0421 Noise-Induced Stress among Primary Care Workers in Long Term Care Facilities in British Columbia, Canada

The article extends the discussion on the challenges in gaining access to the field in medical ethnographic research, focusing on long-term care (LTC) facilities. Medical institutions have been documented to be difficult sites to access. The reference, however, is to the recruitment of patients as informants. The challenges of recruiting practitioners as informants have not been investigated at all. The article presents the key issues that emerged in the process of gaining social access at the sites of two LTC facilities as part of a study on care workers’ identities. The main obstacles encountered during the fieldwork were organizational constraints and negotiating control over the process of recruiting the lower occupational tier of care workers with gatekeepers. The article presents the coping strategies implemented to overcome the ethical and methodological obstacles: continually reassessing the consent and cooperation of participants and developing a rapport with nurse’s aides during interviews.

Download Full-text

Evaluating the integration of palliative care in national health systems: an indicator rating process with EAPC task force members to measure advanced palliative care development

BMC Palliative Care ◽

10.1186/s12904-021-00728-z ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Natalia Arias-Casais ◽

Eduardo Garralda ◽

Miguel Antonio Sánchez-Cárdenas ◽

John Y. Rhee ◽

Carlos Centeno

Keyword(s):

Primary Care ◽

Palliative Care ◽

Long Term Care ◽

Task Force ◽

National Level ◽

Structured Interviews ◽

Term Care ◽

Care Facilities ◽

Rating Process

Abstract Background Palliative care (PC) development cannot only be assessed from a specialized provision perspective. Recently, PC integration into other health systems has been identified as a component of specialized development. Yet, there is a lack of indicators to assess PC integration for pediatrics, long-term care facilities, primary care, volunteering and cardiology. Aim To identify and design indicators capable of exploring national-level integration of PC into the areas mentioned above. Methods A process composed of a desk literature review, consultation and semi-structured interviews with EAPC task force members and a rating process was performed to create a list of indicators for the assessment of PC integration into pediatrics, long-term care facilities, primary care, cardiology, and volunteering. The new indicators were mapped onto the four domains of the WHO Public Health Strategy. Results The literature review identified experts with whom 11 semi-structured interviews were conducted. A total of 34 new indicators were identified for national-level monitoring of palliative care integration. Ten were for pediatrics, five for primary care, six for long-term care facilities, seven for volunteering, and six for cardiology. All indicators mapped onto the WHO domains of policy and education while only pediatrics had an indicator that mapped onto the domain of services. No indicators mapped onto the domain of use of medicines. Conclusion Meaningful contributions are being made in Europe towards the integration of PC into the explored fields. These efforts should be assessed in future regional mapping studies using indicators to deliver a more complete picture of PC development.

Download Full-text

Duration of influenza outbreaks in long-term care facilities after antiviral prophylaxis initiation: Fraser Health, British Columbia, 2014-2017

American Journal of Infection Control ◽

10.1016/j.ajic.2018.01.004 ◽

2018 ◽

Vol 46 (9) ◽

pp. 1077-1079

Author(s):

Michelle Murti ◽

Christina K. Fung ◽

Kathy Chan ◽

Mark Bigham

Keyword(s):

British Columbia ◽

Long Term Care ◽

Antiviral Prophylaxis ◽

Term Care ◽

Care Facilities ◽

Influenza Outbreaks

Download Full-text

Factors Affecting Mistreatment of the Elderly in Long-Term Care Facilities

Healthcare ◽

10.3390/healthcare8030224 ◽

2020 ◽

Vol 8 (3) ◽

pp. 224

Author(s):

Jeongmi Lim

Keyword(s):

Long Term Care ◽

Institutional Environment ◽

Community Support ◽

The Elderly ◽

Term Care ◽

Factors Affecting ◽

Care Workers ◽

Care Facilities ◽

And Coping

In long-term care facilities, elderly mistreatment occurs routinely and frequently. However, few studies have empirically explored the multifaceted risk factor of mistreatment. The purpose of this paper was to explore the factors affecting elderly mistreatment by care workers in Japanese long-term care facilities and to examine the relationship between these factors and mistreatment. This analysis was based on a sample of 1473 care workers from long-term care facilities and used multiple regression analyses. The results revealed that the nursing care level, work period, resilience, and attitude towards mistreatment among residents and staff were factors significantly associated with the degree of mistreatment. Facility size, an institutional environment that does not limit the behavior of residents, and family and community support for the elderly were among the institutional environment factors that had significant relationships with mistreatment. Staff gender, care-related qualifications, and workload were not associated with mistreatment. These findings suggest that strengthening the staff’s attitude and coping skills to prevent mistreatment, as well as interventions for changes in the institutional environment, are needed to prevent and reduce the prevalence of mistreatment in Japan. In addition, raising staff resilience to stress situations and building a resident-centered facility care environment is an important measure to reduce mistreatment.

Download Full-text

Lessons from Mass-Testing for COVID-19 in Long Term Care Facilities for the Elderly in San Francisco

Clinical Infectious Diseases ◽

10.1093/cid/ciaa1020 ◽

2020 ◽

Cited By ~ 4

Author(s):

Janice K Louie ◽

Hyman M Scott ◽

Amie DuBois ◽

Natalya Sturtz ◽

Wendy Lu ◽

...

Keyword(s):

San Francisco ◽

Health Care Workers ◽

Long Term Care ◽

The Elderly ◽

Term Care ◽

Care Workers ◽

Care Facilities ◽

Asymptomatic Infections ◽

Significant Mortality

Abstract COVID-19 can cause significant mortality in the elderly in Long Term Care Facilities (LTCF). We describe four LTCF outbreaks where mass testing identified a high proportion of asymptomatic infections (4-41% in health care workers and 20-75% in residents), indicating that symptom-based screening alone is insufficient for monitoring for COVID-19 transmission.

Download Full-text