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Applying a Theory-Driven Framework to Guide Quality Improvement Efforts in Nursing Homes: The LOCK Model

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dc.contributor.authorMills, Whitney L.
dc.contributor.authorPimentel, Camilla B.
dc.contributor.authorPalmer, Jennifer A.
dc.contributor.authorSnow, A. Lynn
dc.contributor.authorWewiorski, Nancy J.
dc.contributor.authorAllen, Rebecca S.
dc.contributor.authorHartmann, Christine W.
dc.contributor.otherBaylor College of Medicine
dc.contributor.otherUniversity of Massachusetts Worcester
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherBoston University
dc.date.accessioned2023-09-28T19:04:11Z
dc.date.available2023-09-28T19:04:11Z
dc.date.issued2018
dc.description.abstractPurpose of the Study: Implementing quality improvement (QI) programs in nursing homes continues to encounter significant challenges, despite recognized need. QI approaches provide nursing home staff with opportunities to collaborate on developing and testing strategies for improving care delivery. We present a theory-driven and user-friendly adaptable framework and facilitation package to overcome existing challenges and guide QI efforts in nursing homes. Design and development: The framework is grounded in the foundational concepts of strengths-based learning, observation, relationship-based teams, efficiency, and organizational learning. We adapted these concepts to QI in the nursing home setting, creating the "LOCK" framework. The LOCK framework is currently being disseminated across the Veterans Health Administration. Results: The LOCK framework has five tenets: (a) Look for the bright spots, (b) Observe, (c) Collaborate in huddles, (d) Keep it bite-sized, and (e) facilitation. Each tenet is described. We also present a case study documenting how a fictional nursing home can implement the LOCK framework as part of a QI effort to improve engagement between staff and residents. The case study describes sample observations, processes, and outcomes. We also discuss practical applications for nursing home staff, the adaptability of LOCK for different QI projects, the specific role of facilitation, and lessons learned. Implications: The proposed framework complements national efforts to improve quality of care and quality of life for nursing home residents and may be valuable across long-term care settings and QI project types.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationMills, W. L., Pimentel, C. B., Palmer, J. A., Snow, A. L., Wewiorski, N. J., Allen, R. S., & Hartmann, C. W. (2017). Applying a Theory-Driven Framework to Guide Quality Improvement Efforts in Nursing Homes: The LOCK Model. In The Gerontologist (Vol. 58, Issue 3, pp. 598–605). Oxford University Press (OUP). https://doi.org/10.1093/geront/gnx023
dc.identifier.doi10.1093/geront/gnx023
dc.identifier.urihttps://ir.ua.edu/handle/123456789/10778
dc.languageEnglish
dc.language.isoen_US
dc.publisherOxford University Press
dc.subjectQuality of care
dc.subjectObservation
dc.subjectHuddles
dc.subjectStrengths-based learning
dc.subjectRelational coordination
dc.subjectCARE
dc.subjectPROGRAM
dc.subjectSUCCESS
dc.subjectGerontology
dc.titleApplying a Theory-Driven Framework to Guide Quality Improvement Efforts in Nursing Homes: The LOCK Modelen_US
dc.typeArticle
dc.typetext

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