Nurses’ perspectives on how operational leaders influence function-focused care for hospitalised older people

Fox, Mary; Butler, Jeffrey I.

doi:10.1111/jonm.12421

Cited by 15 publications

(33 citation statements)

References 31 publications

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“…Hospitalisation increases the risk of functional decline for older people (Fox & Butler, 2016;Graf, 2006;Wang, Shamliyan, Talley, Ramakrish, & Kane, 2013;Zisberg, Shadmi, Gur-Yaish, Tonkikk, & Sinoff, 2015;Zisberg et al, 2011). Functional decline is the loss of ability to perform tasks, which can lead to older people to transition from hospital to residential care or long-term care after acute illness instead of returning to their homes (CIHI, 2017;Covinsky et al, 2003;Graf, 2006;Pedone et al, 2005;Sourdet et al, 2015;Wang et al, 2013).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Nurses’ perceptions of their role in functional focused care in hospitalised older people: An integrated review

Swoboda

Dahlke

Hunter

2020

Int J Older People Nursing

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The care of hospitalised older people has become an issue of increasing importance around the world (Canadian Institute for Health Information (CIHI), 2017; World Health Organization (WHO), 2015). Older people are defined as those who meet the age criteria of over 65 (WHO, 2016). Older people are diverse and unique with care needs that cannot be simply defined by their age (Tocchi, 2015). In Canada, older people currently make up 17.1% of the population but utilise 58.5% of hospital admission days (CIHI, 2018; Statistics Canada, 2019). Although the utilisation of 58.5% of admission days could be viewed as a burden to the healthcare system, it can also be thought of as a failure of hospitals to treat older people according to their needs (Bail & Grealish, 2016; CIHI, 2018; Fox & Butler, 2016). Furthermore, this sector of the population is predicted to double over the next twenty years, which could prove to be challenging for healthcare practitioners in the acute care setting (CIHI, 2017; Statistics Canada, 2019). Increased numbers of older people around the world indicate that attending to older people's healthcare needs is a global concern (WHO, 2015). Older people frequently have multiple chronic illnesses, often present with acute conditions in an atypical fashion and are

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Section: Backg Rou N Dmentioning

confidence: 99%

Nurses’ perceptions of their role in functional focused care in hospitalised older people: An integrated review

Swoboda

Dahlke

Hunter

2020

Int J Older People Nursing

View full text Add to dashboard Cite

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“…It is reiterated that improvement and updating, with a view to optimizing the care provided, should be part of a permanent educational process (18) , leading to the safety of professionals who are motivated to use SOPs more frequently. In addition, managers should provide nursing professionals with continuing education opportunities to help them perform patient-centered care within a perspective of efficiency (19) . Nurses have a relevant role in PEH, and should stimulate and provide an environment conducive to discussion and clarification of the issues arising daily.…”

Section: Discussionmentioning

confidence: 99%

Standard Operational Protocols in professional nursing practice: use, weaknesses and potentialities

et al. 2018

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Objective: to evaluate the use of Standard Operational Protocols (SOPs) in the professional practice of the nursing team based on the theoretical framework of Donabedian, as well as to identify the weaknesses and potentialities from its implementation. Method: Evaluative research, with quantitative approach performed with nursing professionals working in the Health Units of a city of São Paulo, composed of two stages: document analysis and subsequent application of a questionnaire to nursing professionals. Results: A total of 247 nursing professionals participated and reported changes in the way the interventions were performed. The main weaknesses were the small number of professionals, inadequate physical structure and lack of materials. Among the potentialities were: the standardization of materials and concern of the manager and professional related to patient safety. Conclusion: The reassessment of SOPs is necessary, as well as the adoption of a strategy of permanent education of professionals aiming at improving the quality of care provided. Descriptors: Quality of Health Care; Clinical Protocols; Nursing; Quality management; Quality Assurance of Health Care. RESUMO Objetivo: avaliar a utilização dos Procedimentos Operacionais Padrão (POP) na prática profi ssional da equipe de enfermagem, com base no referencial teórico de Donabedian, bem como identifi car as fragilidades e potencialidades a partir da sua implantação. Método: Pesquisa avaliativa, com abordagem quantitativa realizada com profi ssionais de enfermagem atuantes nas Unidades de Saúde de um município paulista, composta por duas etapas: análise documental e posterior aplicação de questionário aos profi ssionais de enfermagem. Resultados: Participaram 247 profi ssionais de enfermagem que referiram mudanças na forma de execução das intervenções estudadas. As principais fragilidades apontaram para o número reduzido de profi ssionais, inadequação da estrutura física e ausência de materiais. Entre as potencialidades destacaram-se: a padronização dos materiais e a preocupação do gestor e do profi ssional relacionada à segurança do paciente. Conclusão: A reavaliação dos POP é necessária, bem como a adoção da estratégia de educação permanente dos profi ssionais visando à melhoria da qualidade da assistência prestada. Descritores: Qualidade da Assistência à Saúde; Protocolos Clínicos; Enfermagem; Gestão da Qualidade; Garantia da Qualidade dos Cuidados de Saúde. RESUMEN Objetivo: Evaluar la utilización de los Procedimientos Operacionales Patrón (POP) en la práctica profesional del equipo de enfermería, con base en el referencial teórico de Donabedian, bien como identifi car las fragilidades y potencialidades a partir de su implantación. Método: Pesquisa evaluativa, con abordaje cuantitativa realizada con profesionales de enfermería actuantes en las Unidades de Salud Rev Bras Enferm [Internet]. 2018;71(1):126-34.

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“…23 24 However, HCPs' perspectives on the acceptability of this warning signs intervention, as well as the barriers and facilitators to its delivery, are unknown. Prior studies have identified barriers (eg, lack of training, 26 limited experience 27 and poor communication 28 29 ) and facilitators (eg, HCP buy-in 29 and interprofessional collaboration 27 29 ) to TC in general, but they have not examined HCPs' perspectives on the specific, situated barriers and facilitators of a warning signs intervention in rural communities. Accordingly, this study builds on our previous research by examining HCPs' perspectives on this warning signs intervention for TC in rural communities.…”

Section: Overall Goalsmentioning

confidence: 99%

“…Then, telephone focus groups will be conducted at convenient times for HCPs by a research associate (RA) with doctoral preparation in qualitative methods and experience in conducting telephone focus groups. 26 The RA will explore HCPs' perspectives on the overall acceptability of the intervention and then, for each stratum, summarise HPCs' acceptability ratings of the intervention. Acceptability ratings that will be summarised are those of the individual stratum (ie, nurses, allied healthcare professionals and physicians) participating in the focus group discussion, not the whole sample.…”

Section: Open Accessmentioning

confidence: 99%

Collaborating with healthcare providers to understand their perspectives on a hospital-to-home warning signs intervention for rural transitional care: protocol of a multimethod descriptive study

et al. 2020

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IntroductionThis study builds on our prior research, which identified that older rural patients and families (1) view preparation for detecting and responding to worsening health conditions as their most pressing unmet transitional care (TC) need and (2) perceive an evidence-based intervention, preparing them to detect and respond to warning signs of worsening health conditions, as highly likely to meet this need. Yet, what healthcare providers need to implement a warning signs intervention in rural TC is unclear. The objectives of this study are (1) to examine healthcare providers’ perspectives on the acceptability of a warning signs intervention and (2) to identify barriers and facilitators to healthcare providers’ provision of the intervention in rural communities.Methods and analysisThis multimethod descriptive study uses a community-based, participatory research approach. We will examine healthcare providers’ perspectives on a warning signs intervention. A purposive, criterion-based sample of healthcare providers stratified by professional designation (three strata: nurses, physicians and allied healthcare professionals) in two regions (Southwestern and Northeastern Ontario, Canada) will (1) rate the acceptability of the intervention and (2) participate in small (n=4–6 healthcare providers), semistructured telephone focus group discussions on barriers and facilitators to delivering the intervention in rural communities. Two to three focus groups per stratum will be held in each region for a total of 12–18 focus groups. Data will be analysed using conventional qualitative content analysis and descriptive statistics.Ethics and disseminationEthics approval was obtained from the Office of Research Ethics at York University and the Health Sciences North Research Ethics Board. Findings will be communicated through plain language summary and policy briefs, press releases, manuscripts and conferences.

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Nurses’ perspectives on how operational leaders influence function-focused care for hospitalised older people

Abstract: The findings provide direction on how leaders can facilitate function-focused care in the current health-care environment emphasising system efficiency.

Cited by 15 publications

References 31 publications

Nurses’ perceptions of their role in functional focused care in hospitalised older people: An integrated review

Nurses’ perceptions of their role in functional focused care in hospitalised older people: An integrated review

Standard Operational Protocols in professional nursing practice: use, weaknesses and potentialities

Collaborating with healthcare providers to understand their perspectives on a hospital-to-home warning signs intervention for rural transitional care: protocol of a multimethod descriptive study

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