scholarly journals Approaches to optimize patient and family engagement in hospital planning and improvement: Qualitative interviews

2021 ◽  
Author(s):  
Natalie N. Anderson ◽  
G. Ross Baker ◽  
Lesley Moody ◽  
Kerseri Scane ◽  
Robin Urquhart ◽  
...  
2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 345-345
Author(s):  
Anna Beeber ◽  
Ruth Anderson ◽  
Lindsay Schwartz

Abstract Assisted living (AL), is a long-term care service that provides housing and care for over 800,000 older adults in 30,000 residences. AL culture and operations have been transforming to enhance resident personhood and increase autonomy, however, these practices are balanced with the need to minimize safety issues (e.g., medication errors, infections, falls, and in cases of dementia, elopement and injuries). In this stakeholder-based study, we are translating existing strategies for improving patient safety to AL residences and developing an evidence-based tool for implementing these engagement strategies in AL. This symposium presents the methods and findings from a federally-funded mixed methods study including qualitative interviews with 105 AL residents, staff and family caregivers, and a series of focus groups with an AL stakeholder group to develop a toolkit to improve resident and family engagement in AL safety. The first paper outlines our methodological approach, including our efforts to work with stakeholders throughout the research process. The second paper reports findings from a scoping review of existing tools to support resident and family engagement in the safety of AL. The third paper presents the findings from our interviews with AL residents, families and staff exploring their safety priorities, and how they differ across stakeholder groups. The fourth paper presents the findings from our qualitative interviews exploring the challenges and promising practice to resident and family engagement in AL safety during the COVID-19 pandemic. All four presentations in this symposium illustrate important issues for future practice, policy, and research.


2018 ◽  
Vol 24 (2) ◽  
pp. 88-102 ◽  
Author(s):  
Jörgen Lundälv

The study explored the lived experiences of people with injury events in their residential environment. Participants were 65 people with disabilities and chronic diseases in Sweden with residential living injuries (females = 40 (61.5%), men = 25 (38.5%), age range 20–90 year old). They completed qualitative interviews on their experiences of injury events in their residential environment. Thematic analysis of the data yielded evidence to suggest the following issues: (1) individual coping resource preferences; (2) support services; and (3) family engagement needs. Participants coped utilizing positive reframing of their living with injury and the incidents they experienced. Social support functions were important for safety in the housing environment. Rather disconcerting is the fact that participants would not always tell their social network about the risks and injuries they experienced.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 346-346
Author(s):  
Victoria Bartoldus ◽  
Cloie Chiong ◽  
Tabitha Linville ◽  
Stephanie Palmertree ◽  
Anna Beeber ◽  
...  

Abstract Resident and family engagement (the desire, ability, and activation as a partner in care) is a necessary component of keeping assisted living (AL) residents safe. Barriers to engagement include differing priorities between the resident/family and staff. This presentation outlines the results of a content analysis of qualitative interviews with 105 AL staff, residents, and family members, in which we examined AL stakeholder priorities for safety. Qualitative interviews were analyzed to first identify safety priorities by stakeholder type (staff, resident, and families), and then compared across stakeholder group. Stakeholder-specific safety priorities were identified, including infection management (COVID-19 and others), medications errors, falls, elopement, lack of AL resources/staffing, conflict, adverse events, nutrition, physical hazards, building security, chemical agents, fire/natural disasters, and abuse/neglect – the importance of these priorities vary by stakeholder type. Presentation discussion will include implications for future intervention to address the top safety problems in AL.


2017 ◽  
Vol 2 (11) ◽  
pp. 79-90
Author(s):  
Courtney G. Scott ◽  
Trina M. Becker ◽  
Kenneth O. Simpson

The use of computer monitors to provide technology-based written feedback during clinical sessions, referred to as “bug-in-the-eye” (BITi) feedback, recently emerged in the literature with preliminary evidence to support its effectiveness (Carmel, Villatte, Rosenthal, Chalker & Comtois, 2015; Weck et al., 2016). This investigation employed a single-subject, sequential A-B design with two participants to observe the effects of implementing BITi feedback using a smartwatch on the clinical behavior of student clinicians (SCs). Baseline and treatment data on the stimulus-response-consequence (S-R-C) contingency completion rates of SCs were collected using 10 minute segments of recorded therapy sessions. All participants were students enrolled in a clinical practicum experience in a communication disorders and sciences (CDS) program. A celeration line, descriptive statistics, and stability band were used to analyze the data by slope, trend, and variability. Results demonstrated a significant correlative relationship between BITi feedback with a smartwatch and an increase in positive clinical behaviors. Based on qualitative interviews and exit rating scales, SCs reported BITi feedback was noninvasive and minimally distracting. Preliminary evidence suggests BITi feedback with a smartwatch may be an effective tool for providing real-time clinical feedback.


Author(s):  
Tobias Hayer ◽  
Jens Kalke ◽  
Sven Buth ◽  
Gerhard Meyer

Einführung: Nach aktuellen rechtlichen Bestimmungen ist das Personal von Spielhallen in der Früherkennung problematischen Spielverhaltens zu schulen. Bisher werden von den Schulungsinstitutionen allerdings sehr heterogene und wissenschaftlich nicht überprüfte Checklisten eingesetzt. Zielsetzung: Das Forschungsprojekt verfolgte das Ziel, in einem systematischen Entwicklungsprozess ein empiriegestütztes Früherkennungsinstrument zu konzipieren, das einerseits die wichtigsten psychometrischen Gütekriterien erfüllt und gleichzeitig anwenderfreundlich sowie praxistauglich ist. Forschungsdesign: Das Instrument wurde in einem komplexen methodischen Prozess entwickelt, der im Kern folgende, aufeinander aufbauende Einzelschritte umfasst: Literaturrecherche, qualitative Interviews, Fokusgruppen-Gespräche, Befragung von Spielern und Spielstättenpersonal. Im Verlauf dieses Prozesses ließ sich der Item-Pool von 71 auf 18 Kriterien reduzieren. Ergebnis: Das Früherkennungsinstrument besteht aus insgesamt 18 Beobachtungsmerkmalen, die in erster Linie eine Kombination aus Kriterien der Verhaltensänderung, des aktuellen (Spiel‐)Verhaltens und des Umgangs mit Geld darstellen. Ausblick: Das Instrument müsste zukünftig in einem Praxistest mit einer angemessenen Stichprobengröße validiert werden. Zudem ist es erforderlich, die bisher in der Praxis angewendeten heterogenen Kriterienkataloge weiter zu vereinheitlichen.


Author(s):  
Nancy K. Young ◽  
Mary Nakashian ◽  
Shaila Yeh ◽  
Sharon Amatetti
Keyword(s):  

1970 ◽  
pp. 50-55
Author(s):  
Mary Kawar

There is an increasing visibility of young urban working women in Amman, Jordan. As compared to previous generations, this group is experiencing a new life cycle trajectory of single employed adulthood. Based on qualitative interviews with young women, this paper will reflect on their experiences and perceptions regarding work, social status and marriage.


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