Yuan-Chien Pan, Yu-Chuan Chiu, Yu-Hsuan Lin
Development of the Problematic Mobile Gaming Questionnaire and Prevalence of Mobile Gaming Addiction Among Adolescents in Taiwan
Cyberpsychology, behavior and social networking
quality life care varies within care homes almost half million older people live half million direct care staff registered nurses care assistants work reasons complex understudied sometimes oversimplified staff work significant influence explore variations care home nursing support workforce resident relatives needs care homes linked care home staffing different staffing models impact care quality outcomes costs workforce numbers skill mix stability meet residents needs contributions care home workforce enhancing quality care staff relationships platform implementation providers mixedmethod qualquant parallel design five work packages wp1 two evidence syntheses one realist wp2 crosssectional survey routine staffing rated quality care home regulator wp3 analysis longitudinal data corporate provider staffing characteristics quality indicators including safety wp4 secondary analysis care home regulator reports wp5 social network analysis networks likely influence quality innovation expressed synthesised findings logic model english care homes without nursing various ownership structures size location varying quality ratings managers residents families care home staff staffings contribution quality personalised care requires managerial staff stability consistency sufficient staff develop familial relationships staff residents staffstaff reciprocity knowing residents skills competence training beyond induction supported wellled staff seeing modelled behaviours supervisors autonomy act outcome measures capture relationship staffing quality include extent resident needs preferences met culturally appropriate resident family satisfaction extent residents living purpose safe care including clinical outcomes staff wellbeing job satisfaction important underacknowledged many findings stem selfreported routine data known biases reporting adverse incidents analysis may reflect biases covid19 required adapting original protocol make feasible consequently effects pandemic reflected research methods findings findings based data single care home operator may generalised wider population care homes innovative multiple methods theory successfully highlight nuanced relationship staffing quality care homes modifiable characteristics visible philosophies care highquality training reinforced behavioural relational role modelling leaders make difference sufficient amounts consistent staff employed greater staffing capacity alone unlikely enhance quality costeffective manner social network analysis help identify right people aid adoption spread quality innovation future research focus richer iterative evaluative testing development logic model using theoretically empirically defensible rather available inputs outcomes study registered prospero crd42021241066 research registry registration 1062 award funded national institute health care research nihr health social care delivery research programme nihr award ref 1514429 published full health social care delivery research vol 12 8 see nihr funding awards website award information