TY - JOUR
T1 - Compliance in a randomized controlled trial
T2 - The implementation of emotion-orientated care in psycho-geriatric facilities
AU - Schrijnemaekers, Veron J.J.
AU - Van Rossum, Erik
AU - Van Heusden, Michèle J.T.
AU - Widdershoven, Guy A.M.
PY - 2002/7/1
Y1 - 2002/7/1
N2 - Aim. The aim of this study was to gain insight into compliance with the introduction of a new care model [emotion-orientated care (EOC)] as part of an intervention study (RCT) in psycho-geriatric care. The success of the implementation (compliance), as well as the expectations and experiences concerning the training were studied. Methods. Observations were conducted in four intervention homes and four control homes, and care-plans of residents were also analysed to see whether the implementation had succeeded. Semi-structured interviews were conducted with four persons in each of the four intervention sites (a total of 16 interviews) to study the experiences with the training and implementation. Findings. The observations showed no clear differences between intervention and control homes with regard to the interactions between residents and professional caregivers. Analysis of the reporting systems revealed differences within, as well as between, the intervention and control homes. The content of the reports showed no differences between the intervention and control homes. The interviewees had different expectations of the EOC training, depending on their disciplinary background. The caregivers regarded the training as a confirmation of their current practice. They experienced some changes at the individual level and some of them reported that the co-operation between units had become better. At the home-level no changes were reported. Every interviewee indicated that the implementation of EOC was difficult and laborious and that there were (mainly organizational) obstacles that could hinder the implementation of the EOC training. Conclusions. Observations and the analysis of the reporting systems indicated that there was no clear difference between intervention homes and control homes as to the actual implementation of the intervention, indicating that the compliance with the new care model was not optimal. The interviews gave some insight into factors that caused lack of compliance.
AB - Aim. The aim of this study was to gain insight into compliance with the introduction of a new care model [emotion-orientated care (EOC)] as part of an intervention study (RCT) in psycho-geriatric care. The success of the implementation (compliance), as well as the expectations and experiences concerning the training were studied. Methods. Observations were conducted in four intervention homes and four control homes, and care-plans of residents were also analysed to see whether the implementation had succeeded. Semi-structured interviews were conducted with four persons in each of the four intervention sites (a total of 16 interviews) to study the experiences with the training and implementation. Findings. The observations showed no clear differences between intervention and control homes with regard to the interactions between residents and professional caregivers. Analysis of the reporting systems revealed differences within, as well as between, the intervention and control homes. The content of the reports showed no differences between the intervention and control homes. The interviewees had different expectations of the EOC training, depending on their disciplinary background. The caregivers regarded the training as a confirmation of their current practice. They experienced some changes at the individual level and some of them reported that the co-operation between units had become better. At the home-level no changes were reported. Every interviewee indicated that the implementation of EOC was difficult and laborious and that there were (mainly organizational) obstacles that could hinder the implementation of the EOC training. Conclusions. Observations and the analysis of the reporting systems indicated that there was no clear difference between intervention homes and control homes as to the actual implementation of the intervention, indicating that the compliance with the new care model was not optimal. The interviews gave some insight into factors that caused lack of compliance.
KW - Compliance
KW - Emotion-orientated care
KW - Implementation
KW - Nursing
KW - Psycho-geriatric care
KW - Qualitative/ quantitative research
UR - http://www.scopus.com/inward/record.url?scp=0036637253&partnerID=8YFLogxK
U2 - https://doi.org/10.1046/j.1365-2648.2002.02258.x
DO - https://doi.org/10.1046/j.1365-2648.2002.02258.x
M3 - Article
C2 - 12100662
SN - 0309-2402
VL - 39
SP - 182
EP - 189
JO - Journal of Advanced Nursing
JF - Journal of Advanced Nursing
IS - 2
ER -