Perceived Stress among Health Care Providers in Long Term Care Facilities

A surge of research has recently been published on the importance of patient-centered communication (P-CC). However, patients with communication disorders are rarely considered in these discussions. Health care workers in long-term care facilities (L-TCFs) and rehabilitation centers were surveyed in order to: (1) assess the level of P-CC used with people with communication disorders versus those without communication disorders; (2) identify the tools and strategies currently used by health care providers in long-term care facilities and rehabilitation centers to enhance P-CC with people with communication disorders; (3) assess the perceived level of effectiveness of these tools and strategies; and (4) identify the tools desired by health care providers in these settings. The results regarding P-CC levels were fairly consistent across settings. Health care providers reported that they achieve slightly higher P-CC with patients without communication disorders than with those with communication disorders. Respondents in both settings used similar tools and strategies, but the reported level of effectiveness varied greatly between the two settings, with rehabilitation centers indicating better success than L-TCFs. Interestingly, rehabilitation center respondents were more interested in obtaining additional tools than were L-TCF respondents, but the types of tools desired were similar.

Download Full-text

Decision Making at the End of Life in Dementia: How Family Caregivers Perceive Their Interactions With Health Care Providers in Long-Term-Care Settings

Journal of Applied Gerontology ◽

10.1177/0733464805275766 ◽

2005 ◽

Vol 24 (3) ◽

pp. 231-247 ◽

Cited By ~ 68

Author(s):

Chantal D. Caron ◽

Jennifer Griffith ◽

Marcel Arcand

Keyword(s):

Health Care ◽

Decision Making ◽

End Of Life ◽

Family Caregivers ◽

Health Care Providers ◽

Long Term Care ◽

Care Providers ◽

Term Care

Download Full-text

PTU-029 Managing the long-term care of inflammatory bowel disease patients: the cost to European health care providers

Gut ◽

10.1136/gut.2009.209031o ◽

2010 ◽

Vol 59 (Suppl 1) ◽

pp. A60.1-A60

Author(s):

J Buchanan ◽

S Wordsworth ◽

J Taylor ◽

D Jewell

Keyword(s):

Health Care ◽

Inflammatory Bowel Disease ◽

Health Care Providers ◽

Long Term Care ◽

Care Providers ◽

Term Care ◽

European Health ◽

Inflammatory Bowel ◽

The Cost

Download Full-text

Linking Incidents in Long-Term Care Facilities to Worker Activities

Workplace Health & Safety ◽

10.1177/2165079916680366 ◽

2017 ◽

Vol 65 (10) ◽

pp. 457-466

Author(s):

Rose McCloskey ◽

Cindy Donovan ◽

Alicia Donovan

Keyword(s):

Health Care Providers ◽

Long Term Care ◽

Occupational Injury ◽

Worker Safety ◽

Care Providers ◽

Cross Sectional ◽

Term Care ◽

Care Facilities ◽

The Impact

This article reports on a study examining staff activities being performed when incidents were reported to have occurred. The risk for injury among health care providers who engage in patient handling activities is widely acknowledged. For those working in long-term care, the risk of occupational injury is particularly high. Although injuries and injury prevention have been widely studied, the work has generally focused on incident rates and the impact of specific assistive devices on worker safety. The purpose of this study was to examine reported staff incidents in relation to staff activities. A multicenter cross-sectional exploratory study used retrospective data from reported staff incidents (2010, 2011, and 2012) and prospective data from 360 hours of staff observations in five long-term care facilities during 2013. Descriptive statistics were used to analyze data. A total of 898 staff incidents were reviewed from the facilities. Incidents were most likely to occur in resident rooms. Resident aides were more likely to be engaged in high-risk activities than other care providers. Times when staff incidents were reported to have occurred were not associated with periods of high staff-to-resident contact. Safe handling during low and moderate risk activities should be promoted. Education on what constitutes a reportable incident and strategies to ensure compliance with reporting policies and procedures may be needed to ensure accuracy and completeness of incident data.

Download Full-text

The Importance of a Complete Allergy Assessment in Clinical Stewardship

The Senior Care Pharmacist ◽

10.4140/tcp.n.2019.510 ◽

2019 ◽

Vol 34 (8) ◽

pp. 510-513

Author(s):

Vanessa Moreno ◽

Charlie L. Nguyen ◽

Amie Taggart Blaszczyk

Keyword(s):

Health Care Providers ◽

Long Term Care ◽

Care Providers ◽

Opioid Use ◽

Term Care ◽

Care Facilities ◽

The Right ◽

Potential Challenge ◽

Selection Of

National agencies have championed stewardship initiatives to enhance antimicrobial and opioid use in long-term care facilities. Health care providers for these residents have been given the task to ensure "the right drug is used for the right indication at the right time and duration." One potential challenge to this is incorrect or incomplete documentation of allergies. Many long-term care facilities have traditionally, and currently, used a "list format" of allergies in, or on, the resident's chart. This approach is incomplete as it rarely provides detailed information about the reaction to a particular drug. Senior care pharmacists and their students can play a role within long-term care facilities by helping ensure the optimal selection of drugs by providing a detailed allergy assessment that documents detailed reaction information, whenever possible.

Download Full-text