Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention
Introduction Nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospit...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2018-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/8/3/e020933.full |
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| author | Eline Ree Terese Johannessen Siri Wiig Torunn Strømme Ingunn Aase Roland Bal Karina Aase Marianne Storm Berit Ullebust Elisabeth Holen-Rabbersvik Line Hurup Thomsen Anne Torhild Sandvik Pedersen Hester van de Bovenkamp |
| author_facet | Eline Ree Terese Johannessen Siri Wiig Torunn Strømme Ingunn Aase Roland Bal Karina Aase Marianne Storm Berit Ullebust Elisabeth Holen-Rabbersvik Line Hurup Thomsen Anne Torhild Sandvik Pedersen Hester van de Bovenkamp |
| author_sort | Eline Ree |
| collection | DOAJ |
| description | Introduction Nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospitals. Additionally, there is a lack of effective leadership tools for quality and safety improvement work in this context.Methods and analysis The aim of the ‘Improving Quality and Safety in Primary Care—Implementing a Leadership Intervention in Nursing Homes and Homecare’ (SAFE-LEAD) study is to develop and evaluate a research-based leadership guide for managers to increase quality and safety competence. The project applies a mixed-methods design and explores the implications of the leadership guide on managers’ and staffs’ knowledge, attitudes and practices. Four nursing homes and four home care services from different Norwegian municipalities will participate in the intervention. Surveys, process evaluation (interviews, observations) and document analyses will be conducted to evaluate the implementation and impact of the leadership intervention. A comparative study of Norway and the Netherlands will establish knowledge of the context dependency of the intervention.Ethics and dissemination The study is approved by the Norwegian Centre for Research Data (2017/52324 and 54855). The results will be disseminated through scientific articles, two PhD dissertations, an anthology, presentations at national and international conferences, and in social media, newsletters and in the press. The results will generate knowledge to inform leadership practices in nursing homes and home care. Moreover, the study will build new theory on leadership interventions and the role of contextual factors in nursing homes and home care. |
| format | Article |
| id | doaj-art-5ce93b8933b9456dad2601caaf8f0cc3 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2018-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-5ce93b8933b9456dad2601caaf8f0cc32025-02-01T18:40:08ZengBMJ Publishing GroupBMJ Open2044-60552018-03-018310.1136/bmjopen-2017-020933Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership interventionEline Ree0Terese Johannessen1Siri Wiig2Torunn Strømme3Ingunn Aase4Roland Bal5Karina Aase6Marianne Storm7Berit Ullebust8Elisabeth Holen-Rabbersvik9Line Hurup Thomsen10Anne Torhild Sandvik Pedersen11Hester van de Bovenkamp12SHARE Centre for Resilience in Healthcare, Department of Quality and Health Technology, University of Stavanger, Stavanger, NorwaySHARE- Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, NorwaySHARE – Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, NorwayFaculty of Health Sciences, SHARE - Centre for Resilience in Healthcare, University of Stavanger, Stavanger, NorwaySHARE- Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, NorwaySchool of Health Policy & Management, Erasmus Universiteit, Rotterdam, The Netherlands1 SHARE- Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway1 SHARE- Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway2 Center for Developing Institutional and Home Care Services Sogn and Fjordane, Førde, Norway1 SHARE- Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway5 Center for Developing Institutional and Home Care Services Rogaland, Stavanger, Norway6 Next-Of-Kin Representative, Stavanger, NorwayHealth Care Governance, Erasmus Universiteit Rotterdam Erasmus School of Health Policy and Management, Rotterdam, Zuid-Holland, NetherlandsIntroduction Nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospitals. Additionally, there is a lack of effective leadership tools for quality and safety improvement work in this context.Methods and analysis The aim of the ‘Improving Quality and Safety in Primary Care—Implementing a Leadership Intervention in Nursing Homes and Homecare’ (SAFE-LEAD) study is to develop and evaluate a research-based leadership guide for managers to increase quality and safety competence. The project applies a mixed-methods design and explores the implications of the leadership guide on managers’ and staffs’ knowledge, attitudes and practices. Four nursing homes and four home care services from different Norwegian municipalities will participate in the intervention. Surveys, process evaluation (interviews, observations) and document analyses will be conducted to evaluate the implementation and impact of the leadership intervention. A comparative study of Norway and the Netherlands will establish knowledge of the context dependency of the intervention.Ethics and dissemination The study is approved by the Norwegian Centre for Research Data (2017/52324 and 54855). The results will be disseminated through scientific articles, two PhD dissertations, an anthology, presentations at national and international conferences, and in social media, newsletters and in the press. The results will generate knowledge to inform leadership practices in nursing homes and home care. Moreover, the study will build new theory on leadership interventions and the role of contextual factors in nursing homes and home care.https://bmjopen.bmj.com/content/8/3/e020933.full |
| spellingShingle | Eline Ree Terese Johannessen Siri Wiig Torunn Strømme Ingunn Aase Roland Bal Karina Aase Marianne Storm Berit Ullebust Elisabeth Holen-Rabbersvik Line Hurup Thomsen Anne Torhild Sandvik Pedersen Hester van de Bovenkamp Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention BMJ Open |
| title | Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention |
| title_full | Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention |
| title_fullStr | Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention |
| title_full_unstemmed | Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention |
| title_short | Improving quality and safety in nursing homes and home care: the study protocol of a mixed-methods research design to implement a leadership intervention |
| title_sort | improving quality and safety in nursing homes and home care the study protocol of a mixed methods research design to implement a leadership intervention |
| url | https://bmjopen.bmj.com/content/8/3/e020933.full |
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