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NCT07068009

Training and Support Programme on Data-driven Quality Development for Swiss Long-Term Care Facilities (NIP-Q-UPGRADE Subaim 2.6)

Sponsor: Institut et Haute Ecole de la Santé la Source

View on ClinicalTrials.gov

Summary

Since 2019, long-term care facilities (LTCFs) in Switzerland have been required by the Federal Insurance Law (KVG, Art. 59a) to report data for the calculation and public reporting of medical quality indicators (MQIs) in four clinical domains: polypharmacy, pain, malnutrition, and physical restraints. This data serves both for monitoring care quality at the national level through public reporting and for internal quality development. Contextual analysis showed that various quality development methods are already known and used in Swiss LTCFs. However, significant challenges remain: limited resources, time constraints, and restricted access to MQI data hinder effective use. Facilities reported a greater need for support in using MQI data. They also expressed interest in peer networking, structured support for applying quality methods (such as Plan Do Check Act cycles (PDCA)), and practical tools such as training, best-practice examples, and additional resources. Residents and relatives also expressed a strong interest in being more involved in decision-making and care quality discussions. The overall aim of the current study is to test a quality development training programme that supports LTCFs in using MQI data for continuous data-driven care quality development. The study is structured into three thematic areas: 1. MQI Results Literacy - Supporting LTCFs in interpreting MQI reports and benchmarks. 2. Impactful Actions - Supporting LTCFs to translate MQI results into concrete quality development actions using PDCA cycles. 3. Sparking Culture - Integrating data-driven quality development into everyday practice and fostering a culture of continuous development, with a strong emphasis on strengthening the involvement of residents, relatives, and leadership. The study follows a train-the-trainer strategy. Trainers instructed by the NIP-Q-UPGRADE research team provide structured training and coaching to Quality Leaders and management representatives of LTCFs. Quality Leaders then support their co-workers in quality development. The training programme consists of online and in-person trainings, training materials, practical tools, a website, guided tasks for facilities, and an email helpdesk for ongoing support. Study outcomes: This sub-study of the NIP-Q-UPGRADE programme aims to assess the acceptability, feasibility, fidelity, and costs related to the training programme, both at the facility level and at the trainer level.

Official title: Testing the Training Programme on Data-driven Quality Development for Swiss Long-Term Care Facilities: A Pilot Study Within the National Implementation Programme NIP-Q-UPGRADE

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

Start Date

2025-03-21

Completion Date

2025-11-30

Last Updated

2025-07-16

Healthy Volunteers

Yes

Conditions

Training Quality of Care Quality Indicators, Health Care Long Term Care Pain Assessment Malnutrition in Elderly Weight Loss Physical Restraints Benchmark

Interventions

BEHAVIORAL

Training and Support Programme on Data-driven Quality Development

The training and support program uses a train-the-trainer strategy. The research team: * develop training and support materials * organize an e-mail helpdesk support * organize and conduct the scientific examination The external training providers: \- train the management representatives and the quality leaders. The quality leader and the manager: * elaborate and test a quality development project based on one MQI with PDCA cycle * animate interprofessional meetings * organize a collective workshop with residents and relatives * engage residents and relatives in individual conversations by testing a brochure

Inclusion criteria: 1. Trainers: 1. with competence in training staff of LTCFs 2. with knowledge. on the current MQIs and PDCA cycle. 2. Long-term care facilities: 1. with a cantonal recognition as a residential long-term care facility 2. willing to implement the training and support program 3. which can nominate at least one quality leader and one management representative 3. Quality leaders: 1. Long-term care facility employees motivated to take up the role 2. having sufficient knowledge of the residents, infrastructure and care processes in the facility. 3. Ideally with experience in leadership, coordination, experience in care, datas, e.g., nurse, nurse expert, quality manager, clinical nurse specialist. 4. Management representative: 1. any level of management staff in long-term care facility e.g., Members of the direction, health, director, nursing managers, ward leaders, facility or department managers. 2. directly involved in supporting the implementation of the toolkit or exposed to its content 5. Nursing and care staff: 1. Any level of nursing or care staff e.g., registered nurses, licensed practical nurses, nurse aids, care and community health assistant, providing direct care on all the MQI themes and are in direct dialogue with residents and relatives 2. exposed to the content of the toolkit (i.e., participation in an interprofessional meeting, as a key person to co-elaborate the quality development project, participating in the testing phase of the quality development project). 6. Broader staff: 1. Any level of broader staff e.g., non-clinical staff (e.g. sociocultural, catering, hotel service, occupational therapist, chaplaincy, stewardship, administration, technical department, dietician, medical doctors, socio-cultural team, ...), who are involved in quality goals. 2. exposed to the content of the toolkit (i.e., participation in an interprofessional meeting, as a key person to co-elaborate the quality development project, participating in the testing phase of the quality development project). 7. Residents and relatives: 1. All residents and relatives of the participating facilities who are exposed to the content of the toolkit (i.e., brochure, participating in the workshop for residents and relatives). Exclusion criteria: 1\. LTCFs that are participants of the study "Data Quality and National Quality Indicators in Long-term Care Facilities: a Validation Study and Evaluation Study"

Locations (3)

Institut für Pflegewissenschaft - Nursing Science (INS), University of Basel

Basel, Basel, Switzerland

Institute and School of Nursing La Source, HES-SO University of Applied Sciences Western Switzerland

Lausanne, Canton of Vaud, Switzerland

Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland (SUPSI)

Manno, Canton Ticino, Switzerland