ArticleThe Gerontologist2018
Development of a New Tool for Systematic Observation of Nursing Home Resident and Staff Engagement and Relationship.
Article in The Gerontologist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of observational coding systems to assess patient-healthcare professional interactions.Patient education and counseling · 2025Pooled it
- Healthcare Quality Improvement Competency: A Clinical and Training Imperative for Geropsychology.Journal of clinical psychology in medical settings · 2021Article
- Development of a Program to Support VA Community Living Centers' Quality Improvement.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019Article
- Impact of Intervention to Improve Nursing Home Resident-Staff Interactions and Engagement.The Gerontologist · 2018Article
- Applying a Theory-Driven Framework to Guide Quality Improvement Efforts in Nursing Homes: The LOCK Model.The Gerontologist · 2018Article
- Developing the Supporting Choice Observational Tool (SCOT): A Formative Assessment Tool to Assist Nursing Home Staff in Realizing Resident Choice.Research in gerontological nursing · 2017Article
- Is Variation in Resident-Centered Care and Quality Performance Related to Health System Factors in Veterans Health Administration Nursing Homes?Inquiry : a journal of medical care organization, provision and financingArticle
- The association between patient engagement and quality of care interactions among acute care patients with dementia.Geriatric nursing (New York, N.Y.)Article
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Authors and funding
11 authors.
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Abstract
Purpose of Study: To develop a structured observational tool, the Resident-centered Assessment of Interactions with Staff and Engagement tool (RAISE), to measure 2 critical, multi-faceted, organizational-level aspects of person-centered care (PCC) in nursing homes: (a) resident engagement and (b) the quality and frequency of staff-resident interactions. Design and Methods: In this multi-method psychometric development study, we conducted (a) 120 hr of ethnographic observations in one nursing home and (b) a targeted literature review to enable construct development. Two constructs for which no current structured observation measures existed emerged from this phase: nursing home resident-staff engagement and interaction. We developed the preliminary RAISE to measure these constructs and used the tool in 8 nursing homes at an average of 16 times. We conducted 8 iterative psychometric testing and refinement cycles with multi-disciplinary research team members. Each cycle consisted of observations using the draft tool, results review, and tool modification. Results: The final RAISE included a set of coding rules and procedures enabling simultaneously efficient, non-reactive, and representative quantitative measurement of the interaction and engagement components of nursing home life for staff and residents. It comprised 8 observational variables, each represented by extensive numeric codes. Raters achieved adequate to high reliability with all variables. There is preliminary evidence of face and construct validity via expert panel review. Implications: The RAISE represents a valuable step forward in the measurement of PCC, providing objective, reliable data based on systematic observation.
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