scholarly journals COVID-19’s Influence on Information and Communication Technologies in Long-Term Care: Results From an Online Survey with Long-Term Care Administrators (Preprint)

JMIR Aging ◽  
10.2196/32442 ◽  
2021 ◽  
Author(s):  
Amy M. Schuster ◽  
Shelia R. Cotten
2021 ◽  
Author(s):  
Amy M. Schuster ◽  
Shelia R. Cotten

BACKGROUND The prevalence of COVID-19 in the U.S. led to mandated lockdowns for long-term care (LTC) facilities, resulting in loss of in-person contact with social ties for LTC residents. Though information and communication technologies (ICTs) can be used by LTC residents to support their socioemotional needs, residents must have access to ICTs in order to use them. OBJECTIVE This study explored ICT access and use in LTC institutions and how LTC institutions adapted to try to enhance social connections for their residents during COVID-19. METHODS LTC administrators in South Carolina were invited to complete an online survey exploring ICT access and use in LTC facilities and whether access and use changed as a result of COVID-19. RESULTS Seventy LTC administrators (12 nursing homes and 58 assisted living facilities) completed the online survey. Since March 2020, 53% of the LTC facilities purchased ICTs for residents’ use. ICTs have mainly been used for videoconferencing with family members (84%), friends (68%), and/or healthcare providers (70%). Benefits of ICT use included residents’ feeling connected to their family members, friends, and/or other residents. Barriers to ICT use included staff not having time to assist residents with using the technology, broken technology, and residents who do not want to share technology. CONCLUSIONS Results of this exploratory study suggest that over half of the LTC institutions in this study were able to acquire ICTs for their residents to use during COVID-19. Additional research is needed to explore how residents adapted to using the ICTs and whether LTC facilities developed and/or adopted technology integration plans, which could help them be prepared for future situations that may affect LTC residents’ engagement and communication opportunities, such as another pandemic.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 541-542
Author(s):  
Tomoko Wakui ◽  
Tomoko Ikeuchi ◽  
Sakiko Itoh ◽  
Hiroyasu Miwa ◽  
Kentaro Watanabe

Abstract The remarkable development of information and communication technologies (ICT), considering the rapidly aging global population, could eliminate the physical and mental burdens involved in caregiving and enhance the perceived dignity and autonomy of older adults. However, the introduction of ICT in long-term care (LTC) in Japan has not yielded good results yet, and the social acceptance of ICT remains understudied. This study aimed to understand and examine people’s views on ICT use in LTC settings. An online vignette survey was conducted in August 2020, among community-dwelling persons between the ages of 40–89 years, throughout Japan. A set of four vignettes of different physical and cognitive functional situations, at either a home or nursing home, with or without ICT use, was presented to select a preferred care setting. Multinomial regression analyses were used to examine the relationships between participants’ choices and individual characteristics. A total of 4,457 participants (52.8% of whom were women) were analyzed (mean age = 60.8 years). Participants were more likely to choose nursing homes in cognitively dependent situations. Participants who were women, relatively younger, and had higher education were more likely to choose care settings employing ICT for physically and cognitively dependent situations. Those who experienced either informal or formal caregiving were more likely to choose care settings that used ICT. This study revealed that individuals preferred different levels of ICT use based on physical and cognitive situations. Barriers to introducing ICT in LTC settings will be discussed.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038598
Author(s):  
Jung-Yeon Choi ◽  
Kwang-il Kim ◽  
Hongsoo Kim ◽  
Young-il Jung ◽  
In-Hwan Oh ◽  
...  

IntroductionThere is an increased healthcare need to manage institutionalised older patients owing to the ageing population. To overcome substantial future challenges, the Health-RESPECT (caRE Systems for Patients/Elderly with Coordinated care using icT), a new information and communication technologies based integrated management service model, was developed to provide effective management, enable consultation with distant professionals and share medical information between acute care hospitals and long-term care institutions.Methods and analysisA cluster randomised controlled trial will be conducted to examine the effectiveness of the Health-RESPECT in older patients with chronic diseases and their medical staff in charge. Intervention involves registration with simple comprehensive geriatric assessment, establishment of an individualised care plan for three chronic diseases (hypertension, diabetes and heart failure), medication and rehabilitation management, periodic video-conference and in-system assessment after intervention period. Primary outcomes are control levels of the three chronic diseases, adequacy of drug management and overall functional status. Patients will be assessed at before and after study period and 3 months after study ended. Analysis will be carried out with an intention-to-treat principle. In addition to evaluate intervention effects, clinical usability and economic evaluation will be assessed.Ethics and disseminationThe study protocol was reviewed and approved by the Seoul National University Bundang Hospital Institutional Review Board. Study findings will be published in peer-reviewed journals.Trial registration numberKCT0004360.


Author(s):  
Timo-Kolja Pförtner ◽  
Holger Pfaff ◽  
Kira Isabel Hower

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.


2016 ◽  
Vol 55 (06) ◽  
pp. 481-487 ◽  
Author(s):  
Stefanie Kuballa ◽  
Mareike Schulze ◽  
Claudia Böhm ◽  
Olaf Gefeller ◽  
Jan Haaf ◽  
...  

SummaryBackground: Based on today‘s information and communication technologies the open access paradigm has become an important approach for adequately communicating new scientific knowledge.Objectives: Summarizing the present situa -tion for journal transformation. Presenting criteria for adequate transformation as well as a specific approach for it. Describing our exemplary implementation of such a journal transformation.Methods: Studying the respective literature as well as discussing this topic in various discussion groups and meetings (primarily of editors and publishers, but also of authors and readers), with long term experience as editors and /or publishers of scientific publications as prerequisite.Results: There is a clear will, particularly of political and funding organizations, towards open access publishing. In spite of this, there is still a large amount of scientific knowl edge, being communicated through subscription-based journals. For successfully transforming such journals into open access, sixteen criteria for a goal-oriented, stepwise, sustainable, and fair transformation are suggested. The Tandem Model as transformation approach is introduced. Our exemplary implementation is done in the Trans-O-MIM project. It is exploring strategies, models and evaluation metrics for journal transforma tion. As instance the journal Methods of Information in Medicine will apply the Tandem Model from 2017 onwards.Conclusions: Within Trans-O-MIM we will reach at least nine of the sixteen criteria for adequate transformation. It was positive to implement Trans-O-MIM as international research project. After first steps for transforming Methods have successfully been made, challenges will remain, among others, in identifying appropriate incentives for open access publishing in order to support its transformation.


2020 ◽  
Vol 14 (4) ◽  
pp. 259-266
Author(s):  
Patrick Alexander Wachholz ◽  
Alessandro Ferrari Jacinto ◽  
Ruth Caldeira de Melo ◽  
José Luis Dinamarca-Montecinos ◽  
Paulo José Fortes Villas Boas

INTRODUCTION: Little is known about management and mitigation of COVID-19 in long-term care facilities (LTCF) for the aged in Latin America. OBJECTIVE: To describe how the management of LTCF in Latin American countries plan and adapt their routines for coping with COVID-19 and whether they have been able to fulfill recommendations published by the World Health Organization (WHO). METHODOLOGY: A cross-sectional study was conducted by online survey of managers of LTCF located in Hispanic American countries. A 46-item questionnaire (adopting the WHO principles) was sent to participants. Descriptive statistics were used to summarize the data. RESULTS: Twenty-three care home managers replied, responsible for a total of 874 older people (range: 5 - 270). One questionnaire was excluded because of missing responses. Fourteen LTCF (63.60%) were private, for-profit facilities. The rate of compliance with WHO recommendations exceeded 70% for the majority of items. Just over half of the institutions had developed a strategic management plan, or had identified strategies for dealing with deaths of suspected cases. Difficulty acquiring personal protective equipment (PPE) was reported by 59.10% of the LTCF surveyed. The homes’ capacity for SARS-Cov-2 testing was limited (36.36% of the institutions did not have any tests). CONCLUSIONS: The rate of compliance with recommendations published by the WHO for dealing with COVID-19 was greater than 70% at the majority of the LTCF surveyed. More than half of the institutions had strategic management plans. Availability of PPE and SARS-Cov-2 testing capacity were very unsatisfactory.


2020 ◽  
pp. 312-324
Author(s):  
Hasnain Falak ◽  
Tariq Zaman

Community engagement is necessary for the success and sustainability of Information and Communication Technologies for Development (ICT4D) projects. To ensure active participation of community, researchers need to understand and adhere to the local cultural norms and adapt in the lifestyle of people. These cultural norms are mainly unwritten and implicit in nature. Hence the researchers spend maximum time of their field visits in observing and developing understanding of the community's life. In our long-term partnership with the indigenous Penan community of Long Lamai in Malaysian Borneo, we co-developed written guidelines for researchers and visitors. The researchers demonstrated their interest in aligning research process to the community's cultural values, however norm internalisation and development of associated behaviour is still a challenging. The written guidelines are yet only one of the attempts to the practices of community researchers' engagement and we are refining our methodology to enhance the researchers' learning process.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Z Katreniakova ◽  
M Levyova ◽  
M Giertl ◽  
I Nagyova

Abstract Issue/problem In Slovak Republic (SR) old-age dependency will rise rapidly in the near future and will more than double in the next 15 years. This profound demographic changes will require restructuring of health and social care systems with more people working in the long-term care (LTC) sector and most likely a higher level of public spending to cover the growing LTC needs. Description of the problem Providing LTC in Slovakia has many problem areas. It is governed by several acts and regulations, which are not always linked and sometimes do not cover the situation entirely. There is not coordinated and integrated LTC model implemented and the distribution of the roles between the health and social care systems is lacking. Results Since 2017 a policy dialog between the key stakeholders - the Ministry of Health of the SR; the Ministry of Labour, Social Affairs and Family of the SR; and civic societies led by the Association for the Patients’ Rights Protection has been in place with aim to improve the current LTC Strategy Proposal. Online survey was carried out in May - June 2018, which brought deeper insights into the needs regarding demand and supply, and uncovered the main limitations of the current LTC system, e.g. insufficient capacity of LTC beds or a malfunctioning information system. This was followed by six workshops for professional and lay public, organised between February and March 2019 with aim to collect further evidence on regional level. Lessons The LTC Strategy Proposal development is one of 12 pilot projects within the national project - Promoting partnership and dialogue on participatory public policy making in SR. The initiative takes into account the needs and demands of LTC target groups and will serve as a starting point for further action in this area. [Grant Support: APVV-15-0719]. Key messages In Slovakia, a complex solution of long-term care issues is essential. Developing the LTC Strategy Proposal through participatory approach is an important starting point for future action.


SAGE Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 215824401988512 ◽  
Author(s):  
Stephanie A. Chamberlain ◽  
Wendy Duggleby ◽  
Janet Fast ◽  
Pamela B. Teaster ◽  
Carole A. Estabrooks

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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