How Does the Facilitation Effort of Clinical Educators Interact With Aspects of Organizational Context to Affect Research Use in Long‐term Care? Evidence From CHAID Analysis

2021 ◽  
Author(s):  
TKT Lo ◽  
Sheila A. Boamah ◽  
Jeffrey W. Poss ◽  
Gary F. Teare ◽  
Peter G. Norton ◽  
...  
Keyword(s):  
Organizational Context ◽  
Long Term Care ◽  
Research Use ◽  
Term Care ◽  
Chaid Analysis ◽  
Clinical Educators

scholarly journals Importance of clinical educators to research use and suggestions for better efficiency and effectiveness: results of a cross-sectional survey of care aides in Canadian long-term care facilities

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e020074
Author(s):  
T K T Lo ◽  
Matthias Hoben ◽  
Peter G Norton ◽  
Gary F Teare ◽  
Carole A Estabrooks
Keyword(s):  
Long Term Care ◽  
Care Quality ◽  
Research Use ◽  
Cross Sectional ◽  
Term Care ◽  
Explanatory Variables ◽  
Organisational Context ◽  
Clinical Educators ◽  
Care Aides

ObjectiveThis study explored the effect of clinical educators as facilitators of research use and how it may be modified by organisational context in the settings.DesignCross-sectional observational study.SettingA representative sample of 91 residential long-term care (LTC) facilities across Western Canada.ParticipantsWe used surveys to collect data from the frontline care aides and information about the organisational context of the care units.Outcome measure and explanatory variablesWe assessed research use (the outcome) with the Conceptual Research Utilization (CRU) scale. Explanatory variables in the multiple regression analysis were facilitation, organisational context and the interaction terms. Facilitation was measured by the frequency of contacts between care aides and clinical educator or person who brings new ideas about resident care. Three core organisational context variables were measured using the Alberta Context Tool.ResultsWe included data of 3873 care aides from 294 care units in the LTC facilities. We found significant associations between CRU and facilitation, leadership, culture and evaluation. Interactions of facilitation x leadership and facilitation x culture were negative. The coefficient of the facilitation x evaluation term in the regression model was positive (0.019, 95% CI 0.012 to 0.026), suggesting synergistic effects between facilitation and a well-developed process to evaluate care quality using relevant data.ConclusionsFindings indicate clinical educators are effective facilitators of research use among the care aides, but the effect is modified by organisational context. For greatest impact, managers can direct efforts of the clinical educators to care units where leadership and culture ratings are lowest, but a proficient feedback and evaluation process is in place. This understanding enables managers to deploy clinical educators (a scarce resource in LTC settings) most efficiently.

scholarly journals Linguistic validation of the Alberta Context Tool and two measures of research use, for German residential long term care

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Matthias Hoben ◽  
Marion Bär ◽  
Cornelia Mahler ◽  
Sarah Berger ◽  
Janet E Squires ◽  
...  
Keyword(s):  
Long Term Care ◽  
Research Use ◽  
Term Care ◽  
Linguistic Validation ◽  
Alberta Context Tool ◽  
Two Measures ◽  
Residential Long Term Care

scholarly journals FACTORS ASSOCIATED WITH MORTALITY AMONG LONG-TERM CARE RESIDENTS TRANSITIONING TO AND FROM EMERGENCY DEPARTMENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S821-S821
Author(s):  
Kaitlyn C Tate ◽  
Colin Reid ◽  
Patrick McLane ◽  
Garnet E Cummings ◽  
Brian H Rowe ◽  
...  
Keyword(s):  
Decision Making ◽  
Emergency Departments ◽  
Structural Equation ◽  
Organizational Context ◽  
Long Term Care ◽  
Care Transitions ◽  
Equation Modeling ◽  
Term Care ◽  
Risk Of Death

Abstract Studies examining risk of death during acute care transitions have highlighted potential predictors of death during transition. However, they have not closely examined the relationships and directional effects of organizational context, care processes, resident demographics and health conditions on death during transition. By employing structural equation modeling, we aimed to 1) identify predictive factors for residents who died during transitions from long term care (LTC) to emergency departments (EDs) and back; 2) examine relationships between identified organizational, process and resident factors with resident death during these transitions; and 3) identify areas for further investigation and improvement in practice. We tracked every resident transfer from 38 participating LTC facilities to two included EDs in two Western Canadian provinces from July 2011 to July 2012. Overall, 524 residents were involved in 637 transfers of whom 63 residents (12%) died during the transition. Sustained dyspnea (in both LTC and the ED), sustained change in level of consciousness (LOC) and severity measured by triage score were direct and significant predictors of resident death during transition. The model fit the data, (x2 = 83.77, df = 64, p = 0.049) and explained 15% variance in resident death. Dyspnea and change in LOC in both LTC and ED needs to be recognized regardless of primary reason for transfer. More research is needed to determine the specific influences of LTC ownership models, family involvement in decision-making, LTC staff decision-making on resident death during transition, and interventions to prevent pre-death transfers.

scholarly journals Understanding organizational context and heart failure management in long term care homes in Ontario, Canada

Health ◽  
2012 ◽  
Vol 04 (09) ◽  
pp. 725-734 ◽  
Author(s):  
Jill Marcella ◽  
Jayanthini Nadarajah ◽  
Mary Lou Kelley ◽  
George A. Heckman ◽  
Sharon Kaasalainen ◽  
...  
Keyword(s):  
Heart Failure ◽  
Organizational Context ◽  
Long Term Care ◽  
Care Homes ◽  
Heart Failure Management ◽  
Term Care

scholarly journals Implementation of Transitional Care Innovations: Considering the Organizational Context and Process is Key

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 224-224
Author(s):  
Bram de Boer ◽  
Matheus van Achterberg ◽  
Jan Hamers ◽  
Hilde Verbeek ◽  
Amal Fakha
Keyword(s):  
Delphi Study ◽  
Organizational Context ◽  
Long Term Care ◽  
Transitional Care ◽  
Implementation Strategies ◽  
Implementation Process ◽  
Organizational Setting ◽  
Term Care ◽  
Major Factors

Abstract Many transitional care innovations (TCI) are implemented to improve long-term care services for older persons during the transition between various care settings. Nevertheless, multiple contextual factors (barriers; facilitators) influence the implementation of TCI at different levels such as but not limited to the organizational environment, outer setting, or innovation’s characteristics. By conducting a modified Delphi study involving 29 international experts from 10 countries, eleven influencing factors were prioritized and agreed upon (with ≥ 85% consensus level) as the most important for implementing TCI. These top factors were linked mostly to the organizational setting (e.g. resources, financing) or the implementation process (e.g. engaging key stakeholders). Moreover, the feasibility to address the majority of these factors with implementation strategies was rated as difficult. Our work concludes a compilation of major factors to be aware of and aim to tackle when preparing to implement a new TCI in any long-term care setting.

scholarly journals Perspectives Toward Long-Term Care Measurement From Frontline Workers in Brazil

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 161-161
Author(s):  
Patrick Wachholz ◽  
Paulo José Fortes Villas Boas ◽  
Vivian Schutz ◽  
Michael Lepore ◽  
Deanna Myer ◽  
...  
Keyword(s):  
Organizational Context ◽  
Long Term Care ◽  
Term Care ◽  
Frontline Staff ◽  
Frontline Workers ◽  
Care Facilities ◽  
Centered Care ◽  
Care Outcomes

Abstract The Brazilian long-term care (LTC) sector remains poorly structured and underdeveloped. COVID-19 did not bring unprecedented focus to the sector just because of the high mortality; it also affected the quality of care. In this pilot study, we evaluated the perspectives toward WE-THRIVE LTC measurements from Brazilian frontline workers in five long-term care facilities. For the four WE-THRIVE domains of LTC measurement (workforce and staffing, person-centered care, organizational context, and care outcomes), respondents used a 4-point Likert scale to rate their importance and answered open-ended questions about how these aspects of care changed since COVID-19. With few exceptions, respondents rated these aspects of LTC as extremely important or very important. Qualitative results highlighted concerns about and impacts of COVID-19, such as challenges related to the isolation of residents. The assessed measurement domains are confirmed to be important by frontline staff in Brazil. Measurement adoption must account for current issues.

How Context Shapes the Experience of Staff and Residents in Residential Long-Term Care Settings

2019 ◽  
pp. 232-249
Author(s):  
Carole A. Estabrooks ◽  
Stephanie A. Chamberlain
Keyword(s):  
Quality Of Life ◽  
Organizational Context ◽  
Long Term Care ◽  
Local Context ◽  
Term Care ◽  
Context Shapes ◽  
Study Context ◽  
Residential Long Term Care

This chapter describes 10 years of research into organizational context in residential long-term care (LTC) settings. It focuses on this book’s first and third questions: What constitutes context for an event, situation, or phenomenon? And how do contexts change, and what is the role of actors in such processes? Although with respect to change, it does not focus as much on secular trends as it does on strategies to improve local context. We explore how context influences use of research by staff, quality-of-life indicators for staff, and ability to improve quality of care and quality of life for LTC residents. First, it describes the development and ongoing use of the Alberta Context Tool. Second, it describes the Translating Research in Elder Care (TREC) program of research, and the LTC setting in which the authors study context to bring about quality improvements. Third, it presents selected empirical findings as evidence that context matters in LTC. Finally, it proposes future directions to understand and modify context for improved quality in LTC.

Factors Associated With Nurses' Job Satisfaction In Residential Long-term Care: The Importance of Organizational Context

2019 ◽  
Vol 20 (12) ◽  
pp. 1611-1616.e4 ◽  
Author(s):  
Laura D. Aloisio ◽  
Wendy A. Gifford ◽  
Katherine S. McGilton ◽  
Michelle Lalonde ◽  
Carole A. Estabrooks ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Organizational Context ◽  
Long Term Care ◽  
Term Care ◽  
Factors Associated ◽  
Residential Long Term Care

Predictors of Nurses' Research Use in Canadian Long-term Care Homes

2019 ◽  
Vol 20 (9) ◽  
pp. 1185.e9-1185.e18
Author(s):  
Melissa G. Demery Varin ◽  
Dawn Stacey ◽  
Jennifer L. Baumbusch ◽  
Carole Estabrooks ◽  
Janet E. Squires
Keyword(s):  
Long Term Care ◽  
Care Homes ◽  
Research Use ◽  
Term Care

scholarly journals Does organizational context influence the use of best practices by healthcare aides in residential long term care?

2015 ◽  
Vol 10 (S1) ◽  
Author(s):  
Carole A Estabrooks ◽  
Janet E Squires ◽  
Leslie Hayduk ◽  
Debra Morgan ◽  
Greta G Cummings ◽  
...  
Keyword(s):  
Best Practices ◽  
Organizational Context ◽  
Long Term Care ◽  
Term Care ◽  
Residential Long Term Care
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