Using a Research Partnership to Advance Nursing Knowledge about an Empowering Partnership Approach to In-Home Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/149073
Type:
Presentation
Title:
Using a Research Partnership to Advance Nursing Knowledge about an Empowering Partnership Approach to In-Home Care
Abstract:
Using a Research Partnership to Advance Nursing Knowledge about an Empowering Partnership Approach to In-Home Care
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:McWilliam, Carol L., RN, MScN, EdD
P.I. Institution Name:University of Western Ontario
Title:Professor
Co-Authors:Catherine A. Ward-Griffin, RN, MScN, PhD; Gena Browne, RN, PhD; Moira Stewart, PhD; Evelyn Vingilis, PhD; Peter Coyte, PhD; Mary Wilson, RN, MScN; Sandra Coleman, N/A
Objective: To evaluate the costs and outcomes of an evidence-based, client-driven partnership approach to in-home care. Design: The multi-measure quasi-experimental evaluative research compares the partnership approach to brokered service delivery. Population, Sample & Setting: In Ontario, the intervention home care program promotes empowerment, or equitable exercise of knowledge, status and authority, amongst individuals, by engaging clients(n=974), formal (n=300) and informal (n=300) care providers in relationship-building, health-oriented care partnerships, responding flexibly to clients’ choices of role, and within and amongst its agencies (n=5), through empowering policies, procedures, staff education and continuous quality improvement mechanisms. A second Ontario home care program implementing the Ontario brokerage service delivery model serves as the comparison. Variables: Outcome measures include: clients’ service utilization, health status, quality of life, partnering effort, empowerment and satisfaction with care; providers’ perceived effectiveness, partnering effort, empowerment and job satisfaction; caregivers’ burden, empowerment and satisfaction with care; organizations’ average case manager caseloads and service costs/client group. Methods: Regression discontinuity analysis will be used to compare one year of pre and one year of post-intervention data. Findings: At baseline, clients’ health status and quality of life were lower than reported norms, and choice in care was lower than clients desired. Clients’ partnering effort was positively correlated with their quality of life (r=.59), health status (r=.38) and satisfaction with care (r=.16), but was not related to their service costs. Providers’ partnering effort was positively correlated with their empowerment (r=.42) and job satisfaction (r=.39), and their empowerment, with their job satisfaction (r=.59). Mean monthly organization costs /client were $440.19 and the average case manager caseload was 136. On-going analyses of post-intervention data will be presented. Conclusions: Findings provide initial evidence of the appropriateness of the approach for improving service delivery in the home. Implications: The intervention merits global research partnerships for more extensive testing.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing a Research Partnership to Advance Nursing Knowledge about an Empowering Partnership Approach to In-Home Careen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149073-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using a Research Partnership to Advance Nursing Knowledge about an Empowering Partnership Approach to In-Home Care</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McWilliam, Carol L., RN, MScN, EdD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Western Ontario</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cmcwill@uwo.ca</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Catherine A. Ward-Griffin, RN, MScN, PhD; Gena Browne, RN, PhD; Moira Stewart, PhD; Evelyn Vingilis, PhD; Peter Coyte, PhD; Mary Wilson, RN, MScN; Sandra Coleman, N/A</td></tr><tr><td colspan="2" class="item-abstract">Objective: To evaluate the costs and outcomes of an evidence-based, client-driven partnership approach to in-home care. Design: The multi-measure quasi-experimental evaluative research compares the partnership approach to brokered service delivery. Population, Sample &amp; Setting: In Ontario, the intervention home care program promotes empowerment, or equitable exercise of knowledge, status and authority, amongst individuals, by engaging clients(n=974), formal (n=300) and informal (n=300) care providers in relationship-building, health-oriented care partnerships, responding flexibly to clients&rsquo; choices of role, and within and amongst its agencies (n=5), through empowering policies, procedures, staff education and continuous quality improvement mechanisms. A second Ontario home care program implementing the Ontario brokerage service delivery model serves as the comparison. Variables: Outcome measures include: clients&rsquo; service utilization, health status, quality of life, partnering effort, empowerment and satisfaction with care; providers&rsquo; perceived effectiveness, partnering effort, empowerment and job satisfaction; caregivers&rsquo; burden, empowerment and satisfaction with care; organizations&rsquo; average case manager caseloads and service costs/client group. Methods: Regression discontinuity analysis will be used to compare one year of pre and one year of post-intervention data. Findings: At baseline, clients&rsquo; health status and quality of life were lower than reported norms, and choice in care was lower than clients desired. Clients&rsquo; partnering effort was positively correlated with their quality of life (r=.59), health status (r=.38) and satisfaction with care (r=.16), but was not related to their service costs. Providers&rsquo; partnering effort was positively correlated with their empowerment (r=.42) and job satisfaction (r=.39), and their empowerment, with their job satisfaction (r=.59). Mean monthly organization costs /client were $440.19 and the average case manager caseload was 136. On-going analyses of post-intervention data will be presented. Conclusions: Findings provide initial evidence of the appropriateness of the approach for improving service delivery in the home. Implications: The intervention merits global research partnerships for more extensive testing.</td></tr></table>en_GB
dc.date.available2011-10-26T09:55:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:55:39Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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