scholarly journals Health Communication and Inter-professional Care in Context of Multimorbidity Management: Assessment of Health Professional Curricular Focus in India

2021 ◽  
Vol 6 ◽  
Author(s):  
Sanghamitra Pati ◽  
Rajeshwari Sinha ◽  
Pranab Mahapatra
Keyword(s):  
Health Communication ◽  
Health Professional ◽  
Healthcare Providers ◽  
Multidisciplinary Care ◽  
Term Care ◽  
Policy Makers ◽  
Competency Based ◽  
Professional Care ◽  
Care Demands

To meet the long term care demands of chronic diseases as well as multimorbidity, healthcare providers from different disciplines need to work collaboratively in practice. This requires healthcare providers to be appropriately trained on delivery of inter-professional care (IPC) and health communication aspects during formative professional years. In this study, we have looked at the prevailing undergraduate and postgraduate healthcare professional curricula to understand the focus on health communication and on IPC for the delivery of multidisciplinary care for multimorbidity management. We observe that while there are exclusive courses on health communication being delivered at different levels, the focus on IPC is still in stages of infancy. The IPC component is just beginning to be woven into the health professional curricula through elements like competency-based curriculum, rotational posting, inter-departmental engagements. At the same time, the need to put curricular attention on multimorbidity is also highlighted here. There remains wider scope for strengthening learning on health communication and IPC among different disciplines within the curricula in the context of multimorbidity. We expect our findings to provide key inputs to academic planners and policy makers towards the introduction of adequate curricular components for addressing multimorbidity along with necessary prescriptions for health communication and IPC in India.

scholarly journals Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kari Dyb ◽  
Gro Rosvold Berntsen ◽  
Lisbeth Kvam
Keyword(s):  
Information Technologies ◽  
Scale Up ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Analytical Framework ◽  
Development Project ◽  
Technology Support ◽  
Care Needs ◽  
Term Care

Abstract Background Technology support and person-centred care are the new mantra for healthcare programmes in Western societies. While few argue with the overarching philosophy of person-centred care or the potential of information technologies, there is less agreement on how to make them a reality in everyday clinical practice. In this paper, we investigate how individual healthcare providers at four innovation arenas in Scandinavia experienced the implementation of technology-supported person-centred care for people with long-term care needs by using the new analytical framework nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability (NASSS) of health and care technologies. We also discuss the usability and sensitivity of the NASSS framework for those seeking to plan, implement, and evaluate technology-supported healthcare programmes. This study is part of an interdisciplinary research and development project called Patients and Professionals in Partnership (2016–2020). It originates at one of ten work packages in this project. Method The main data consist of ethnographic field observations at the four innovation arenas and 29 interviews with involved healthcare providers. To ensure continuous updates and status on work in the four innovation arenas, we have also participated in a total of six annual network meetings arranged by the project. Results While the NASSS framework is very useful for identifying and communicating challenges with the adoption and spread of technology-supported person-centred care initiatives, we found it less sensitive towards capturing the dedication, enthusiasm, and passion for care transformation that we found among the healthcare providers in our study. When it comes to technology-supported person-centred care, the point of no return has passed for the involved healthcare providers. To them, it is already a definite part of the future of healthcare services. How to overcome barriers and obstacles is pragmatically approached. Conclusion Increased knowledge about healthcare providers and their visions as potential assets for care transformation might be critical for those seeking to plan, implement, and evaluate technology-supported healthcare programmes.

OP48 Nursing Requirements In Long-Term Care: A Health Technology Assessment

2019 ◽  
Vol 35 (S1) ◽  
pp. 11-12
Author(s):  
Paula Corabian ◽  
Charles Yan ◽  
Susan Armijo-Olivo ◽  
Bing Guo
Keyword(s):  
Nursing Care ◽  
Nursing Staff ◽  
Real World ◽  
Research Evidence ◽  
Long Term Care ◽  
Staff Time ◽  
Term Care ◽  
Policy Makers ◽  
The Relationship

IntroductionThe objectives of this study were to systematically review published research on the relationship between nursing staff coverage, care hours, and quality of care (QoC) in long-term care (LTC) facilities; and to conduct a real world evidence (RWE) analysis using Alberta real world data (RWD) to inform policy makers on whether any amendments could be made to current regulations.MethodsA systematic review (SR) of research evidence published between January 2000 and May 2018 on the relationship between nursing staff coverage, care hours, and QoC in LTC facilities was conducted. Panel data regressions using available RWD from Alberta, Canada, were performed to assess associations between nursing care hours and LTC outcomes. Outcomes of interest included quality indicators related to resident outcomes, hospital admissions, emergency room visits and family satisfaction. Nursing care hours considered in SR and RWE analysis included those provided by registered nurses (RNs) and licensed practical nurses (LPNs).ResultsThe SR found inconsistent and poor quality evidence relevant to the questions of interest, indicating a great uncertainty about the association between nursing staff time and type of coverage and QoC. Although some positive indications were suggested, major weaknesses of reviewed studies limited interpretation of SR results. RWE analysis found that impact of care hours on LTC outcomes was heterogeneous, dependent on outcome measurements. There was evidence that total staff, RN, and LPN hours had positive effects on some resident outcomes and magnitude of effect differed for different nursing staff.ConclusionsNo definitive conclusion could be drawn on whether changing nursing staff time or nursing staff coverage models would affect residents’ outcomes based on the research evidence gathered in the SR. RWE analysis helped to fill a gap in the available published literature and allowed policy makers to better understand the impact of revising current regulations based on actual outcomes.

scholarly journals Care and management demands of long-term care facilities for the elderly in Brazil: an integrative review (2004-2014)

2017 ◽  
Vol 20 (2) ◽  
pp. 286-299 ◽  
Author(s):  
Fátima Ferreira Roquete ◽  
Carolina Campos Ricci Frá Batista ◽  
Rodrigo Caetano Arantes
Keyword(s):  
Long Term Care ◽  
Quality Care ◽  
The Elderly ◽  
Integrative Review ◽  
Elderly Persons ◽  
Term Care ◽  
Care For The Elderly ◽  
Care Facilities ◽  
Care Demands

Abstract Objective: to analyze the care and management demands of Long-Term Care Facilities for the Elderly (LTCFs) in Brazil. Method: an integrative review of literature was carried out, organized into six stages: a) elaboration of a guiding question; b) online search of LILACS, SciELO, PubMed, the CAPES Portal and the Brazilian Society of Geriatrics and Gerontology databases; c) article selection, following the exclusion and inclusion criteria, with the sample composed of 17 articles; d) commented analysis of the selected articles; e) deliberation on the results obtained, formulated from the synthesis and interpretation of the selected studies; f) presentation of the results of the review. Results: the care demands identified are related to the process of caring and assume a working team with geriatric and gerontological knowledge, while the management demands include the means and resources needed so the care can be provided effectively. However, the LTCFs were found to rely on professionals who are unprepared to provide care or to assume an organizational management role, meaning care for the elderly is restricted to the essentials for their basic needs. Conclusion: the care demands were easily identified in the analyzed publications, however, there is a lack of research that evaluates management demands in a broader and more in-depth manner. It is suggested that studies aiming to broaden theoretical knowledge of the care and management demands of LTCFs are carried out, to stimulate effective and positive actions in the practices of these institutions, seeking to offer top quality care to elderly persons that live in these facilities, that responds to the real needs of their current stage of life.

Examining the role of commercial long-term care insurance in long-term care services

2019 ◽  
Vol 37 (2) ◽  
pp. 565-578 ◽  
Author(s):  
Tsu-Wei Yu ◽  
Lu-Ming Tseng
Keyword(s):  
Service Quality ◽  
Relationship Satisfaction ◽  
Long Term Care ◽  
Customer Relationships ◽  
Term Care ◽  
Policy Makers ◽  
Content Type ◽  
Long Term Care Insurance

PurposeThe purpose of this paper is to explore the role of commercial long-term care insurance (LTCI) in long-term care (LTC) services, and to elucidate the mediating roles of service quality and relationship satisfaction in the relationship between customization and loyalty. In addition, this study offers important recommendations for policy makers in formulating policy aimed at supporting the industry and regulating its customer relationships in life insurers in Taiwan.Design/methodology/approachStudy participants were policyholders of life insurance in Taiwan with experience in purchasing commercial LTCI. They were investigated through in-depth interviews and surveys. The hypotheses were tested using the structural equation modeling (SEM) analysis of variance.FindingsThe findings of this study are important for policy makers in formulating policy aimed at supporting the industry and regulating its customer relationships.Originality/valueThis study represents the first attempt to investigate the role of LTCI in LTC services in Taiwan. Likewise, this study improves our understanding of the main issues relating to the effect of customization on policyholder loyalty, and the partially mediating role of service quality and relationship satisfaction in the insurance marketing context.

scholarly journals Exploring the Experience of Healthcare Workers Who Returned to Work After Recovering From COVID-19: A Qualitative Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Hui Zhang ◽  
Dandan Chen ◽  
Ping Zou ◽  
Nianqi Cui ◽  
Jing Shao ◽  
...  
Keyword(s):  
Interpersonal Relationships ◽  
Healthcare Workers ◽  
Healthcare Providers ◽  
Large Body ◽  
Symptom Burden ◽  
Physical Symptom ◽  
Work And Family ◽  
Term Care ◽  
Qualitative Descriptive

Background: To date, a large body of literature focuses on the experience of healthcare providers who cared for COVID-19 patients. Qualitative studies exploring the experience of healthcare workers in the workplace after recovering from COVID-19 are limited. This study aimed to describe the experience of healthcare workers who returned to work after recovering from COVID-19.Methods: This study employed a qualitative descriptive approach with a constructionist epistemology. Data were collected through semi-structured in-depth interviews with 20 nurses and physicians, and thematic analysis was used to identify themes from the interview transcripts.Results: Three major themes about the psychological experiences of healthcare workers who had recovered from COVID-19 and returned to work were identified: (1) holding multi-faceted attitudes toward the career (sub-themes: increased professional identity, changing relationships between nurses, patients, and physicians, and drawing new boundaries between work and family), (2) struggling at work (sub-themes: poor interpersonal relationships due to COVID-19 stigma, emotional symptom burden, physical symptom burden, and workplace accommodations), (3) striving to return to normality (sub-themes: deliberate detachment, different forms of social support in the workplace, and long-term care from organizations).Conclusions: The findings have highlighted opportunities and the necessity to promote health for this population. Programs centered around support, care, and stress management should be developed by policymakers and organizations. By doing this, healthcare workers would be better equipped to face ongoing crises as COVID-19 continues.

scholarly journals Sustainability of Long-term Care: Puzzling Tasks Ahead for Policy-Makers

2016 ◽  
Vol 6 (4) ◽  
pp. 195-205 ◽  
Author(s):  
Ilaria Mosca ◽  
Philip J. van der Wees ◽  
Esther S. Mot ◽  
Joost J.G. Wammes ◽  
Patrick P.T. Jeurissen
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Policy Makers

scholarly journals “孝治天下”與“法治天下”——新時代的“孝文化”建設初探

2015 ◽  
Vol 13 (1) ◽  
pp. 27-41
Author(s):  
Lian YU
Keyword(s):  
Human Rights ◽  
Rule Of Law ◽  
Filial Piety ◽  
Long Term Care ◽  
Chinese Society ◽  
Term Care ◽  
Policy Makers ◽  
The Rule Of Law ◽  
Care Policies

LANGUAGE NOTE | Document text in Chinese; abstract also in English.“孝治天下”是中國傳統社會的治理模式，從而形成了具有中國特色的“孝文化”，但是這個文化卻在現代化的過程中遇到了質疑和批判。然而，在老齡化和養老問題突出的今天，“孝文化”重新成為社會討論的話題，由此帶來一系列的問題：我們如何回應五四新文化以來學者對所謂儒家“封建壓迫”的批判？我們如何重新構建當今時代的“孝文化”？本文探討和“孝治天下” 與“法治天下”之間的衝突與融合，提出二者互動的辯證關係。筆者認為，傳統的孝道必須與社會結構的轉型聯繫起來，從而形成一個符合現代社會的、新型的“孝文化”。“Ruling the world with filial piety” was an effective management model in traditional Chinese society, particularly during the Confucian era. However, this commitment to filial piety was powerfully challenged by China’s New Culture Movement at the beginning of the twentieth century, and disintegrated almost entirely during the Cultural Revolution approximately 50 years later. However, filial piety has recently re-emerged as a topic of debate due to the problems created by China’s aging society. In this paper, the possibility of reconstructing a culture of filial piety is investigated in relation to the rule of law, as discussed by public-policy makers. On the one hand, long-term care policies must be tailored to modern Chinese society, which has been transformed in the last few decades by changes to family structure and the relationship between family and society. On the other hand, policy makers responsible for long-term care policies must acknowledge the traditional value system that has shaped the Chinese way of thinking and moral logic.In the West, the concept of the rule of law is intrinsically connected with that of human rights. Moving away from the traditional perception of filial piety as a moral duty, it is proposed in this paper that the Confucian ideal of filial piety can be interpreted in terms of human rights. The author combines the Western principle of the rule of law with the Confucian concept of filial piety—that is, legality with morality—to show that filial piety should not be regarded merely as a virtue or a moral sentiment, but as a legallyprotected and promoted entity. The author argues that adherence to the principle of filial piety, although decreasing in modern China, remains the most important means of regulating the treatment of elderly people by their adult children, and cultivating awareness of the moral responsibility to provide elderly care.DOWNLOAD HISTORY | This article has been downloaded 1148 times in Digital Commons before migrating into this platform.

scholarly journals Leveraging Promising Policies to Support Long-Term Care Residents' Quality of Life Post-Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 369-370
Author(s):  
Deanne Taylor ◽  
Janice Keefe ◽  
Heather Cook
Keyword(s):  
Quality Of Life ◽  
Long Term Care ◽  
Lessons Learned ◽  
Term Care ◽  
Policy Language ◽  
Policy Makers ◽  
Pandemic Planning ◽  
Health Decision

Abstract Long-term care (LTC) is highly regulated and often the policy language is complex and in tension with residents’ quality of life goals. Prior to COVID-19, LTC policy levers prioritized safety over other quality domains such as privacy, dignity, spirituality, and comfort. During the pandemic, this focus on safety regulations, while important, intensified in ways that often negatively impacted residents’ overall quality of life. In this symposium, we share findings from a five- year research project where we conducted a unique and expansive review of regulatory policy across four Canadian jurisdictions. We highlight how 11 different quality of life domains are supported and which texts offering promising policy language to enhance a well-rounded quality of life for residents. These are timely insights to offer as policy-makers look to the future and consider the lessons learned from the pandemic. We contend that creating more LTC policy is not a timely pathway forward to LTC reform. Instead, we suggest that existing policy can be leveraged when applied within a resident-centred quality of life lens. We will guide attendees through examples of existing promising policies highlighting how they might leveraged in planning for a better LTC system. The discussion will be rooted in our unique resident-centred approach to policy analysis using specific domains of quality of life and then applied to four different perspectives: residents, families, staff and volunteers. Our discussant a Ministry of Health decision-maker will address the implications of our research for post-pandemic planning to improve resident quality of life

scholarly journals PROLONGED MECHANICAL VENTILATION: CHARACTERISTICS OF PATIENTS TREATED AT HOME COMPARED TO HOSPITAL LONG-TERM CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S447-S447
Author(s):  
Jeremy M Jacobs ◽  
Esther-Lee Marcus ◽  
Jochanan Stessman
Keyword(s):  
Mechanical Ventilation ◽  
Long Term Care ◽  
Prolonged Mechanical Ventilation ◽  
Functional Decline ◽  
Healthcare Providers ◽  
Term Care ◽  
Advanced Directives ◽  
Clalit Health Service ◽  
At Home

Abstract Rising numbers of patients receiving Prolonged Mechanical Ventilation (PMV) pose a challenge, and advancing technology supports ventilators appropriate for either Home or Hospital Long Term Care (HLTC).Data guiding decisions concerning place of care are lacking. This study describes the characteristics of the majority (120/123) of all PMV patients aged ≥18 (and their caregivers) in Jerusalem, covered by the Clalit Health Service, treated either with Home Hospital or HLTC. Patients were more alert and communicative at Home vs. HLTC (40/46 vs. 22/74), younger (54 vs.73 years, p12 years (36% vs.21%, p=0.1), and without legal guardian (59% vs. 12%, p<0.01). Primary reason for PMV at home was degenerative neuromuscular disease (59% vs. 28%), compared to post resuscitation/sepsis/CVA in HLTC patients (17% vs. 62%), who suffered more comorbidity, functional decline post-PMV, and pressure sores (0% vs. 42%). Ventilation was more likely to be planned at home vs HLTC (33% vs. 8%), and yet 119/120 were without Advanced Directives prior to PMV. Caregivers at home tended to be spouses (48% vs. 31%) and offspring at HLTC (17% vs. 47%), with reduced Modified Caregiver Strain Index at home (10.5 vs. 12.9, p=0.12). Mortality during follow-up was lower at home (15.2% vs. 27%). Costs to the health fund for home versus HLTC were approximately 1:3. Our findings suggest that with appropriate targeting of eligible PMV patients, Home Hospital may be the preferred model of care for patients, caregivers and healthcare providers.

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