scholarly journals Healthcare Professionals’ Perspective on Implementing a Detector of Behavioural Disturbances in Long-Term Care Homes

2021 ◽  
Vol 18 (5) ◽  
pp. 2720
Author(s):  
Mohamed-Amine Choukou ◽  
Sophia Mbabaali ◽  
Ryan East
Keyword(s):  
Healthcare Professionals ◽  
Long Term Care ◽  
Tertiary Care ◽  
Care Facility ◽  
Care Homes ◽  
Care Providers ◽  
Term Care ◽  
Tertiary Care Facility ◽  
To Come

The number of Canadians with dementia is expected to rise to 674,000 in the years to come. Finding ways to monitor behavioural disturbance in patients with dementia (PwDs) is crucial. PwDs can unintentionally behave in ways that are harmful to them and the people around them, such as other residents or care providers. Current practice does not involve technology to monitor PwD behaviours. Events are reported randomly by nonstaff members or when a staff member notices the absence of a PwD from a scheduled event. This study aims to explore the potential of implementing a novel detector of behavioural disturbances (DBD) in long-term care homes by mapping the perceptions of healthcare professionals and family members about this technology. Qualitative information was gathered from a focus group involving eight healthcare professionals working in a tertiary care facility and a partner of a resident admitted in the same facility. Thematic analysis resulted in three themes: (A) the ability of the DBD to detect relevant dementia-related behavioural disturbances that are typical of PwD; (B) the characteristics of the DBD and clinical needs and preferences; (C) the integration of the DBD into daily routines. The results tend to confirm the adequacy of the DBD to the day-to-day needs for the detection of behavioural disturbances and hazardous behaviours. The DBD was considered to be useful and easy to use in the tertiary care facility examined in this study. The participants intend to use the DBD in the future, which means that it has a high degree of acceptance.

scholarly journals Factors Affecting the Implementation, Use, and Adoption of Real-Time Location System Technology for Persons Living With Cognitive Disabilities in Long-term Care Homes: Systematic Review

10.2196/22831 ◽  
2021 ◽  
Vol 23 (1) ◽  
pp. e22831
Author(s):  
Alisa Grigorovich ◽  
Yalinie Kulandaivelu ◽  
Kristine Newman ◽  
Andria Bianchi ◽  
Shehroz S Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Real Time ◽  
Long Term Care ◽  
Cognitive Disabilities ◽  
Care Homes ◽  
Care Providers ◽  
Term Care ◽  
Barriers To Implementation ◽  
Residential Long Term Care

Background As the aging population continues to grow, the number of adults living with dementia or other cognitive disabilities in residential long-term care homes is expected to increase. Technologies such as real-time locating systems (RTLS) are being investigated for their potential to improve the health and safety of residents and the quality of care and efficiency of long-term care facilities. Objective The aim of this study is to identify factors that affect the implementation, adoption, and use of RTLS for use with persons living with dementia or other cognitive disabilities in long-term care homes. Methods We conducted a systematic review of the peer-reviewed English language literature indexed in MEDLINE, Embase, PsycINFO, and CINAHL from inception up to and including May 5, 2020. Search strategies included keywords and subject headings related to cognitive disability, residential long-term care settings, and RTLS. Study characteristics, methodologies, and data were extracted and analyzed using constant comparative techniques. Results A total of 12 publications were included in the review. Most studies were conducted in the Netherlands (7/12, 58%) and used a descriptive qualitative study design. We identified 3 themes from our analysis of the studies: barriers to implementation, enablers of implementation, and agency and context. Barriers to implementation included lack of motivation for engagement; technology ecosystem and infrastructure challenges; and myths, stories, and shared understanding. Enablers of implementation included understanding local workflows, policies, and technologies; usability and user-centered design; communication with providers; and establishing policies, frameworks, governance, and evaluation. Agency and context were examined from the perspective of residents, family members, care providers, and the long-term care organizations. Conclusions There is a striking lack of evidence to justify the use of RTLS to improve the lives of residents and care providers in long-term care settings. More research related to RTLS use with cognitively impaired residents is required; this research should include longitudinal evaluation of end-to-end implementations that are developed using scientific theory and rigorous analysis of the functionality, efficiency, and effectiveness of these systems. Future research is required on the ethics of monitoring residents using RTLS and its impact on the privacy of residents and health care workers.

scholarly journals Influenza Vaccination and Decisional Conflict among Regulated and Unregulated Direct Nursing Care Providers in Long-Term–Care Homes

AAOHN Journal ◽  
2008 ◽  
Vol 56 (2) ◽  
pp. 77-84
Author(s):  
Patricia B. Strasser ◽  
Shannon M. Sullivan ◽  
Donna Pierrynowski-Gallant ◽  
Larry Chambers ◽  
Annette O'Connor ◽  
...  
Keyword(s):  
Influenza Vaccination ◽  
Nursing Care ◽  
Long Term Care ◽  
Decisional Conflict ◽  
Care Homes ◽  
Care Providers ◽  
Term Care

scholarly journals Can We Help Care Providers Communicate More Effectively With Persons Having Dementia Living in Long-Term Care Homes?

2016 ◽  
Vol 32 (1) ◽  
pp. 41-50 ◽  
Author(s):  
Katherine S. McGilton ◽  
Elizabeth Rochon ◽  
Souraya Sidani ◽  
Alexander Shaw ◽  
Boaz M. Ben-David ◽  
...  
Keyword(s):  
Long Term Care ◽  
Preliminary Evidence ◽  
Care Homes ◽  
Communication Intervention ◽  
Care Providers ◽  
Term Care ◽  
Positive Effects ◽  
Centered Care

Background: Effective communication between residents with dementia and care providers in long-term care homes (LTCHs) is essential to resident-centered care. Purpose: To determine the effects of a communication intervention on residents’ quality of life (QOL) and care, as well as care providers’ perceived knowledge, mood, and burden. Method: The intervention included (1) individualized communication plans, (2) a dementia care workshop, and (3) a care provider support system. Pre- and postintervention scores were compared to evaluate the effects of the intervention. A total of 12 residents and 20 care providers in an LTCH participated in the feasibility study. Results: The rate of care providers’ adherence to the communication plans was 91%. Postintervention, residents experienced a significant increase in overall QOL. Care providers had significant improvement in mood and perceived reduced burden. Conclusion: The results suggest that the communication intervention demonstrates preliminary evidence of positive effects on residents’ QOL and care providers’ mood and burden.

Supporting Sexual Activity in Long-Term Care

2008 ◽  
Vol 15 (1) ◽  
pp. 87-96 ◽  
Author(s):  
Bethan Everett
Keyword(s):  
Decision Making ◽  
Sexual Activity ◽  
Long Term Care ◽  
Ethical Decision Making ◽  
Care Facility ◽  
Sexual Life ◽  
Care Providers ◽  
Term Care ◽  
Decision Making Framework

Although nurses in almost every long-term care facility face daily challenges involving issues related to residents' sexual lives, guidelines for ethically supporting sexual activity are rare and inadequate. A decision-making framework was developed to guide care providers in responding to the sexual expression of residents in long-term care. The framework recommends that nurses should weigh the documented substantial benefits of having a sexual life against harm to the resident and others, and against offence to others. This article illustrates the use of this ethical decision-making framework by using the example of nurses supporting a resident's expression of his sexuality. It is suggested that nurses use this framework to guide their practice when related ethical issues arise.

Efficacy of a stewardship intervention focused on reducing unnecessary use of non–Clostridioides difficile antibiotics in patients with Clostridioides difficile infection

2019 ◽  
pp. 1-3
Author(s):  
Michelle T. Hecker ◽  
Andrea H. Son ◽  
Heba Alhmidi ◽  
Brigid M. Wilson ◽  
Peter M. Wiest ◽  
...  
Keyword(s):  
Long Term Care ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Facility ◽  
Care Hospital ◽  
Term Care ◽  
Long Term Care Facility ◽  
Clostridioides Difficile ◽  
Clostridioides Difficile Infection

Abstract In a tertiary-care hospital and affiliated long-term care facility, a stewardship intervention focused on patients with Clostridioides difficile infection (CDI) was associated with a significant reduction in unnecessary non-CDI antibiotic therapy. However, there was no significant reduction in total non-CDI therapy or in the frequency of CDI recurrence.

scholarly journals Factors Affecting the Implementation, Use, and Adoption of Real-Time Location System Technology for Persons Living With Cognitive Disabilities in Long-term Care Homes: Systematic Review (Preprint)

2020 ◽  
Author(s):  
Alisa Grigorovich ◽  
Yalinie Kulandaivelu ◽  
Kristine Newman ◽  
Andria Bianchi ◽  
Shehroz S Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Real Time ◽  
Long Term Care ◽  
Cognitive Disabilities ◽  
Care Homes ◽  
Care Providers ◽  
Term Care ◽  
Barriers To Implementation ◽  
Residential Long Term Care

BACKGROUND As the aging population continues to grow, the number of adults living with dementia or other cognitive disabilities in residential long-term care homes is expected to increase. Technologies such as real-time locating systems (RTLS) are being investigated for their potential to improve the health and safety of residents and the quality of care and efficiency of long-term care facilities. OBJECTIVE The aim of this study is to identify factors that affect the implementation, adoption, and use of RTLS for use with persons living with dementia or other cognitive disabilities in long-term care homes. METHODS We conducted a systematic review of the peer-reviewed English language literature indexed in MEDLINE, Embase, PsycINFO, and CINAHL from inception up to and including May 5, 2020. Search strategies included keywords and subject headings related to cognitive disability, residential long-term care settings, and RTLS. Study characteristics, methodologies, and data were extracted and analyzed using constant comparative techniques. RESULTS A total of 12 publications were included in the review. Most studies were conducted in the Netherlands (7/12, 58%) and used a descriptive qualitative study design. We identified 3 themes from our analysis of the studies: barriers to implementation, enablers of implementation, and agency and context. Barriers to implementation included lack of motivation for engagement; technology ecosystem and infrastructure challenges; and myths, stories, and shared understanding. Enablers of implementation included understanding local workflows, policies, and technologies; usability and user-centered design; communication with providers; and establishing policies, frameworks, governance, and evaluation. Agency and context were examined from the perspective of residents, family members, care providers, and the long-term care organizations. CONCLUSIONS There is a striking lack of evidence to justify the use of RTLS to improve the lives of residents and care providers in long-term care settings. More research related to RTLS use with cognitively impaired residents is required; this research should include longitudinal evaluation of end-to-end implementations that are developed using scientific theory and rigorous analysis of the functionality, efficiency, and effectiveness of these systems. Future research is required on the ethics of monitoring residents using RTLS and its impact on the privacy of residents and health care workers. CLINICALTRIAL

scholarly journals Models for Designing Long-Term Care Service Plans and Care Programs for Older People

2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Shogo Kato ◽  
Satoko Tsuru ◽  
Yoshinori Iizuka
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Care Service ◽  
Knowledge Structure ◽  
Care Providers ◽  
Term Care ◽  
Implementation Model ◽  
Care Services ◽  
To Come

The establishment of a system for providing appropriate long-term care services for older people is a national issue in Japan, and it will likely become a worldwide issue in the years to come. Under Japanese Long-term Care Insurance System, long-term care is provided based on long-term care programs, which were designed by care providers on the basis of long-term care service plans, which were designed by care managers. However, defined methodology for designing long-term care service plans and care programs has not been established yet. In this paper, we propose models for designing long-term care service plans and care programs for older people, both by incorporating the technical issues from previous studies and by redesigning the total methodology according to these studies. Our implementation model consists of “Function,” “Knowledge Structure,” and “Action Flow.” In addition, we developed the concrete knowledgebases based on the Knowledge Structure by visualizing, summarizing, and structuring the inherent knowledge of healthcare/welfare professionals. As the results of the workshop and retrospective verification, the adequacy of the models was suggested, while some further issues were pointed. Our models, knowledgebases, and application make it possible to ensure the quality of long-term care for older people.

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