Local staff enhances service delivery

1987 ◽  
Vol 8 (1) ◽  
pp. 32-33
Author(s):  
Dell H. Schlaht

This article describes how the Blackfeet Head Start Program in north-central Montana utilized professional to train local residents as screeners and home trainers. The training is structured to provide specific intervention strategies and family support. The numbers of handicapped children and their families who receive services has increased as a result of using local home trainers and teachers as direct care providers.

2021 ◽  
Author(s):  
Katarina Young

In Ontario long-term care (LTC) settings, person-centred care (PCC) is promoted by government legislation, accreditation organizations and professional practice guidelines aiming to integrate this approach. However, there is currently no standardized approach to providing PCC in LTC. The purpose of this study was to examine public policies on PCC in Ontario and explore how they are interpreted and translated into practice in LTC. A qualitative case study approach was used to examine the perspectives of key stakeholders at one LTC facility in Ontario. Focus groups were conducted with residents, family members, direct care providers and managers. Through content analysis, findings were organized into four categories showcasing both overlapping and differential understandings of PCC in practice: 1) conceptualization, 2) barriers, 3) facilitators, and 4) evaluation. Identified tensions between policy and the delivery of PCC highlight systemic issues that must be addressed to enable equitable person-centred LTC rooted in resident-identified priorities.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S914-S915 ◽  
Author(s):  
Andrea Y Sillner ◽  
Kimberly VanHaitsma ◽  
Rachel Wion ◽  
Marie Boltz

Abstract Miscommunication during older adults’ care transitions from hospital to community-based settings (e.g. home health) can lead to adverse events. Effective use of technology assisted communication (TAC) may help to remedy miscommunication surrounding care transitions. Care providers in community-based settings are well-positioned to provide insight on the feasibility and current use of TAC. The purpose of this research was to determine contextual factors (i.e., intrapersonal, interpersonal, environmental) that influence the use of TAC in the home health setting from the perspective of community-based direct care providers and administrators. Focus groups were conducted with direct care providers and c administrators from two different settings – rural and urban/suburban. Content analysis was used to determine themes. Participants indicated that there are many barriers for older adults’ use of TAC such as low interest, fear of technology, knowledge gaps, and lack of access to technology. However, others embraced the use of TAC and technology in the community-based care. Additionally, certain forms of TAC, such as text and email, may be better for communicating with informal caregivers. Some direct care providers indicated they were not allowed or encouraged to use certain TAC with patients due to potential security concerns. The community-based care administrators highlighted the importance of TAC but did indicate that use can be limited due to liability and HIPAA concerns. These findings provide important insight for both determining how to best implement TAC for older adults in community-based care settings and aiding in the development of a tool for measuring preferences.


2021 ◽  
Author(s):  
Katarina Young

In Ontario long-term care (LTC) settings, person-centred care (PCC) is promoted by government legislation, accreditation organizations and professional practice guidelines aiming to integrate this approach. However, there is currently no standardized approach to providing PCC in LTC. The purpose of this study was to examine public policies on PCC in Ontario and explore how they are interpreted and translated into practice in LTC. A qualitative case study approach was used to examine the perspectives of key stakeholders at one LTC facility in Ontario. Focus groups were conducted with residents, family members, direct care providers and managers. Through content analysis, findings were organized into four categories showcasing both overlapping and differential understandings of PCC in practice: 1) conceptualization, 2) barriers, 3) facilitators, and 4) evaluation. Identified tensions between policy and the delivery of PCC highlight systemic issues that must be addressed to enable equitable person-centred LTC rooted in resident-identified priorities.


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