scholarly journals An exploratory study of the implementation of admission standards (child:guardian ratios) in Ontario's Class A public pools

2016 ◽  
Vol 59 (3) ◽  
pp. 96-101
Author(s):  
Ofelia Tatar ◽  
Chun-Yip Hon

Admission standards or specific child:guardian ratios for public pools have been endorsed and promoted by the Ontario Ministry of Health and Long Term Care (MOHLTC) to prevent recreational water injuries and fatalities. However, the voluntary adoption of these admission standards in Ontario has not been evaluated. Therefore, the aim of this study was to explore the implementation of these admission standards in Class A public pools. An online survey was developed and disseminated to Class A public pool operators in Ontario. Frequency distributions were used to describe the results. All respondents have some form of admission standards integrated into their operations, with 68% using child:parent ratios that exceed the minimum MOHLTC's recommendations. The majority of operators (87%) felt that admission standards have a positive impact and there were no known increases in water-related incidents post-implementation. Many owners/operators (78%) would support their enactment into the pool regulations. The findings from this study highlight the promise of utilizing admission standards to prevent or, at the least reduce, the burden of injury related to recreational water use in Ontario. While the results are encouraging, it is recommended that further research be conducted as this was an exploratory study only.

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.


2020 ◽  
pp. 107-119
Author(s):  
Frederika Lučanská ◽  
◽  
Oľga Orosová ◽  
Vihra Naydenova ◽  
Jozef Benka ◽  
...  

The objective of this exploratory study was to examine the relationship between well-being, rootedness and emigration plans (EP) among university students in Slovakia and Bulgaria. It also explored the mediation effect of rootedness in the relationship between well-being and EP. The data were collected throughan online survey (SLiCE 2016). The research sample consisted of 361 university students (M=22.4 years, SD=3.8) from Slovakia (141, 86.5% female) and Bulgaria (220, 69.1% female). Based on their emigration plans, the respondentswere dividedinto two groups;those who do not plan to leave (n=218, 60.4%) and those who plan to leave in the long term (n=143, 39.6%) after they finish university. ForSlovakia, all factors were significantly related toEP. Furthermore, the association between well-being and EP was fully mediated by two dimensions of rootedness with different psychological mechanisms. For Bulgaria, only well-being and onedimension of rootedness,desire for change,were significantly related to EP. It was also found that the association between well-being and EP was partially mediated by only one dimension of rootedness –desire for change. This study highlightsthat rootedness hasa different relationship with other examined factorsin different countries and also that it is necessary to respect the cultural and socio-economic featuresof acountry.


2020 ◽  
Vol 5 (2) ◽  
pp. 384-396
Author(s):  
Jamie H. Azios ◽  
Jack S. Damico

Purpose The purpose of this clinical focus article is to present an overview of the Life Participation Approach to Aphasia as it relates to issues in long-term care (LTC) and provide practical recommendations for implementing the approach in this setting. The Framework for Living With Aphasia is used as a guide to (a) highlight specific challenges to life participation for residents with aphasia in LTC and (b) propose clinical tools that might help clinicians move through the therapeutic process when implementing the Life Participation Approach to Aphasia. Recommendations Clinicians in LTC facilities have the responsibility of delivering services that have a positive impact on communication, social relationships, emotional health, and quality of life. Clinical tools and approaches most appropriate for LTC settings are identified that help to address these goals. Approaches are discussed across several stages representing the therapeutic process, which is ultimately aimed at moving a resident toward recovery and increased independence. Case demonstrations are provided to illustrate approaches.


Author(s):  
Catherine Egan ◽  
Andria Jones-Bitton ◽  
Jan Sargeant ◽  
J Scott Weese

Background: While Clostridium difficile infection is a significant concern in healthcare settings, there is increasing evidence that transmission does not solely occur in hospitals and long-term care homes. Hospital patients are regularly discharged home following or during treatment, and it is likely that many excrete spores into their household environment, posing risks of reinfection to themselves and transmission of spores to others. Hence, recommendations on household hygiene might be important for control of C. difficile. The objective of this study was to investigate the information provided by Ontario hospitals to patients who have laboratory-confirmed symptomatic C. difficile infection with respect to household hygiene advice once they are discharged from hospital. Methods: This cross-sectional study was conducted between January and August 2018 and included an anonymous online survey, a website scan of Ontario hospitals, and a content analysis of information provided to patients on discharge. The survey was distributed to practicing infection control professionals in Ontario hospitals through the IPAC Canada listserv. One response per hospital corporation was accepted. Results: Responses were obtained from 46/145 (32%) Ontario hospital corporations. The majority (30/46; 65%) of respondents indicated they personally believed the household environment was important or very important in the transmission of C. difficile. Almost half (22/46; 48%) of respondents reported that their hospital had a policy to provide household hygiene advice to patients when discharged home. However, analysis of 31 hospital information sheets from the website scan identified that 27/31 (88%) contained a statement that suggested there is little risk of transmission in households, and only 2/31 (6.5%) provided the specific dilution of bleach that is known to be sporicidal. Conclusion: The household hygiene advice provided by Ontario hospitals downplayed the likelihood of transmission of C. difficile spores in household environments and described a level of hygiene that is likely inadequate to prevent transmission of C. difficile spores in the home. This may contribute to recurrent infection and colonization of household contacts.


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.


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