Evaluating effects of a quality improvement program in an elderly home

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Evaluating effects of a quality improvement program in an elderly home

 

Author: Mak, Chui-ling
Title: Evaluating effects of a quality improvement program in an elderly home
Degree: M.Sc.
Year: 2003
Subject: Hong Kong Polytechnic University -- Dissertations
Nursing home care -- China -- Hong Kong -- Evaluation
Nursing homes -- China -- Hong Kong -- Evaluation
Department: School of Nursing
Pages: 172 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1778762
URI: http://theses.lib.polyu.edu.hk/handle/200/3763
Abstract: This research is an evaluation research to examine effects of a quality improvement program in an elderly home. The quality improvement program (QIP) is designed for nurse leaders of the Elderly Home. The purposes of the program are to provide reflective learning and training opportunities for nurses in providing quality care to the elderly. The QIP is consisting of three phases: preparation phase, implementation phase and evaluation phase. Varied topics of quality care encompass different activities ranging from lectures, workshops, games, discussions and practical skills. The major skills of deriving nursing care plans are emphasized in the program. In terms of methodology, this study adopts the pre-and-post study approach. Three instruments have been developed as measuring tools in this research, they are, the quality indicators questionnaire (QIQ), the check-list on nursing documentation and the program evaluation questionnaire. They are used to measure effects of the QIP. Face and content validity of these instruments have been established by different panels of experts. For QIQ, the range of Pearson Correlation in four subscale is from 0.798 to 0.906, all of them were in significance range (p<0.05), and the reliability coefficients alpha in test-retest is 0.9691, the internal consistency of the QIQ is supported. 92% of QIQ items (46 items) achieve an Intra-Class Correlation Coefficient (ICC) over 0.4, only 8% of QIQ items (4 items) gain ICC below 0.4. Amendment has been made. Stability of the QIQ is established. Regarding the result, pre-and-post QIP measurements had been carried out in staff and clients of the Elderly Home. Results reveal significant differences shown in outcome quality indicators of structural criteria within staff and clients and significant difference in outcome quality indicators of the total score of quality criteria within clients as well. There is a 90.3 % overall compliance rate in auditing of nursing documentation. And nurses participating in the QIP are satisfied with the QIP in an overall view. Regarding the conclusion of the study, based on the findings of the research, staff of the Elderly Home perceived that they possessed the structure, process and outcome criteria of quality care. Enhancing two-way communication between the administrators and the staff is recommended. Mutual support and encouragement from administrators in the change process is important. Nurses are also expected to have responsibilities of promote professional practice implemented in clinical fields.

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