Experienced Quality of Post-Acute and Long-Term Care From the Care Recipient's Perspective-A Conceptual Framework

This article aims to conceptualize experienced quality of post-acute and long-term care for older people as perceived by care recipients. An iterative literature review and consultations with stakeholders led to the development of the INDividually Experienced QUAlity of Long-term care (INDEXQUAL) framework. INDEXQUAL presents the process of an individual care experience consisting of a pre (expectations), during (experiences), and post (assessment) phase. Expectations are formed prior to an experience by personal needs, past experiences, and word-of-mouth. An experience follows, which consists of interactions between the players in the caring relationships. Lastly, this experience is assessed by addressing what happened and how it happened (perceived care services), how this influenced the care recipient's health status (perceived care outcomes), and how this made the care recipient feel (satisfaction). INDEXQUAL can serve as a framework to select or develop methods to assess experienced quality of long-term care. It can provide a framework for quality monitoring, improvement, and transparency. (C) 2019 AMDA - The Society for Post-Acute and Long-Term Care Medicine

Using PLS Path Modeling for Assessing Hierarchical Construct Models: Guidelines and Empirical Illustration

In this paper, the authors show that PLS path modeling can be used to assess a hierarchical construct model. They provide guidelines outlining four key steps to construct a hierarchical construct model using PLS path modeling. This approach is illustrated empirically using a reflective, fourth-order latent variable model of online experiential value in the context of online book and CD retailing. Moreover, the guidelines for the use of PLS path modeling to estimate parameters in a hierarchical construct model are extended beyond the scope of the empirical illustration. The findings of the empirical illustration are used to discuss the use of covariance-based SEM versus PLS path modeling. The authors conclude with the limitations of their study and suggestions for future research

Exploring SME's behavioural changes resulting from innovation policy:the effect of receiving a subsidy on intrapreneurship

Intrapreneurship is critical for small to medium-sized enterprises (SMEs), in that it enhances innovation and organizational performance. This study details how intrapreneurship develops in subsidized relative to unsubsidized SMEs. We build on behavioural additionality research, as these studies examine changes in firm behaviour that occur after the firm receives public support. Prior studies focus on the effect on external collaboration, but subsidies also can lead to organizational learning and upgraded competencies, implying the potential for changes to organizational routines. Our test of the behavioural additionality effect relies on an original longitudinal data set involving manufacturing SMEs in the Dutch province of Limburg. The data analysis combines propensity score matching with a difference-in-difference approach, which reveals a significantly higher increase in one aspect of intrapreneurship, namely strategic renewal behaviour, among SMEs that receive an innovation subsidy. The findings advance understanding of intrapreneurship and behavioural additionality effects and provide policy makers with new evidence of the added value of subsidy programmes

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

It is important to assess experienced quality of care in nursing homes, as this portrays what is important to residents and helps identify what quality improvements should focus on. Connecting Conversations is a narrative method that assesses experienced quality of care from the resident's perspective in nursing homes by having separate conversations with residents, family, and professional caregivers (triads) within a learning network. This study assessed the validity of performing the narrative method, Connecting Conversations. Trained nursing home staff (interviewers) performed the conversations in another nursing home than where they were employed. In total, 149 conversations were performed in 10 nursing homes. Findings show that experts deemed the narrative assessment method appropriate and complete to assess experienced quality of care (face validity). The questions asked appeared to capture the full construct of experienced quality of care (content validity). Additionally, there was a range in how positive conversations were and first results indicated that a nursing home scoring higher on satisfaction had more positive conversations (construct validity). More data are needed to perform additional construct validity analyses. In conclusion, Connecting Conversations shows promising results for its use as a valid narrative method to assess experienced quality of care