Enablers and barriers to implementing care quality improvement program in nursing homes in China

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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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