Development of a New Tool for Systematic Observation of Nursing Home Resident and Staff Engagement and Relationship.

The Gerontologist
A Lynn SnowChristine W Hartmann

Abstract

To develop a structured observational tool, the Resident-centered Assessment of Interactions with Staff and Engagement tool (RAISE), to measure 2 critical, multi-faceted, organizational-level aspects of person-centered care (PCC) in nursing homes: (a) resident engagement and (b) the quality and frequency of staff-resident interactions. In this multi-method psychometric development study, we conducted (a) 120 hr of ethnographic observations in one nursing home and (b) a targeted literature review to enable construct development. Two constructs for which no current structured observation measures existed emerged from this phase: nursing home resident-staff engagement and interaction. We developed the preliminary RAISE to measure these constructs and used the tool in 8 nursing homes at an average of 16 times. We conducted 8 iterative psychometric testing and refinement cycles with multi-disciplinary research team members. Each cycle consisted of observations using the draft tool, results review, and tool modification. The final RAISE included a set of coding rules and procedures enabling simultaneously efficient, non-reactive, and representative quantitative measurement of the interaction and engagement components of nursing home ...Continue Reading

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Citations

Jul 27, 2018·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Jennifer L SullivanVictoria A Parker
May 3, 2018·The Gerontologist·Christine W HartmannAndrea Lynn Snow
Jun 9, 2021·Clinical Gerontologist·Candice D ReelDaniel C Potts
Oct 2, 2021·Journal of Clinical Psychology in Medical Settings·M Lindsey Jacobs, Michelle E Mlinac

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