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What do family members notice following an intervention to improve mobility and incontinence care for nursing home residents? An analysis of open-ended comments
- Authors:
- LEVY-STORMS Lene, SCHNELLE John F., SIMMONS Sandra F.
- Journal article citation:
- Gerontologist, 47(1), February 2007, pp.14-20.
- Publisher:
- Oxford University Press
The purpose of this study was to evaluate the sensitivity of family members' responses to open-ended interview questions about an intervention to improve incontinence and mobility care for their relative in a nursing home. The study was a randomized, controlled intervention trial with incontinent nursing home residents (N = 145), wherein research staff provided toileting and walking assistance of sufficient intensity to significantly improve continence and mobility outcomes in the treatment group. Interviewers posed open-ended interview questions to family members after 8 weeks of intervention to assess if they noticed a difference in care. Family responses to open-ended questions showed that, compared to the control group, the intervention group noticed significant overall improvement in incontinence and mobility care and in residents' outcomes in mobility. It is concluded that families' responses to open-ended questions were sensitive to improvements in incontinence and mobility care and may provide evidence for important care quality differences that would be missed if only direct satisfaction and discrepancy-based closed-ended questions were asked.
Policy without technology: a barrier to improving nursing home care
- Authors:
- SCHNELLE John F., et al
- Journal article citation:
- Gerontologist, 37(4), August 1997, pp.527-532.
- Publisher:
- Oxford University Press
Discusses how standards of care are written for nursing homes in the USA without a realistic assessment of whether there is an intervention protocol or resources to meet these standards. This situation produces unfair pressures on nursing home providers, who react with paper compliance strategies, and creates a barrier to implementing new interventions that do meet care standards once they are developed. This article explores this barrier and illustrates examples of interventions that have been attempted in nursing homes using a continuous quality improvement model.