scholarly journals Alcohol in long-term care homes: A qualitative investigation with residents, relatives, care workers and managers

2021 ◽  
pp. 145507252110181
Author(s):  
Jakob Emiliussen ◽  
Søren Engelsen ◽  
Regina Christiansen ◽  
Anette Søgaard Nielsen ◽  
Søren Harnow Klausen
Keyword(s):  
Alcohol Use ◽  
Interpretative Phenomenological Analysis ◽  
Care Home ◽  
Care Homes ◽  
Structured Interviews ◽  
Term Care ◽  
Care Workers ◽  
Symbolic Value

Introduction: Western societies are aging rapidly, and habitual use of alcohol is changing among older adults. Hence, care facilities are facing novel challenges regarding alcohol use. This pioneering qualitative study seeks to investigate the role of alcohol in care homes, as seen from the perspectives of residents, care workers, relatives, and institution management simultaneously. Method: Five residents, four care workers, three relatives, and two care home managers participated in semi-structured interviews lasting 60 minutes maximum. An interpretative phenomenological analysis framework were utilised for the analysis. Results: It seems that there is a positive attitude towards the use of alcohol in care homes across the four groups of participants. They find that the use of alcohol is presently low among the residents. Importantly there appears to be an important symbolic value in the rituals surrounding alcohol which is upheld by all four groups. Conclusion: While experiences between the four groups seem to converge regarding the use of alcohol, there are still some important differences. Importantly, we suggest that these unique views be utilised in developing methods for handling alcohol use in care homes in the future.

scholarly journals THE ROLE OF FACILITATION IN SUSTAINABILITY OF A DEMENTIA TRAINING PROGRAM IN RURAL LONG-TERM CARE HOMES

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 726-726
Author(s):  
T Danylyshen-Laycock ◽  
D Morgan ◽  
N Stewart ◽  
M O’Connell ◽  
D Goodridge
Keyword(s):  
Training Program ◽  
Long Term Care ◽  
Care Homes ◽  
Term Care

Dietetic Students’ Experiences: Providing Meal Assistance in Long-term Care Facilities

2013 ◽  
Vol 74 (2) ◽  
pp. 88-91 ◽  
Author(s):  
Nicole Osinga ◽  
Heather Keller
Keyword(s):  
Long Term Care ◽  
Care Home ◽  
Structured Interviews ◽  
Term Care ◽  
Face To Face ◽  
Qualitative Thematic Analysis ◽  
Care Facilities ◽  
Role Learning ◽  
Dietetic Students

Purpose: This qualitative study involved describing the experiences of dietetic students who provided meal help to older adults. Of interest were benefits and challenges, and how training could be enhanced. Methods: Individual, face-to-face, semi-structured interviews were conducted with nine undergraduate dietetic students. In the preceding year, these students had volunteered as meal helpers in a long-term care home. Interviews were digitally recorded and transcribed verbatim. Qualitative thematic analysis was used to analyze the transcripts. Results: All participating students were female and from one undergraduate program. Three main themes emerged: growing into the role, learning outside the classroom, and providing quality assistance. Conclusions: This study provides an understanding of how meal helping can be a valuable experience for emerging dietitians. It also gives insights into training and the development of the meal helper role.

The role of autonomy in explaining mental ill-health and depression among older people in long-term care settings

2005 ◽  
Vol 25 (5) ◽  
pp. 731-748 ◽  
Author(s):  
GERALDINE BOYLE
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Structured Interviews ◽  
Term Care ◽  
Domiciliary Care ◽  
Private Households ◽  
National Service Framework ◽  
The Uk

This paper examines the extent of mental ill-health and probable depression among older people in long-term care. It presents selected findings from a study in Greater Belfast, Northern Ireland, that compared the quality of life, autonomy and mental health of older people living in nursing and residential homes with those of older people living in private households who were receiving domiciliary care. Structured interviews were conducted with 214 residents in institutions and 44 older people receiving domiciliary care. The study found that those in private households were more severely physically-impaired and had a higher level of mental ill-health than the residents of institutional homes. It is suggested, however, that the mental ill-health effects were associated less with physical impairments than with the restrictions placed on the older person's decisional autonomy, and that long-term care environments that constrain the older person's autonomy contribute to the development of depression. Although the UK National Service Framework for Older People specified that those with depression should be given treatment and support, priority should also be given to preventing the depression associated with living in long-term care settings.

scholarly journals 519 - PET@home: Research protocol for a toolkit to improve care for non-residential long term care clients owning pets

2021 ◽  
Vol 33 (S1) ◽  
pp. 68-68
Author(s):  
Ruslan Leontjevas ◽  
Marie-José Enders-Slegers ◽  
Peter Reniers ◽  
Ine Declerq ◽  
Debby Gerritsen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Long Term Care ◽  
Support Network ◽  
Social Support Network ◽  
Term Care ◽  
Care Workers ◽  
Residential Long Term Care

BackgroundOver half of the households in The Netherlands have one or more pets. In elderly people, owning a pet is associated with a better quality of life and less loneliness, anxiety, depression and agitation. Many non-residential long term care (LTC) clients rely on support of others to take care of their pets. However, that may place a significant burden on the social support network of the LTC client. Issues relevant to keeping pets are not explicitly incorporated in the Dutch Long-term Care Act. Many LTC organizations have no instruments for care workers, clients and their family (1) to consolidate the positive role of pets for clients’ quality of life and (2) to address whether it is possible to keep the pets and to organize care accordingly.Research ObjectivesTo help care workers, clients and their family to gain insight into the role of the pets in the clients’ life and their social support network; to develop practical instruments that help making decisions about owning and caring for pets.MethodPLAN: In months 0-16, a narrative systematic review will be conducted (STUDY 1.1) on the meaning of pets for elderly people in general. A qualitative STUDY 1.2 with LTC clients, their informal carers and care professionals will validate and further explore the topic. STUDY 1.3 and 1.4 develop and (cognitively) validate work cards for interviews of clients and relatives by care providers. In months 17-29, an Experience based co-design method (STUDIES 2.1-2.3) will be used to develop the PET@home toolkit. The method includes (1) discovery interviews (10 clients and their family), (2) focus groups with healthcare providers (N = 2x6); (3) focus groups with 6-8 clients and informal and professional carers. In STUDY 3.1, potential users will pre-test the Toolkit. In months 30-34, a process evaluation (STUDY 3.2) is performed in 10-15 clients. A dissemination and an implementation plan will be developed.ConclusionsThe project will result in an innovative PET@home toolkit that will help to assess the pets role in the clients’ quality of life and support network, and will help making decisions about owning and caring for pets.

scholarly journals Residents' Wayfinding Challenges and Environmental Interventions in a Care Home

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 531-532
Author(s):  
Habib Chaudhury ◽  
Shelby Elkes
Keyword(s):  
Focus Group ◽  
Low Cost ◽  
Care Home ◽  
Second Phase ◽  
Term Care ◽  
Environmental Interventions ◽  
Staff Members ◽  
Home Administration

Abstract This study evaluated the role of the built environment on residents’ wayfinding behaviours at Louis Brier Home in Vancouver, British Columbia, Canada. The goal of this study was to explore baseline mobility challenges for the residents traveling between their bedrooms and social spaces. In response to this, low-cost environmental interventions were proposed and implemented to support safe and independent wayfinding for the residents. The project consisted of three phases. First phase involved a mixed methods approach using behavior mapping and spatial observations of the residents interacting with their physical environment, combined with one focus group with the staff members. In the second phase, researchers presented actionable environmental interventions for the care home administration to consider and implement. The final phase involved post-implementation behaviour mapping, spatial observations and a focus group session. The implemented environmental interventions influenced in improved resident wayfinding and orientation in the long-term care home.

scholarly journals Impact of a public policy restricting staff mobility between long-term care homes in Ontario, Canada during the COVID-19 pandemic

2020 ◽  
Author(s):  
Aaron Jones ◽  
Alexander G. Watts ◽  
Salah Uddin Khan ◽  
Jack Forsyth ◽  
Kevin A. Brown ◽  
...  
Keyword(s):  
Public Policy ◽  
Long Term Care ◽  
Care Home ◽  
Relative Difference ◽  
Care Staff ◽  
Care Homes ◽  
Term Care ◽  
Undirected Network ◽  
Before And After

AbstractObjectivesTo assess changes in the mobility of staff between long-term care homes in Ontario, Canada before and after enactment of public policy restricting staff from working at multiple homes.DesignPre-post observational study.Setting and Participants623 long-term cares homes in Ontario, Canada between March 2020 and June 2020.MethodsWe used anonymized mobile device location data to approximate connectivity between all 623 long-term care homes in Ontario during the 7 weeks before (March 1 – April 21) and after (April 22 – June 13) the policy restricting staff movement was implemented. We visualized connectivity between long-term care homes in Ontario using an undirected network and calculated the number of homes that had a connection with another long-term care home and the average number of connections per home in each period. We calculated the relative difference in these mobility metrics between the two time periods and compared within-home changes using McNemar’s test and the Wilcoxon rank-sum test.ResultsIn the period preceding restrictions, 266 (42.7%) long-term care homes had a connection with at least one other home, compared to 79 (12.7%) homes during the period after restrictions, a drop of 70.3% (p <0.001). The average number of connections in the before period was 3.90 compared to 0.77 in after period, a drop of 80.3% (p < 0.001). In both periods, mobility between long-term care homes was higher in homes located in larger communities, those with higher bed counts, and those part of a large chain.Conclusions and ImplicationsMobility between long-term care homes in Ontario fell sharply after an emergency order by the Ontario government limiting long-term care staff to a single home, though some mobility persisted. Reducing this residual mobility should be a focus of efforts to reduce risk within the long-term care sector during the COVID-19 pandemic.

Implementation of eHealth to support assessment and decision-making for residents with dementia in long-term care: systematic review (Preprint)

2021 ◽  
Author(s):  
Juliet Gillam ◽  
Nathan Davies ◽  
Jesutofunmi Aworinde ◽  
Emel Yorganci ◽  
Janet E Anderson ◽  
...  
Keyword(s):  
Decision Making ◽  
Long Term Care ◽  
Care Home ◽  
End Users ◽  
Care Homes ◽  
Successful Implementation ◽  
Key Factors ◽  
Term Care ◽  
Care Assessment

BACKGROUND As dementia progresses, symptoms and concerns increase causing considerable distress for the person and caregivers. Integration of care between care homes and healthcare services is vital to meet increasing care needs and maintain quality of life. However, access to high-quality healthcare is inequitable. eHealth offers a potential solution, by supporting remote specialist input on care processes like clinical assessment and decision-making, and streamlining care on site. How best to implement eHealth in the care home setting is unclear. OBJECTIVE This review aimed to identify key factors that influence implementation of eHealth for people living with dementia in long-term care. METHODS A systematic search of EMBASE, PsychInfo, MEDLINE and CINHAL was conducted to identify studies published between 2000-2020. Studies were eligible if they focused on eHealth interventions to improve treatment and care assessment or decision-making for residents with dementia in care homes. Data were thematically analysed and deductively mapped onto the six constructs of the adapted Consolidated Framework for Implementation Research (CFIR). Results are presented as a narrative synthesis. RESULTS 29 studies were included, focusing on a variety of eHealth interventions including remote video-consultations and clinical decision support tools. Key factors which influenced eHealth implementation were identified across all six constructs of the CFIR. Most concerned the Inner Setting construct about requirements for implementation in the care home, such as providing a conducive learning climate, engaged leadership and sufficient training and resources. Four novel subconstructs were identified to inform implementation requirements to meet resident needs and engage end-users. CONCLUSIONS Implementing eHealth in care homes for people with dementia is multi-factorial and complex, involving interaction between the resident, staff and organisation. Application of the CFIR for care homes requires an emphasis on the needs of residents and the engagement of end users in the implementation process. A novel conceptual model of the key factors was developed, and translated into 18 practical recommendations on implementation of eHealth in long-term care to guide implementers or innovators in care homes. The policy imperative for integrated health and social care demands successful implementation of eHealth, to maximise uptake and drive improvements.

scholarly journals Dementia in Long-term Care Homes: Direct Care Workers’ Difficulties

2014 ◽  
Vol 140 ◽  
pp. 172-177 ◽  
Author(s):  
Ana Barbosa ◽  
Mike Nolan ◽  
Liliana Sousa ◽  
Daniela Figueiredo
Keyword(s):  
Long Term Care ◽  
Direct Care ◽  
Care Homes ◽  
Direct Care Workers ◽  
Term Care ◽  
Care Workers

Lessons for regulating informal markets and implications for quality assurance – the case of migrant care workers in Austria

2015 ◽  
Vol 36 (4) ◽  
pp. 741-763 ◽  
Author(s):  
ANDREA E. SCHMIDT ◽  
JULIANE WINKELMANN ◽  
RICARDO RODRIGUES ◽  
KAI LEICHSENRING
Keyword(s):  
Quality Assurance ◽  
Long Term Care ◽  
Family Care ◽  
Professional Status ◽  
Control Mechanisms ◽  
Care Providers ◽  
Structured Interviews ◽  
Term Care ◽  
Care Workers

ABSTRACTThe rising number of private care arrangements in which live-in migrant care workers are engaged as a functional equivalent to family care calls for special attention by policy makers and formal long-term care providers on their implications for quality assurance and professional standards in the long-term care sector. Austria is one of the first countries in Europe where tangible legal measures have been taken to regulate this area under the heading of ‘24-hour care’, typically provided by middle-aged women. Reform measures went beyond policing and control mechanisms, including also incentives and tangible subsidies for all stakeholders. This paper contributes to a better understanding of their impact on the transition from informal to formal economy, focusing on quality assurance and working conditions. Based on empirical data and findings from semi-structured interviews with relevant stakeholders, a framework for the analysis of ‘illegal markets', based on Beckert and Wehinger's theory, is used to discuss potential implications in terms of valuation, competition and co-operation for policy in Austria, and to draw lessons for other countries. Results indicate that even after efforts to ‘legalise’ migrant care, the sector remains a ‘grey’ area within modern labour market legislation and quality management. This is due to the very nature of personal care, low professional status associated with care work and the reluctance of political stakeholders to regulate private household activities.

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