Examining the lived experience of nursing home quality improvement

The case of a multifacility falls reduction project

Kathleen Abrahamson, Heather Davila, Christine Mueller, Thomas Inui, Gregory Arling

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We conducted a case study based on interviews with nursing home employees (staff and management) participating in a falls reduction project to better understand the lived experience of nursing home quality improvement. Our case study was part of an evaluation of an innovative pay-for-performance policy in the state of Minnesota. In-depth semi-structured interviews were conducted with 37 nursing home employees from within each of the 13 facilities participating in the successful falls reduction project. Our analysis focused on respondent perceptions of the quality improvement implementation process. Interview respondents noted the importance of organizational flexibility and adaptation to change; communication and connections between residents, family members, and staff; and the importance of input from diverse roles. Importantly, interview respondents noted changes that extended well beyond the domain of falls. Knowledge from this study highlights the experiences of care providers enacting change and potentially informs the development of management and program policies that encourage and reward quality nursing home care.

Original languageEnglish
Pages (from-to)24-30
Number of pages7
JournalJournal of Gerontological Nursing
Volume39
Issue number9
DOIs
StatePublished - 2013

Fingerprint

Quality Improvement
Nursing Homes
Interviews
Incentive Reimbursement
Program Development
Home Care Services
Nursing Care
Reward
Communication
Surveys and Questionnaires

ASJC Scopus subject areas

  • Gerontology

Cite this

Examining the lived experience of nursing home quality improvement : The case of a multifacility falls reduction project. / Abrahamson, Kathleen; Davila, Heather; Mueller, Christine; Inui, Thomas; Arling, Gregory.

In: Journal of Gerontological Nursing, Vol. 39, No. 9, 2013, p. 24-30.

Research output: Contribution to journalArticle

@article{f0d4cbc23caa44819d0e8dff23141a1e,
title = "Examining the lived experience of nursing home quality improvement: The case of a multifacility falls reduction project",
abstract = "We conducted a case study based on interviews with nursing home employees (staff and management) participating in a falls reduction project to better understand the lived experience of nursing home quality improvement. Our case study was part of an evaluation of an innovative pay-for-performance policy in the state of Minnesota. In-depth semi-structured interviews were conducted with 37 nursing home employees from within each of the 13 facilities participating in the successful falls reduction project. Our analysis focused on respondent perceptions of the quality improvement implementation process. Interview respondents noted the importance of organizational flexibility and adaptation to change; communication and connections between residents, family members, and staff; and the importance of input from diverse roles. Importantly, interview respondents noted changes that extended well beyond the domain of falls. Knowledge from this study highlights the experiences of care providers enacting change and potentially informs the development of management and program policies that encourage and reward quality nursing home care.",
author = "Kathleen Abrahamson and Heather Davila and Christine Mueller and Thomas Inui and Gregory Arling",
year = "2013",
doi = "10.3928/00989134-20130627-02",
language = "English",
volume = "39",
pages = "24--30",
journal = "Journal of Gerontological Nursing",
issn = "0098-9134",
publisher = "Slack Incorporated",
number = "9",

}

TY - JOUR

T1 - Examining the lived experience of nursing home quality improvement

T2 - The case of a multifacility falls reduction project

AU - Abrahamson, Kathleen

AU - Davila, Heather

AU - Mueller, Christine

AU - Inui, Thomas

AU - Arling, Gregory

PY - 2013

Y1 - 2013

N2 - We conducted a case study based on interviews with nursing home employees (staff and management) participating in a falls reduction project to better understand the lived experience of nursing home quality improvement. Our case study was part of an evaluation of an innovative pay-for-performance policy in the state of Minnesota. In-depth semi-structured interviews were conducted with 37 nursing home employees from within each of the 13 facilities participating in the successful falls reduction project. Our analysis focused on respondent perceptions of the quality improvement implementation process. Interview respondents noted the importance of organizational flexibility and adaptation to change; communication and connections between residents, family members, and staff; and the importance of input from diverse roles. Importantly, interview respondents noted changes that extended well beyond the domain of falls. Knowledge from this study highlights the experiences of care providers enacting change and potentially informs the development of management and program policies that encourage and reward quality nursing home care.

AB - We conducted a case study based on interviews with nursing home employees (staff and management) participating in a falls reduction project to better understand the lived experience of nursing home quality improvement. Our case study was part of an evaluation of an innovative pay-for-performance policy in the state of Minnesota. In-depth semi-structured interviews were conducted with 37 nursing home employees from within each of the 13 facilities participating in the successful falls reduction project. Our analysis focused on respondent perceptions of the quality improvement implementation process. Interview respondents noted the importance of organizational flexibility and adaptation to change; communication and connections between residents, family members, and staff; and the importance of input from diverse roles. Importantly, interview respondents noted changes that extended well beyond the domain of falls. Knowledge from this study highlights the experiences of care providers enacting change and potentially informs the development of management and program policies that encourage and reward quality nursing home care.

UR - http://www.scopus.com/inward/record.url?scp=84884306152&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884306152&partnerID=8YFLogxK

U2 - 10.3928/00989134-20130627-02

DO - 10.3928/00989134-20130627-02

M3 - Article

VL - 39

SP - 24

EP - 30

JO - Journal of Gerontological Nursing

JF - Journal of Gerontological Nursing

SN - 0098-9134

IS - 9

ER -