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SCOPE: Safer care for older persons (in residential) environments: A study protocol Open Access

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Author or creator
Cranley, L.A.
Norton, P.G.
Cummings, G.G.
Barnard, D.
Estabrooks, C.A.
Additional contributors
Subject/Keyword
Consequences
Quality
Context
Team performance
Knowledge
Staff
Turnover
Program
Nursing-homes
Type of item
Journal Article (Published)
Language
English
Place
Time
Description
Background: The current profile of residents living in Canadian nursing homes includes elder persons with complex physical and social needs. High resident acuity can result in increased staff workload and decreased quality of work life. Aims: Safer Care for Older Persons [in residential] Environments is a two year (2010 to 2012) proof-of-principle pilot study conducted in seven nursing homes in western Canada. The purpose of the study is to evaluate the feasibility of engaging front line staff to use quality improvement methods to integrate best practices into resident care. The goals of the study are to improve the quality of work life for staff, in particular healthcare aides, and to improve residents' quality of life. Methods/design: The study has parallel research and quality improvement intervention arms. It includes an education and support intervention for direct caregivers to improve the safety and quality of their care delivery. We hypothesize that this intervention will improve not only the care provided to residents but also the quality of work life for healthcare aides. The study employs tools adapted from the Institute for Healthcare Improvement's Breakthrough Series: Collaborative Model and Canada's Safer Healthcare Now! improvement campaign. Local improvement teams in each nursing home (1 to 2 per facility) are led by healthcare aides (non-regulated caregivers) and focus on the management of specific areas of resident care. Critical elements of the program include local measurement, virtual and face-to-face learning sessions involving change management, quality improvement methods and clinical expertise, ongoing virtual and in person support, and networking. Discussion: There are two sustainability challenges in this study: ongoing staff and leadership engagement, and organizational infrastructure. Addressing these challenges will require strategic planning with input from key stakeholders for sustaining quality improvement initiatives in the long-term care sector.
Date created
2011
DOI
doi:10.7939/R34X54K12
License information
Creative Commons Attribution 3.0 Unported
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Citation for previous publication
Cranley LA, Norton PG, Cummings GG, Barnard D, Estabrooks CA. (2011). SCOPE: Safer care for older persons (in residential) environments: A study protocol. Implementation Science, 6(71), 1-9. doi:10.1186/1748-5908-6-71.
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2014-05-01T03:59:23.501+00:00
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File format: pdf (Portable Document Format)
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Last modified: 2015:10:12 16:52:19-06:00
Filename: BMCIS_6_2011_71.pdf
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Copyright note: ?? 2011 Cranley et al; licensee BioMed Central Ltd.
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File title: Abstract
File title: SCOPE: Safer care for older persons (in residential) environments: A study protocol
File author: Lisa A Cranley
Page count: 9
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