scholarly journals Measuring What Matters Across International Long-Term Care Settings

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 160-160
Author(s):  
Kirsten Corazzini ◽  
Michael Lepore
Keyword(s):  
Long Term Care ◽  
Assessment Tool ◽  
Term Care ◽  
Common Data Elements ◽  
Person Centered Care ◽  
Care Assessment ◽  
Centered Care ◽  
Data Elements ◽  
What Matters

Abstract Measuring what matters most to residents, relatives and staff in residential long-term care settings is critical, yet underdeveloped in our predominantly frailty and deficits-focused measurement frameworks. The Worldwide Elements to Harmonize Research in Long-Term Care Living Environments (WE-THRIVE) consortium has previously prioritized measurement concepts in the areas of care outcomes, workforce and staffing, person-centered care, and care context. These concepts include knowing the resident and what matters most to the resident, and outcomes such as quality of life, and personhood. We present findings of our currently recommended measures, including both general population and dementia-specific measures, such as the Person-Centered Care Assessment Tool (PCAT), the Personhood in Dementia Questionnaire (PDQ), and the ICEpop CAPability Measure for Older People (ICECAP-O). We also describe remaining gaps in existing measures that will need to be addressed to fully specify common data elements focused on measuring what matters most to residents, relatives and staff.

scholarly journals Toward Common Data Elements for International Research in Long-term Care Homes: Advancing Person-Centered Care

2019 ◽  
Vol 20 (5) ◽  
pp. 598-603 ◽  
Author(s):  
Kirsten N. Corazzini ◽  
Ruth A. Anderson ◽  
Barbara J. Bowers ◽  
Charlene H. Chu ◽  
David Edvardsson ◽  
...  
Keyword(s):  
International Research ◽  
Long Term Care ◽  
Care Homes ◽  
Term Care ◽  
Common Data Elements ◽  
Person Centered Care ◽  
Centered Care ◽  
Data Elements

scholarly journals Measuring What Matters in Long-Term Care: Common Data Elements in Brazil, China, and the United States

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 160-160
Author(s):  
Michael Lepore ◽  
Kirsten Corazzini ◽  
Sheryl Zimmerman
Keyword(s):  
Healthy Aging ◽  
Long Term Care ◽  
The United States ◽  
Term Care ◽  
Common Data Elements ◽  
Low Resource ◽  
Person Centered Care ◽  
Centered Care ◽  
Data Elements

Abstract Internationally sharable common data elements on residential long-term care (LTC) settings, such as nursing homes and assisted living facilities, can facilitate comparisons across diverse LTC settings for valuable insights on LTC regulation and oversight, practice and operations, infrastructure development, human resources issues, and quality and safety. However, such insights are predicated on the premise that data elements capture information that matters to the full LTC community, including residents, relatives and staff, and are able to be collected across diverse care settings, including low-resource contexts. A critique of much current LTC measurement is its focus on deficits and loss, rather than thriving, person-centered care, and healthy aging, which have been established as important to LTC communities internationally. Further, measurement burden, cultural differences in perceptions of data sharing, and data infrastructure differences are key issues for international data. An international collaborative of LTC researchers—Worldwide Elements to Harmonize Research in Long-Term Care Living Environments (WE-THRIVE)—has developed a set of common data elements that are recommended for parsimoniously assessing key outcomes, workforce and staffing, person-centered care, and the contexts within which LTC settings operate. The studies in this symposium provide insights into the validation and implementation of WE-THRIVE recommended measures in diverse, low-resource LTC contexts, including LTC settings in Brazil, China, and rural Midwest US. Study findings validate WE-THRIVE measures, and provide new knowledge to inform capacity-building for the measurement of person-centered care and healthy aging outcomes in diverse, low-resource, LTC settings.

scholarly journals Advancing International Research on Long-Term Care: Using Adaptive Leadership to Build Consensus on International Measurement Priorities and Common Data Elements

2019 ◽  
Vol 5 ◽  
pp. 233372141986472
Author(s):  
Michael Lepore ◽  
Kirsten Corazzini
Keyword(s):  
International Research ◽  
Long Term Care ◽  
Geriatric Medicine ◽  
Term Care ◽  
Common Data Elements ◽  
Person Centered Care ◽  
Special Collection ◽  
Centered Care ◽  
Data Elements

International research on long-term care (LTC) can valuably inform LTC policy and practice, but limited transnational collection of data on key LTC issues restricts the contributions of international LTC research. This special collection of Gerontology and Geriatric Medicine helps close the gap between the status quo and the potential for international LTC research by cultivating a transnational common ground of internationally prioritized measurement concepts and sowing the seeds of international LTC common data elements. The articles in this special collection address both adaptive and technical challenges to international LTC measurement, build on and complement existing LTC measurement systems, and provide diverse international perspectives on the measurement of LTC across four overarching domains: LTC contexts, workforce and staffing, person-centered care, and care outcomes. From large transnational teams of scholars specifying the meanings of central LTC concepts, to smaller subnational research teams testing new measures of person-centered care across diverse local LTC settings, contributors spark new insights and point in new directions for a LTC measurement infrastructure supportive of person-centered care and lifelong thriving.

scholarly journals Common Data Elements for Workforce and Staffing Measurements in Long-Term Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 144-145
Author(s):  
Charlene Chu ◽  
Franziska Zúñiga ◽  
Kirsten Corazzini
Keyword(s):  
Long Term Care ◽  
Quality Care ◽  
Policy And Practice ◽  
High Quality ◽  
Term Care ◽  
Common Data Elements ◽  
Centered Care ◽  
Care Outcomes ◽  
Data Elements

Abstract The workforce in residential long-term care (LTC) is key in providing high-quality, person-centered care for residents. However, low staffing and adverse staffing outcomes such as turnover or job dissatisfaction hinder the provision of high-quality care. International research can add valuable insights for policy and practice by learning from different settings and cultures. The initiative “To Harmonize Research In long-term care liVing Environments (WE-THRIVE)”, is led by an international group of LTC researchers to identify common data elements (CDE) for cross-comparative research that support older adults thriving in LTC. In this symposium, we will present an overview of the WE-THRIVE initiative with a specific focus on CDEs and measurement. The first talk will provide the context for the WE-THRIVE initiative, and discuss the collaborative and iterative processes required to develop the initial CDEs in the area of workforce and staffing. In the second talk, we will discuss which staff should be “in the house” to meet the needs of residents during and after a pandemic, and what type of workforce data system should be available to ensure the best quality outcomes for residents and carers. Next, current issues in the measurement of staffing in LTC based on a review of reviews of staffing’s relationship to quality of care will be discussed. Finally, we extend the debate to consider theoretical and empirical explanations for the relationship between staffing and quality in LTC and the promotion of person-centred care outcomes.

Person-Centered Care Training in Long-Term Care Settings: Usefulness and Facility of Transfer into Practice

2013 ◽  
Vol 32 (1) ◽  
pp. 57-72 ◽  
Author(s):  
Anabelle Viau-Guay ◽  
Marie Bellemare ◽  
Isabelle Feillou ◽  
Louis Trudel ◽  
Johanne Desrosiers ◽  
...  
Keyword(s):  
Long Term Care ◽  
Qualité Des Soins ◽  
Term Care ◽  
Person Centered Care ◽  
Centered Care ◽  
Longue Duree ◽  
Care Training ◽  
Longue Durée

RÉSUMÉLes approches de soins centrées sur la personne sont de plus en plus recommandées en vue d’améliorer la qualité des soins de longue durée. Au Québec (Canada), l’approche relationnelle de soins a été implantée dans plusieurs établissements. Cette étude porte sur le point de vue des soignants formés sur l’utilité de cette approche ainsi que sur leur capacité à la transférer en pratique. Des questionnaires comportant des questions ouvertes ont été administrés un mois après la formation (n=392). Les réponses ont été catégorisées selon une approche qualitative. Les répondants perçoivent que certaines dimensions de l’approche sont hors de leur portée ou s’opposent à leurs croyances. Ils rapportent des pressions liées aux contraintes temporelles, à leurs collègues ainsi qu’aux familles des résidents. Ces résultats indiquent que la formation ne suffit pas à transformer les pratiques. Il faut également agir sur les croyances des individus ainsi que sur les situations de travail

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