ArticleThe Gerontologist2018
Applying a Theory-Driven Framework to Guide Quality Improvement Efforts in Nursing Homes: The LOCK Model.
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 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- Building a Program Theory of Implementation Using Process Evaluation of a Complex Quality Improvement Trial in Nursing Homes.The Gerontologist · 2024Trial
- Comparing effects of two higher intensity feedback interventions with simple feedback on improving staff communication in nursing homes-the INFORM cluster-randomized controlled trial.Implementation science : IS · 2020Trial
- Community living center-mental health integration in the Veterans Health Administration: Evaluation of practice patterns.Psychological services · 2026Article
- Training to implement BE-ACTIV(VA), a behavioral intervention for depression in VA nursing homes: staff satisfaction and efficacy.Gerontology & geriatrics education · 2026Article
- Operationalizing Iterative RE-AIM in two pragmatic nursing home trials to support an adaptation learning cycle.Frontiers in health services · 2026Article
- Article
- Improving the quality of care in nursing home organizations with urgent quality issues: design and effectiveness of a Dutch government-funded support programme.BMC health services research · 2023Article
- A Citation Review of 83 Dissemination and Implementation Theories, Models, or Frameworks Utilized in U.S.-Based Aging Research.The Gerontologist · 2023Review
- Caregiver training: Evidence of its effectiveness for cognitive and functional improvement in older adults.Journal of clinical nursing · 2023Article
- The Avoidable Transfer Scale: A New Tool for Identifying Potentially Avoidable Hospital Transfers of Nursing Home Residents.Innovation in aging · 2022Article
- Listen, look, link and learn: a stepwise approach to use narrative quality data within resident-family-nursing staff triads in nursing homes for quality improvements.BMJ open quality · 2021Article
- Quality improvement studies in nursing homes: a scoping review.BMC health services research · 2021Article
- Enhancing sleep quality for nursing home residents with dementia: a pragmatic randomized controlled trial of an evidence-based frontline huddling program.BMC geriatrics · 2021Article
- Nursing Home Staff Perceptions of Barriers and Facilitators to Implementing a Quality Improvement Intervention.Journal of the American Medical Directors Association · 2019Article
- 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
- Blended Facilitation as an Effective Implementation Strategy for Quality Improvement and Research in Nursing Homes.Journal of nursing care qualityArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Purpose 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.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.