Technology Recommendations to Support Person-Centered Care in Long-Term Care Homes during the COVID-19 Pandemic and Beyond

Person-centered care (PCC) is fundamental for providing high-quality care in long-term care homes. This study aimed to evaluate the psychometric properties of an 11-item Team Member Perspectives of Person-Centered Care (TM-PCC) survey, adapted from White and colleagues (2008). In a cross-sectional study, 461 staff from four long-term care homes in Ontario, Canada, completed the TM-PCC. Construct validity and internal consistency of the TM-PCC were examined with a principal component analysis and Cronbach’s alpha coefficient. Findings revealed a three-component structure with factor 1, Supporting Social Relationships; factor 2, Familiarity with Residents’ Preferences; and factor 3, Meaningful Resident–Staff Relationships. The TM-PCC, as compared to the original survey, presented with less components (i.e., did not address Resident Autonomy, Personhood, Comfort, Work with Residents, Personal Environment, and Management Structure), yet included one new component (Meaningful Resident–Staff Relationships). The TM-PCC has a similar internal consistency (Cronbach’s alpha coefficient 0.82 vs. White et al. 0.74–0.91). The TM-PCC can be used to assess PCC from the staff’s perspective in long-term care homes.

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PSYCHOMETRIC EVALUATION OF THE TEAM MEMBER PERSPECTIVES OF PERSON-CENTERED CARE SURVEY FOR LONG-TERM CARE HOMES

Innovation in Aging ◽

10.1093/geroni/igy023.2100 ◽

2018 ◽

Vol 2 (suppl_1) ◽

pp. 567-568

Author(s):

V Boscart ◽

M Davey ◽

J Ploeg ◽

G Heckman ◽

S Dupuis ◽

...

Keyword(s):

Team Member ◽

Long Term Care ◽

Psychometric Evaluation ◽

Care Homes ◽

Term Care ◽

Person Centered Care ◽

Centered Care ◽

Care Survey

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Working Conditions Supporting Person-Centered Care of Persons Living with Dementia in Long-Term Care Homes

Innovation in Aging ◽

10.1093/geroni/igaa057.3516 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 962-962

Author(s):

Marie Savundranayagam ◽

Susan Docherty-Skippen ◽

Shalane Basque

Keyword(s):

Working Conditions ◽

Long Term Care ◽

Dementia Care ◽

Term Care ◽

Support Person ◽

Personal Support ◽

Person Centered Care ◽

Centered Care ◽

The Impact

Abstract The COVID-19 pandemic has underscored the importance of person-centered dementia care and working conditions that support such care in long-term care (LTC) home settings. Personal support workers (PSWs), known also as certified nursing assistants, provide the most direct formal care for persons living with dementia. However, little is known about the working conditions that enable person-centered care. Accordingly, the purpose of this study was to examine the working conditions and the impact of those conditions on PSWs in LTC homes. PSWs (N=39) employed at one of five LTC homes in southwestern Ontario, Canada participated in a series of one-hour focus groups before, during, and after Be-EPIC, a person-centred communication training program for formal caregivers of persons living with dementia. Using an interpretive description investigative framework, textual data from focus group conversation transcripts were open-coded into categories. Overarching themes were interpreted inductively. Study credibility was enhanced through investigator triangulation. Three themes emerged related to working conditions of PSWs: dementia care is complex, lack of trained staff to provide person-centered dementia care, and residents’ families are not situated in the residents’ care circle. Four themes emerged related to the impact of current working conditions of PSWs: occupational burnout, poor resident care, frustrated and disengaged families, and PSWs leave their role. The findings offer opportunities for employers to ameliorate working conditions to support person-centered care. We conclude with specific workplace recommendations that respond to the complexity of dementia care and the associated occupational stresses PSWs experience in the current LTC environment.

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Psychometric Evaluation of the Team Member Perspectives of Person-Centered Care (TM-PCC) Survey for Long-Term Care Homes

10.32920/14637006.v1 ◽

2021 ◽

Author(s):

Veronique M. Boscart ◽

Meaghan Davey ◽

Jenny Ploeg ◽

George Heckman ◽

Sherry Dupuis ◽

...

Keyword(s):

Internal Consistency ◽

Team Member ◽

Long Term Care ◽

Care Homes ◽

Alpha Coefficient ◽

Term Care ◽

Person Centered Care ◽

Centered Care ◽

Staff Relationships

Person-centered care (PCC) is fundamental for providing high-quality care in long-term care homes. This study aimed to evaluate the psychometric properties of an 11-item Team Member Perspectives of Person-Centered Care (TM-PCC) survey, adapted from White and colleagues (2008). In a cross-sectional study, 461 staff from four long-term care homes in Ontario, Canada, completed the TM-PCC. Construct validity and internal consistency of the TM-PCC were examined with a principal component analysis and Cronbach’s alpha coefficient. Findings revealed a three-component structure with factor 1, Supporting Social Relationships; factor 2, Familiarity with Residents’ Preferences; and factor 3, Meaningful Resident–Staff Relationships. The TM-PCC, as compared to the original survey, presented with less components (i.e., did not address Resident Autonomy, Personhood, Comfort, Work with Residents, Personal Environment, and Management Structure), yet included one new component (Meaningful Resident–Staff Relationships). The TM-PCC has a similar internal consistency (Cronbach’s alpha coefficient 0.82 vs. White et al. 0.74–0.91). The TM-PCC can be used to assess PCC from the staff’s perspective in long-term care homes.

Download Full-text