umu.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Publications (4 of 4) Show all publications
Edvardsson, D., Baxter, R., Corneliusson, L., Anderson, R. A., Beeber, A., Boas, P. V., . . . Zuniga, F. (2019). Advancing Long-Term Care Science Through Using Common Data Elements: Candidate Measures for Care Outcomes of Personhood, Well-Being, and Quality of Life. Gerontology and geriatric medicine, 5
Open this publication in new window or tab >>Advancing Long-Term Care Science Through Using Common Data Elements: Candidate Measures for Care Outcomes of Personhood, Well-Being, and Quality of Life
Show others...
2019 (English)In: Gerontology and geriatric medicine, E-ISSN 2333-7214, Vol. 5Article in journal (Refereed) Published
Abstract [en]

To support the development of internationally comparable common data elements (CDEs) that can be used to measure essential aspects of long-term care (LTC) across low-, middle-, and high-income countries, a group of researchers in medicine, nursing, behavioral, and social sciences from 21 different countries have joined forces and launched the Worldwide Elements to Harmonize Research in LTC Living Environments (WE-THRIVE) initiative. This initiative aims to develop a common data infrastructure for international use across the domains of organizational context, workforce and staffing, person-centered care, and care outcomes, as these are critical to LTC quality, experiences, and outcomes. This article reports measurement recommendations for the care outcomes domain, focusing on previously prioritized care outcomes concepts of well-being, quality of life (QoL), and personhood for residents in LTC. Through literature review and expert ranking, we recommend nine measures of well-being, QoL, and personhood, as a basis for developing CDEs for long-term care outcomes across countries. Data in LTC have often included deficit-oriented measures; while important, reductions do not necessarily mean that residents are concurrently experiencing well-being. Enhancing measurement efforts with the inclusion of these positive LTC outcomes across countries would facilitate international LTC research and align with global shifts toward healthy aging and person-centered LTC models.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
long-term care, care homes, measurement, personhood, quality of life, well-being
National Category
Gerontology, specialising in Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:umu:diva-161865 (URN)10.1177/2333721419842672 (DOI)000475377200001 ()31106240 (PubMedID)
Available from: 2019-08-06 Created: 2019-08-06 Last updated: 2019-08-29Bibliographically approved
Baxter, R., Björk, S. & Edvardsson, D. (2019). Commentary on: Sullivan and Willis (2018). Towards Changing the Long-Term Care (LTC) Paradigm: Explicating the Concept of Thriving in Older Adults Living in LTC [Letter to the editor]. Issues in Mental Health Nursing, 40(7), 639-640
Open this publication in new window or tab >>Commentary on: Sullivan and Willis (2018). Towards Changing the Long-Term Care (LTC) Paradigm: Explicating the Concept of Thriving in Older Adults Living in LTC
2019 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 40, no 7, p. 639-640Article in journal, Letter (Refereed) Published
Place, publisher, year, edition, pages
TAYLOR & FRANCIS INC, 2019
National Category
Psychiatry Nursing
Identifiers
urn:nbn:se:umu:diva-162335 (URN)10.1080/01612840.2019.1590486 (DOI)000477964200014 ()31135240 (PubMedID)
Available from: 2019-08-20 Created: 2019-08-20 Last updated: 2019-08-29Bibliographically approved
Baxter, R., Lövheim, H., Björk, S., Sköldunger, A., Lindkvist, M., Sjögren, K., . . . Edvardsson, D. (2019). The Thriving of Older People Assessment Scale: Psychometric evaluation and short‐form development. Journal of Advanced Nursing
Open this publication in new window or tab >>The Thriving of Older People Assessment Scale: Psychometric evaluation and short‐form development
Show others...
2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim: To evaluate the psychometric properties and performance of the 32‐item Thriving of Older People Assessment Scale (TOPAS) and to explore reduction into a short‐form.

Background: The 32‐item TOPAS has been used in studies of place‐related well‐being as a positive measure in long‐term care to assess nursing home resident thriving; however, item redundancy has not previously been explored.

Design: Cross‐sectional.

Method: Staff members completed the 32‐item TOPAS as proxy‐raters for a random sample of Swedish nursing home residents (N = 4,831) between November 2013 and September 2014. Reliability analysis, exploratory factor analysis and item response theory‐based analysis were undertaken. Items were systematically identified for reduction using statistical and theoretical analysis. Correlation testing, means comparison and model fit evaluation confirmed scale equivalence.

Results: Psychometric properties of the 32‐item TOPAS were satisfactory and several items were identified for scale reduction. The proposed short‐form TOPAS exhibited a high level of internal consistency (α=0.90) and strong correlation (r=0.98) to the original scale, while also retaining diversity among items in terms of factor structure and item difficulties.

Conclusion: The 32‐item and short‐form TOPAS' indicated sound validity and reliability to measure resident thriving in the nursing home context.

Impact: There is a lack of positive life‐world measures for use in nursing homes. The short‐form TOPAS indicated sound validity and reliability to measure resident thriving, providing a feasible measure with enhanced functionality for use in aged care research, assessments and care planning for health promoting purposes in nursing homes.

Keywords
instrument development, scale reduction, psychometrics, thriving, TOPAS, place‐related well‐being, nursing home residents, long‐term care, nursing
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-162729 (URN)10.1111/jan.14180 (DOI)31441533 (PubMedID)
Available from: 2019-08-27 Created: 2019-08-27 Last updated: 2019-08-30
Baxter, R. & Edvardsson, D. (2018). Impact of a critical care postgraduate certificate course on nurses' self-reported competence and confidence: A quasi-experimental study. Nurse Education Today, 65, 156-161
Open this publication in new window or tab >>Impact of a critical care postgraduate certificate course on nurses' self-reported competence and confidence: A quasi-experimental study
2018 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 65, p. 156-161Article in journal (Refereed) Published
Abstract [en]

Background: Postgraduate education is said to support the development of nurses' professional competence and confidence, essential to the delivery of safe and effective care. However, there is a shortness of empirical evidence to demonstrate an increase to nurses' self-reported confidence and competence on completion of critical care postgraduate certificate-level education.

Objectives: To explore the impact of a critical care postgraduate certificate course on nurses' self-reported competence and confidence. To explore the psychometric properties and performance of the Critical Care Competence and Confidence Questionnaire.

Design: A quasi-experimental pre/post-test design.

Participants: A total population sample of nurses completing a critical care postgraduate certificate course at an Australian University.

Methods: The Critical Care Competence and Confidence Questionnaire was developed for this study to measure nurses' self-reported competence and confidence at baseline and follow up. Descriptive and inferential statistics were used to explore sample characteristics and changes between baseline and follow-up. Reliability of the questionnaire was explored using Cronbach's Alpha and item-total correlations.

Results: There was a statistically significant increase in competence and confidence between baseline and follow-up across all questionnaire domains. Satisfactory reliability estimates were found for the questionnaire.

Conclusions: Completion of a critical care postgraduate certificate course significantly increased nurses' perceived competence and confidence. The Critical Care Competence and Confidence Questionnaire was found to be psychometrically sound for measuring nurses' self-reported competence and confidence.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Nursing, Competence, Confidence, Critical care, Postgraduate, Education, Self-report, Quasi- perimental
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-148013 (URN)10.1016/j.nedt.2018.03.004 (DOI)000431747100025 ()29579568 (PubMedID)
Available from: 2018-05-30 Created: 2018-05-30 Last updated: 2019-08-29Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-6595-6298

Search in DiVA

Show all publications