Antipsychotic Medication Use Among Newly Admitted Long-term Care Residents During the COVID-19 Pandemic in Canada DOI Creative Commons
Luke Turcotte, George Heckman, Caitlin McArthur

et al.

Health Services Insights, Journal Year: 2024, Volume and Issue: 17

Published: Jan. 1, 2024

Objective: Examination of the impact COVID-19 pandemic on rates antipsychotic medication use, initiation and discontinuation, among newly admitted long-term care residents. Design: Repeated cross-sectional study. Settings Participants: Long-term home residents in Alberta, British Columbia Ontario, Canada assessed with Minimum Data Set (MDS) 2.0 assessment. The cohort was segmented according to admission during (March 2020/2021) 2 pre-pandemic 2018/2019 March 2019/2020) periods. Methods: Multivariable logistic regression models were fit characterize association between use medications. A second set follow-up assessments initiation/discontinuation at follow-up. All adjusted for resident characteristics including sex, age group, Aggressive Behaviour Scale score, Cognitive Performance diagnoses Alzheimer’s disease related dementias, anxiety disorder, depression, bipolar disorder. Results: 21 612 over 30 000 each period included. Antipsychotic increased from both community (adjusted odds ratio [aOR] 1.20-1.29) hospital settings (aOR 1.21-1.23). Residents more likely have medications initiated 1.25-1.26) less had them discontinued 0.74-0.76) time Conclusion Implications: Multiple factors contributed observed increase pandemic: admission, follow-up, decreased discontinuation whole-systems approach that extends beyond into is necessary address this prevalent issue.

Language: Английский

Factors influencing nurse manager retention, intent to stay or leave and turnover: A systematic review update DOI
Tatiana Penconek, Kaitlyn Tate, Sarah A. Lartey

et al.

Journal of Advanced Nursing, Journal Year: 2024, Volume and Issue: 80(12), P. 4825 - 4841

Published: May 19, 2024

Abstract Aims To understand factors influencing nurse manager retention or intention to leave, develop a preliminary theoretical model and identify strategies interventions for workforce planning. Design Systematic review update of literature with integrated design mixed research synthesis. Methods We included peer‐reviewed articles examining leave front‐line, middle patient care managers. Authors independently screened inclusion assessed quality. adhered convergent synthesis approach. Data Sources Nine databases MEDLINE, EMBASE, PsychINFO, CINAHL Plus Full Text, ERIC, Health Source Nursing/Academic Edition, Scopus, ProQuest Dissertations Theses LILACS in January 2023. Results Thirty‐five studies published between 1990 2022, 22 quantitative 13 qualitative methods, were included. 155 retention, stay, turnover reported. Job satisfaction was most frequently examined ( n = 7), followed by such as empowerment 3), decision‐making 3) resilience 2). developed demonstrating staff relations leadership, organizational job characteristics, socio‐demographics, personal well‐being relationship work influence managers' stay leave. Conclusions Nurse managers who empowered, satisfied their work, received constructive feedback found meaning roles showed greater intent stay. Implications the Profession and/or Patient Care administrators can ensure are provided authority make decisions that promote autonomy. Work cultures allow regular meaningful from leaders may contribute feeling valued. Impact Understanding help supervisors areas strategy intervention sustainability this workforce. Reporting Method PRISMA 2020 Guidelines. Public Contribution No public contribution.

Language: Английский

Citations

4
“We Work in an Industry Where We’re Here to Care for Others, and Often Forget to Take Care of Ourselves”: Aged-Care Staff Views on Self-Care DOI Creative Commons
Anna Lane, Jennifer Tieman

Geriatrics, Journal Year: 2025, Volume and Issue: 10(1), P. 3 - 3

Published: Jan. 2, 2025

Objective: This study aimed to explore self-care understanding and behaviours among aged-care workers in Australia. It was conducted as part of a project co-produce resource for the Australian workforce. Methods: Semi-structured interviews with eleven staff focus group four at an facility were undertaken understand how practice death dying affect workers. Thematic analysis performed using software generate data coding tree. Results: Aged-care view taking care oneself being way manage maintain wellbeing so that they can continue care. As practiced daily life, is highly individualised, actions work home having significant impact on person's wellbeing. Supportive organisational cultures collegial teams found be particularly relevant helping deal dying. Conclusions: may benefit from online tailored their specific needs based first-hand experiences working aged-care. Organisations support by creating space time self-care.

Language: Английский

Citations

0
Changes in Health and Well-Being of Care Aides in Nursing Homes From a Pre-Pandemic Baseline in February 2020 to December 2021 DOI
Yuting Song, Janice Keefe, Janet E. Squires

et al.

Journal of Applied Gerontology, Journal Year: 2023, Volume and Issue: 43(1), P. 3 - 12

Published: Aug. 30, 2023

Nursing homes were profoundly affected by the COVID-19 pandemic, influencing work outcomes of care aides who provide most direct care. We compared aides’ quality life conducting a repeated cross-sectional analysis data collected in February 2020 and December 2021 from stratified random sample urban nursing two Canadian provinces. used two-level random-intercept repeated-measures regression models, adjusting for demographics home characteristics. 2348 1116 completed survey 2021, respectively. The had higher odds reporting worked short-staffed daily to weekly previous month than sample. also small but significant drop professional efficacy mental health. Despite worsening changes, our findings suggest that this workforce may have withstood pandemic better might be expected.

Language: Английский

Citations

3
Nursing home managers’ quality of work life and health outcomes: a pre-pandemic profile over time DOI
Tatiana Penconek, Yinfei Duan,

Alba Iaconi

et al.

BMJ Leader, Journal Year: 2024, Volume and Issue: unknown, P. leader - 000876

Published: Feb. 22, 2024

To examine trends in quality of work life and health outcomes managers nursing homes Western Canada pre-pandemic.

Language: Английский

Citations

0
Efforts to Support the Mental Health and Well-being of Nursing Home Staff: Insights From Leaders DOI
Natalie E. Leland,

Cait Brown,

Amanda D. Shore

et al.

Journal of the American Medical Directors Association, Journal Year: 2024, Volume and Issue: 25(8), P. 105051 - 105051

Published: June 1, 2024

Language: Английский

Citations

0
Antipsychotic Medication Use Among Newly Admitted Long-term Care Residents During the COVID-19 Pandemic in Canada DOI Creative Commons
Luke Turcotte, George Heckman, Caitlin McArthur

et al.

Health Services Insights, Journal Year: 2024, Volume and Issue: 17

Published: Jan. 1, 2024

Objective: Examination of the impact COVID-19 pandemic on rates antipsychotic medication use, initiation and discontinuation, among newly admitted long-term care residents. Design: Repeated cross-sectional study. Settings Participants: Long-term home residents in Alberta, British Columbia Ontario, Canada assessed with Minimum Data Set (MDS) 2.0 assessment. The cohort was segmented according to admission during (March 2020/2021) 2 pre-pandemic 2018/2019 March 2019/2020) periods. Methods: Multivariable logistic regression models were fit characterize association between use medications. A second set follow-up assessments initiation/discontinuation at follow-up. All adjusted for resident characteristics including sex, age group, Aggressive Behaviour Scale score, Cognitive Performance diagnoses Alzheimer’s disease related dementias, anxiety disorder, depression, bipolar disorder. Results: 21 612 over 30 000 each period included. Antipsychotic increased from both community (adjusted odds ratio [aOR] 1.20-1.29) hospital settings (aOR 1.21-1.23). Residents more likely have medications initiated 1.25-1.26) less had them discontinued 0.74-0.76) time Conclusion Implications: Multiple factors contributed observed increase pandemic: admission, follow-up, decreased discontinuation whole-systems approach that extends beyond into is necessary address this prevalent issue.

Language: Английский

Citations

0