How to deal with context? Evaluation of the SAFE-LEAD Context tool for quality and safety in nursing home and homecare services

Elisabeth Holen-Rabbersvik*, Berit Ullebust, Eline Ree, Lene Schibevaag, Line Hurup-Thomsen, Toruun Strømme, Karina Aase, Ingunn Aase, Louise Ellis, Siri Wiig

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Background: The SAFE-LEAD Context Tool was developed for identifying contextual factors to help guide the implementation of healthcare quality and safety interventions. The SAFE-LEAD Context Tool has been tested during a 6 to 12-month intervention study in nursing homes and homecare services. The objective of this paper is to evaluate the SAFE-LEAD Context Tool, and to further develop the tool based on evaluation results.

Methods: Mapped context data from an intervention study in nursing homes and homecare services in Norway were collected and analysed using an initial two-step qualitative content analysis. A semi-structured focus group was conducted with researchers focusing on their overall experience with using the SAFE-LEAD Context Tool, followed by a workshop where the research group reached consensus on how to revise the tool.

Results: Major changes were made to the introductory and final sections of the tool to allow process documentation based on predefined categories. Minor revisions were also made, relating mainly to the consolidation and clarification of terms to better reflect our intended meaning.

Conclusion: The revised SAFE-LEAD Context 2.0 is a theoretically based, and empirically tested tool adapted for context mapping in quality and safety research interventions in nursing home and homecare services.
Original languageEnglish
Pages (from-to)87-102
Number of pages16
JournalTidsskrift for omsorgsforskning
Volume6
Issue number2
DOIs
Publication statusPublished - 20 Nov 2020

Bibliographical note

Copyright the Author(s) 2020. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • quality
  • safety
  • context
  • nursing home
  • homecare

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