Applying Implementation Science Frameworks to Deliver Interventions in the Nursing Home Setting

Chair(s)

• 

  Katherine Abbott, PhD, FGSA, MGS (she/her/hers)

  Executive Director, Scripps Gerontology Center Professor, Department of Sociology & Gerontology
  Scripps Gerontology Center
  Miami University's
  Oxford, Ohio, United States

Discussant(s)

• 

  Kathleen Unroe, MD, MHA, MS

  Professor
  Medicine
  Indiana University
  Indianapolis, Indiana, United States

Individual Symposium Abstract First Author(s)

• JC

  Joan Carpenter, PhD, CRNP, ACHPN, FPCN

  Associate Professor
  School of Nursing
  University of Maryland, Baltimore
  Baltimore, Maryland, United States
• 

  Natalie Douglas, PhD, CCC-SLP (she/her/hers)

  Associate Professor
  Communication Sciences and Disorders
  University of Louisiana at Lafayette
  Lafayette, Louisiana, United States
• 

  Gail Towsley, PhD, FGSA (she/her/hers)

  Professor
  Nursing
  University of Utah
  Salt Lake City, Utah, United States

Approximately 1.2 million people reside in more than 15,000 nursing homes (NH) in the United States. The 2022 NASEM report on NH quality identified persistent issues to the provision of high-quality NH care in the United States. To improve NH quality, implementation science (IS) theories, methods, and frameworks are necessary to close the gap in delays of evidence based therapies and models of care reaching NH residents. This symposium highlights IS work in the NH setting that seeks to improve the quality of care delivered. Our first presentation reports findings on the pre-implementation work of a five-year VA funded study to ensure documentation of life sustaining treatment with over n=50 clinical and administrative staff. The second presentation utilizes the Practical, Robust Implementation and Sustainability Model (PRISM) to identify factors to consider before intervention implementation with results from n=5 focus groups with 27 NH Staff. The third presentation describes the modifications n=23 NH providers made to the Individualized Positive Psychosocial Interaction as well as their motivations behind the modifications via the Framework for Reporting Adaptations and Modifications to Evidence-Based Implementation Strategies. The fourth presentation reports findings from n=6 focus group sessions representing n=23 people living with dementia, their care partners and NH staff using the Readiness Assessment Pragmatic Trial Model to inform what mattered to them when implementing and evaluating a remote format of Me & My Wishes. The Discussant, Dr. Kathleen Unroe, will discuss the implications to advancing IS as well as the applicability of IS in the NH setting.
Research in Quality of Care Interest Group Sponsored Symposium

Presentations:

• 10:00 AM – 11:30 AM PST

  Preimplementation of a Quality Improvement Program for Veterans Living in Community Nursing Homes
  

  Individual Symposium Abstract First Author: Joan Carpenter, PhD, CRNP, ACHPN, FPCN – University of Maryland, Baltimore
• 10:00 AM – 11:30 AM PST

  Supporting the Uptake of Person-Centered Communication Strategies in Nursing Homes Using the PRISM
  

  Individual Symposium Abstract First Author: Natalie Douglas, PhD, CCC-SLP (she/her/hers) – University of Louisiana at Lafayette
• 10:00 AM – 11:30 AM PST

  Engaging People Living With Dementia, Care Partners, and Staff to Inform Remote Me and My Wishes
  

  Individual Symposium Abstract First Author: Gail L. Towsley, PhD, FGSA (she/her/hers) – University of Utah
• 10:00 AM – 11:30 AM PST

  “You Have to Use Your Imagination”: Nursing Home Provider Modifications to Implementing the IPPI