Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
Implement Sci. 2012 Sep 13;7:88. doi: 10.1186/1748-5908-7-88.
This project is part of the Translating Research in Elder Care (TREC) program of research, a multi-level and longitudinal research program being conducted in 36 nursing homes in three Canadian Prairie Provinces. The overall goal of TREC is to improve the quality of care for older persons living in nursing homes and the quality of work life for care providers. The purpose of this paper is to report on development and evaluation of facility annual reports (FARs) from facility administrators' perspectives on the usefulness, meaningfulness, and understandability of selected data from the TREC survey.
A cross sectional survey design was used in this study. The feedback reports were developed in collaboration with participating facility administrators. FARs presented results in four contextual areas: workplace culture, feedback processes, job satisfaction, and staff burnout. Six weeks after FARs were mailed to each administrator, we conducted structured telephone interviews with administrators to elicit their evaluation of the FARs. Administrators were also asked if they had taken any actions as a result of the FAR. Descriptive and inferential statistics, as well as content analysis for open-ended questions, were used to summarize findings.
Thirty-one facility administrators (representing thirty-two facilities) participated in the interviews. Six administrators had taken action and 18 were planning on taking action as a result of FARs. The majority found the four contextual areas addressed in FAR to be useful, meaningful, and understandable. They liked the comparisons made between data from years one and two and between their facility and other TREC study sites in their province. Twenty-two indicated that they would like to receive information on additional areas such as aggressive behaviours of residents and information sharing. Twenty-four administrators indicated that FARs contained enough information, while eight found FARs 'too short'. Administrators who reported that the FAR contained enough information were more likely to take action within their facilities than administrators who reported that they needed more information.
Although the FAR was brief, the presentation of the four contextual areas was relevant to the majority of administrators and prompted them to plan or to take action within their facility.
本项目是转化老年护理研究（TREC）研究计划的一部分，该研究计划是在加拿大三个草原省份的 36 家养老院中进行的多层次和纵向研究计划。TREC 的总体目标是提高居住在养老院中的老年人的护理质量和护理人员的工作生活质量。本文旨在从设施管理员的角度报告设施年度报告（FAR）的制定和评估，评估 TREC 调查中选定数据的有用性、有意义性和可理解性。
本研究采用横断面调查设计。反馈报告是与参与的设施管理员合作制定的。FAR 呈现了四个背景领域的结果：工作场所文化、反馈流程、工作满意度和员工倦怠。在 FAR 邮寄给每位管理员六周后，我们对管理员进行了结构化电话访谈，以征求他们对 FAR 的评价。还询问管理员是否因 FAR 采取了任何行动。使用描述性和推断性统计以及对开放式问题的内容分析来总结研究结果。
31 名设施管理员（代表 32 个设施）参加了访谈。六位管理员采取了行动，18 位计划因 FAR 采取行动。大多数人认为 FAR 中涉及的四个背景领域是有用的、有意义的和可以理解的。他们喜欢在第一年和第二年的数据之间以及他们所在设施与该省其他 TREC 研究地点之间进行比较。22 人表示希望收到有关居民攻击性行为和信息共享等其他领域的信息。24 名管理员表示 FAR 包含足够的信息，而 8 名管理员表示 FAR“太短”。表示 FAR 包含足够信息的管理员比表示需要更多信息的管理员更有可能在其设施内采取行动。
尽管 FAR 很简短，但四个背景领域的呈现与大多数管理员相关，并促使他们在其设施内计划或采取行动。
