Barriers and Insights in Participant Recruitment in Assisted Living Facilities

2020 ◽  
Vol 33 (2) ◽  
pp. 116-121
Author(s):  
Michele D. Shropshire ◽  
Stephen J. Stapleton ◽  
Mary J. Dyck

An estimated 1.2 million older adults nationwide currently reside in assisted/supportive living facilities, and research is required to continue to identify best outcomes in for their care. However, challenges exist. The aim of this paper is to address barriers and provide insights related to participant recruitment in assisted and supportive living facilities. Identified barriers included unproductive communication with reception area staff, a perceived lack of interest in research activity, and the inability of Director of Nursing (DON) to provide authorization for research activities. Recruitment insights included productive encounters with gatekeepers, establishing trust with executive administration and healthcare personnel, and research team persistence.

2018 ◽  
pp. 161-187
Author(s):  
Fulvio Corno ◽  
Luigi De Russis ◽  
Alberto Monge Roffarello

Research activities on healthcare support systems mainly focus on people in their own homes or nurses and doctors in hospitals. A limited amount of research aims at supporting caregivers that work with people with disabilities in assisted living facilities (ALFs). This chapter explores and applies the Internet of Things to the ALF context. In particular, it presents the design, the implementation, and the experimental evaluation of Care4Me, a system supporting the daily activities of assistants. The requirements for designing and implementing Care4Me derive from a literature analysis and from a user study. The solution combines wearable and mobile technologies. With this healthcare support system, caregivers can be automatically alerted of potentially hazardous situations. Furthermore, inhabitants can require assistance instantly and from any point of the facility. The system was evaluated in two ways. The authors performed a functional test with a group of professional caregivers, and deployed the system in an ALF in Italy, collecting the opinions of caregivers and inhabitants.


Author(s):  
Fulvio Corno ◽  
Luigi De Russis ◽  
Alberto Monge Roffarello

Research activities on healthcare support systems mainly focus on people in their own homes or nurses and doctors in hospitals. A limited amount of research aims at supporting caregivers that work with people with disabilities in assisted living facilities (ALFs). This chapter explores and applies the Internet of Things to the ALF context. In particular, it presents the design, the implementation, and the experimental evaluation of Care4Me, a system supporting the daily activities of assistants. The requirements for designing and implementing Care4Me derive from a literature analysis and from a user study. The solution combines wearable and mobile technologies. With this healthcare support system, caregivers can be automatically alerted of potentially hazardous situations. Furthermore, inhabitants can require assistance instantly and from any point of the facility. The system was evaluated in two ways. The authors performed a functional test with a group of professional caregivers, and deployed the system in an ALF in Italy, collecting the opinions of caregivers and inhabitants.


2020 ◽  
Vol 65 (1) ◽  
pp. 179-187
Author(s):  
A. B. Akpaeva ◽  
◽  
L.A. Lebedeva ◽  
A.D Riskulbekova ◽  
◽  
...  

The article shows the results of the analysis of the study and formation of motivation of research activities of a student of the specialty "pedagogy and methods of primary education". The authors focused on two important principles: the study of motivation should be objective and carried out in a humane, respectful to the student's personality form. The analysis of differences in the levels of internal and external orientation of motivation to NID according to the methodology of motivation of research activities is given. The analysis of students ' responses allowed us to draw conclusions about the specific shortcomings of the organization of pedagogical conditions in the system of involvement of future teachers in NID. The low level of formation of motivation for research activities among students of the specialty "Pedagogy and methods of primary education" was revealed. It is concluded that there is a need to form a future primary school teacher persistent interest in research activities, and also stressed the importance of developing students ' positive social motivation and increase the level of internal orientation of motives, while ensuring that they were clearly aware, persistent and meaningful.


Author(s):  
David Wendell Moller

Inattentive care and lack of compassion exacerbated the Whites’ suffering, leading to unconscionable indignity for both in the nursing home. Ken and Virble White were a part of the ongoing fabric of our society, that portion which includes the working poor. We know that individuals like them are subject to worse health outcomes. They possess inadequate resources to make the health system work in their favor or even on balance with the rest of the population. Their medical decision-making takes place in a context of inadequate patient–physician communication, low health literacy, lack of access to social services, and other factors that undermine optimal care. These factors are present in different ways throughout the life experience of disempowered patients every day in clinics, hospitals, and assisted-living facilities throughout the nation.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 935-935
Author(s):  
Kim Attanasi ◽  
Victoria Raveis

Abstract [Objective] Almost 8% of the U.S. population, 65 and older, reside in long term care facilities with limited delivery of essential dental care to prevent and manage oral health disease. By 2050, this population is expected to increase by 1.6 billion. Multiple bi-directional connections exist between oral disease and overall health. [Methods] Faculty from the Dental Hygiene Department, New York University College of Dentistry conducted an extensive outreach effort and randomly selected assisted living facilities. Facilities were offered the opportunity to receive at no-cost, a dental hygiene-led, educational, preventive oral health program delivered virtually to their residents as a community service. Incentives discussed. [Results] Twenty-one facilities were contacted, 17 (94.4%) had no oral healthcare program; one had an oral health component. In 13 (72%), the concierge functioned as gatekeeper, unwilling to transfer calls or deliver messages. In five (28%), calls were directed to the activity coordinator. Feasibility concerns and uncertainty about oral health service necessity and resident safety were voiced. Two facilities mentioned familiarity with dental hygiene professionals. Strategic changes in outreach resulted in successfully engaging with facility administrators. Strategies included identifying directors with familiarity or experience with dental hygiene profession, establishing a portfolio and utilizing technology that facilitate incorporating COVID-19 protocols. [Conclusions] Efforts to initiate a dental hygiene-led virtual oral health program encountered gatekeeper challenges. Although facility activity coordinators acknowledged benefits for their population, they were not final decision-makers. It was necessary to implement strategies that facilitated discussing the virtual oral hygiene program directly with the facility’s executive leadership.


Author(s):  
Cristina Tassorelli ◽  
Vincenzo Silani ◽  
Alessandro Padovani ◽  
Paolo Barone ◽  
Paolo Calabresi ◽  
...  

Abstract Background The coronavirus disease 2019 (COVID-19) pandemic has severely impacted the Italian healthcare system, underscoring a dramatic shortage of specialized doctors in many disciplines. The situation affected the activity of the residents in neurology, who were also offered the possibility of being formally hired before their training completion. Aims (1) To showcase examples of clinical and research activity of residents in neurology during the COVID-19 pandemic in Italy and (2) to illustrate the point of view of Italian residents in neurology about the possibility of being hired before the completion of their residency program. Results Real-life reports from several areas in Lombardia—one of the Italian regions more affected by COVID-19—show that residents in neurology gave an outstanding demonstration of generosity, collaboration, reliability, and adaptation to the changing environment, while continuing their clinical training and research activities. A very small minority of the residents participated in the dedicated selections for being hired before completion of their training program. The large majority of them prioritized their training over the option of earlier employment. Conclusions Italian residents in neurology generously contributed to the healthcare management of the COVID-19 pandemic in many ways, while remaining determined to pursue their training. Neurology is a rapidly evolving clinical field due to continuous diagnostic and therapeutic progress. Stakeholders need to listen to the strong message conveyed by our residents in neurology and endeavor to provide them with the most adequate training, to ensure high quality of care and excellence in research in the future.


Sign in / Sign up

Export Citation Format

Share Document