Changing Practice in Residential Aged Care Using Participatory Methods

Lindeman, Melissa; Black, Kirsten; Smith, Robert; Gough, Jenny; Bryce, Anne; Gilsenan, B.C.; Hill, Keith; Stewart, Ashley

doi:10.1080/1357628031000066651

Cited by 25 publications

(4 citation statements)

References 5 publications

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“…Six organizational enablers were identified: the availability of organizational resources (n = 24), organizational culture supporting frontline workers’ creativity, entrepreneurial thinking and willingness to improve their workplace (n = 24) and management support (n = 22). For instance, providing frontline actors with resources could require the allocation of human resources (eg, 88 , 93 ), funding (eg, 63 , 89 ) or time for innovation (eg, 72 ), or investing in training of frontline actors (eg, 81 , 87 ). Also, systems that facilitate and stimulate EDI were a noteworthy organizational enabler, found in 18 studies.…”

Section: Resultsmentioning

confidence: 99%

“…It could also mean involving staff from other health disciplines and managers in solving problems (eg, 15 ) by sharing better ways of conducting frontline activities. 81 A second team-level benefit was a team approach to problem solving (n = 2), which stimulated discussion, innovation and changed the way employees saw and solved problems by creating a sense of common purpose (eg, 39 , 85 ).…”

Section: Resultsmentioning

confidence: 99%

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Employee-Driven Innovation in Health Organizations: Insights From a Scoping Review

Cadeddu¹,

Dare²,

Denis

2023

Int J Health Policy Manag

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Background: Employee-driven innovation (EDI) occurs when frontline actors in health organizations use their firsthand experience to spur new ideas to transform care. Despite its increasing prevalence in health organizations, the organizational conditions under which EDI is operationalized have received little scholarly attention. Methods: This scoping review identifies gaps and assembles existing knowledge on four questions: What is EDI in health organizations and which frontline actors are involved? What are the characteristics of the EDI process? What contextual factors enable or impede EDI? And what benefits does EDI bring to health organizations? We searched seven databases with keywords related to EDI in health organizations. After screening 1580 studies by title and abstract, we undertook full-text review of 453 articles, retaining 60 for analysis. We performed a descriptive and an inductive thematic analysis guided by the four questions. Results: Findings reveal an heterogeneous literature. Most articles are descriptive (n=41). Few studies are conceptual and empirical (n=15) and four are conference papers. EDI was often described as a participatory, learning innovation process involving frontline clinical and non-clinical staff and managers. Majority EDI were top-down, often driven by the organization’s focus on participatory improvement and innovation and research-based initiatives. Five categories of methods is used in top-down EDI, two thirds of which includes a learning, a team and/or a digital component. Hybrid EDI often involves a team-based component. Bottom-up EDI emerged spontaneously from the work of frontline actors. Enablers, barriers and benefits of EDI are seen at macro, organizational, team and individual levels; some benefits spread to other health organizations and health systems. Conclusion: This scoping review provides a comprehensive understanding of the organizational conditions under which EDI is operationalized. It offers insights for researchers, health organizations and policy makers about how and why frontline actors’ involvement is crucial for the transformation of care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Employee-Driven Innovation in Health Organizations: Insights From a Scoping Review

Cadeddu¹,

Dare²,

Denis

2023

Int J Health Policy Manag

View full text Add to dashboard Cite

show abstract

“…When planning such activities, workload pressures and time available for staff to attend training need to be considered [14]. Training informed by action research can result in changing practice [44], and its usefulness in promoting acceptance of health technologies should be explored [45], especially because of its philosophical similarities with principles of coproduction [20].…”

Section: Xsl • Fomentioning

confidence: 99%

Implementing a Digital Tool to Support Shared Care Planning in Community-Based Mental Health Services: Qualitative Evaluation

Pithara¹,

Farr²,

Sullivan³

et al. 2020

J Med Internet Res

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Background Mental health services aim to provide recovery-focused care and facilitate coproduced care planning. In practice, mental health providers can find supporting individualized coproduced care with service users difficult while balancing administrative and performance demands. To help meet this aim and using principles of coproduction, an innovative mobile digital care pathway tool (CPT) was developed to be used on a tablet computer and piloted in the West of England. Objective The aim of this study was to examine mental health care providers’ views of and experiences with the CPT during the pilot implementation phase and identify factors influencing its implementation. Methods A total of 20 in-depth telephone interviews were conducted with providers participating in the pilot and managers in the host organization. Interviews were audio recorded, transcribed, anonymized, and thematically analyzed guided by the Consolidated Framework for Implementation Research. Results The tool was thought to facilitate coproduced recovery-focused care planning, a policy and organizational as well as professional priority. Internet connectivity issues, system interoperability, and access to service users’ health records affected use of the tool during mobile working. The organization’s resources, such as information technology (IT) infrastructure and staff time and IT culture, influenced implementation. Participants’ levels of use of the tool were dependent on knowledge of the tool and self-efficacy; perceived service-user needs and characteristics; and perceptions of impact on the therapeutic relationship. Training and preparation time influenced participants’ confidence in using the tool. Conclusions Findings highlight the importance of congruence between staff, organization, and external policy priorities and digital technologies in aiding intervention engagement, and the need for ongoing training and support of those intended to use the technology during and after the end of implementation interventions.

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“…The research team (researchers and sector partners) worked together to utilize an integrated knowledge translation (KT) approach where users of research were involved in the research process through collaboration with researchers [9]. This approach has some similarities with participatory action research methods which has been used in previous research studies in LTC [10-12] and supports a culture of using feedback to improve performance [13]. In a recent systematic review, Jamtvedt et al found that audit and feedback was an effective KT intervention in improving professional practice [14].…”

Section: Introductionmentioning

confidence: 99%

Nursing home administrators’ perspectives on a study feedback report: a cross sectional survey

et al. 2012

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BackgroundThis project is part of the Translating Research in Elder Care (TREC) program of research, a multi-level and longitudinal research program being conducted in 36 nursing homes in three Canadian Prairie Provinces. The overall goal of TREC is to improve the quality of care for older persons living in nursing homes and the quality of work life for care providers. The purpose of this paper is to report on development and evaluation of facility annual reports (FARs) from facility administrators’ perspectives on the usefulness, meaningfulness, and understandability of selected data from the TREC survey.MethodsA cross sectional survey design was used in this study. The feedback reports were developed in collaboration with participating facility administrators. FARs presented results in four contextual areas: workplace culture, feedback processes, job satisfaction, and staff burnout. Six weeks after FARs were mailed to each administrator, we conducted structured telephone interviews with administrators to elicit their evaluation of the FARs. Administrators were also asked if they had taken any actions as a result of the FAR. Descriptive and inferential statistics, as well as content analysis for open-ended questions, were used to summarize findings.ResultsThirty-one facility administrators (representing thirty-two facilities) participated in the interviews. Six administrators had taken action and 18 were planning on taking action as a result of FARs. The majority found the four contextual areas addressed in FAR to be useful, meaningful, and understandable. They liked the comparisons made between data from years one and two and between their facility and other TREC study sites in their province. Twenty-two indicated that they would like to receive information on additional areas such as aggressive behaviours of residents and information sharing. Twenty-four administrators indicated that FARs contained enough information, while eight found FARs ‘too short’. Administrators who reported that the FAR contained enough information were more likely to take action within their facilities than administrators who reported that they needed more information.ConclusionsAlthough the FAR was brief, the presentation of the four contextual areas was relevant to the majority of administrators and prompted them to plan or to take action within their facility.

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Changing Practice in Residential Aged Care Using Participatory Methods

Cited by 25 publications

References 5 publications

Employee-Driven Innovation in Health Organizations: Insights From a Scoping Review

Employee-Driven Innovation in Health Organizations: Insights From a Scoping Review

Implementing a Digital Tool to Support Shared Care Planning in Community-Based Mental Health Services: Qualitative Evaluation

Nursing home administrators’ perspectives on a study feedback report: a cross sectional survey

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