Examining the Lived Experience of Nursing Home Quality Improvement: The Case of a Multifacility Falls Reduction Project
Authors: Abrahamson Kathleen , Davila Heather , Mueller Christine , Inui Thomas , Arling Greg 
Published: August 2014

How to Obtain Contact Hours by Reading This Article

Instructions

1.2
contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at
https://villanova.gosignmeup.com
. To obtain contact hours you must:

1.
Read the article, “Examining the Lived Experience of Nursing Home Quality Improvement: The Case of a Multifacility Falls Reduction Project” found on pages 24–30, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz.

2.
Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study.

3.
Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated.

This activity is valid for continuing education credit until August 31, 2015.

Contact Hours
This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated.
Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Activity Objective

1.
Review the results of a case study based on interviews of participants in a falls reduction project that reported on the lived experience of nursing home quality improvement.

Disclosure Statement
Neither the planners nor the authors have any conflicts of interest to disclose.

We conducted a case study based on interviews with nursing home employees (staff and management) participating in a falls reduction project to better understand the lived experience of nursing home quality improvement. Our case study was part of an evaluation of an innovative pay-for-performance policy in the state of Minnesota. In-depth semi-structured interviews were conducted with 37 nursing home employees from within each of the 13 facilities participating in the successful falls reduction project. Our analysis focused on respondent perceptions of the quality improvement implementation process. Interview respondents noted the importance of organizational flexibility and adaptation to change; communication and connections between residents, family members, and staff; and the importance of input from diverse roles. Importantly, interview respondents noted changes that extended well beyond the domain of falls. Knowledge from this study highlights the experiences of care providers enacting change and potentially informs the development of management and program policies that encourage and reward quality nursing home care. [
Journal of Gerontological Nursing, 39
(9), 24–30.]