Development of an evaluation tool for geriatric rehabilitation care

M.M. Janssen*, W. Vos, K.G. Luijkx

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background:
Geriatric rehabilitation care (GRC) is short-term and multidisciplinary rehabilitation care for older vulnerable clients. Studies were conducted about its effects. However, elements that influence the quality of GRC have not been studied previously.

Methods:
In this study realist evaluation is used to find out which are the mechanisms and outcomes and which (groups of) persons are the context for GRC, according to GRC professionals. The mechanisms, outcomes and context of GRC were explored in three consecutive phases of qualitative data gathering, i.e. individual interviews, expert meeting, and focus groups.

Results:
Eight mechanisms — client centeredness, client satisfaction during rehabilitation, therapeutic climate, information provision to client and informal care givers, consultation about the rehabilitation (process), cooperation within the MultiDisciplinary Team (MDT), professionalism of GRC professionals, and organizational aspects — were found. Four context groups—the client, his family and/or informal care giver(s), the individual GRC professional, and the MDT—were mentioned by the respondents. Last, two outcome factors were determined, i.e. client satisfaction at discharge and rehabilitation goals accomplished.

Conclusions:
In order to translate these insights into a practical tool that can be used by MDTs in the practice of GRC, identified mechanisms, contexts, and outcomes were visualized in a GRC evaluation tool. A graphic designer developed an interactive PDF which is the GRC evaluation tool. This tool may enable MDTs to discuss, prioritize, evaluate, and improve the quality of their GRC practice.

Keywords: Geriatric rehabilitation care (GRC), Quality improvement, Evaluation, Realist evaluation, Mechanisms, Context, Outcomes, GRC evaluation tool
Original languageEnglish
Article number206
Number of pages10
JournalBMC Geriatrics
Volume19
DOIs
Publication statusPublished - 2019

Fingerprint

Geriatrics
Caregivers
Focus Groups

Keywords

  • Context
  • Evaluation
  • GRC evaluation tool
  • Geriatric rehabilitation care (GRC)
  • HOME
  • MORTALITY
  • Mechanisms
  • Outcomes
  • Quality improvement
  • Realist evaluation
  • SERVICES

Cite this

@article{ab3746c7697d4c6899a310dffd0282d3,
title = "Development of an evaluation tool for geriatric rehabilitation care",
abstract = "Background: Geriatric rehabilitation care (GRC) is short-term and multidisciplinary rehabilitation care for older vulnerable clients. Studies were conducted about its effects. However, elements that influence the quality of GRC have not been studied previously.Methods: In this study realist evaluation is used to find out which are the mechanisms and outcomes and which (groups of) persons are the context for GRC, according to GRC professionals. The mechanisms, outcomes and context of GRC were explored in three consecutive phases of qualitative data gathering, i.e. individual interviews, expert meeting, and focus groups.Results: Eight mechanisms — client centeredness, client satisfaction during rehabilitation, therapeutic climate, information provision to client and informal care givers, consultation about the rehabilitation (process), cooperation within the MultiDisciplinary Team (MDT), professionalism of GRC professionals, and organizational aspects — were found. Four context groups—the client, his family and/or informal care giver(s), the individual GRC professional, and the MDT—were mentioned by the respondents. Last, two outcome factors were determined, i.e. client satisfaction at discharge and rehabilitation goals accomplished.Conclusions: In order to translate these insights into a practical tool that can be used by MDTs in the practice of GRC, identified mechanisms, contexts, and outcomes were visualized in a GRC evaluation tool. A graphic designer developed an interactive PDF which is the GRC evaluation tool. This tool may enable MDTs to discuss, prioritize, evaluate, and improve the quality of their GRC practice.Keywords: Geriatric rehabilitation care (GRC), Quality improvement, Evaluation, Realist evaluation, Mechanisms, Context, Outcomes, GRC evaluation tool",
keywords = "Context, Evaluation, GRC evaluation tool, Geriatric rehabilitation care (GRC), HOME, MORTALITY, Mechanisms, Outcomes, Quality improvement, Realist evaluation, SERVICES",
author = "M.M. Janssen and W. Vos and K.G. Luijkx",
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doi = "10.1186/s12877-019-1213-0",
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journal = "BMC Geriatrics",
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}

Development of an evaluation tool for geriatric rehabilitation care. / Janssen, M.M.; Vos, W.; Luijkx, K.G.

In: BMC Geriatrics, Vol. 19, 206, 2019.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Development of an evaluation tool for geriatric rehabilitation care

AU - Janssen, M.M.

AU - Vos, W.

AU - Luijkx, K.G.

PY - 2019

Y1 - 2019

N2 - Background: Geriatric rehabilitation care (GRC) is short-term and multidisciplinary rehabilitation care for older vulnerable clients. Studies were conducted about its effects. However, elements that influence the quality of GRC have not been studied previously.Methods: In this study realist evaluation is used to find out which are the mechanisms and outcomes and which (groups of) persons are the context for GRC, according to GRC professionals. The mechanisms, outcomes and context of GRC were explored in three consecutive phases of qualitative data gathering, i.e. individual interviews, expert meeting, and focus groups.Results: Eight mechanisms — client centeredness, client satisfaction during rehabilitation, therapeutic climate, information provision to client and informal care givers, consultation about the rehabilitation (process), cooperation within the MultiDisciplinary Team (MDT), professionalism of GRC professionals, and organizational aspects — were found. Four context groups—the client, his family and/or informal care giver(s), the individual GRC professional, and the MDT—were mentioned by the respondents. Last, two outcome factors were determined, i.e. client satisfaction at discharge and rehabilitation goals accomplished.Conclusions: In order to translate these insights into a practical tool that can be used by MDTs in the practice of GRC, identified mechanisms, contexts, and outcomes were visualized in a GRC evaluation tool. A graphic designer developed an interactive PDF which is the GRC evaluation tool. This tool may enable MDTs to discuss, prioritize, evaluate, and improve the quality of their GRC practice.Keywords: Geriatric rehabilitation care (GRC), Quality improvement, Evaluation, Realist evaluation, Mechanisms, Context, Outcomes, GRC evaluation tool

AB - Background: Geriatric rehabilitation care (GRC) is short-term and multidisciplinary rehabilitation care for older vulnerable clients. Studies were conducted about its effects. However, elements that influence the quality of GRC have not been studied previously.Methods: In this study realist evaluation is used to find out which are the mechanisms and outcomes and which (groups of) persons are the context for GRC, according to GRC professionals. The mechanisms, outcomes and context of GRC were explored in three consecutive phases of qualitative data gathering, i.e. individual interviews, expert meeting, and focus groups.Results: Eight mechanisms — client centeredness, client satisfaction during rehabilitation, therapeutic climate, information provision to client and informal care givers, consultation about the rehabilitation (process), cooperation within the MultiDisciplinary Team (MDT), professionalism of GRC professionals, and organizational aspects — were found. Four context groups—the client, his family and/or informal care giver(s), the individual GRC professional, and the MDT—were mentioned by the respondents. Last, two outcome factors were determined, i.e. client satisfaction at discharge and rehabilitation goals accomplished.Conclusions: In order to translate these insights into a practical tool that can be used by MDTs in the practice of GRC, identified mechanisms, contexts, and outcomes were visualized in a GRC evaluation tool. A graphic designer developed an interactive PDF which is the GRC evaluation tool. This tool may enable MDTs to discuss, prioritize, evaluate, and improve the quality of their GRC practice.Keywords: Geriatric rehabilitation care (GRC), Quality improvement, Evaluation, Realist evaluation, Mechanisms, Context, Outcomes, GRC evaluation tool

KW - Context

KW - Evaluation

KW - GRC evaluation tool

KW - Geriatric rehabilitation care (GRC)

KW - HOME

KW - MORTALITY

KW - Mechanisms

KW - Outcomes

KW - Quality improvement

KW - Realist evaluation

KW - SERVICES

U2 - 10.1186/s12877-019-1213-0

DO - 10.1186/s12877-019-1213-0

M3 - Article

VL - 19

JO - BMC Geriatrics

JF - BMC Geriatrics

SN - 1471-2318

M1 - 206

ER -