An observational study to evaluate the impact of a specialist outreach team on the quality of care in nursing and residential homes

Abstract

A bstractObservations of the quality of interaction between staff and residents were m ade to assess the impact of training and support provided to care staff in nursing and residential homes. Assessments were m ade before, during and at the end of the training intervention using an adaptation of the Quality of Interactions Schedule (QUIS: Dean et al., 1993a) modi® ed to avoid the ceiling effect of the original version. A signi® cant increase in the proportion of time staff spent in positive interactions with residents was observed, both in terms of direct care (p , 0.002) and social contact (p , 0.05) at the end of the training schedule. Levels of resident activity were also found to increase immediately after completion of training (p , 0.001). The results suggest that changes in the quality of interaction between staff and residents can be obtained by providing regular training and support to care workers. These ® ndings suggest that the training schedule used in the present study may have a positive impact on the quality of care provided in nursing and residential homes for the elderly.

Dementia Care Mapping reconsidered: exploring the reliability and validity of the observational tool

“…CTS has been shown to be a reliable method of recording behaviour when used in environments supporting older people with dementia (Bowie and Mountain, 1993;Proctor et al, 1998).…”

Characteristics of Creative Expression Activities: The Links Between Creativity, Failure-Free, and Group Process With Levels of Staff-Participant Engagement and Participant Affect in an Adult Day Center

“…Two of the major barriers to documenting the merits of CE activities are the costs and difficulty of implementing well-designed observational studies. Building on the work of Proctor et al (1998) andFritsch et al (2009), we implemented a study design that was scientifically sound and pragmatic. The time-sampling procedure and observational techniques we employed can be adopted by other researchers to build a much needed knowledge base about programs and care practices affecting older adults.…”

“…The QUIS is a nonparticipant time sampling observational technique (Dean, Proudfoot, & Lindesay, 1993) that includes codes to identify different types of behaviors. The schedule has demonstrated reliability, with documented mean kappas of .73 across the codes (Proctor et al, 1998). These codes include social, care, neutral, protective, and oppressive.…”

“…Four codes on the modified QUIS (Proctor et al, 1998) were also used to record the participants' response to the staff-initiated behavior. The social engagement code was assigned when a participant responded favorably and there was a state of reciprocity.…”

Older people in care homes and the primary care nursing contribution: a review of relevant research

“…These have included the introduction of specialist outreach teams for care homes to improve the quality of resident staff interaction, and resident mental health (Proctor et al, 1999;Reeves et al, 1998). Two randomized controlled trials in residential care homes that had exercise promotion and falls prevention interventions, were both able to show improvement in their intervention groups in the short term (McMurdo and Rennie, 1993;McMurdo et al, 2000).…”