scholarly journals Perspectives Toward Person-Centered Long-Term Care in China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 161-161
Author(s):  
Kirsten Corazzini ◽  
Bei Wu ◽  
Jing Wang
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Advanced Dementia ◽  
Term Care ◽  
Person Centered Care ◽  
Care Facilities ◽  
Centered Care ◽  
Health Care Aides ◽  
Care Aides

Abstract Health care aides provide direct care for older residents with advanced dementia in long-term care facilities. This study aims to understand care aides’ perceptions of what is ‘good’ care, what is person-centered care, and how to provide person-centered care for older residents with advanced dementia, as preparatory work of the WE-THRIVE consortium’s efforts to develop internationally-relevant common data elements of person-centered dementia care and launch comparative research in LMICs. Semi-structured interviews were conducted with health care aides (N=35) from 2 government-owned and 2 private long-term care facilities in urban China. Directed and conventional content analysis were used, drawing upon core constructs of person-centered dementia care and Nolan’s (2006) senses framework. We found that although care aides were not trained in person-centered care, they did incorporate person-centeredness in their work by tailoring their care to the needs of older residents and facilitating interactions with residents and their peers through communication cues.

scholarly journals Providing Care for Older Residents With Dementia in Nursing Homes in China: Through the Lens of Adaptive Leadership

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 171-172
Author(s):  
Xueli Bian ◽  
Ruth Anderson ◽  
Anna Beeber ◽  
Junqiao Wang ◽  
Jing Wang
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Peer Interactions ◽  
Adaptive Leadership ◽  
Urban China ◽  
Term Care ◽  
Care Facilities ◽  
Health Care Aides ◽  
Care Aides

Abstract This study aims to understand staff’s experiences of providing direct care for older residents with advanced dementia in long-term care facilities through the lens of Adaptive Leadership Framework for Chronic Illness (ALFCI). Semi-structured interviews were conducted with health care aides (N=35) from 2 government-owned and 2 private long-term care facilities in urban China. Directed and conventional content analysis were used, drawing upon core constructs of ALFCI. We found that health care aides are confronted with multiple challenges such as high intensity of work, stress from managing older residents’ behavioral and psychological symptoms of dementia (BPSD), a lack of access to on-the-job dementia-specific training, and a lack of support from nurses and managing team. Some of the health care aides demonstrated use of their strengths and doing adaptive work to improve work life and care for older residents by using communication cues, enhancing person-centeredness in their care, and facilitate peer interactions.

scholarly journals Should Health Care Aides Assist With Medications in Long-Term Care?

2016 ◽  
Vol 2 ◽  
pp. 233372141664913 ◽  
Author(s):  
Mubashir Arain ◽  
Siegrid Deutschlander ◽  
Mahnoush Rostami ◽  
Esther Suter
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Term Care ◽  
Health Care Aides ◽  
Care Aides

scholarly journals 514 - Practice-based intervention to implement Person Centered care in long-term care facilities for people with Dementia

2021 ◽  
Vol 33 (S1) ◽  
pp. 64-65
Author(s):  
Claudia Van Der Velden ◽  
Henriëtte G. Van Der Roest
Keyword(s):  
Healthcare Professionals ◽  
Long Term Care ◽  
Term Care ◽  
Person Centered Care ◽  
People With Dementia ◽  
Care Facilities ◽  
Centered Care ◽  
E Learning

Healthcare professionals working with people with dementia (PwD) have increasingly been moving away from task-oriented models of healthcare towards person-centered care (PCC). Several studies have showed positive results of PCC on quality of life of PwD. Also, it shows positive effects on self-esteem and work satisfaction of healthcare professionals (HCP).We developed an successful practice-oriented intervention to implement PCC in long-term care facilities (LTCFs), based on the theory of Kitwood. The intervention consists of different components and learning methods: 1)Management of the facility is trained. They have an important role in motivating HCPs and safeguarding PCC-policy in the future.2)Dementia Care Mapping (DCM)-observations are carried out to gain understanding of the LTCF. DCM is an evidence-based observational method and aims to give a good understanding of the quality of life of PwD.3)The training of staff starts with a Kick-off-meeting. During a ‘Mirror theater’ with professional actors, an act representing a familiar care situation is performed. Staff participates in the act to become aware of PCC. The kick-off also serves as a warming-up on PCC knowledge.4)After this, staff complete an interactive e-learning on the basic theory of PCC. The e-learning contains practical videos and exercises.5)Finally, staff follow two consecutive, practical-oriented team-trainings. They will learn what PCC means for their daily practice and how to reflect on it. The most effective part is the reflection on examples of their own clients, and get more aware of their own behavior. In between trainings, HCP will carry out a practice exercise and provide feedback in session two.In an early stage of the intervention we discuss the possibilities and adjust the approach to the needs and situation (culture, level of knowledge etc.) of the LTCF. Involvement of all the staff in the intervention is essential, so everyone speaks the same ‘language’ and staff can rely on each other. Based on experience, these factors contributes to a sustainable way to implement PCC in LTCFs.

scholarly journals The evolving role of health care aides in the long-term care and home and community care sectors in Canada

2013 ◽  
Vol 11 (1) ◽  
Author(s):  
Whitney Berta ◽  
Audrey Laporte ◽  
Raisa Deber ◽  
Andrea Baumann ◽  
Brenda Gamble
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Community Care ◽  
Term Care ◽  
Home And Community Care ◽  
Health Care Aides ◽  
Care Aides

scholarly journals PERSON-CENTERED CARE (PCC) PRACTICES AND EATING ASSISTANCE IN CANADIAN LONG-TERM CARE FACILITIES

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 852-853
Author(s):  
S. Wu ◽  
S. Slaughter ◽  
J. Morrison ◽  
H.H. Keller
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Person Centered Care ◽  
Care Facilities ◽  
Centered Care

scholarly journals Person-Centered Care for Older Adults living in Long-term care facilities: A Systematic Literature Review

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Jasmine Yee ◽  
Marina Celly Martins Ribeiro Souza ◽  
Natália de Cássia Horta ◽  
Constance Kartoz
Keyword(s):  
Older Adults ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Long Term Care ◽  
Term Care ◽  
Person Centered Care ◽  
Care Facilities ◽  
Centered Care

Person-centered care (PCC) is the empowering approach of ho-listic care that shifts from a traditional biomedical framework to one that emphasizes older adults’ personalized preferences, abilities, and strengths. This systematic literature review aimed to describe the current status of research on PCC for older adults living in long-term care facilities (LTCFs). The method that conducted the search involved using 5 consistent keywords along with adding various descriptor terms to help narrow the search. A total of 18 articles were discussed in the final review after meeting all of the inclusion criteria. The results showed overall beneficial outcomes of PCC for institutionalized older adults, the importance of prioritizing residents’ preferences when implementing PCC, and perspectives of residents and staff workers on the state of PCC in their respective LTCFs, as well as what they think are barriers and facilitators. Identifying what the top shared preferences are is the first step to providing individualized PCC delivery that will improve the quality of care and quality of life for older adults living in LTCFs. Furthermore, taking into account both staff and residents’ perspectives will lead to an improved PCC climate in LTCFs that will enable better care outcomes.

Long-Term Care Health Care Aides’ Perceptions of Decision-Making Processes in Transferring Residents to Acute Care Services

2018 ◽  
Vol 39 (8) ◽  
pp. 846-854
Author(s):  
Kaitlyn Tate ◽  
Jude Spiers ◽  
Rowan El-Bialy ◽  
Greta Cummings
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Long Term Care ◽  
Term Care ◽  
Care Services ◽  
Communication Processes ◽  
Decision Making Processes ◽  
Health Care Aides ◽  
Care Aides

Most transfers of long-term care (LTC) facility residents to the emergency department (ED) via 911 calls are necessary. Avoidable transfers can have adverse effects including increased confusion and dehydration. Around 20% of transfers are perceived to be avoidable or unnecessary, yet decision making around transfers is complex and poorly understood. Using a qualitative-focused ethnographic approach, we examined 20 health care aides’ (HCAs) perceptions of decision processes leading to transfer using experiential interview data. Inductive analysis throughout iterative data collection and analysis illuminated how HCAs’ familiarity with residents make them vital in initiating care processes. Hierarchical reporting structures influenced HCAs’ perceptions of nurse responsiveness to their concerns about resident condition, which influenced communications related to transfers. Communication processes in LTC facilities and the value placed on HCA concerns are inconsistent. There is an urgent need to improve conceptualization of HCA roles and communication structures in LTCs.

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