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

Devi, Reena; Meyer, Julienne; Banerjee, Jay; Goodman, Claire; Gladman, John R.F.; Dening, Tom; Chadborn, Neil; Hinsliff-Smith, Kathryn; Long, Annabelle; Usman, Adeela; Housley, Gemma; Bowman, Clive; Martin, Finbarr C.; Logan, Pip; Lewis, Sarah; Gordon, Adam L.

Authors

Reena Devi reena.devi@nottingham.ac.uk

Julienne Meyer

Jay Banerjee

Claire Goodman

JOHN GLADMAN john.gladman@nottingham.ac.uk
Professor of Medicine of Older People

TOM DENING Tom.Dening@nottingham.ac.uk
Clinical Professor in Dementia Research

NEIL CHADBORN Neil.Chadborn@nottingham.ac.uk
Problem Based Learning Facilitator

Kathryn Hinsliff-Smith

Gemma Housley

Clive Bowman

Finbarr C. Martin

PIP LOGAN pip.logan@nottingham.ac.uk
Professor of Rehabilitation Research

ADAM GORDON Adam.Gordon@nottingham.ac.uk
Professor of The Care of Older People



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 4 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 (CMOs) 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 NHS Health Research Authority (London Bromley research ethics committee reference: 205840) and the University of Nottingham ethics committee (reference: LT07092016). Both determined that the PEACH study was as a service and quality improvement initiative. Findings will be shared nationally and internationally through conference presentations, publication in peer-reviewed journals, a graphic illustration, and a dissemination video.

Citation

Devi, R., Meyer, J., Banerjee, J., Goodman, C., Gladman, J. R., Dening, T., …Gordon, A. L. (2018). Quality improvement collaborative aiming for Proactive HEAlthcare of Older People in Care Homes (PEACH): a realist evaluation protocol. BMJ Open, 8(11), 1-7. https://doi.org/10.1136/bmjopen-2018-023287

Journal Article Type Article
Acceptance Date Jul 24, 2018
Online Publication Date Nov 12, 2018
Publication Date Nov 12, 2018
Deposit Date Jul 26, 2018
Publicly Available Date Nov 12, 2018
Journal BMJ Open
Electronic ISSN 2044-6055
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 8
Issue 11
Article Number e023287
Pages 1-7
DOI https://doi.org/10.1136/bmjopen-2018-023287
Keywords Organisation of health services; quality in health care; protocols and guidelines
Public URL http://eprints.nottingham.ac.uk/id/eprint/53151
Publisher URL https://bmjopen.bmj.com/content/8/11/e023287
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc/4.0

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Publisher Licence URL
http://creativecommons.org/licenses/by-nc/4.0/

Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc/4.0





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