Table 1 Overview of focus groups and interviews and specifications
Participant group | Research method | Inclusion/exclusion criteria | Participants | Focus | Important (decisional) information |
|---|---|---|---|---|---|
Nursing staff | Focus group 1 *September 2019 Focus group 2 *October 2021 Both focus groups lasted 90 min | All nursing staff of the nursing home were eligible for inclusion and recruited through the manager of the nursing home | Focus group 1 *Certified nursing assistents (n = 2) *Age = 33 en 49 years *Working experience in care = 16 and 30 *All female Focus group 2 *Certified nursing assistants (n = 4), care assistants (n = 2) and a recreational therapist (n = 1) *Age = 49–65 *Working experience in care = 3-34years *All female | Focus group 1 *Quality improvement project *Perspectives on autonomy and freedom See Additional File 2 for the interview guide **Part of larger research project, see earlier publication [7] Focus group 2 *Quality improvement project from the ‘individuals involved’-perspective of the CFIR *Questions derived from earlier collected data See Additional File 2 for interview guide | The research team specifically asked for a mix in job function, experience in care and years of employment at the nursing home to ensure an accurate reflection of the entire group of nursing staff was invited |
Nursing staff | Questionnaires *June 2018 *May 2021 | All nursing staff working at the nursing home were eligible for inclusion | 2018 *n = 18 2021 *n = 14 | *Perspective on long-term dementia care and quality improvement project *Social connections with the local community *Attitude towards persons with dementia | The questionnaires were placed in the office of the nursing staff. It is therefore unknown how many questionnaires were handed out |
Management | Three focus groups *October 2019 *March 2021 *November 2021 All focus groups lasted 2 h | Participants were only eligible for inclusion if they had a position in management within the care organisation/nursing home | 4 to 6 participants with either a policy, management or director position | An interview guide was used based on the five domains of the CFIR [9] and information retrieved from other research methods See Additional File 3 | - |
Family members | Three online and telephone interviews in November 2021 All interviews lasted 30 min | All family members of nursing home residents with dementia were eligible for inclusion and invited through a letter | *Spouse (n = 1) *Child (n = 1) *Informal caregiver (n = 1) All participants were connected to different residents | *Experiences with and attitudes towards the changes *The implications of the changes for the residents *The implications of the merge for the (intended) changes | The response was too low to organise a focus group. To ensure an informal setting, but at the same time describe the information provided accurately, summaries were made directly after the interviews, including the field notes of the researcher |
Family members | Questionnaires *May 2018 *October 2021 | “ “ | 2018 *9/56 2021 *16/50 | *Health of their relative *Social connections with nursing staff *Perspective on the quality improvement project **Regarding social connections: part of larger research project, publication currently under review | - |
Residents | Six ‘Go-along’ interviews *June 2018 (2 interviews) *October 2021 (4 interviews) Interviews took 45–60 min | *All residents with dementia that lived in the nursing home were eligible for inclusion *Written consent from family members *Interview only took place when residents agreed upon invitation | *1 male *5 female | To gain insight into how residents experience their environment and whether they see a connection with their own personal life | *A form of in-depth qualitative research to explore the experiences of persons with their familiar environment [26]. *As persons with dementia often express extensive forms of non-verbal communication, summaries of the interviews were made instead of recordings, including field notes and observations |
Community members *June 2018 *October 2021 | Questionnaires *June 2018 *October 2021 | Community members that live in close proximity of the nursing home | 2018 *141/250 2021 *63/340 | *Social connections of community members with residents and staff *Frequency of visits to the nursing home *Perspective on the quality improvement project **Regarding social connections: part of larger research project, publication currently under review | The questionnaire for the community members was developed in cooperation with the nursing home |