Artikel
Methodological challenges and approaches in nursing home research
Meeting Abstract
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Autoren
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Bernhard Holle
- German Center for Neurodegenerative Diseases (DZNE), Site Witten; Witten/Herdecke University, Department of Nursing Science
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Christin Richter
- Martin-Luther-University Halle-Wittenberg, Medical Faculty, Institute of Health and Nursing Science
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Almuth Berg
- Martin-Luther-University Halle-Wittenberg, Medical Faculty, Institute of Health and Nursing Science
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Gabriele Meyer
- Martin-Luther-University Halle-Wittenberg, Medical Faculty, Institute of Health and Nursing Science
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Steffen Fleischer
- Martin-Luther-University Halle-Wittenberg, Medical Faculty, Institute of Health and Nursing Science
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Ramona Backhaus
- Department of Health Services Research, Care and Public Health Research Institute (Caphri), Maastricht University
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Erik van Rossum
- Department of Health Services Research, Care and Public Health Research Institute (Caphri), Maastricht University; Research Centre for Community Care, Zuyd University of Applied Sciences
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Hilde Verbeek
- Department of Health Services Research, Care and Public Health Research Institute (Caphri), Maastricht University
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Elizabeth Capezuti
- Hunter College and the Graduate Center, City University of New York
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Jan P. H. Hamers
- Department of Health Services Research, Care and Public Health Research Institute (Caphri), Maastricht University
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Franziska Zuniga
- Universität Basel, Institut für Pflegewissenschaft
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Michael Simon
- Universität Basel, Institut für Pflegewissenschaft
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Rebecca Palm
- German Center for Neurodegenerative Diseases (DZNE), Site Witten; Witten/Herdecke University, Department of Nursing Science
| Veröffentlicht: | 30. April 2018 |
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Gliederung
Text
Background and Purpose: Designing studies in the field of nursing home research brings along different methodological challenges. This symposium aims to provide an insight view of how nursing researchers are dealing with those challenges in recent studies. Therefore different aspects as i.e. recruitment and randomisation, measuring of staffing levels, implementation processes and methodological approaches will be presented and discussed.
Programme Overview
- 1.
- Methodological challenges in clinical nursing home research. A case study of a cluster randomised controlled trial.
Research in the nursing home setting comprises certain risks and pitfalls that can influence internal and external validity of the study. We will present a case study dealing with a recent cluster-randomised controlled trial. Three methodological challenges will be discussed:
- recruitment of nursing home clusters and individual residents, i.e. consecutive recruitment after randomisation
- measuring patient reported outcomes, particularly quality of life in a population with a large proportion of cognitively impaired persons
- validity of routine documentation and problems using routine data as outcome measure
- 2.
- Challenges for adequately examining staffing levels in nursing homes: experiences from the research line ‘Nurses on the Move’
High-quality administrative data on staffing levels in nursing homes are scarce and accurately measuring staffing levels is challenging. Based on experiences from the Dutch research line ‘Nurses on the Move’, practical (i.e., how to collect data) as well as conceptual (i.e., how to operationalize the concept of staffing) tips for a more adequate measurement of staffing levels will be provided. - 3.
- Reaching sustainability – how an implementation framework guides the introduction of a new care model
Implementation frameworks such as CFIR (consolidated framework for implementation research) support and guide the introduction of changes in the health care setting. In this presentation we will explore its use providing the example of the INTERCARE study at Basel University (Nurse-led care model in Swiss nursing homes: improving INTERprofessional CARE for better resident outcomes), focusing on the preparatory context analyses and the differentiation of core and peripheral elements of the intervention planned. - 4.
- Realist Evaluation in Nursing Home Research
Research in nursing homes using traditional evaluation methods reaches its limits. An alternative methodology to experimental and quasi-experimental designs is the Realist Evaluation of Pawson & Tilley (1997). The approach will be presented as well as its application in an ongoing study of Dementia Special Care Units.
