Lian Tijsen

156 Chapter 6 rehabilitation, i.e., nurses, physicians and therapists. (19) This resulted in an interdisciplinary assessment of CRE and associated interdisciplinary improvement plans. The response rate for this study is very high in both the rating of the CREATE-tool (80%) and the team meetings (80%), as well as the evaluation survey (76%). In organizational research the average response rate for studies that utilize data collected from individuals is 52.7% with a standard deviation of 20.4. (20) Conclusion The self-evaluation tool for a Challenging Rehabilitation Environment tested in this study is based on an evidence-based conceptualization. It has proven to identify areas for improvement for geriatric rehabilitation wards and has a feasible methodology. With the use of the CREATE-tool, rehabilitation wards can improve their CRE, and therefore improve the quality of geriatric rehabilitation. This study was designed to test the feasibility of the CREATE- tool to identify areas of improvement regarding CRE. The aim was not to test whether the tool can be used to distinguish departments in terms of the development of their CRE, or to investigate whether there is a need for a specific phasing in implementing the statements and clusters. We recommend further research based on data from multiple departments, to investigate results between departments and possible phasing.

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