Evidence map›Paper›PMID 38849909›Full record

ArticleImplementation science communications2024

How context links to best practice use in long-term care homes: a mixed methods study.

Yinfei Duan, Jing Wang, Holly J Lanham, Whitney Berta, Stephanie A Chamberlain, Matthias Hoben, Katharina Choroschun, Alba Iaconi, Yuting Song, Janelle Santos Perez and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Yinfei DuanFaculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, AB, Canada. yinfei1@ualberta.ca.ORCID http://orcid.org/0000-0003-2720-5359
Jing WangNursing Department, College of Health and Human Services, University of New Hampshire, Durham, NH, USA.
Holly J LanhamJoe R. & Teresa Lozano Long School of Medicine, University of Texas Health, San Antonio, TX, USA.
Whitney BertaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Stephanie A ChamberlainFaculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.
Matthias HobenFaculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.
Katharina ChoroschunSchool of Public Health, Bielefeld University, Bielefeld, Germany.
Alba IaconiInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Yuting SongFaculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.
Janelle Santos PerezSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Shovana ShresthaFaculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.
Anna BeeberSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Ruth A AndersonSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Leslie HaydukSociology Department, Faculty of Arts, University of Alberta, Edmonton, AB, Canada.
Greta G CummingsFaculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.
Peter G NortonDepartment of Family Medicine, University of Calgary, Calgary, AB, Canada.
Carole A EstabrooksFaculty of Nursing, College of Health Sciences, University of Alberta, Edmonton, AB, Canada.

Funding

CIHR 165838
6 · The paper itself

Abstract

backgroundContext (work environment) plays a crucial role in implementing evidence-based best practices within health care settings. Context is multi-faceted and its complex relationship with best practice use by care aides in long-term care (LTC) homes are understudied. This study used an innovative approach to investigate how context elements interrelate and influence best practice use by LTC care aides.

methodsIn this secondary analysis study, we combined coincidence analysis (a configurational comparative method) and qualitative analysis to examine data collected through the Translating Research in Elder Care (TREC) program. Coincidence analysis of clinical microsystem (care unit)-level data aggregated from a survey of 1,506 care aides across 36 Canadian LTC homes identified configurations (paths) of context elements linked consistently to care aides' best practices use, measured with a scale of conceptual research use (CRU). Qualitative analysis of ethnographic case study data from 3 LTC homes (co-occurring with the survey) further informed interpretation of the configurations.

resultsThree paths led to very high CRU at the care unit level: very high leadership; frequent use of educational materials; or a combination of very high social capital (teamwork) and frequent communication between care aides and clinical educators or specialists. Conversely, 2 paths led to very low CRU, consisting of 3 context elements related to unfavorable conditions in relationships, resources, and formal learning opportunities. Our qualitative analysis provided insights into how specific context elements served as facilitators or barriers for best practices. This qualitative exploration was especially helpful in understanding 2 of the paths, illustrating the pivotal role of leadership and the function of teamwork in mitigating the negative impact of time constraints.

conclusionsOur study deepens understanding of the complex interrelationships between context elements and their impact on the implementation of best practices in LTC homes. The findings underscore that there is no singular, universal bundle of context-related elements that enhance or hinder best practice use in LTC homes.

Indexed as

Best practice useCare aidesCoincidence analysisConfigurational comparative methodsContextEvidence-based practiceLong-term careNursing homesResearch utilization

Identifiers

PMID38849909
PMCPMC11157780

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.