The Feasibility of Connecting Conversations: A Narrative Method to Assess Experienced Quality of Care in Nursing Homes from the Resident’s Perspective

Katya Sion, Hilde Verbeek, Erica de Vries, Sandra Zwakhalen, Gaby Odekerken-Schröder, Jos Schols and Jan Hamers
Additional contact information
Katya Sion: Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands
Hilde Verbeek: Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands
Erica de Vries: Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands
Sandra Zwakhalen: Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands
Gaby Odekerken-Schröder: Department of Marketing and Supply Chain Management, School of Business and Economics, Maastricht University, Tongersestraat 53, 6221 LM Maastricht, The Netherlands
Jos Schols: Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands
Jan Hamers: Department of Health Services Research, Care and Public Health Research Institute, Maastricht University, Duboisdomein 30, 6229 GT Maastricht, The Netherlands

IJERPH, 2020, vol. 17, issue 14, 1-23

Abstract: Currently, residents living in nursing homes and their caring relationships are being placed more centrally in the care experience. Experienced quality of care is influenced by the interactions between residents, family and caregivers, who each have their own experiences and needs. Connecting Conversations is a narrative method aimed at assessing experienced quality of care in nursing homes from the resident’s perspective by having separate conversations with residents, family and caregivers (triads), adopting an appreciative inquiry approach. This study presents how to use Connecting Conversations and its feasibility. Feasibility was assessed as performance completeness, protocol adherence and interviewers’ experiences. Conversations were conducted by trained nursing home staff (n = 35) who performed 275 Connecting Conversations in another nursing home than where they were employed (learning network). Findings show it is feasible to perform separate appreciative conversations with resident–family–caregiver triads by an interviewer employed in another nursing home; however, protocol adherence was sometimes challenging in conversations with residents. Interviewers valued the appreciative approach, the learning network and the depth of the separate conversations. Challenges were experienced with scheduling conversations and receiving time and support to perform the conversations. Stakeholders should continue collaboration to embed Connecting Conversations into daily practice in nursing homes.

Keywords: narrative; quality assessment; feasibility; interviews; relationship-centered care; quality of care; triad; resident perspective (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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