Implementing Consumer Choice in Long-term Care: The Impact of Individual Budgets on Social Care Providers in England

This article reports on a study examining staff activities being performed when incidents were reported to have occurred. The risk for injury among health care providers who engage in patient handling activities is widely acknowledged. For those working in long-term care, the risk of occupational injury is particularly high. Although injuries and injury prevention have been widely studied, the work has generally focused on incident rates and the impact of specific assistive devices on worker safety. The purpose of this study was to examine reported staff incidents in relation to staff activities. A multicenter cross-sectional exploratory study used retrospective data from reported staff incidents (2010, 2011, and 2012) and prospective data from 360 hours of staff observations in five long-term care facilities during 2013. Descriptive statistics were used to analyze data. A total of 898 staff incidents were reviewed from the facilities. Incidents were most likely to occur in resident rooms. Resident aides were more likely to be engaged in high-risk activities than other care providers. Times when staff incidents were reported to have occurred were not associated with periods of high staff-to-resident contact. Safe handling during low and moderate risk activities should be promoted. Education on what constitutes a reportable incident and strategies to ensure compliance with reporting policies and procedures may be needed to ensure accuracy and completeness of incident data.

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Evaluating the Impact of Health Care Providers' Knowledge, Attitudes, and Behavior on MOLST Implementation in Long Term Care Facilities

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2009.12.030 ◽

2010 ◽

Vol 11 (3) ◽

pp. B11

Author(s):

Hieu Vo ◽

Howard Guzik ◽

Christian Nouryan ◽

Charito Patel ◽

...

Keyword(s):

Health Care ◽

Health Care Providers ◽

Long Term Care ◽

Care Providers ◽

Term Care ◽

Care Facilities ◽

And Behavior ◽

Attitudes And Behavior ◽

The Impact

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Long-term care in Spain: a reform failure or the regulation of a development path?

International Journal of Sociology and Social Policy ◽

10.1108/ijssp-02-2019-0043 ◽

2020 ◽

Vol 40 (11/12) ◽

pp. 1301-1317

Author(s):

Manuel Aguilar-Hendrickson

Keyword(s):

Long Term Care ◽

Social Care ◽

Baby Boom ◽

Reform Process ◽

Governance Arrangement ◽

Term Care ◽

Content Type ◽

Care Services ◽

The Impact

PurposeSpain departed from the Southern European tradition of residual long-term care services with the 2006 reform. The paper aims to present the main traits of the reform and its implementation, explores the reasons that may explain why the reform happened and to which extent and why it fell short of expectations.Design/methodology/approachThe article draws on available literature on the reform and on administrative data to present a complex and nuanced view of the reform process and its limits.FindingsThe reform was actually a measure to enhance and rationalize a preexisting process of social care services development, rather than the creation of a completely new care system. A rapid increase in female labor market participation since the 1990s and the looming demands of a late baby-boom and the subsequent fertility crash appear to be two key factors that explain both the previous development and its bolstering by the reform. The budgetary constraints of the Great Recession and governance problems, linked to a complex and sometimes dysfunctional multilevel governance arrangement, help to understand why the reform bogged down. Nevertheless, the overall balance is more nuanced, and significantly more services are provided 12 years after the reform.Originality/valueWhile many assessments of the reform have been negative, putting it into a larger context of social care development, the 2006 Dependency Act has contributed to a significant increase in expenditure and coverage. The impact of budgetary restrictions has been important, but other factors, such as governance arrangements, may explain more of the problems of the implementation.

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Major Disasters’ Impacts on Long-Term Care Settings, Vulnerable Older Adults, and Care Providers

Innovation in Aging ◽

10.1093/geroni/igab046.770 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 201-201

Author(s):

Leah Haverhals ◽

Katie Cherry

Keyword(s):

Older Adults ◽

Assisted Living ◽

Long Term Care ◽

The United States ◽

Care Providers ◽

Term Care ◽

The Us ◽

The Impact ◽

Hurricane Irma

Abstract The COVID-19 pandemic has disproportionately negatively affected older adults, and has specifically devasted older adults who are minorities and those who reside in long-term care (LTC) facilities. For professionals working in LTC facilities, major stressors and challenges due to the pandemic must be navigated, sometimes in parallel with the effect that major disasters like hurricanes can have on LTC facilities. This symposium will focus on the impact major disasters, including the COVID-19 pandemic and Hurricane Irma, had on LTC settings and those who live and work there, as well as older adults who are minorities and their communities. First, Dr. Roma Hanks will present findings from a study of community members and leaders in a majority African-American community in the United States (US) about their experiences with and challenges faced related to the pandemic. Second, Dr. Lisa Brown will share experiences and perceptions of mental health clinicians from across the US who worked in LTC settings before and during the pandemic. Third, Dr. Ella Cohn-Schwartz will describe how the pandemic impacted Holocaust survivors ages 75+ in Israel compared to older adults who did not experience the Holocaust. Fourth, Dr. Lindsay Peterson will present findings from interviews with nursing home and assisted living community representatives in the US regarding vulnerabilities LTC facilities experienced related to Hurricane Irma in 2017. As a whole, these presenters will provide insights into experiences of older adults, care providers, LTC facilities, and communities as they navigated challenges associated with the COVID-19 pandemic and a major hurricane.

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