The impact of an educational intervention for elderly care nurses on care recipients’ and family relatives’ ratings of quality of care: A prospective, controlled intervention study

Hasson, Henna; Arnetz, Judith E.

doi:10.1016/j.ijnurstu.2006.09.001

Cited by 18 publications

(26 citation statements)

References 60 publications

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“…The participants staff's abilities [18,29,30] , promoted occupational satisfaction through the development of their own work, in accordance with [13,14] , and enhanced know-how, which is positively associated with staff support and treatment quality [23,24,28] . The teams provided space for learning and opportunities for staff to learn from fellow workers and share individual knowledge, which are highly important since previous authors [16,21,30] have found that peer development, support and teaching are key tasks of nurses.…”

Section: Resultsmentioning

confidence: 97%

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Together we are more effective: Nursing team members’ experiences of development work on patient education

Lipponen

Kyngäs

Kanste

2013

JNEP

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Objective: Evaluating care pathways, strengthening patient education, developing staff's patient education skills, and improving collaboration between healthcare workers in hospitals and health centers are all topical challenges in the field of healthcare. Successful patient education requires seamless co-operation across organizational boundaries throughout the whole nursing process. The aim of this study was to assess personnel's experiences of a developmental nursing project, involving networking between Finnish primary (health centers) and special (hospitals) healthcare organizations, and the significance of development work on patient education in terms of strengthening information flow, co-operation and know-how. The aim of the study was to explore the healthcare personnel's experiences of development work in the context of networking between organizations, specifically focusing on the impact of development work with regard to information flow, co-operation and strengthening know-how. The specific research question was addressed: What is the impact of development work in this context in relation to information flow, co-operation and readiness for patient education?Methods: Data were collected from theme interviews (n=24) with primary and special healthcare team members who participated in a collaborative project, then analyzed by qualitative content analysis. Results:The findings indicate that development work on patient education improves collective expertise, key components of which are learning as a patients' counselor, collective know-how, and the exchange of knowledge.Conclusions: Development work can strengthen individual and collective know-how and nursing expertise. In the examined project, enhanced network co-operation increased collaboration between organizations and improved information flow throughout the nursing process. In addition, promotion of development on nursing and provision of feedback to the participants by the nurse manager appear to be crucial for successful development work on patient education. Workplaces and the nurse managers need to provide adequate resources' to develop nursing processes as well as motivate employees to improve nursing. Additionally, nurse managers should support and guide the healthcare workers in development work toward this goal. Well planned and executed development project can improve nursing practices across organizational boundaries.

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Section: Resultsmentioning

confidence: 97%

“…The quality of clinical work can be improved by strengthening the skills of individual employees and the whole working community [7,27] . Work satisfaction, occupational growth and the improvement of staff expertise are beneficial for all those working within it and using its services [25,26,28] .…”

Section: Introductionmentioning

confidence: 99%

Together we are more effective: Nursing team members’ experiences of development work on patient education

Lipponen

Kyngäs

Kanste

2013

JNEP

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“…For instance, intervention studies aimed at improving the work environment (Purdy et al . ), staff training (Hasson & Arnetz ), care co‐ordination (van Achterberg et al . ) or resident‐oriented care (Boumans et al .…”

Section: Introductionmentioning

confidence: 99%

Understanding eldercare users' views on quality of care and strategies for dealing with problems in Swedish home help services

Westerberg

Hjelte

Josefsson

2016

Health Soc Care Community

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The aim of the present study was to gain a deeper understanding of eldercare users' strategies for dealing with problems in the quality of care and care satisfaction in relation to home help services. Based on earlier research and evaluations, it was assumed that users would express satisfaction and gratitude, and also be unwilling to complain. The specific research questions were: (i) What, if any, quality of care problems do the users mention? (ii) How do the users explain the reasons for these problems? and (iii) What strategies do the users employ to deal with these problems? A total of 35 interviews were conducted in November 2013 with 15 men and 20 women (66-92 years). The data were analysed using thematic and qualitative content analysis. The results showed that almost all users expressed overall satisfaction with their care. However, all but one also mentioned problems. The users stated very clearly and explicitly the reasons for these problems, and in most cases, they referred to the work conditions, work organisation and lack of other resources in the eldercare organisation. Two strategies were commonly used to deal with these problems: trivialisation and adaptation. A third strategy was expressed dissatisfaction, where the problem led to actions or plans to take action. One interpretation of the findings is that what is actually measured in official quality assessments and follow-ups may be care users' understanding of the work conditions and work organisation of eldercare. The understanding attitude may prevent care users from complaining because it lowers their expectations.

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“…They further indicated that active methods involving the development of a concrete proposal for change that incorporate specific and multiple strategies for buffering the effects of diverse barriers to research utilization are more effective. In the context of aged care practice, there is some current support that education alone is insufficient for promoting sustained practice enhancement (Hasson & Arnetz, 2008a;Visser et al, 2008). However, the lack of studies related to evidence-based aged care practice in LTC homes limits our capacity to identify how more active methods of facilitation might be implemented in the interest of better practice outcomes.…”

Section: Introductionmentioning

confidence: 99%

Facilitating best practice in aged care: exploring influential factors through critical incident technique

Janes¹,

Fox²,

Lowe³

et al. 2009

Int J Older People Nursing

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Aim. The focus of this study is on the perspective of facilitators of evidence-based aged care in long-term care (LTC) homes about the factors that influence the outcome of their efforts to encourage nursing staff use of best practice knowledge. Design. Critical incident technique was used to examine facilitators' experiences. Methods. Thirty-four participants submitted critical incident stories about their facilitation experiences through face-to-face interviews, telephone interviews, and/or a web-based written questionnaire. The resultant 123 stories were analysed using an inductive qualitative approach. Results. Factors at individual and contextual levels impacted the success of facilitators' work. The approaches and traits of facilitators as well as the emotionality and intellectual capacity of nursing staff were the individual factors of influence. On a contextual level, the inherent leadership, culture, and workload demands within LTC homes, as well as externally imposed standards were influential. Conclusions. Primary factors influencing the facilitation of best aged care in LTC homes appear to be largely relational in nature and intimately connected to the emotionality of those who work within these settings. Enhancing the interactional patterns amongst staff and leaders as well as promoting a positive emotional climate may be particularly effective in promoting better aged care nursing practice.

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The impact of an educational intervention for elderly care nurses on care recipients’ and family relatives’ ratings of quality of care: A prospective, controlled intervention study

Cited by 18 publications

References 60 publications

Together we are more effective: Nursing team members’ experiences of development work on patient education

Together we are more effective: Nursing team members’ experiences of development work on patient education

Understanding eldercare users' views on quality of care and strategies for dealing with problems in Swedish home help services

Facilitating best practice in aged care: exploring influential factors through critical incident technique

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