Implementation of Person-Centered Care Practices in VA CLCs: A Pilot

描述（由申请人提供）： 目的：这项试点提案的主要研究目标是测试和修订退伍军人健康管理局（VHA）社区生活中心（CLC）设置内以人为本的护理（PCC）的工作人员评估。虽然VHA已经采取了文化变革的过程，走向PCC模式，目前还不清楚如何以及在何种程度上社区生活中心（CLC）正在实施PCC模式的做法。需要进一步研究，以了解VHA CLC在实施PCC实践方面是否存在差异以及差异的程度。我们的长期研究目标是制定一项研究者发起的研究（IIR）提案，以研究PCC实施变化对VHA CLC全国居民和工作人员结果的影响。研究设计和方法：我们将使用的方法来实现这一目标是：1）与CLC工作人员进行认知汇报焦点小组，以检查PCC工具维度是否适用于VHA设置，并根据需要添加和修改问题; 2）根据焦点小组修改PCC工作人员调查; 3）对八个VHA CLC进行修订后的PCC调查，以检查PCC员工评估工具的心理测量特性;（4）在心理测量学评估的基础上修订PCC量表。影响/意义：拟议的研究将评估PCC调查工具，其中包括伪影工具无法彻底评估的PCC模型维度。这一系列研究的最终结果将通过改善CLC中PCC实践的测量来促进退伍军人的医疗保健，从而更好地了解PCC如何影响CLC中的优质护理。此外，这项研究将帮助长期护理人员和领导者了解如何针对转型工作和计划，以改善工作人员和居民的成果。

DESCRIPTION (provided by applicant): Objective: The primary research objective of this pilot proposal is to test and revise a staff assessment of person-centered care (PCC) within the Veterans Health Administration (VHA) Community Living Center (CLC) setting. Although VHA has undertaken the culture change process to move toward a PCC model, it is unclear how and to what extent Community Living Centers (CLCs) are implementing PCC model practices. Further study is needed to understand whether and to what extent there is variation in implementation of PCC practices across VHA CLCs. Our long-term research objective is to develop an Investigator Initiated Research (IIR) proposal to study the impact of variation in PCC implementation on resident and staff outcomes in VHA CLCs nationally. Research Design & Methodology: The methodology we will use to accomplish this objective is to: 1) conduct cognitive debriefing focus groups with CLC staff to examine if the PCC instrument dimensions are applicable in the VHA setting and add and revise questions as needed; 2) revise the PCC staff survey based on the focus groups; 3) administer the amended PCC survey to eight VHA CLCs to examine the psychometric properties of the PCC staff assessment instrument; and 4) revise the PCC instrument based on the psychometric assessment. Impact/Significance: The proposed study will evaluate a PCC survey instrument which includes PCC model dimensions that the Artifacts Tool does not thoroughly assess. Ultimately findings from this line of research will advance the healthcare of Veterans by improving the measurement of PCC practices in CLCs, leading to better understanding how of PCC impacts quality care in CLCs. In addition, this line of research will assist long-term care staff and leaders in understanding how to target transformation efforts and programs to improve staff and resident outcomes.