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Regulated provider perceptions of feedback reports

Authors

  • Hannah M. O'Rourke RN BScN (Hons),

    PhD Student , Corresponding author
    1. Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    • Correspondence

      Hannah M. O'Rourke

      c/o Graduate Programs

      Faculty of Nursing

      4-171 Edmonton Clinic Health Academy

      11405 87 Avenue

      University of Alberta

      Edmonton

      Alberta T6G 1C9

      Canada

      E-mail: hannah.orourke@ualberta.ca

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  • Kimberly D. Fraser RN PhD,

    Assistant Professor
    1. Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
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  • Anne-Marie Boström RN PhD,

    Associate Professor, Senior Lecturer, Assistant Adjunct Professor
    1. Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
    2. Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden
    3. Department of Geriatric Medicine, Danderyd Hospital, Danderyd, Sweden
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  • Melba Andrea B. Baylon MSPH,

    Statistician
    1. Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada
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  • Anne E. Sales RN PhD

    Professor, Research Scientist
    1. School of Nursing, University of Michigan, Ann Arbor, MI, USA
    2. Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
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Abstract

Aim

This paper reports on regulated (or licensed) care providers' understanding and perceptions of feedback reports in a sample of Canadian long-term care settings using a cross-sectional survey design.

Background

Audit with feedback quality improvement studies have seldom targeted front-line providers in long-term care to receive feedback information.

Methods

Feedback reports were delivered to front-line regulated care providers in four long-term care facilities for 13 months in 2009–10. Providers completed a postfeedback survey.

Results

Most (78%) regulated care providers (= 126) understood the reports and felt they provided useful information for making changes to resident care (64%). Perceptions of the report differed, depending on the role of the regulated care provider. In multivariable logistic regression, the regulated nurses' understanding of more than half the report was negatively associated with ‘usefulness of information for changing resident care’, and perceiving the report as generally useful had a positive association.

Conclusions

Front-line regulated providers are an appropriate target for feedback reports in long-term care.

Implications for nursing management

Long-term care administrators should share unit-level information on care quality with unit-level managers and other professional front-line direct care providers.

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