everyone to grow old with dignity and meaning. In this book, leading academics from a variety of disciplines discuss ways to enhance the empowerment of older persons in practice. Covering a wide range of topics such as resilience, loneliness, community-based care, the interplay between formal and informal care, the inclusion of older persons’ perspectives in research and care, and empowering policy, Silver Empowerment is of interest to academics, policy makers and practitioners interested in empowerment and care and support systems for older persons.Contributors: Jasper De Witte (KU Leuven), Tine Van Regenmortel (KU Leuven / Tilburg University), Leen Heylen (Thomas More), Benedicte De Koker (HOGENT), Dimitri Mortelmans (University of Antwerp), Anja Declercq (KU Leuven), Elena Bendien (Leyden Academy on Vitality and Ageing), Susan Woelders (Leyden Academy on Vitality and Ageing), Tineke Abma (Leiden University Medical Center / Leyden Academy on Vitality and Ageing), Meriam Janssen (Tilburg University), Katrien Luijkx (Tilburg University), Aukelien Scheffelaar (Tilburg University), Annerieke Stoop (Tilburg University), Jozef Pacolet (KU Leuven), Gregorio Rodríguez Cabrero (University of Alcalá), Simón Sosvilla-Rivero (Complutense University of Madrid), Katrien Steenssens (KU Leuven).
Ebook available in Open Access.
This publication is GPRC-labeled (Guaranteed Peer-Reviewed Content)
Determinants of the quality of care relationships in long-term care: A systematic review
No full textBackground: The quality of a care relationship between a client and a care professional is seen as fundamental if high-quality care is to be delivered. This study reviews studies about the determinants of the quality of the client-professional relationship in long-term care. Methods: A systematic review was performed using the electronic databases of Medline, Psycinfo, CINAHL and Embase. The review focused on three client groups receiving long-term care: physically or mentally frail elderly, people with mental health problems and people with physical or intellectual disabilities. Included studies concern clients receiving inpatient or outpatient care and care professionals who provided recurring physical and supporting care for a long period of time. The studies we included contained primary empirical data, were written in English and were published in peer-reviewed journals. Data extraction was carried out by two researchers independently. Results: Thirty-two studies out of 11,339 initial hits met the inclusion criteria. In total, 27 determinants were revealed, six at the client level, twelve at the professional level, six between the client and care professional levels and three at the contextual level. The data analysis showed that most determinants were relevant in more than one client group. Conclusions: This is the first review that looked at determinants of the quality of the care relationship for three large client groups receiving long-term care. It suggests that the current client group-specific focus in research and quality improvement initiatives for care relationships might not be needed. Care organisations can use the findings of this review as guidance on determinants to look for when mapping the quality of a care relationship in order to get a picture of specific points of attention for quality improvement
