My program of research is best described as improvement science with a specific focus on care of frail, older adults. Improvement science determines which strategies work best to improve quality of care, quality of life, quality of work life, and quality of healthcare systems.
Areas I have been focusing on in my research include:
- Modifiable features of work environments (organizational context) and how they can be utilized to improve outcomes for older adults in need of care and their paid caregivers
- Strategies to improve the quality of oral health assessments and oral health care in nursing home residents
- Quality of work life (e.g., physical/mental health, burnout, job satisfaction) for nursing home care staff
- Burdensome symptoms and potentially inappropriate care at the end of life of older adults
- Pragmatic intervention trials to test the effectiveness of innovative improvement strategies
- Analysis of long term care policies and their intended and unintended consequences for people in need of care, professional and family/friend caregivers, and the healthcare system
I have experience and interest in a variety of quantitative and qualitative methodologies. I have done scoping reviews, systematic reviews and meta analyses, I have experience with qualitative approaches (Grounded Theory, thematic analyses), and I am particularly strong in quantitative methods using large data bases. I have advanced skills in the development and psychometric testing of research tools. I have a particular interest in innovative, pragmatic intervention trial designs - especially in combination with comprehensive process evaluations, using a mixed methods approach to better understand how and why improvement processes are or are not successful and how intervention fidelity and implementation are associated with intervention effectiveness.