báo cáo khoa học: "SCOPE: Safer care for older persons (in residential) environments: A study protocol"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: SCOPE: Safer care for older persons (in residential) environments: A study protocol | Cranley et al. Implementation Science 2011 6 71 http content 6 1 71 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access SCOPE Safer care for older persons in residential environments A study protocol 1 2 . s 1 1 1 Lisa A Cranley Peter G Norton Greta G Cummings Debbie Barnard and Carole A Estabrooks Abstract 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 .

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