ArticleBMJ quality & safety2023
Sustaining interventions in care homes initiated by quality improvement projects: a qualitative study.
Article in BMJ quality & safety, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How Have Quality Improvement Strategies Been Adopted and How Has Impact Been Assessed in Care Homes for Older People? A Systematic Search and Narrative Review.International journal of older people nursing · 2025Pooled it
- Evaluating a co-developed pet robot intervention and implementation for residents with dementia in long-term care.Frontiers in dementia · 2026Article
- Experiences of care home staff in the delivery of heart failure care: a grounded theory.BMC geriatrics · 2025Article
- Exploring the organisation and delivery of falls management in care homes for older people in England.BMC geriatrics · 2025Article
- Implementation of the Cognitive Daisy (COG-D) for improving care planning and delivery for residents with dementia in care homes: results of a feasibility randomised controlled trial.Pilot and feasibility studies · 2025Article
- Technology-enabled CONTACT tracing in care homes in the COVID-19 pandemic: the CONTACT non-randomised mixed-methods feasibility study.Health technology assessment (Winchester, England) · 2025Article
- Piloting a minimum data set for older people living in care homes in England: a developmental study.Age and ageing · 2025Article
- Heart failure in nursing homes: A scoping review of educational interventions for optimising care provision.International journal of nursing studies advances · 2024Article
- Article
- "Crack on": a qualitative study of care home managers experiences and responses to system-led setbacks during the crisis of the COVID-19 Pandemic in England.European geriatric medicine · 2023Article
- Frailty nurse and GP-led models of care in care homes: the role of contextual factors impacting Enhanced health in care homes framework implementation.BMC geriatrics · 2023Article
- Perspectives on Deprescribing in long-term care: qualitative findings from nurses, aides, residents, and proxies.BMC nursing · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
introductionInadequate and varied quality of care in care homes has led to a proliferation of quality improvement (QI) projects. This study examined the sustainability of interventions initiated by such projects.
methodThis qualitative study explored the sustainability of seven interventions initiated by three QI projects between 2016 and 2018 in UK care homes and explored the perceived influences to the sustainability of interventions. QI projects were followed up in 2019. Staff leading QI projects (n=9) and care home (n=21, from 13 care homes) and healthcare (n=2) staff took part in semi-structured interviews. Interventions were classified as sustained if the intervention was continued at the point of the study. Thematic analysis of interview data was performed, drawing on the Consolidated Framework for Sustainability (CFS), a 40-construct model of sustainability of interventions.
resultsThree interventions were sustained and four interventions were not. Seven themes described perceptions around what influenced sustainability: monitoring outcomes and regular check-in; access to replacement intervention materials; staff willingness to dedicate time and effort towards interventions; continuity of staff and thorough handover/inductions in place for new staff; ongoing communication and awareness raising; perceived effectiveness; and addressing care home priorities. All study themes fell within 18 of the 40 CFS constructs. DISCUSSION: Our findings resonate with the CFS and are also consistent with implementation theories, suggesting sustainability is best addressed during implementation rather than treated as a separate process which follows implementation. Commissioning and funding QI projects should address these considerations early on, during implementation.
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