Communication and effectiveness in a US nursing home quality-improvement collaborative.

In this study, we explored the relationship between changes in resident health outcomes, practitioner communication patterns, and practitioner perceptions of group effectiveness within a quality-improvement collaborative of nursing home clinicians. Survey and interview data were collected from nursi...

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Publicado en:Nursing & Health Sciences Vol. 16; no. 3; pp. 291 - 298
Autores principales: Arling, Priscilla A., Abrahamson, Kathleen, Miech, Edward J., Inui, Thomas S., Arling, Greg
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Sep2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2014
      vid: 16
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/nhs.12098
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        atl: Communication and effectiveness in a US nursing home quality-improvement collaborative.
      aug:
        au:
          Arling, Priscilla A.
          Abrahamson, Kathleen
          Miech, Edward J.
          Inui, Thomas S.
          Arling, Greg
        affil: College of Business, Butler University
      sug:
        subj:
          Nursing Homes Standards
          Quality Improvement Methods
          Communication
          Collaboration
          Nursing Home Personnel
          Accidental Falls Prevention and Control
          Minnesota
          Human
          Questionnaires
          Interviews
          Multimethod Studies
          Female
          Male
          Adolescence
          Young Adult
          Adult
          Middle Age
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: In this study, we explored the relationship between changes in resident health outcomes, practitioner communication patterns, and practitioner perceptions of group effectiveness within a quality-improvement collaborative of nursing home clinicians. Survey and interview data were collected from nursing home clinicians participating in a quality-improvement collaborative. Quality-improvement outcomes were evaluated using US Federal and State minimum dataset measures. Models were specified evaluating the relationships between resident outcomes, staff perceptions of communication patterns, and staff perceptions of collaborative effectiveness. Interview data provided deeper understanding of the quantitative findings. Reductions in fall rates were highest in facilities where respondents experienced the highest levels of communication with collaborative members outside of scheduled meetings, and where respondents perceived that the collaborative kept them informed and provided new ideas. Clinicians observed that participation in a quality-improvement collaborative positively influenced the ability to share innovative ideas and expand the quality-improvement program within their nursing home. For practitioners, a high level of communication, both inside and outside of meetings, was key to making measurable gains in resident health outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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