Adaptation of a Nursing Home Culture Change Research Instrument for Frontline Staff Quality Improvement Use

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dc.contributor.authorHartmann, Christine W.
dc.contributor.authorPalmer, Jennifer A.
dc.contributor.authorMills, Whitney L.
dc.contributor.authorPimentel, Camilla B.
dc.contributor.authorAllen, Rebecca S.
dc.contributor.authorWewiorski, Nancy J.
dc.contributor.authorDillon, Kristen R.
dc.contributor.authorSnow, A. Lynn
dc.contributor.otherBoston University
dc.contributor.otherBaylor College of Medicine
dc.contributor.otherUniversity of Massachusetts Amherst
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.date.accessioned2023-09-28T20:51:22Z
dc.date.available2023-09-28T20:51:22Z
dc.date.issued2017
dc.description.abstractEnhanced interpersonal relationships and meaningful resident engagement in daily life are central to nursing home cultural transformation, yet these critical components of person-centered care may be difficult for frontline staff to measure using traditional research instruments. To address the need for easy-to-use instruments to help nursing home staff members evaluate and improve person-centered care, the psychometric method of cognitive-based interviewing was used to adapt a structured observation instrument originally developed for researchers and nursing home surveyors. Twenty-eight staff members from 2 Veterans Health Administration (VHA) nursing homes participated in 1 of 3 rounds of cognitive-based interviews, using the instrument in real-life situations. Modifications to the original instrument were guided by a cognitive processing model of instrument refinement. Following 2 rounds of cognitive interviews, pretesting of the revised instrument, and another round of cognitive interviews, the resulting set of 3 short instruments mirrored the concepts of the original longer instrument but were significantly easier for frontline staff to understand and use. Final results indicated frontline staff found the revised instruments feasible to use and clinically relevant in measuring and improving the lived experience of a changing culture. This article provides a framework for developing or adapting other measurement tools for frontline culture change efforts in nursing homes, in addition to reporting on a practical set of instruments to measure aspects of person-centered care.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationHartmann, C. W., Palmer, J. A., Mills, W. L., Pimentel, C. B., Allen, R. S., Wewiorski, N. J., Dillon, K. R., & Snow, A. L. (2017). Adaptation of a nursing home culture change research instrument for frontline staff quality improvement use. In Psychological Services (Vol. 14, Issue 3, pp. 337–346). American Psychological Association (APA). https://doi.org/10.1037/ser0000137
dc.identifier.doi10.1037/ser0000137
dc.identifier.urihttps://ir.ua.edu/handle/123456789/11879
dc.languageEnglish
dc.language.isoen_US
dc.publisherAmerican Psychological Association
dc.subjectperson-centered care
dc.subjectcognitive interview
dc.subjectnursing home
dc.subjectquality improvement
dc.subjectinstrument development
dc.subjectLONG-TERM-CARE
dc.subjectPERSON-CENTERED CARE
dc.subjectSOCIAL ENGAGEMENT
dc.subjectRESIDENT OUTCOMES
dc.subjectENVIRONMENTS
dc.subjectSETTINGS
dc.subjectDEMENTIA
dc.subjectLIFE
dc.subjectPsychology, Clinical
dc.titleAdaptation of a Nursing Home Culture Change Research Instrument for Frontline Staff Quality Improvement Useen_US
dc.typeArticle
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