Open AccessMixed-Methods Approach to Understanding Determinants of Practice Change in Skilled Nursing Facility Rehabilitation: Adapting to and Sustaining Value With Postacute Reform
Author(s) -
Allison M Gustavson,
Cherie V LeDoux,
Julie A Stutzbach,
Matthew J. Miller,
Katie J. Seidler,
Jennifer E. StevensLapsley
Publication year - 2021
Publication title -
journal of geriatric physical therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.185
H-Index - 36
eISSN - 2152-0895
pISSN - 1539-8412
DOI - 10.1519/jpt.0000000000000288
Subject(s) - rehabilitation , nursing , knowledge translation , fidelity , intervention (counseling) , focus group , psychology , perception , health care , applied psychology , medicine , theory of change , medical education , physical therapy , knowledge management , political science , business , computer science , telecommunications , marketing , law , management , neuroscience , economics
Postacute care reform is driving physical and occupational therapists in skilled nursing facilities (SNFs) to change how they deliver care to produce better outcomes in less time. However, gaps exist in understanding determinants of practice change, which limits translation of evidence into practice. This study explored what determinants impacted change in care delivery at 2 SNFs that implemented a high-intensity resistance training intervention.