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        Quality improvement collaborative aiming for Proactive HEAlthcare of Older People in Care Homes (PEACH) : a realist evaluation protocol

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        e023287.full.pdf (PDF, 229Kb)
        Author
        Devi, Reena
        Meyer, Julienne
        Banerjee, Jay
        Goodman, Claire
        Gladman, John Raymond Fletcher
        Dening, Tom
        Chadborn, Neil
        Hinsliff-Smith, Kathryn
        Long, Annabelle
        Usman, Adeela
        Housley, Gemma
        Bowman, Clive
        Martin, Finbarr
        Logan, Phillipa
        Lewis, Sarah
        Gordon, Adam Lee
        Attention
        2299/21304
        Abstract
        INTRODUCTION: This protocol describes a study of a quality improvement collaborative (QIC) to support implementation and delivery of comprehensive geriatric assessment (CGA) in UK care homes. The QIC will be formed of health and social care professionals working in and with care homes and will be supported by clinical, quality improvement and research specialists. QIC participants will receive quality improvement training using the Model for Improvement. An appreciative approach to working with care homes will be encouraged through facilitated shared learning events, quality improvement coaching and assistance with project evaluation. METHODS AND ANALYSIS: The QIC will be delivered across a range of partnering organisations which plan, deliver and evaluate health services for care home residents in four local areas of one geographical region. A realist evaluation framework will be used to develop a programme theory informing how QICs are thought to work, for whom and in what ways when used to implement and deliver CGA in care homes. Data collection will involve participant observations of the QIC over 18 months, and interviews/focus groups with QIC participants to iteratively define, refine, test or refute the programme theory. Two researchers will analyse field notes, and interview/focus group transcripts, coding data using inductive and deductive analysis. The key findings and linked programme theory will be summarised as context-mechanism-outcome configurations describing what needs to be in place to use QICs to implement service improvements in care homes. ETHICS AND DISSEMINATION: The study protocol was reviewed by the National Health Service Health Research Authority (London Bromley research ethics committee reference: 205840) and the University of Nottingham (reference: LT07092016) ethics committees. Both determined that the Proactive HEAlthcare of Older People in Care Homes study was a service and quality improvement initiative. Findings will be shared nationally and internationally through conference presentations, publication in peer-reviewed journals, a graphical illustration and a dissemination video.
        Publication date
        2018-11-12
        Published in
        BMJ Open
        Published version
        https://doi.org/10.1136/bmjopen-2018-023287
        Other links
        http://hdl.handle.net/2299/21304
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