Developing the Supporting Choice Observational Tool (SCOT) A Formative Assessment Tool to Assist Nursing Home Staff in Realizing Resident Choice

被引:3
|
作者
Palmer, Jennifer A. [1 ,2 ,3 ]
Parker, Victoria A. [2 ,3 ]
Burgess, James F. [3 ,4 ]
Berlowitz, Dan [2 ,3 ]
Snow, A. Lynn [6 ,7 ]
Mitchell, Susan L. [1 ,5 ]
Hartmann, Christine W. [2 ,3 ]
机构
[1] Hebrew SeniorLife, Inst Aging Res, 1200 Ctr St, Roslindale, MA 02131 USA
[2] Edith Nourse Rogers Mem VA Hosp, Ctr Healthcare Org & Implementat Res, Bedford, MA USA
[3] Boston Univ, Sch Publ Hlth, Dept Hlth Law Policy & Management, Boston, MA USA
[4] VA Med Ctr, Ctr Healthcare Org & Implementat Res, Jama Plain Campus, Boston, MA USA
[5] Harvard Med Sch, Med, Boston, MA USA
[6] Univ Alabama, Res Serv, Tuscaloosa VA Med Ctr, Tuscaloosa, AL USA
[7] Univ Alabama, Alabama Res Inst Aging, Tuscaloosa, AL USA
关键词
QUALITY; CARE; INTERVENTION; AUTONOMY;
D O I
10.3928/19404921-20170411-01
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Quality of care in nursing homes has begun to address the importance of resident choice in daily life, yet there are no published tools to teach nursing home staff how to offer such choice. In the current study, a formative assessment tool was developed that can provide staff with detailed and concrete feedback on how to realize resident choice. The tool was created and refined through 22 hours of ethnographic observation in two Veterans Health Administration Community Living Centers (CLCs), 22 hours of developmental testing in two CLCs, review by a modified Delphi panel, and use of an algorithm to assess its logical structure. The resulting Supporting Choice Observational Tool (SCOT) documents how choice is or is not offered and is or is not enabled within a singular staff-resident interaction. SCOT findings could be used in clinical teaching, quality improvement, or research efforts intent on enhancing nursing home resident quality of life.
引用
收藏
页码:129 / U96
页数:11
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