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            "abstractNote": "Background\nOPTIC is a mixed method Partnership for Health System Improvement (http://www.cihr-irsc.gc.ca/e/34348.html) study focused on improving care for nursing home (NH) residents who are transferred to and from emergency departments (EDs) via emergency medical services (EMS). In the pilot study we tested feasibility of concurrently collecting individual resident data during transitions across settings using the Transition Tracking Tool (T3).\n\nMethods\nThe pilot study tracked 54 residents transferred from NHs to one of two EDs in two western Canadian provinces over a three month period. The T3 is an electronic data collection tool developed for this study to record data relevant to describing and determining success of transitions in care. It comprises 800+ data elements including resident characteristics, reasons and precipitating factors for transfer, advance directives, family involvement, healthcare services provided, disposition decisions, and dates/times and timing.\n\nResults\nResidents were elderly (mean age = 87.1 years) and the majority were female (61.8%). Feasibility of collecting data from multiple sources across two research sites was established. We identified resources and requirements to access and retrieve specific data elements in various settings to manage data collection processes and allocate research staff resources. We present preliminary data from NH, EMS, and ED settings.\n\nConclusions\nWhile most research in this area has focused on a unidirectional process of patient progression from one care setting to another, this study established feasibility of collecting detailed data from beginning to end of a transition across multiple settings and in multiple directions.",
            "publicationTitle": "BMC Health Services Research",
            "publisher": "",
            "place": "",
            "date": "2013-12-14",
            "volume": "13",
            "issue": "",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "515",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "BMC Health Serv Res",
            "DOI": "10.1186/1472-6963-13-515",
            "citationKey": "",
            "url": "http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3867622/",
            "accessDate": "2015-10-01T12:35:07Z",
            "PMID": "",
            "PMCID": "",
            "ISSN": "1472-6963",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "The Older Persons’ Transitions in Care (OPTIC) study",
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            "creatorSummary": "Estabrooks et al.",
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            "title": "Should we feed back research results in the midst of a study?",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Carole A",
                    "lastName": "Estabrooks"
                },
                {
                    "creatorType": "author",
                    "firstName": "Gary F",
                    "lastName": "Teare"
                },
                {
                    "creatorType": "author",
                    "firstName": "Peter G",
                    "lastName": "Norton"
                }
            ],
            "abstractNote": "Background\nThis report is an introduction to a series of three research papers that describe the evolution of the approaches taken by the Translating Research in Elder Care (TREC) research team during its first four years to feed back the research findings to study participants. TREC is an observational multi-method health services research project underway in 36 nursing homes in the prairie provinces of Canada. TREC has actively involved decision makers from the sector in all stages from initial planning, through data collection to dissemination activities. However, it was not planned as a fully integrated knowledge translation project. These three papers describe our progress towards fully integrated knowledge translation—with respect to timely and requested feedback processes. The first paper reports on the process and outcomes of creating and evaluating the feedback of research findings to healthcare aides (unregulated health professionals). These aides provide over 80% of the direct care in our sample and actively requested the feedback as a condition of their continued cooperation in the data acquisition process. The second paper describes feedback from nursing home administrators on preliminary research findings (a facility annual report) and evaluation of the reports’ utility. The third paper discusses an approach to providing a more in-depth form of feedback (expanded feedback report) at one of the TREC nursing homes.\n\nFindings\nSurvey and interview feedback from healthcare aides is presented in the first paper. Overall, healthcare aides’ opinions about presentation of the feedback report and the understand ability, usability, and usefulness of the content were positive. The second paper describes the use of telephone interviews with facility administrators and indicates that the majority of contextual areas (e.g., staff job satisfaction) addressed in facility annual report to be useful, meaningful, and understandable. More than one-half of the administrators would have liked to have received information on additional areas. The third paper explores how a case study that examined how involvement with the TREC study influenced management and staff at one of the TREC nursing homes. The importance of understanding organizational routines and the impact of corporate restructuring were key themes emerging from the case study. In addition, the Director of Care suggested changes to the structure and format of the feedback report that would have improved its usefulness.\n\nConclusions\nWe believe that these findings will inform others undertaking integrated knowledge translation activities and will encourage others to become more engaged in feedback processes.",
            "publicationTitle": "Implementation Science : IS",
            "publisher": "",
            "place": "",
            "date": "2012-9-13",
            "volume": "7",
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            "partNumber": "",
            "partTitle": "",
            "pages": "87",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
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            "DOI": "10.1186/1748-5908-7-87",
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            "creatorSummary": "Boström et al.",
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            "version": 2,
            "itemType": "journalArticle",
            "title": "Nursing home administrators’ perspectives on a study feedback report: a cross sectional survey",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Anne-Marie",
                    "lastName": "Boström"
                },
                {
                    "creatorType": "author",
                    "firstName": "Lisa A",
                    "lastName": "Cranley"
                },
                {
                    "creatorType": "author",
                    "firstName": "Alison M",
                    "lastName": "Hutchinson"
                },
                {
                    "creatorType": "author",
                    "firstName": "Greta G",
                    "lastName": "Cummings"
                },
                {
                    "creatorType": "author",
                    "firstName": "Peter G",
                    "lastName": "Norton"
                },
                {
                    "creatorType": "author",
                    "firstName": "Carole A",
                    "lastName": "Estabrooks"
                }
            ],
            "abstractNote": "Background\nThis project is part of the Translating Research in Elder Care (TREC) program of research, a multi-level and longitudinal research program being conducted in 36 nursing homes in three Canadian Prairie Provinces. The overall goal of TREC is to improve the quality of care for older persons living in nursing homes and the quality of work life for care providers. The purpose of this paper is to report on development and evaluation of facility annual reports (FARs) from facility administrators’ perspectives on the usefulness, meaningfulness, and understandability of selected data from the TREC survey.\n\nMethods\nA cross sectional survey design was used in this study. The feedback reports were developed in collaboration with participating facility administrators. FARs presented results in four contextual areas: workplace culture, feedback processes, job satisfaction, and staff burnout. Six weeks after FARs were mailed to each administrator, we conducted structured telephone interviews with administrators to elicit their evaluation of the FARs. Administrators were also asked if they had taken any actions as a result of the FAR. Descriptive and inferential statistics, as well as content analysis for open-ended questions, were used to summarize findings.\n\nResults\nThirty-one facility administrators (representing thirty-two facilities) participated in the interviews. Six administrators had taken action and 18 were planning on taking action as a result of FARs. The majority found the four contextual areas addressed in FAR to be useful, meaningful, and understandable. They liked the comparisons made between data from years one and two and between their facility and other TREC study sites in their province. Twenty-two indicated that they would like to receive information on additional areas such as aggressive behaviours of residents and information sharing. Twenty-four administrators indicated that FARs contained enough information, while eight found FARs ‘too short’. Administrators who reported that the FAR contained enough information were more likely to take action within their facilities than administrators who reported that they needed more information.\n\nConclusions\nAlthough the FAR was brief, the presentation of the four contextual areas was relevant to the majority of administrators and prompted them to plan or to take action within their facility.",
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            "place": "",
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            "pages": "88",
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            },
            "creatorSummary": "Mallidou et al.",
            "parsedDate": "2013-09",
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        },
        "data": {
            "key": "DNZAQDGP",
            "version": 2,
            "itemType": "journalArticle",
            "title": "Health care aides use of time in a residential long-term care unit: A time and motion study",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Anastasia A.",
                    "lastName": "Mallidou"
                },
                {
                    "creatorType": "author",
                    "firstName": "Greta G.",
                    "lastName": "Cummings"
                },
                {
                    "creatorType": "author",
                    "firstName": "Corinne",
                    "lastName": "Schalm"
                },
                {
                    "creatorType": "author",
                    "firstName": "Carole A.",
                    "lastName": "Estabrooks"
                }
            ],
            "abstractNote": "Background\nOrganizational resources such as caregiver time use with older adults in residential long-term care facilities (nursing homes) have not been extensively studied, while levels of nurse staffing and staffing-mix are the focus of many publications on all types of healthcare organizations. Evidence shows that front-line caregivers’ sufficient working time with residents is associated with performance, excellence, comprehensive care, quality of outcomes (e.g., reductions in pressure ulcers, urinary tract infections, and falls), quality of life, cost savings, and may be affiliated with transformation of organizational culture.\nObjectives\nTo explore organizational resources in a long-term care unit within a multilevel residential facility, to measure healthcare aides’ use of time with residents, and to describe working environment and unit culture.\nMethods\nAn observational pilot study was conducted in a Canadian urban 52-bed long-term care unit within a faith-based residential multilevel care facility. A convenience sample of seven healthcare aides consented to participate. To collect the data, we used an observational sheet (to monitor caregiver time use on certain activities such as personal care, assisting with eating, socializing, helping residents to be involved in therapeutic activities, paperwork, networking, personal time, and others), semi-structured interview (to assess caregiver perceptions of their working environment), and field notes (to illustrate the unit culture). Three hundred and eighty seven hours of observation were completed.\nResults\nThe findings indicate that healthcare aides spent most of their working time (on an eight-hour day-shift) in “personal care” (52%) and in “other” activities (23%). One-to-three minute activities consumed about 35% of the time spent in personal care and 20% of time spent in assisting with eating. Overall, caregivers’ time spent socializing was less than 1%, about 6% in networking, and less than 4% in paperwork.\nConclusions\nRe-organizing healthcare aides’ routine practices may minimize the short one-to-three minute intervals spent on direct care activities, which can be interpreted as interruptions to continuity of care or waste of time. Fewer interruptions may allow healthcare aides to use their time with residents more effectively.",
            "publicationTitle": "International Journal of Nursing Studies",
            "publisher": "",
            "place": "",
            "date": "September 2013",
            "volume": "50",
            "issue": "9",
            "section": "",
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            "pages": "1229-1239",
            "series": "Special Issue IMPROVING THE CARE OF OLDER PERSONS",
            "seriesTitle": "",
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            "journalAbbreviation": "International Journal of Nursing Studies",
            "DOI": "10.1016/j.ijnurstu.2012.12.009",
            "citationKey": "",
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            "creatorSummary": "Seers et al.",
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            "title": "FIRE (facilitating implementation of research evidence): a study protocol",
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                {
                    "creatorType": "author",
                    "firstName": "Kate",
                    "lastName": "Seers"
                },
                {
                    "creatorType": "author",
                    "firstName": "Karen",
                    "lastName": "Cox"
                },
                {
                    "creatorType": "author",
                    "firstName": "Nicola J",
                    "lastName": "Crichton"
                },
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                    "creatorType": "author",
                    "firstName": "Rhiannon Tudor",
                    "lastName": "Edwards"
                },
                {
                    "creatorType": "author",
                    "firstName": "Ann Catrine",
                    "lastName": "Eldh"
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                {
                    "creatorType": "author",
                    "firstName": "Carole A",
                    "lastName": "Estabrooks"
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                    "creatorType": "author",
                    "firstName": "Gill",
                    "lastName": "Harvey"
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                    "firstName": "Claire",
                    "lastName": "Hawkes"
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                {
                    "creatorType": "author",
                    "firstName": "Alison",
                    "lastName": "Kitson"
                },
                {
                    "creatorType": "author",
                    "firstName": "Pat",
                    "lastName": "Linck"
                },
                {
                    "creatorType": "author",
                    "firstName": "Geraldine",
                    "lastName": "McCarthy"
                },
                {
                    "creatorType": "author",
                    "firstName": "Brendan",
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                },
                {
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                    "lastName": "Mockford"
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                    "creatorType": "author",
                    "firstName": "Jo",
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                },
                {
                    "creatorType": "author",
                    "firstName": "Angie",
                    "lastName": "Titchen"
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                    "firstName": "Lars",
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            "publicationTitle": "Implementation Science : IS",
            "publisher": "",
            "place": "",
            "date": "2012-3-27",
            "volume": "7",
            "issue": "",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "25",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
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            "PMID": "",
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            "ISSN": "1748-5908",
            "archive": "",
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            "rights": "",
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            "title": "Insights into the impact and use of research results in a residential long-term care facility: a case study",
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                    "firstName": "Lisa A",
                    "lastName": "Cranley"
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                    "firstName": "Judy M",
                    "lastName": "Birdsell"
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                    "firstName": "Peter G",
                    "lastName": "Norton"
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                    "firstName": "Debra G",
                    "lastName": "Morgan"
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                    "firstName": "Carole A",
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            "abstractNote": "Background\nEngaging end-users of research in the process of disseminating findings may increase the relevance of findings and their impact for users. We report findings from a case study that explored how involvement with the Translating Research in Elder Care (TREC) study influenced management and staff at one of 36 TREC facilities. We conducted the study at ‘Restwood’ (pseudonym) nursing home because the Director of Care engaged actively in the study and TREC data showed that this site differed on some areas from other nursing homes in the province. The aims of the case study were two-fold: to gain a better understanding of how frontline staff engage with the research process, and to gain a better understanding of how to share more detailed research results with management.\n\nMethods\nWe developed an Expanded Feedback Report for use during this study. In it, we presented survey results that compared Restwood to the best performing site on all variables and participating sites in the province. Data were collected regarding the Expanded Feedback Report through interviews with management. Data from staff were collected through interviews and observation. We used content analysis to derive themes to describe key aspects related to the study aims.\n\nResults\nWe observed the importance of understanding organizational routines and the impact of key events in the facility’s environment. We gleaned additional information that validated findings from prior feedback mechanisms within TREC. Another predominant theme was the sense that the opportunity to engage in a research process was reaffirming for staff (particularly healthcare aides)—what they did and said mattered, and TREC provided a means of having one’s voice heard. We gained valuable insight from the Director of Care about how to structure and format more detailed findings to assist with interpretation and use of results.\n\nConclusions\nFour themes emerged regarding staff engagement with the research process: sharing feedback reports from the TREC study; the meaning of TREC to staff; understanding organizational context; and using the study feedback for improvement at Restwood. This study has lessons for researchers on how to share research results with study participants, including management.",
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            "date": "2012-9-13",
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            "pages": "90",
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