Quality-of-Care Processes in Geriatric Assessment Units: Principles, Practice, and Outcomes

Kergoat, Marie‐Jeanne; Latour, Jean-Gilles; Lebel, Paule; Leclerc, Bernard-Simon; Leduc, Nicole; Béland, François; Berg, Katherine; Presse, Nancy; Tanon, Anaïs; Bolduc, Aline

doi:10.1016/j.jamda.2011.11.004

Cited by 9 publications

(9 citation statements)

References 41 publications

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“…To help clients get some control over their situation, clinicians employed different strategies, including education and information provision, joint problem solving, weekend passes, and focusing on achievements. Several studies in different settings described that client education and information provision helped in setting more realistic goals for rehabilitation and also improved outcomes for both the patient and the family (Foster et al, 2012; Hunt, Moore, & Sherriff, 2012; Kergoat et al, 2012; Leach, Cornwell, Fleming, & Haines, 2010; Levack, Siegert, Dean, & McPherson, 2009). In their report on patients’ experiences on an experimental stroke unit, Lewinter and Mikkelsen (1995) described that changing the environment during weekend visits at home was having a therapeutic effect on their recovery (Lewinter & Mikkelsen, 1995).…”

Section: Discussionmentioning

confidence: 99%

Exploring Client-Centered Care Experiences in In-Patient Rehabilitation Settings

Bamm

Rosenbaum

Wilkins

et al. 2015

Global Qualitative Nursing Research

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Patient or client-centered care has been widely accepted as an essential component of health care delivery in many countries. Few studies explore actual implementation of client-centered principles and clients’ and health care providers’ (HCPs) experiences with these approaches. Our objective was to explore current models of delivery of rehabilitation services from the perspectives of patients, families, and HCPs. We conducted semistructured interviews with patients, families, and HCPs of one of four rehabilitation facilities in South-Central Ontario, Canada. Being on common grounds/Working toward client set goals was the main category identified by both clients and HCPs. Although successful partnerships were created, the majority of clients assumed a passive position. Clients needed more information about the rehabilitation progression and alternative treatment options. The results of the study suggest that we need to encourage and educate clients to become motivated, well-informed, proactive participants in their care.

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Section: Discussionmentioning

confidence: 99%

Exploring Client-Centered Care Experiences in In-Patient Rehabilitation Settings

Bamm

Rosenbaum

Wilkins

et al. 2015

Global Qualitative Nursing Research

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“…Full-text articles were reviewed and a further 12 articles were excluded. Of these exclusions, eight were discussion articles with no outcome data (Brady, 2011;Cabaniss, 1966;Fronek, 2008;Harter, 1988;Hollingsworth & Sokol, 1978;Kadushin & Kulys, 1994;Shields, Young, Bilodeau, Bergren, & Dizon, 2009;Wisby et al, 1996), one focused on family meetings for the purpose of withdrawing life support rather than discharge planning (Daly et al, 2010), one reported findings from qualitative studies with no comparison data (Fronek, 2005), and two were excluded on the basis that they did not directly consider family meeting outcomes (Kergoat et al, 2012;Park et al, 2012). The final yield resulted in eight articles ( Figure 1).…”

Section: Resultsmentioning

confidence: 99%

Do Family Meetings Improve Measurable Outcomes for Patients, Carers, or Health Systems? A Systematic Review

Reed

Harding

2014

Australian Social Work

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Family meetings are a common intervention in acute and subacute inpatient care settings. The aim of this systematic review was to investigate the quantitative research exploring the impact of inpatient family meetings on patient, carer, or service outcomes. A search of electronic databases (Medline, Cinahl, Embase, PubMed, and Psychinfo) was conducted from the earliest available time until July 2012. Inclusion and exclusion criteria were applied, and quality assessment of included articles was conducted. Eight studies were included in the final selection. Results indicate that there is some low-to-moderate quality evidence that inpatient family meetings reduce psychological distress of family carers and assist in meeting their information and support needs. There is weak evidence that inpatient family meetings may help to reduce readmission rates and facilitate entry to continuing care programs.

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“…Chart reviews are widely used as an assessment method to evaluate care processes (Cheng et al, 2009; Higashi et al., 2005; Kergoat et al., 2012). However, they have significant drawbacks, that is they rely too heavily on the quality of recordings (Donabedian, 1969) and tend to require extensive time and resources.…”

Section: Introductionmentioning

confidence: 99%

“…Substantial evidence has accumulated regarding the association between care processes and patient outcomes. High care process quality as determined by chart reviews and is associated with better patient outcomes (Cheng et al, 2009; Higashi et al., 2005; Kergoat et al., 2012). Nurse‐reported care quality has been associated with mortality and other patient conditions in acute care wards (McHugh & Stimpfel, 2012; Kutney‐Lee et al., 2015; Stalpers et al., 2016).…”

Section: Introductionmentioning

confidence: 99%

Staff nurses' evaluation of care process quality and patient outcomes in long‐term care hospitals: A cross‐sectional questionnaire survey

Yamamoto‐Mitani

Saito

Futami

et al. 2020

Int J Older People Nursing

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Aim: Despite the large and growing body of research on quality care evaluation and improvements in long-term care facilities, issues regarding the quality of care provided prevail worldwide. Further and more diverse research related to this topic is urgently required. To that end, this study examines the association between the subjective care process evaluations of nurses and selected patient outcomes in Japanese long-term care hospitals. Method: To conduct a cross-sectional survey, we approached 2,000 long-term care hospitals in Japan, of which 263 (13.2%) completed and returned the questionnaires. We recruited ward managers and all full/part-time nurses in one ward from each hospital. We questioned managers about six patient outcome indicators: prevalence of physical restraint, urinary tract infections, indwelling catheter use, monthly incidence of new pressure ulcers, falls and recreational activities. We examined the nurses' care process evaluations using nine questions pertaining to daily caregiving activities developed from previous qualitative research. We examined the association between the ward averages of the nurses' evaluations and selected patient outcomes using the generalised linear model with a negative binomial distribution, with the exception of recreational activities for which we used a Poisson distribution, controlling for ward size and patient case mix. Results: We analysed the responses with complete data for outcome indicators from 199 (10.0%) managers and 2,508 nurses. Some patient outcome indicators were significantly associated with the nurses' care process evaluations, namely, urinary tract infections (B = −1.28, p < .001), indwelling catheter use (B = −0.57, p < .049), pressure ulcers (B = −1.20, p < .001) and recreational activities (B = 1.48, p < .001). These results suggest that better patient outcomes were associated with higher care process evaluations. Conclusion: The nurses' evaluations and certain patient outcome indicators were associated. When considering potential quality improvement programmes, focusing on these evaluations will be beneficial. YAMAMOTO-MITANI eT Al. 1 | INTRODUC TI ON Research related to quality evaluation in long-term care facilities has been conducted for many years using various quality indicators. Nevertheless, we continue to have major quality-related concerns (Burke & Werner, 2019). In previous long-term care studies, there have been numerous conceptualisations and measurements of care quality, and while some of the measures were associated with cli

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Quality-of-Care Processes in Geriatric Assessment Units: Principles, Practice, and Outcomes

Cited by 9 publications

References 41 publications

Exploring Client-Centered Care Experiences in In-Patient Rehabilitation Settings

Exploring Client-Centered Care Experiences in In-Patient Rehabilitation Settings

Do Family Meetings Improve Measurable Outcomes for Patients, Carers, or Health Systems? A Systematic Review

Staff nurses' evaluation of care process quality and patient outcomes in long‐term care hospitals: A cross‐sectional questionnaire survey

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