scholarly journals Listen, look, link and learn: a stepwise approach to use narrative quality data within resident-family-nursing staff triads in nursing homes for quality improvements

2021 ◽  
Vol 10 (3) ◽  
pp. e001434
Author(s):  
Katya Y J Sion ◽  
Johanna E R Rutten ◽  
Jan P H Hamers ◽  
Erica de Vries ◽  
Sandra M G Zwakhalen ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Nursing Staff ◽  
Qualitative Data ◽  
Quality Data ◽  
Cross Sectional ◽  
Stepwise Approach ◽  
Family Nursing ◽  
Agreement Score

PurposeThe use of qualitative data to assess quality of care in nursing homes from the resident’s perspective has shown to be valuable, yet more research is needed to determine how this data can be used to gain insight into the quality of care within nursing homes. Whereas it is crucial to stay close to the stories that are the strength of qualitative data, an intermittent step to classify this data can support the interpretation and use. Therefore, this study introduces an approach that enables the use of narrative quality of care data to learn from and improve with.DesignA cross-sectional mixed-methods study in which qualitative data were collected with the narrative quality assessment method Connecting Conversations and interpreted for analysis.MethodsConnecting Conversations was used to collect narrative data about experienced quality of care in nursing homes according to residents, their families and nursing staff (triads). Data analysis consisted of coding positive/negative valences in each transcript.FindingsA stepwise approach can support the use of narrative quality data consisting of four steps: (1) perform and transcribe the conversations (listen); (2) calculate a valence sore, defined as the mean %-positive within a triad (look); (3) calculate an agreement score, defined as the level of agreement between resident-family-nursing staff (link); and (4) plot scores into a graph for interpretation and learning purposes with agreement score (x-axis) and valence score (y-axis) (learn).ConclusionsNarrative quality data can be interpreted as a valence and agreement score. These scores need to be related to the raw qualitative data to gain a rich understanding of what is going well and what needs to be improved.

scholarly journals Work environment characteristics associated with quality of care in Dutch nursing homes: A cross-sectional study

2017 ◽  
Vol 66 ◽  
pp. 15-22 ◽  
Author(s):  
Ramona Backhaus ◽  
Erik van Rossum ◽  
Hilde Verbeek ◽  
Ruud J.G. Halfens ◽  
Frans E.S. Tan ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Work Environment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Associations between person‐centred climate and perceived quality of care in nursing homes: A cross‐sectional study of relatives’ experiences

2019 ◽  
Vol 75 (11) ◽  
pp. 2526-2534 ◽  
Author(s):  
Qarin Lood ◽  
Marit Kirkevold ◽  
Karin Sjögren ◽  
Ådel Bergland ◽  
Per‐Olof Sandman ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Cross Sectional Study ◽  
Perceived Quality ◽  
Sectional Study ◽  
Cross Sectional ◽  
Perceived Quality Of Care

scholarly journals Quality of care in Hunan Province nursing homes: relationship to staffing and organizational climate

2019 ◽  
Author(s):  
Hui Li ◽  
Yunxia Yang ◽  
Lily Dongxia XIAO ◽  
Wiley James A. ◽  
Huijing Chen ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Organizational Climate ◽  
Work Stress ◽  
Nursing Staff ◽  
Work Experience ◽  
Hunan Province ◽  
Stress Scale ◽  
Staffing Levels

Abstract Background: Confounding factors, such as staff characteristics and organizational features, are neglected in most studies when assessing the relationship between staffing levels and quality of care,and previous research provides inconsistent conclusions.The aim of this study wasto examine the quality of care perceived by nursing staff and its relationship with the staffing and organizational climate in nursing homes. Methods: A cross-sectional study was conducted. This study included 358 nursing staff from 52 units in 26 nursing homesin Hunan Province, China. Organizational climate was assessed with the Nursing Home adaptation Shortell scale and work stress scale. Staffing levels were studied by interviewing unit managers. Self-reported quality of care was measured with a single item. Results: The interaction effect between nursing staff to resident ratio and physician to resident ratio was significant on quality of care (p<0.05). Higher score on the relationships and communication scale (OR=4.771, p=0.002) and lower score on the work stress scale (OR=0.980, p=0.050) were also associated with better quality of care. More work experience was related to lower quality of care (OR=0.942, p=0.044), and work experience was associated with relationships and communication (Beta=0.115, p= 0.037) and work stress (Beta=0.234, p=0.000). Conclusions: Staffing level, work experience, work stress, relationships and communication are key factors to consider when the objective is to provide higher quality of care in nursing homes.

scholarly journals Gender discrimination as a barrier to high-quality maternal and newborn health care in Nigeria: findings from a cross-sectional quality of care assessment

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chioma Oduenyi ◽  
Joya Banerjee ◽  
Oniyire Adetiloye ◽  
Barbara Rawlins ◽  
Ugo Okoli ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Family Planning ◽  
Health Services ◽  
Gender Discrimination ◽  
Newborn Health ◽  
Maternal And Newborn Health ◽  
Gender Based Violence ◽  
Cross Sectional ◽  
Care Assessment

Abstract Background Poor reproductive, maternal, newborn, child, and adolescent health outcomes in Nigeria can be attributed to several factors, not limited to low health service coverage, a lack of quality care, and gender inequity. Providers’ gender-discriminatory attitudes, and men’s limited positive involvement correlate with poor utilization and quality of services. We conducted a study at the beginning of a large family planning (FP) and maternal, newborn, child, and adolescent health program in Kogi and Ebonyi States of Nigeria to assess whether or not gender plays a role in access to, use of, and delivery of health services. Methods We conducted a cross-sectional, observational, baseline quality of care assessment from April–July 2016 to inform a maternal and newborn health project in health facilities in Ebonyi and Kogi States. We observed 435 antenatal care consultations and 47 births, and interviewed 138 providers about their knowledge, training, experiences, working conditions, gender-sensitive and respectful care, and workplace gender dynamics. The United States Agency for International Development’s Gender Analysis Framework was used to analyze findings. Results Sixty percent of providers disagreed that a woman could choose a family planning method without a male partner’s involvement, and 23.2% of providers disagreed that unmarried clients should use family planning. Ninety-eight percent believed men should participate in health services, yet only 10% encouraged women to bring their partners. Harmful practices were observed in 59.6% of deliveries and disrespectful or abusive practices were observed in 34.0%. No providers offered clients information, services, or referrals for gender-based violence. Sixty-seven percent reported observing or hearing of an incident of violence against clients, and 7.9% of providers experienced violence in the workplace themselves. Over 78% of providers received no training on gender, gender-based violence, or human rights in the past 3 years. Conclusion Addressing gender inequalities that limit women’s access, choice, agency, and autonomy in health services as a quality of care issue is critical to reducing poor health outcomes in Nigeria. Inherent gender discrimination in health service delivery reinforces the critical need for gender analysis, gender responsive approaches, values clarification, and capacity building for service providers.

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