Improving Nursing Home Care through Feedback On PerfoRMance Data (INFORM): Protocol for a cluster-randomized trial.
Improving Nursing Home Care through Feedback On PerfoRMance Data (INFORM): Protocol for a cluster-randomized trial.
复制标题
通过绩效数据的反馈（信息）来改善疗养院护理：集群随机试验的协议。
DOI：
10.1186/s13063-016-1748-8
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发表时间：
2017-01-10
期刊：
影响因子：
2.5
通讯作者：
Estabrooks CA
中科院分区：
文献类型：
--
作者：
Hoben M;Norton PG;Ginsburg LR;Anderson RA;Cummings GG;Lanham HJ;Squires JE;Taylor D;Wagg AS;Estabrooks CA
审计和反馈对提高护理质量是有效的。然而，国际研究的方法和结果是异质的，研究一直被批评缺乏系统的理论使用。在TREC（翻译研究在老年护理），纵向卫生服务研究计划，我们收集了全面的数据，从护理提供者和居民在加拿大养老院，以提高护理质量和居民的生活，以及护理人员的工作生活质量。本研究的目的是a）系统地将TREC研究数据反馈给护理之家护理单位，以及B）比较三种不同的基于理论的反馈策略在提高护理单位内的绩效方面的有效性。INFORM（通过对绩效数据的反馈改善护理之家护理）是一项为期3.5年的务实、三臂、平行、随机分组试验。我们将67个加拿大西部的养老院203个护理单位随机分为三个研究组，一个标准的反馈策略和两个辅助和目标导向的反馈策略。干预措施将针对护理单位管理团队。它们基于与审计和反馈，目标设定，复杂适应系统以及反馈研究结果的实证工作相关的理论和证据。主要结果是正式互动的数量增加（例如，居民查房或家庭会议），涉及护理助理-提供高达80%的直接护理的非注册护理人员。次要结果是a）护理单元环境的其他可修改特征（改进的反馈、社会资本、空闲时间）B）护理助理的工作生活质量（改进的心理赋权、工作满意度），c）更多地使用最佳实践，以及d）基于居民评估工具-最小数据集2.0的居民结果。将在基线、12个月干预期后即刻和干预后18个月评估结局。INFORM是第一项系统评估不同策略的有效性的研究，以将研究数据反馈给养老院护理单位，以提高其绩效。本研究的结果将使开发一个实用的，可持续的，有效的，具有成本效益的反馈策略，为管理人员，决策者和研究人员的日常使用。结果也可能是概括的护理设置以外的养老院。ClinicalTrials.gov标识符：NCT 02695836。登记日期：2016年2月24日本文的在线版本（doi：10.1186/s13063-016-1748-8）包含补充材料，授权用户可以使用。
Audit and feedback is effective in improving the quality of care. However, methods and results of international studies are heterogeneous, and studies have been criticized for a lack of systematic use of theory. In TREC (Translating Research in Elder Care), a longitudinal health services research program, we collect comprehensive data from care providers and residents in Canadian nursing homes to improve quality of care and life of residents, and quality of worklife of caregivers. The study aims are to a) systematically feed back TREC research data to nursing home care units, and b) compare the effectiveness of three different theory-based feedback strategies in improving performance within care units. INFORM (Improving Nursing Home Care through Feedback On PerfoRMance Data) is a 3.5-year pragmatic, three-arm, parallel, cluster-randomized trial. We will randomize 67 Western Canadian nursing homes with 203 care units to the three study arms, a standard feedback strategy and two assisted and goal-directed feedback strategies. Interventions will target care unit managerial teams. They are based on theory and evidence related to audit and feedback, goal setting, complex adaptive systems, and empirical work on feeding back research results. The primary outcome is the increased number of formal interactions (e.g., resident rounds or family conferences) involving care aides – non-registered caregivers providing up to 80% of direct care. Secondary outcomes are a) other modifiable features of care unit context (improved feedback, social capital, slack time) b) care aides’ quality of worklife (improved psychological empowerment, job satisfaction), c) more use of best practices, and d) resident outcomes based on the Resident Assessment Instrument – Minimum Data Set 2.0. Outcomes will be assessed at baseline, immediately after the 12-month intervention period, and 18 months post intervention. INFORM is the first study to systematically assess the effectiveness of different strategies to feed back research data to nursing home care units in order to improve their performance. Results of this study will enable development of a practical, sustainable, effective, and cost-effective feedback strategy for routine use by managers, policy makers and researchers. The results may also be generalizable to care settings other than nursing homes. ClinicalTrials.gov Identifier: NCT02695836. Date of registration: 24 February 2016 The online version of this article (doi:10.1186/s13063-016-1748-8) contains supplementary material, which is available to authorized users.