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A qualitative study of the perception of nursing home practitioners about the implementation of quality indicators for drug consumption in nursing homes
INTRODUCTION: Nursing homes (NHs) are an ideal environment in which to implement interventions aimed at reducing inappropriate prescriptions. Quality indicators (QIs) may be useful to standardize practices, but it is unclear how they mediate change. In the framework of a quantitative study aimed at...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9076726/ https://www.ncbi.nlm.nih.gov/pubmed/34613609 http://dx.doi.org/10.1007/s40520-021-01989-7 |
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author | Sanchez, Stéphane Ecarnot, Fiona Voilmy, Dimitri Ndiongue, Biné Mariam Cormi, Clément Letty, Aude Hay, Paul Emile Novella, Jean Luc |
author_facet | Sanchez, Stéphane Ecarnot, Fiona Voilmy, Dimitri Ndiongue, Biné Mariam Cormi, Clément Letty, Aude Hay, Paul Emile Novella, Jean Luc |
author_sort | Sanchez, Stéphane |
collection | PubMed |
description | INTRODUCTION: Nursing homes (NHs) are an ideal environment in which to implement interventions aimed at reducing inappropriate prescriptions. Quality indicators (QIs) may be useful to standardize practices, but it is unclear how they mediate change. In the framework of a quantitative study aimed at reducing the prescription of anticholinergic drugs among NH residents using QIs, we performed a qualitative study to describe the investigators’ perception of the utility of QIs. METHODS: Qualitative study using focus group methodology. Focus groups were recorded and transcribed, and analyzed by thematic analysis. Participants were purposefully recruited from among the medical directors of the NHs in the quantitative study. RESULTS: Five medical directors participated in two focus group meetings. The main themes to emerge were: (1) communication is key to introducing new practices and achieving lasting uptake; (2) improved coordination and communication provided useful information to help interpret the quantitative results observed: e.g., participants reported that they were able to obtain contextual and patient-specific information that explained why some prescribers had consistently, but justifiably “poor” performance on the quantitative indicators; (3) negative aspects reported included reluctance to change among prescribers and the tendency to shirk responsibility. CONCLUSION: From the point of view of medical directors of NHs participating in an interventional program to reduce inappropriate prescriptions of anticholinergic drugs, the main factor driving the success of the program was communication, which is key to achieving adherence. Improved communication provides useful insights into the reasons why no quantitative reduction is observed in objective quality indicators. |
format | Online Article Text |
id | pubmed-9076726 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-90767262022-05-08 A qualitative study of the perception of nursing home practitioners about the implementation of quality indicators for drug consumption in nursing homes Sanchez, Stéphane Ecarnot, Fiona Voilmy, Dimitri Ndiongue, Biné Mariam Cormi, Clément Letty, Aude Hay, Paul Emile Novella, Jean Luc Aging Clin Exp Res Original Article INTRODUCTION: Nursing homes (NHs) are an ideal environment in which to implement interventions aimed at reducing inappropriate prescriptions. Quality indicators (QIs) may be useful to standardize practices, but it is unclear how they mediate change. In the framework of a quantitative study aimed at reducing the prescription of anticholinergic drugs among NH residents using QIs, we performed a qualitative study to describe the investigators’ perception of the utility of QIs. METHODS: Qualitative study using focus group methodology. Focus groups were recorded and transcribed, and analyzed by thematic analysis. Participants were purposefully recruited from among the medical directors of the NHs in the quantitative study. RESULTS: Five medical directors participated in two focus group meetings. The main themes to emerge were: (1) communication is key to introducing new practices and achieving lasting uptake; (2) improved coordination and communication provided useful information to help interpret the quantitative results observed: e.g., participants reported that they were able to obtain contextual and patient-specific information that explained why some prescribers had consistently, but justifiably “poor” performance on the quantitative indicators; (3) negative aspects reported included reluctance to change among prescribers and the tendency to shirk responsibility. CONCLUSION: From the point of view of medical directors of NHs participating in an interventional program to reduce inappropriate prescriptions of anticholinergic drugs, the main factor driving the success of the program was communication, which is key to achieving adherence. Improved communication provides useful insights into the reasons why no quantitative reduction is observed in objective quality indicators. Springer International Publishing 2021-10-06 2022 /pmc/articles/PMC9076726/ /pubmed/34613609 http://dx.doi.org/10.1007/s40520-021-01989-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Sanchez, Stéphane Ecarnot, Fiona Voilmy, Dimitri Ndiongue, Biné Mariam Cormi, Clément Letty, Aude Hay, Paul Emile Novella, Jean Luc A qualitative study of the perception of nursing home practitioners about the implementation of quality indicators for drug consumption in nursing homes |
title | A qualitative study of the perception of nursing home practitioners about the implementation of quality indicators for drug consumption in nursing homes |
title_full | A qualitative study of the perception of nursing home practitioners about the implementation of quality indicators for drug consumption in nursing homes |
title_fullStr | A qualitative study of the perception of nursing home practitioners about the implementation of quality indicators for drug consumption in nursing homes |
title_full_unstemmed | A qualitative study of the perception of nursing home practitioners about the implementation of quality indicators for drug consumption in nursing homes |
title_short | A qualitative study of the perception of nursing home practitioners about the implementation of quality indicators for drug consumption in nursing homes |
title_sort | qualitative study of the perception of nursing home practitioners about the implementation of quality indicators for drug consumption in nursing homes |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9076726/ https://www.ncbi.nlm.nih.gov/pubmed/34613609 http://dx.doi.org/10.1007/s40520-021-01989-7 |
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