Incapacitated and Alone: Prevalence of Unbefriended Residents in Alberta Long-Term Care Homes

The objective of this study was to assess the prevalence of residents who are incapacitated and have no surrogate decision maker, known as the “unbefriended” in Alberta long-term care (LTC) homes. Using cross-sectional online survey methods, data were collected from 123 staff (i.e., directors of care/nursing, administrators) from Alberta LTC homes. Information was collected on survey respondents’ demographic characteristics, number of unbefriended residents, and on organizational characteristics. The overall prevalence of unbefriended residents in LTC homes was 4.14% in Alberta ( SD = 6.28%, range: 0%-34.6%). Homes with the highest prevalence (nearly 15%) of unbefriended residents had >135 beds and were public not-for-profit and located in large urban centers. Fifty-three percent of unbefriended residents were male. The highest prevalence of unbefriended residents lived in homes located in large urban centers and public not-for-profit operators. Population level and LTC home level prevalence data are needed to assess the scope of unmet needs.

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Will the demands by the covid-19 pandemic increase the intent to quit the profession of long-term care managers? A repeated cross-sectional study in Germany

Journal of Public Health ◽

10.1093/pubmed/fdab081 ◽

2021 ◽

Author(s):

Timo-Kolja Pförtner ◽

Holger Pfaff ◽

Kira Isabel Hower

Keyword(s):

Online Survey ◽

Long Term Care ◽

Intention To Leave ◽

Cross Sectional Study ◽

Cross Sectional ◽

Term Care ◽

Care Managers ◽

Care Facilities ◽

Inpatient Nursing

Abstract The Corona pandemic poses major demands for long-term care, which might have impacted the intention to quit the profession among managers of long-term care facilities. We used cross-sectional data of an online survey of long-term care managers from outpatient and inpatient nursing and palliative care facilities surveyed in April 2020 (survey cycle one; n = 532) and between December 2020 and January 2021 (survey cycle two; n = 301). The results show a significant association between the perceived pandemic-specific and general demands and the intention to leave the profession. This association was significantly stronger for general demands in survey cycle two compared with survey cycle one. The results highlight the pandemic’s immediate impact on long-term care. In view of the increasing number of people in need of care and the already existing scarcity of specialized nursing staff, the results highlight the need for initiatives to ensure the provision of long-term care, also and especially in such times of crisis.

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Depressive symptoms in long term care facilities in Western Canada: a cross sectional study

BMC Geriatrics ◽

10.1186/s12877-019-1298-5 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Matthias Hoben ◽

Abigail Heninger ◽

Jayna Holroyd-Leduc ◽

Jennifer Knopp-Sihota ◽

Carole Estabrooks ◽

...

Keyword(s):

Cognitive Impairment ◽

Depressive Symptoms ◽

Long Term Care ◽

Assessment Instrument ◽

Western Canada ◽

Cross Sectional ◽

Term Care ◽

Data Set ◽

For Profit

Abstract Background The main objective is to better understand the prevalence of depressive symptoms, in long-term care (LTC) residents with or without cognitive impairment across Western Canada. Secondary objectives are to examine comorbidities and other factors associated with of depressive symptoms, and treatments used in LTC. Methods 11,445 residents across a random sample of 91 LTC facilities, from 09/2014 to 05/2015, were stratified by owner-operator model (private for-profit, public or voluntary not-for-profit), size (small: < 80 beds, medium: 80–120 beds, large > 120 beds), location (Calgary and Edmonton Health Zones, Alberta; Fraser and Interior Health Regions, British Columbia; Winnipeg Health Region, Manitoba). Random intercept generalized linear mixed models with depressive symptoms as the dependent variable, cognitive impairment as primary independent variable, and resident, care unit and facility characteristics as covariates were used. Resident variables came from the Resident Assessment Instrument – Minimum Data Set (RAI-MDS) 2.0 records (the RAI-MDS version routinely collected in Western Canadian LTC). Care unit and facility variables came from surveys completed with care unit or facility managers. Results Depressive symptoms affects 27.1% of all LTC residents and 23.3% of LTC resident have both, depressive symptoms and cognitive impairment. Hypertension, urinary and fecal incontinence were the most common comorbidities. Cognitive impairment increases the risk for depressive symptoms (adjusted odds ratio 1.65 [95% confidence interval 1.43; 1.90]). Pain, anxiety and pulmonary disorders were also significantly associated with depressive symptoms. Pharmacologic therapies were commonly used in those with depressive symptoms, however there was minimal use of non-pharmacologic management. Conclusions Depressive symptoms are common in LTC residents –particularly in those with cognitive impairment. Depressive symptoms are an important target for clinical intervention and further research to reduce the burden of these illnesses.

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For-profit versus not-for-profit delivery of long-term care

Canadian Medical Association Journal ◽

10.1503/cmaj.060591 ◽

2006 ◽

Vol 176 (1) ◽

pp. 57-58 ◽

Cited By ~ 19

Author(s):

K. M. McGrail ◽

M. J. McGregor ◽

M. Cohen ◽

R. B. Tate ◽

L. A. Ronald

Keyword(s):

Long Term Care ◽

Term Care ◽

For Profit ◽

Not For Profit

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Staffing levels in not-for-profit and for-profit long-term care facilities: Does type of ownership matter?

Canadian Medical Association Journal ◽

10.1503/cmaj.1040131 ◽

2005 ◽

Vol 172 (5) ◽

pp. 645-649 ◽

Cited By ~ 40

Author(s):

M. J. McGregor

Keyword(s):

Long Term Care ◽

Term Care ◽

For Profit ◽

Staffing Levels ◽

Not For Profit ◽

Care Facilities

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Strategic Alliance: Adapting to the Business Environment in Long-Term Care

Care Management Journals ◽

10.1891/cmaj.3.4.205.57454 ◽

2002 ◽

Vol 3 (4) ◽

pp. 205-211

Author(s):

Cynthia Massie Mara ◽

James T. Ziegenfuss

Keyword(s):

Strategic Alliance ◽

Long Term Care ◽

Business Environment ◽

Strategic Partnerships ◽

Term Care ◽

For Profit ◽

Not For Profit ◽

Technological Educational ◽

Will Force

This article is addressed to long-term-care administrators and planners as well as purchasers of long-term care. Believing the current and future business environment will force continued adaptation in long-term-care organizations, the authors utilize nine categories to map pressures for change: cultural, technological, educational, political, legal, natural resource, demographic, sociologic, and economic. Long-term-care organizations, especially those that are not-for-profit, are becoming members of alliances as one way of addressing these pressures. This article describes and presents a case example of a composite alliance to demonstrate the advantages of membership in a strategic alliance. We also present examples of ways in which alliance members use strategic partnerships to improve their ability to manage these forces.

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A Cross-Sectional Study on the Impacts of Perceived Job Value, Job Maintenance, and Social Support on Burnout among Long-Term Care Staff in Hawaii

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020476 ◽

2021 ◽

Vol 18 (2) ◽

pp. 476

Author(s):

Bum Jung Kim ◽

Sun-young Lee

Keyword(s):

Social Support ◽

Long Term Care ◽

Cross Sectional Study ◽

Care Staff ◽

Hierarchical Regression ◽

Sectional Study ◽

Cross Sectional ◽

Term Care ◽

The Impact

Extensive research has demonstrated the factors that influence burnout among social service employees, yet few studies have explored burnout among long-term care staff in Hawaii. This study aimed to examine the impact of job value, job maintenance, and social support on burnout of staff in long-term care settings in Hawaii, USA. This cross-sectional study included 170 long-term care staff, aged 20 to 75 years, in Hawaii. Hierarchical regression was employed to explore the relationships between the key independent variables and burnout. The results indicate that staff with a higher level of perceived job value, those who expressed a willingness to continue working in the same job, and those with strong social support from supervisors or peers are less likely to experience burnout. Interventions aimed at decreasing the level of burnout among long-term care staff in Hawaii may be more effective through culturally tailored programs aimed to increase the levels of job value, job maintenance, and social support.

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