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 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 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 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

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.

The Influence of Supportive Supervisory Practices and Health Care Aides’ Self-Determination on the Provision of Person-Centered Care in Long-Term Care Facilities

2017 ◽  
Vol 38 (11) ◽  
pp. 1564-1582 ◽  
Author(s):  
Sienna Caspar ◽  
Anne Le ◽  
Katherine S. McGilton
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Self Determination ◽  
Total Effect ◽  
Term Care ◽  
Perceived Ability ◽  
Health Care Aides ◽  
Care Aides ◽  
Supervisory Practices

Person-centred care (PCC) is recognized as best practice in long-term care (LTC). Using a cross-sectional design, we examined the relationship between supportive supervisory practices and health care aides’ (HCAs) self-determination on HCAs’ perceived ability to provide PCC. A total of 131 HCAs from four LTC facilities participated in the study. There were strong, positive associations between HCAs’ self-determination and their perceived ability to provide PCC, r = .59, p < .0001, and how supportive their supervisors were, r = .50, p < .0001. Mediation analysis using structural equation modeling found the direct effect of self-determination on PCC was 73% of its total effect on PCC; its indirect effect mediated through supervisory support was 27% of its total effect on PCC. Improving supportive supervisory relationships that encourage and enable HCAs’ self-determination in LTC settings may be an important and effective means by which to increase the provision of PCC.

Survey of health care personnel's attitudes toward oral hygiene in long‐term care facilities in Finland

2019 ◽  
Vol 39 (6) ◽  
pp. 557-563
Author(s):  
Kaija Hiltunen ◽  
Nele Fogelholm ◽  
Riitta K. T. Saarela ◽  
Päivi Mäntylä
Keyword(s):  
Health Care ◽  
Oral Hygiene ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

Health care aides use of time in a residential long-term care unit: A time and motion study

2013 ◽  
Vol 50 (9) ◽  
pp. 1229-1239 ◽  
Author(s):  
Anastasia A. Mallidou ◽  
Greta G. Cummings ◽  
Corinne Schalm ◽  
Carole A. Estabrooks
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Time And Motion Study ◽  
Use Of Time ◽  
Time And Motion ◽  
Motion Study ◽  
Health Care Aides ◽  
Care Aides ◽  
Residential Long Term Care

Reducing preventable patient transfers from long-term care facilities to emergency departments: a scoping review

CJEM ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. 844-856 ◽  
Author(s):  
Kiran L. Grant ◽  
Daniel Dongjoo Lee ◽  
Ivy Cheng ◽  
G. Ross Baker
Keyword(s):  
Health Care ◽  
Emergency Departments ◽  
Long Term Care ◽  
Term Care ◽  
Patient Transfers ◽  
Effective Interventions ◽  
Care Facilities ◽  
Ed Crowding ◽  
The Impact

ABSTRACTBackgroundIn Canada, there were over 60,000 long-term care facility patient transfers to emergency departments (EDs) in 2014, with up to a quarter of them being potentially preventable. Each preventable transfer exposes the patient to transport- and hospital-related complications, contributes to ED crowding, and adds significant costs to the health care system. There have been many proposed and studied interventions aimed at alleviating the issue, but few attempts to assess and evaluate different interventions across institutions.MethodsA systematic search of MEDLINE, CINAHL, and EMBASE for studies describing the impact of interventions aimed at reducing preventable transfers from long-term care facilities to EDs on ED transfer rate. Two independent reviewers screened the studies for inclusion and completed a quality assessment. A tabular and narrative synthesis was then completed. This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) guidelines.ResultsA total of 26 studies were included (Cohen's k = 0.68). One was of low quality (Cohen's k = 0.58). Studies were summarized into five themes based on intervention type: Telemedicine, Outreach Teams, Interdisciplinary Care, Integrated Approaches, and Other. Effective interventions reported reductions in ED transfer rates post intervention ranging from 10 to 70%. Interdisciplinary health care teams staffed within long-term care facilities were the most effective interventions.ConclusionThere are several promising interventions that have successfully reduced the number of preventable transfers from long-term care facilities to EDs in a variety of health care settings. Widespread implementation of these interventions has the potential to reduce ED crowding in Canada.

Sign in / Sign up

Export Citation Format

Share Document