Staff Perceptions of a Mealtime Management Educational Video for Training in Long-Term Care Homes

2020 ◽  
pp. 1-6
Author(s):  
Roseann Nasser ◽  
Allison Cammer ◽  
Thilina Bandara ◽  
Sabrina Bovee
Keyword(s):  
Long Term Care ◽  
Food Service ◽  
Continuing Care ◽  
Staff Perceptions ◽  
Term Care ◽  
Service Workers ◽  
Training Tool ◽  
Food Service Workers ◽  
Email Invitation

The purpose of this study was to determine if staff perceive a mealtime management video to be a beneficial and useful training tool in long-term care (LTC) homes. An email invitation was sent to the Dietitians of Canada Gerontology Network inviting dietitians working in LTC homes to participate. A previously used and reliable 25-item questionnaire was used to assess sustained attention/mental effort, learner satisfaction, clinical experience/relevance, and information processing of the video. Dietitians were asked to show the video to LTC staff and distribute the questionnaire to staff after viewing the video. A total of 769 surveys were completed at 28 LTC homes across Canada. Eighty-seven percent (n = 637/736) of participants felt more knowledgeable after viewing the video and 91% (n = 669/738) found the video format easy for learning. Managers had a higher Likert scores (mean = 6.2 out of 7) than continuing care assistant (mean = 5.7, P = 0.02) and food service workers (mean = 5.5, P = 0.001) for the clinical relevance scales. No differences were found for age (χ2 = 5.52, P = 0.60), gender (χ2 = 2.65, P = 0.10), and size of home (χ2 = 3.34, P = 0.34). Staff perceived the video to be useful for their work with residents living in LTC homes and it raised awareness of the importance of their roles at mealtimes.

scholarly journals Calculating the True Costs of Food Service in Long-Term Care: Development of a Costing Methodology

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 88-88
Author(s):  
Mikaela Wheeler ◽  
Karen Abbey ◽  
Sandra Capra
Keyword(s):  
Long Term Care ◽  
Systems Approach ◽  
Food Service ◽  
Term Care ◽  
Oral Nutrition ◽  
Total Cost ◽  
Real Cost ◽  
Future System ◽  
Care Development

Abstract As population’s age and the need for long term care (LTC) increases, so too does the focus on the costs to provide that care. Providing food, oral nutrition supplements and meals, can be a considerable expense to a home. The objective of this research was to develop a valid foodservice costing tool (FCT), to calculate the real cost of providing foods and meals in LTC. Current costing methodologies are not specific to LTC and do not account for all costs of a foodservice, including staff, procurement and nutrition supplements. An initial tool was developed using the systems approach in conjunction with literature and professional knowledge. This was piloted in real world contexts, using volunteer LTC homes. Four iterations of the tool were completed to assess its feasibility in calculating costs and useability. Managers were interviewed after completing the tool to gather an understanding of how the tool was interpreted and to refine completion. Following feedback, the resulting tool consists of nine sections, measuring both costs incurred in meal production and service as well as analysis of staff workloads. Preliminary results show consistency between homes within Australia, indicating that the true cost is much higher than that reported in the literature to date. The development of a comprehensive, usable tool which captures the total cost of foodservice allows homes to accurately report and understand costs from a systems level. This information can be used to demonstrate cost effectiveness of a foodservice and the potential to justify and plan future system changes.

Occupational Therapy and Dietetic Therapy with a Group of Female Psychiatric Patients: An Evaluation of Outcome

1993 ◽  
Vol 56 (12) ◽  
pp. 437-440 ◽  
Author(s):  
Sheila H Merriman ◽  
Kay Kench
Keyword(s):  
Weight Loss ◽  
Occupational Therapy ◽  
Medical Staff ◽  
Long Term Care ◽  
Psychiatric Patients ◽  
Video Feedback ◽  
Continuing Care ◽  
Significant Weight Loss ◽  
Term Care

Eight female patients attended up to eight group sessions run conjointly by an occupational therapist and a dietitian. Video feedback was used during the course of sessions. The patients were all residents in long-term care in the Continuing Care Division of St Andrew's Hospital and had been identified by medical staff as wishing to lose weight and having scope for improvement in posture and/or appearance. Seven of the eight subjects lost weight [mean loss (n=8) 1.18 kg: range −3.1 kg to +2.4 kg]. There was a significant weight loss in these seven subjects (t=3.669, df=6, significant at 0.01 level). The authors judged that there had been improvement in one or more areas of posture and/or appearance in seven of the eight patients.

scholarly journals What Are Staff Perceptions About Their Current Use of Emergency Departments for Long-Term Care Residents at End of Life?

2017 ◽  
Vol 28 (6) ◽  
pp. 692-707 ◽  
Author(s):  
Sharon Kaasalainen ◽  
Tamara Sussman ◽  
Pamela Durepos ◽  
Lynn McCleary ◽  
Jenny Ploeg ◽  
...  
Keyword(s):  
End Of Life ◽  
Long Term Care ◽  
Hospital Staff ◽  
Clinical Expertise ◽  
Staff Perceptions ◽  
Term Care ◽  
Reflective Process ◽  
Hospital Deaths ◽  
Chart Audits

The goal of this study was to examine current rates of resident deaths, Emergency Department (ED) use within the last year of life, and hospital deaths for long-term care (LTC) residents. Using a mixed-methods approach, we compared these rates across four LTC homes in Ontario, Canada, and explored potential explanations of variations across homes to stimulate staff reflections and improve performance based on a quality improvement approach. Chart audits revealed that 59% of residents across sites visited EDs during the last month of life and 26% of resident deaths occurred in hospital. Staff expressed surprise at the amount of hospital use during end of life (EOL). Reflections suggested that clinical expertise, comfort with EOL communication, clinical resources (i.e., equipment), and family availability for EOL decision making could all affect nondesirable hospital transfers at EOL. Staff appeared motivated to address these areas of practice following this reflective process.

scholarly journals The development and use of the assessment of dementia awareness and person-centred care training tool in long-term care

Dementia ◽  
2018 ◽  
Vol 18 (7-8) ◽  
pp. 3059-3070 ◽  
Author(s):  
Alys Wyn Griffiths ◽  
Claire A Surr ◽  
Byron Creese ◽  
Lucy Garrod ◽  
Lynn Chenoweth
Keyword(s):  
Randomized Controlled Trial ◽  
Usual Care ◽  
Long Term Care ◽  
Controlled Trial ◽  
Awareness Training ◽  
Term Care ◽  
Training Tool ◽  
Randomized Controlled ◽  
Care Training

Policy and practice guidelines recommend person-centred care to support people to live well with dementia in long-term care. Therefore, staff working in long-term care settings need to be trained in dementia awareness and person-centred care. However, the access to, content of and reach of training across long-term care settings can be varied. Data on current and ongoing access to person-centred care training can form an important component of data gathered on usual care in research studies, in particular clinical trials within long-term care. However, no suitable assessment tools are available to measure dementia awareness and person-centred care training availability, content and reach. This paper describes the development of a training audit tool to meet this need for a usual care measure of dementia awareness and person-centred care training. The ‘Assessment of Dementia Awareness and Person-centred care Training’ tool was based on a review of published person-centred care literature and consultation with dementia and aged care experts. The Assessment of Dementia Awareness and Person-centred care Training tool was piloted in 13 long-term care facilities the UK and Australia, before being used to assess the content of dementia and person-centred care awareness training in 50 UK settings in a randomized controlled trial as part of usual care recording. Following pilot testing, modifications to the Assessment of Dementia Awareness and Person-centred care Training tool’s wording were made to enhance item clarity. When implemented in the randomized controlled trial, pre-baseline training assessment data showed that the Assessment of Dementia Awareness and Person-centred care Training tool was able to differentiate between the training in different long-term care settings and identify settings where further dementia awareness training was required. The Assessment of Dementia Awareness and Person-centred care Training tool was then used as a method of recording data on dementia awareness and person-centred care training as part of ongoing usual care data collection. The Assessment of Dementia Awareness and Person-centred care Training tool is suitable for use by researchers to establish the availability, content and reach of dementia and person-centred care awareness training to staff within research studies.

scholarly journals Management challenges faced by managers of New Zealand long-term care facilities

2000 ◽  
Vol 23 (1) ◽  
pp. 100 ◽  
Author(s):  
Eshwar Madas ◽  
Nicola North
Keyword(s):  
Long Term Care ◽  
Postal Survey ◽  
Single Type ◽  
Continuing Care ◽  
Care Hospital ◽  
Health Care Environment ◽  
Term Care ◽  
Care Environment ◽  
Care Managers

This article reports on a postal survey of 78 long-term care managers in one region ofNew- Zealand, of whom 45 (58%) responded. Most long-term care managers (73.2%) weremiddle-aged females holding nursing but not management qualifications. Most long-termcare facilities (69%) tended to be stand-alone facilities providing a single type of care (resthome or continuing care hospital). The most prominent issues facing managers wereconsidered to be inadequate funding to match the growing costs of providing long-term careand occupancy levels. Managers believed that political/regulatory, economic and social factorsinfluenced these issues. Despite a turbulent health care environment and the challenges facingmanagers, long-term care managers reported they were coping well and valued networking.

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