Enablers and barriers to implementing care quality improvement program in nursing homes in China
The ACCM model
unprofessional nursing
Most homes are run by nursing assistants or untrained staff.
Low economic remuneration and education is an impediment to improve the quality of service.
Five strategies
promoting the quality improvement process
provision of available training resources
feedback
establishment of an internal communication mechanism
training of geriatric care mentors
Increase in elderly people, an estimated growth of one million per year, for this reason it was determined to study the quality provided by households
In australia birth of:
The Clinical Care Mentoring for the Elderly (ACCM)
What is it about:
Provide and encourage professional development in colleagues through communication, education and support
Complications:
Lack of staff
Lack of attention skills
Inappropriate attitudes
Nursing staff misconduct
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Authors: Yinan Zhao, Lulu Liao, Hui Feng, Huijing Chen & Hongting Ning
Subtopic
Published on October 7, 2021
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Objective
Implement the quality of care improvement program
Methodology
Qualitative descriptive research in eight nursing homes in four major cities
Changsha, Xiangtan, Zhuzhou and Yueyang.
All interviews were audio-recorded and later verbatim transcribed. Because of the language difference.
Data from 50 clinical nurses and 64 nursing assistants
Approved by the medical ethics committee of the China Clinical Trials Registry (No. ChiCTR-IOC-17013109, https://www.chictr.org.cn/index.aspx).
Information is collected through interviews with nursing directors, group discussion with clinical nurses and nursing assistants.
Difficulties due to resistance to change
low performance
Improve human resource
Improve physical resources
improve economic resources
Implementation of new protocols
limited organizational funding to support the project
antiquity rules
Yard Champions Implementation
constant training of nursing professionals
Difficulties expressed by the nursing professional.
Disobedience by the assistants when they are older
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nursing assistants not trained to care
low educational level of healthcare personnel
Implementation of the model
The main barriers include the subtopics described as:
Low educational level of nursing assistants, limitations of orientation to one's own role, resistance to change, lack of work motivation and organizational limitations.
The most difficult is resistance to change
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