Deployment of professional expertise during a period of disruption: A phenomenological study of rehabilitation clinicians DOI Creative Commons
Annie Rochette, Perrine Vermeulen, Joseph-Omer Dyer

et al.

Journal of Evaluation in Clinical Practice, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 25, 2024

Abstract Rationale Practice context is known to influence the deployment of competencies. The COVID‐19 pandemic created a major disruption in many practice contexts. objective was understand lived experience rehabilitation clinicians during their context, namely, pandemic. Methods We used longitudinal phenomenological design. Eligible were occupational therapists (OT), physical (PT), physiotherapy technologists (Phys T.), speech‐language pathologists (S‐LP) and audiologists (AUD), working same workplace for at least 2 years before March 2020 (the pandemic). Clinicians who reassigned roles outside field excluded. conducted individual online interviews using guide developed by team with expertise knowledge phenomenon. An interpretative analysis carried out. Results discussed until research reached consensus. A total 32 participated study (12 OT, 5 PT, Phys T., 7 S‐LP, 3 AUD), variety clienteles work settings, an average 11.7 ± 7.6 setting. wide range emotions (e.g. anger, sadness, guilt, fear, pride) reflected clinicians' disruption. Professional perceived as being enhanced stepped out comfort zone; this encouraged reflective recognition need be more explicit about decision‐making process. Collaboration colleagues key effective coping adaptative expertise. Conclusions may have positive effects on professional through mobilization practice.

Language: Английский

Nursing Homes Increasingly Rely On Staffing Agencies For Direct Care Nursing DOI
John R. Bowblis, Christopher S. Brunt, Huiwen Xu

et al.

Health Affairs, Journal Year: 2024, Volume and Issue: 43(3), P. 327 - 335

Published: Feb. 14, 2024

When nursing homes experience a shortage in directly employed staff, they may rely on temporary workers from staffing agencies to fill this gap. This article examines trends the use of among during prepandemic and COVID-19 pandemic era (2018–22). In 2018, 23 percent used agency accounting for about 3 all direct care hours worked. used, staff were commonly present ninety or fewer days year. By 2022, almost half 11 hours. Agency increasingly address chronic shortages, with 13.8 having every day. 50–60 more expensive per hour than that often had lower five-star ratings. Policy makers need consider postpandemic changes home workforce as part reform, increased reliance reduce financial resources available increase levels improve quality care.

Language: Английский

Citations

15
Variations in State Essential Caregiver Programs for Nursing Homes During the COVID-19 Pandemic DOI Creative Commons
Yue Li, Daniel Maeng,

H. Benjamin Lee

et al.

Journal of Applied Gerontology, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 5, 2025

Background: During 2020–21, states established essential caregiver (EC) programs which allowed nursing home residents to receive in-person supports during the COVID-19 pandemic. This study presents comparative data on designs of these programs. Methods: We conducted on-line searches for federal and states’ visitation reopening guidelines published in 2020–22. also compared differences between with without an EC program infection death rates among or general population, staff shortage rates, rankings restrictiveness social distancing policies. Among program, we summarized key characteristics. Results: Twenty from late 2020 early 2021. Compared had slightly higher rate but lower rate, similar nurse staffing aids homes, somewhat measures. CMS that banned indoor visits homes under defined circumstances March November 2021, state were much less restrictive specifying visits, example, when county positivity rate>10% (18 programs), resident was not vaccinated (20 a outbreak (13 programs). However, might still prohibit certain situations, such as transmission-based precautions is, confirmed infection, symptoms although yet confirmed, observation developing 14 days (re)admission. Conclusion: States did differ appreciably have State varied substantially designs. Comparative evaluations are needed understand effectiveness

Language: Английский

Citations

0
Association of Racial and Ethnic Composition with Staff Levels in Nursing Homes: 2013-2019 DOI

Ye-Jin Kang,

Sam Sik Kang, John R. Bowblis

et al.

Journal of the American Medical Directors Association, Journal Year: 2025, Volume and Issue: 26(4), P. 105496 - 105496

Published: March 14, 2025

Language: Английский

Citations

0
Changes in Federal and State Policies on Visitation Restrictions in Nursing Homes During the COVID-19 Pandemic DOI
Huiwen Xu, John R. Bowblis, Shuang Li

et al.

Journal of Applied Gerontology, Journal Year: 2025, Volume and Issue: unknown

Published: March 28, 2025

Visitation restrictions in nursing homes were a major policy intervention response to the COVID-19 pandemic. This study conducted systematic review of changes federal and state visitation policies. After recommendations restricting all visitors non-essential healthcare personnel, 31 states implemented state-wide indoor bans March April 2020. Federal guidance changed September 2020 again after introduction vaccines early 2021. State lifted from 6/15/2020 11/2/2020, lasting an average 163 days. When lifting bans, most required that have no resident cases implement mitigation measures during visit. Resident infection rates decreased by 7.2 per 10,000 residents week six weeks before (p = .003). Large variations call for more consistent implementation future

Language: Английский

Citations

0
Artificial Intelligence Models SVM-SHAP and Logistic for Identifying Survival Factors in Nursing Homes in Spain DOI

Andrea Pastor Zorita,

Marcos Bote,

Enrique Pastor Seller

et al.

Published: Jan. 1, 2025

Language: Английский

Citations

0
Changes in the Aging Policy Landscape Since the 2020 Election DOI

Debra Lipson,

Christine E. Bishop,

Laurel Beedon

et al.

Public Policy & Aging Report, Journal Year: 2024, Volume and Issue: 34(3), P. 83 - 88

Published: Jan. 1, 2024

Journal Article Changes in the Aging Policy Landscape Since 2020 Election Get access Debra J Lipson, MHSA, MHSA Mathematica, Washington, District of Columbia, USA Address correspondence to: J. MHSA. Email: [email protected] Search for other works by this author on: Oxford Academic Google Scholar Christine E Bishop, PhD, FGSA, FGSA Heller School Social and Management, Brandeis University, Waltham, Massachusetts, https://orcid.org/0000-0002-4763-9819 Laurel Beedon, PhD Women's Institute a Secure Retirement (WISER), Washington. Public & Report, prae010, https://doi.org/10.1093/ppar/prae010 Published: 23 July 2024 history Received: 19 April Editorial decision: 28 May

Language: Английский

Citations

1
Organizational characteristics of highly specialized units for people with dementia and severe challenging behavior DOI Creative Commons
Gerrie van Voorden, Raymond T.C.M. Koopmans,

Mijke M. Strik-Lips

et al.

BMC Geriatrics, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 14, 2024

Abstract Background People with dementia and severe challenging behavior in the Netherlands can be temporarily admitted to highly specialized units when their is not manageable regular special care (DSCUs). With scarce evidence available for treatment of these patients, a pioneering phase. To gain more insight into units, this study investigated organizational characteristics, i.e. admission discharge staffing, physical environment, management behavior. Methods Three data collection methods were used: 1) digital questionnaire completed by unit manager, 2) an interview physician responsible medical often another practitioner, 3) observation environment which OAZIS-dementia was used. Descriptive analysis used quantitative thematic qualitative data, after interpreted together. Thirteen participated, sizes ranging from 10 28 places. Results Patients mainly DSCUs, home or mental health care, discharged DSCUs. A multidisciplinary team comprising at least elderly geriatrician, psychologist, nursing staff member other therapists as needed provided treatment. Nursing hours per patient considerably differed among units. played central role Competences such reflectiveness on one’s own behavior, being able cope stressful situations described relevant staff. Investing stable important. The varied whether work-up intuitive methodological. In diagnostic phase, together extensive patient’s biography essential. broad variety interventions, all paid attention sensory stimuli. safety scored well domesticity relatively low. Conclusion Highly show strong heterogeneity characteristics management, understood light Despite this, similarities found roles, frequent evaluation,

Language: Английский

Citations

1
Understanding Pandemic Increases in Long-Stay Psychotropic Prescribing for Dementia Symptoms: A Survey of Nursing Home Clinicians DOI Creative Commons
J. William Kerns, Jonathan D. Winter,

Katherine Winter

et al.

Gerontology and Geriatric Medicine, Journal Year: 2024, Volume and Issue: 10

Published: Jan. 1, 2024

Objective: To explore the perceptions of nursing home (NH) clinicians regarding factors underpinning known increases in psychotropic prescribing over COVID-19 pandemic. Methods: Three iterative online surveys were fielded to Virginia NH (11/2021–6/2022) assess their perspectives driving pandemic use. Existing literature and emerging survey data informed content. Sampling was for convenience achieved through crowdsourcing, leveraging collaborations with clinician professional organizations. Results: A total 89 collected. Clinicians noted simultaneous surging dementia symptoms decreased availability non-pharmacologic measures remedy them, leading increased all psychotropics. Staff shortages turnover, isolation from family community, personal protective equipment protocols identified as key contributing this mismatch. Conclusions: explicitly linked phenomena, associations previously hypothesized, but not, our knowledge, directly confirmed.

Language: Английский

Citations

1
Staffing Patterns in Nursing Homes, Assisted Living Communities, and Memory Care Units: Variation Across Shifts DOI Creative Commons
John R. Bowblis, Heather L. Menne, Matt Nelson

et al.

Journal of the American Medical Directors Association, Journal Year: 2024, Volume and Issue: 25(11), P. 105254 - 105254

Published: Sept. 7, 2024

Language: Английский

Citations

1
Growth prospects for the silver economy in the market segment of residential care services provided to dependent elderly people DOI Creative Commons
Rafał Iwański

Economics and Business Review/˜The œPoznań University of Economics Review, Journal Year: 2024, Volume and Issue: 10(2)

Published: June 7, 2024

The aim of this study is to characterise the determinants development silver economy in field care services provided a residential form for dependent elderly persons Poland. analysis was carried out on basis statistical and financial background data, including those from Ministry Family Social Affairs, Health, OECD, etc. Although demand will continue grow coming years, following barriers segment can be identified: lack employees, unattractiveness monetary gratification, inefficient financing mechanisms, public investment facilities, increasing costs providing all forms.

Language: Английский

Citations

0