scholarly journals Interprofessional collaboration and barriers among health and social workers caring for older adults: a Philippine case study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
TJ Robinson T. Moncatar ◽  
Keiko Nakamura ◽  
Kathryn Lizbeth L. Siongco ◽  
Kaoruko Seino ◽  
Rebecca Carlson ◽  
...  
Keyword(s):  
Older Adults ◽  
Service Delivery ◽  
Social Workers ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
The Philippines ◽  
Geriatric Care ◽  
Care Providers ◽  
Care Workers

Abstract Background There is limited information on how the barriers to interprofessional collaboration (IPC) across various professionals, organizations, and care facilities influence the health and welfare of older adults. This study aimed to describe the status of IPC practices among health and social workers providing care for older adults in the Philippines; investigate the perceived barriers to its implementation and perceived effects on geriatric care; and identify possible solutions to address the barriers limiting collaborative practice. Methods A case study approach was utilized employing 12 semi-structured in-depth interviews and 29 focus group discussions with care workers from selected primary health care units, public and private hospitals, and nursing homes that are directly involved in geriatric care delivery in two cities in the Philippines. Overall, 174 health and social workers consented to participate in this study. All interviews were audio-recorded and transcribed verbatim. An inductive thematic analysis using NVivo 12® was used to identify and categorize relevant thematic codes. Results Interprofessional geriatric care provided by health and social workers was observed to be currently limited to ad hoc communications typically addressing only administrative concerns. This limitation is imposed by a confluence of barriers such as personal values and beliefs, organizational resource constraints, and a silo system care culture which practitioners say negatively influences care delivery. This in turn results in inability of care providers to access adequate care information, as well as delays and renders inaccessible available care provided to vulnerable older adults. Uncoordinated care of older adults also led to reported inefficient duplication and overlap of interventions. Conclusion Geriatric care workers fear such barriers may aggravate the increasing unmet needs of older adults. In order to address these potential negative outcomes, establishing a clear and committed system of governance that includes IPC is perceived as necessary to install a cohesive service delivery mechanism and provide holistic care for older adults. Future studies are needed to measure the effects of identified barriers on the potential of IPC to facilitate an integrated health and social service delivery system for the improvement of quality of life of older adults in the Philippines.

Exploring the Emergence of Self-Directed Home Care in Ontario: A Qualitative Case Study on Gotcare Services

2020 ◽  
Vol 33 (1) ◽  
pp. 28-36
Author(s):  
Margaret Jamieson ◽  
Anna Cooper Reed ◽  
Emma Amaral ◽  
Jill I. Cameron
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Care Delivery ◽  
Standard Of Care ◽  
Care Recipient ◽  
Healthcare Sector ◽  
Structured Interviews ◽  
Care Recipients ◽  
Care Workers

In Ontario, the number of older adults (≥65) is expected to increase from 2.4 million in 2017, to 4.6 million by 2046. This substantial increase necessitates a spectrum of care delivery options for older adults who wish to age in their homes. Self-directed care refers to a growing trend in healthcare that provides care recipients with more autonomy to determine what care they need, and how that care should be delivered. This research explores self-directed care in Ontario, Canada, examining an Ontario-based home care agency, Gotcare, as a case study. Semi-structured interviews were completed with eight of Gotcare’s care workers, three of their management team, and 11 home care experts from the healthcare sector. Analysis of these interviews generated four key themes: the circumstances under which self-directed care is an appropriate model for a care recipient; the experiences of home care workers offering self-directed care; the risks of self-directed care; and the opportunities of self-directed care. Findings suggest Gotcare’s model of self-directed home care is responding to a lack of home care options in Ontario, especially in rural and remote regions. The model should be seen as a viable option within the home care sector, but further research should be conducted to ensure that the highest standard of care is delivered to care recipients, and to inform evidence-based policy decisions.

It’s Complicated: Improving Undergraduate Nursing Students’ Understanding Family and Care of LGBTQ Older Adults

2019 ◽  
Vol 25 (4) ◽  
pp. 506-532 ◽  
Author(s):  
Nadine Henriquez ◽  
Kathryn Hyndman ◽  
Kathryn Chachula
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Nursing Students ◽  
Health Care Providers ◽  
Social Issues ◽  
Care Providers ◽  
Undergraduate Nursing Students ◽  
Case Study Methodology ◽  
Undergraduate Nursing

Research has identified the need for improved cultural competence of health care providers regarding the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community’s needs. This article articulates the teaching approach and methodology of an unfolding LGBTQ family case study for undergraduate nursing students. This method provided a forum for exploration of personal biases and gender-affirming techniques, and addressed the challenges of aging for a transgender woman and family within the context of societal stigma and discrimination. Students gained knowledge concerning shifts in family structures and understanding of the nurses’ role encouraging inclusiveness and equitable access in health care settings, advocating for vulnerable populations, and addressing specific health concerns for transgender older adults. Student responses demonstrated increased knowledge of family diversity, and critical thought regarding the intersectionality of discrimination and aging. The findings revealed the case study methodology facilitated student understanding of the unique health and social issues for LGBTQ older adults within a family context.

Social Workers’ Attempts to Navigate Among the Elderly, Their Families, and Foreign Home Care Workers in the Haredi Community

2017 ◽  
Vol 38 (5) ◽  
pp. 617-638 ◽  
Author(s):  
Anat Freund ◽  
Tova Band-Winterstein
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Social Workers ◽  
The Elderly ◽  
Phenomenological Approach ◽  
Care Workers ◽  
Barriers And Challenges ◽  
Qualitative Phenomenological ◽  
Cultural Bridge ◽  
Home Care Workers

Background: The study’s aim is to examine social workers’ experience in facilitating the integration of foreign home care workers (FHCWs) into the ultraorthodox Jewish (UOJ) community for the purpose of treating older adults. Method: Using the qualitative-phenomenological approach, semistructured, in-depth interviews were conducted with 18 social workers in daily contact with UOJ older adult clients in the process of integrating FHCWs. Results: Data analysis revealed three central themes—integrating FHCWs into the aging UOJ family: barriers and challenges in the interaction between the two worlds; “even the rabbi has a FHCW”: changing trends in caring for older adults; and the social worker as mediator and facilitator of a successful relationship. Discussion: Social workers play a central role, serving as a cultural bridge in the process of integrating FHCWs, as a way of addressing the needs of ultraorthodox elderly and their families, while also considering the needs of the foreign workers.

Modularising outpatient care delivery: A mixed methods case study at a Finnish University Hospital

2018 ◽  
Vol 31 (4) ◽  
pp. 195-204 ◽  
Author(s):  
Katariina Silander ◽  
Paulus Torkki ◽  
Antti Peltokorpi ◽  
Aino Lepäntalo ◽  
Maija Tarkkanen ◽  
...  
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Health Care Delivery ◽  
Outpatient Care ◽  
Hospital Care ◽  
Care Delivery ◽  
University Hospital ◽  
Care Providers ◽  
Mixed Methods Case Study

Background Modularisation is a potential means to develop health care delivery by combining standardisation and customisation. However, little is known about the effects of modularisation on hospital care. The objective was to analyse how modularisation may change and support health care delivery in specialised hospital care. Methods A mixed methods case study methodology was applied using both qualitative and quantitative data, including interviews, field notes, documents, service usage data, bed count and personnel resource data. Data from a reference hospital’s unit were used to understand the context and development of care delivery in general. Results The following outcome themes were identified from the interviews: balance between demand and supply; support in shift from inpatient to outpatient care; shorter treatment times and improved management of service production. Modularisation supported the shift from inpatient towards outpatient care. Changes in resource efficiency measures were both positive and negative; the number of patients per personnel decreased, while the number of visits per personnel and the bed utilisation rate increased. Conclusions Modularisation may support health care providers in classifying patients and delivering services according to patients’ needs. However, as the findings are based on a single university hospital case study, more research is needed.

scholarly journals Validation of Geriatric Care Environment Scale in Portuguese Nurses

2013 ◽  
Vol 2013 ◽  
pp. 1-9
Author(s):  
João Paulo de Almeida Tavares ◽  
Alcione Leite da Silva ◽  
Pedro Sá-Couto ◽  
Marie Boltz ◽  
Elizabeth Capezuti
Keyword(s):  
Older Adults ◽  
Organizational Support ◽  
Care Delivery ◽  
Northern Region ◽  
Geriatric Care ◽  
Care Environment ◽  
Environment Scale ◽  
Institutional Values ◽  
Exploratory Factor Analyses ◽  
Hospitalized Older Adults

The number of hospitalized older adults in Portugal necessitates a better understanding of the acute care environment for older adults. This study translated and examined the psychometric qualities of the Geriatric Care Environment Scale (GCES) among 1,068 Portuguese registered nurses (RNs). Four factors emerged from the exploratory factor analyses: resource availability, aging-sensitive care delivery, institutional values regarding older adults and staff, and continuity of care. The internal consistency of the GCES wasα=.919. The GCES was significantly associated with the variables of region, hospital type, unit type, and RNs perception of hospital educational, staff knowledge, difficulty, rewarding, and burdensome in caring for older adults. Nurses who worked in hospitals centers in the northern region and medical and surgery units had more positive perceptions of the geriatric care environment. More positive perception was also found among RNs that reported more educational support, had more knowledge, and felt more rewarding and less difficulty and burden in caring older adults. This process resulted in a valid and reliable measurement of the geriatric care environment Portuguese version which provides hospital leadership with an instrument to evaluate organizational support for geriatric nursing practice and target specific areas that support or hinder care delivery.

scholarly journals Spotlight on International Quality: COVID-19 and Its Impact on Quality Improvement in Cancer Care

2021 ◽  
pp. 1513-1521
Author(s):  
Douglas W. Blayney ◽  
Giovanni Bariani ◽  
Devika Das ◽  
Shaheenah Dawood ◽  
Michael Gnant ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
United Arab Emirates ◽  
Health Care Providers ◽  
Cancer Care ◽  
Care Delivery ◽  
Global Scale ◽  
The Philippines ◽  
Care Providers ◽  
The Impact

This report from ASCO's International Quality Steering Group summarizes early learnings on how the COVID-19 pandemic and its stresses have disproportionately affected cancer care delivery and its delivery systems across the world. This article shares perspectives from eight different countries, including Austria, Brazil, Ghana, Honduras, Ireland, the Philippines, South Africa, and the United Arab Emirates, which provide insight to their unique issues, challenges, and barriers to quality improvement in cancer care during the pandemic. These perspectives shed light on some key recommendations applicable on a global scale and focus on access to care, importance of expanding and developing new treatments for both COVID-19 and cancer, access to telemedicine, collecting and using COVID-19 and cancer registry data, establishing measures and guidelines to further enhance quality of care, and expanding communication among governments, health care systems, and health care providers. The impact of the COVID-19 pandemic on cancer care and quality improvement has been and will continue to be felt across the globe, but this report aims to share these experiences and learnings and to assist ASCO's international members and our global fight against the pandemic and cancer.

scholarly journals ‘The Open Typology’: Towards Socially Sustainable Architectural and Care Types

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Davide Landi
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Open System ◽  
Care Delivery ◽  
Well Being ◽  
Care Providers ◽  
Contemporary Culture ◽  
Term Care ◽  
High Dependency

One aspect that characterises the twenty-first century is its accomplishments such as better health-care systems, improved economies, a reduction in infant mortality and a growing number of adults living longer. However, these accomplishments can have a downside. For example, people are living longer while at the same time dementia rates are increasing significantly. With the increase in demand for high-dependency-related services, while at the same time costs are spiralling possibly out of control of societal budgets, there is a need for a shift in the care model. Additionally, difficulties in defining a clear dividing line between normal ageing and pathological ageing have led to a stigmatisation of older adults as a social and economic burden. This type of segregation and stigmatisation must be addressed to ensure future care delivery is inclusive. The positive benefits of an inclusive care system are both social and economic, and at an individual level it can positively impact upon an older adult’s mental and physical well-being. Taking this into consideration, the aim of this paper is to describe and empirically explore Humanitas© in Deventer, the Netherlands, a nursing home with a population of 50 older adults with dementia, 80 people with severe physical suffering, 20 people with social difficulties, 10 people in short stay for recovery and 6 university students. This analysis will be adopted as a ‘tool’ for the definition of a new way of conceiving architectural types in contemporary culture, based on the concept of an ‘open system’ described by Richard Sennett. In this study, an open system is able to promote a new paradigm of care built upon inclusive collaboration and teamwork between different categories of health-care providers, volunteers, residents and their families. This will allow an alternative paradigm of older adults’ long-term care and its architectural correlate to ‘normalise’ ageing and its related mental and physical impairments, rather than to ‘medicalise’ and stigmatise.

Patient organizations supporting health care and co-creating value: insights from a simulation model

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Francesca Costanza
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Resource Planning ◽  
Positive Contribution ◽  
Care Providers ◽  
Holistic View ◽  
Content Type ◽  
Patient Organizations

Purpose Patient organizations (POs) belong to the non-profit world and carry on several activities alongside health care. However, literature devotes scarce attention to POs’ management specificities in the interaction with health-care delivery. This paper aims to describe the contribution of POs to health care from an operational point of view; investigate the effect of POs’ managerial choices on health-care performance; and provide useful insights for patient organizations and health-care management. Design/methodology/approach The paper combines qualitative case study research and system dynamics (SD). After a literature review about patient organizations’ role, modeling steps are described. In first place, the analyses of institutional documents, interviews and observations are condensed in a stock-and-flow diagram. The latter is translated into a set of differential equations to simulate the effect of alternative resource allocations. Findings The case study emphasizes PO’s educational and administrative role in supporting health-care delivery. Simulated policy scenarios, while confirming the positive contribution of patient co-created health, disclose potential divergencies in public and private/third sector decision-making, to be read considering key feedback mechanisms within the system. Originality/value This study proposes a holistic view of patient organizations’ engagement in health care. The findings highlight synergies and trade-offs of alternative managerial decisions involving POs and health-care providers, disclosing the benefits of joint resource planning.

“We’re keeping everything together with Band-Aids”: a case study of care work and family violence during a US oil boom

2020 ◽  
Vol 4 (3) ◽  
pp. 395-411
Author(s):  
Elizabeth M. Legerski ◽  
Laura C. Hand
Keyword(s):  
Family Violence ◽  
Care Delivery ◽  
Work And Family ◽  
Care Work ◽  
Oil Boom ◽  
Care Workers ◽  
The Us ◽  
Domestic Violence Survivors ◽  
Depth Interviews

The Bakken region of the US recently experienced an oil boom, resulting in population growth and social change, including increased family violence. Drawing on care work literature, we ask: how might rural resource development impact the care work associated with services for domestic violence survivors? Utilising thematic analysis techniques, we examine data from in-depth interviews conducted with 50 care workers. We find that oil booms: (1) create more demand for care work; (2) lead to a scarcity of care workers; and (3) impact care delivery and burnout among care workers. Findings illustrate the importance of considering care as human infrastructure.

scholarly journals INTEGRATING SOCIAL NEEDS CARE INTO THE DELIVERY OF HEALTH CARE TO IMPROVE THE NATION’S HEALTH FOR OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S496-S497
Author(s):  
Tamara J Cadet ◽  
Robyn Golden ◽  
Keegan Warren-Clem
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Outcomes ◽  
Social Workers ◽  
Delivery Of Health Care ◽  
Social Needs ◽  
Determinants Of Health ◽  
Care Providers ◽  
Community Based ◽  
Term Care

Abstract An ad hoc committee of the National Academies of Sciences, Engineering, and Medicine examined the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes and to address major challenges facing the U.S. health care system. These challenges, include persisting disparities in health outcomes among vulnerable subpopulations, often defined by a number of factors including age. Presenters will discuss and provide recommendations in the following areas: 1. evidence of impact of social needs care on patient and caregiver/family health and wellbeing, patient activation, health care utilization, cost savings, and patient and provider satisfaction; 2. opportunities and barriers to expanding historical roles and leadership of social workers in providing health-related social needs care and evidence-based care models that incorporate social workers and/or other social needs care providers in interprofessional care teams across the care continuum (e.g., acute, ambulatory, community-based, long-term care, hospice care, public health, care planning) and in delivery system reform efforts (e.g., enhancing prevention and functional status, care management, and transitional care; improving end-of-life care; integration of behavioral, mental, and physical health services); and 3. realized and potential contributions of social needs care to make health care delivery systems more community based, person- and family/caregiver-centered, and responsive to social and structural determinants of health, particularly for vulnerable populations and communities, such as older adults and low-income families. Examples for each of the three areas will also be presented.

Sign in / Sign up

Export Citation Format

Share Document