The predictable crisis of covid-19 in Canada’s long term care homes

BMJ, Journal Year: 2023, Volume and Issue: unknown, P. e075148 - e075148

Published: July 24, 2023

Sharon Straus and colleagues argue that residents, families, staff in long term care homes Canada were failed by governments during the pandemic need coordinated efforts across federal, provincial, territorial to safeguard these populations

Language: Английский

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Longitudinal Associations of Staff Shortages and Staff Levels with Health Outcomes in Nursing Homes

Journal of the American Medical Directors Association, Journal Year: 2023, Volume and Issue: 24(11), P. 1755 - 1760.e7

Published: May 29, 2023

Language: Английский

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Factors Associated With the Quality of Life of Nursing Home Residents During the COVID-19 Pandemic: A Cross-Sectional Study

Journal of the American Medical Directors Association, Journal Year: 2023, Volume and Issue: 24(6), P. 876 - 884.e5

Published: April 6, 2023

Language: Английский

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Factors Impacting Retention of Aged Care Workers: A Systematic Review

Healthcare, Journal Year: 2023, Volume and Issue: 11(23), P. 3008 - 3008

Published: Nov. 21, 2023

Retention of care support workers in residential aged facilities and home-based, domiciliary is a global challenge, with rapid turnover, low job satisfaction, poorly defined career pathways. A mixed-methods systematic review the workforce literature was conducted to understand factors that attract retain staff across workforce. The search yielded 49 studies. Three studies tested education training interventions aim boosting retention remaining 46 explored opinions experiences 20 quantitative, four 22 qualitative range impacted staff. Two broad themes emerged from analysis: individual organisational facilitating retention. Individual related personal satisfaction role, positive relationships other staff, families, residents, cooperative workplace culture. Organisational included opportunities for on-the-job development, appropriate wages, policies prevent injuries, stability. Understaffing often cited as factor associated together heavy workloads, stress, satisfaction. With concerns about safety quality services, this study presents data best practice retaining workers.

Language: Английский

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Unveiling the impact: understanding long-term care workers’ experiences and their perceptions of resident challenges amidst the COVID-19 pandemic

BMC Geriatrics, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 17, 2025

During the COVID-19 pandemic, long-term care (LTC) facilities in Canada were confronted with many rapidly changing public health safety guidelines. Based on guidelines, LTC had to implement a series of virus containment and mitigation measures, presenting significant challenges for both workers residents. This research aims provide insights that could be used guide improvements experiences workers, residents, future pandemic crises. A qualitative multi-case study was explore demographically diverse group Canada, focusing how guidelines impacted them, their perceptions faced by Fourteen engaged from Nova Scotia British Columbia, which are regions distinct geographically differences implementation. Semi-structured interviews conducted between April October 2021. Using thematic analysis, we identified patterns within across interview transcripts. The analysis provided an understanding perspectives workers. There four key themes: (1) Tangling Uncertainty, describes effects ambiguous messaging shifting guidance workers; (2) Finding Voice, highlights coped feelings helplessness during healthcare crisis; (3) Ripple Effects, pressures beyond resident care, included strengthening inter-colleague support as well financial challenges, and; (4) Loss Home, where perceived protection residents led loss residents' home environment, personal freedom, autonomy. findings suggest workers' pandemics may improved inclusion development facilitating systems, ensuring worker stability. balance should found preventing infection retaining principles holistic resident-centered mental benefits.

Language: Английский

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Use of Artificial Intelligence, Internet of Things, and Edge Intelligence in Long-Term Care for Older People: Comprehensive Analysis Through Bibliometric, Google Trends, and Content Analysis

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e56692 - e56692

Published: March 4, 2025

The global aging population poses critical challenges for long-term care (LTC), including workforce shortages, escalating health costs, and increasing demand high-quality care. Integrating artificial intelligence (AI), the Internet of Things (IoT), edge (EI) offers transformative potential to enhance quality, improve safety, streamline operations. However, existing research lacks a comprehensive analysis that synthesizes academic trends, public interest, deeper insights regarding these technologies. This study aims provide holistic overview AI, IoT, EI applications in LTC older adults through bibliometric analysis, interest from Google Trends, content top-cited papers. Bibliometric was conducted using data Web Science, PubMed, Scopus identify key themes trends field, while Trends used assess interest. A top 1% most-cited papers provided into practical applications. total 6378 published between 2014 2023 were analyzed. revealed United States, China, Canada are leading contributors, with strong thematic overlaps areas such as dementia care, machine learning, wearable monitoring High correlations found topics "long-term care" (τ=0.89, P<.001) "caregiver" (τ=0.72, P=.004). demonstrated social robots, particularly PARO, significantly improved mood reduced agitation patients dementia. limitations, small sample sizes, short durations, narrow focus on noted. collectively form powerful ecosystem settings, addressing different aspects adults. Our suggests increased international collaboration integration emerging "rehabilitation," "stroke," "mHealth" necessary meet evolving needs this population. Additionally, incorporating high-interest keywords "machine learning," "smart home," can discoverability relevance both audiences. Future should expanding conducting multicenter trials, exploring broader conditions beyond dementia, frailty depression.

Language: Английский

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Care Aides Compassion Fatigue, Burnout, and Compassion Satisfaction Related to Long-Term Care (LTC) Working Environment

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

Published: March 24, 2025

Severe staff shortages, sustained stress, low compassion satisfaction, high fatigue, and serious levels of burnout among healthcare workers were frequently reported during COVID-19. In this cross-sectional study with 760 care aides working in 28 LTC homes Alberta, Canada, we used a two-level multilevel regression model to examine how environments associated burnout, satisfaction measured the Professional Quality Life (ProQOL-9) scale. Our findings showed that higher lower observed when perceived more supportive culture. Care fatigue there was lack structural or staffing resources. We also found perceptions not having enough time complete tasks significantly burnout. These suggest which elements environment may be promising targets for improvement efforts.

Language: Английский

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What Drove Clients’ Decisions to Pause Personal Homecare Services Before and During the Pandemic?

Health Services Insights, Journal Year: 2025, Volume and Issue: 18

Published: April 1, 2025

With an increasing reliance on homecare and a scarcity of providers, there is potential to gain insight from existing administrative data optimize planning care delivery. To enable more accurate predictions service use, it important understand the degree which various factors influence clients' difficult decisions temporarily pause their receipt necessary services. We utilized large, longitudinal, dataset examine relative effects client-level outcomes (1) placing hold services (2) length hold, through stratified regression analyses separated by pre-, early-, mid-pandemic periods. Descriptive summaries samples consisted graphical representation frequencies (proportions) or means. The relationship between client sociodemographic utilization initiation were evaluated using mixed-effects logistic linear regression, respectively, Odds ratios (OR) for exponentiated estimates calculated with corresponding 95% confidence intervals. Findings provide better understanding made large sample clients in scenarios. Frequency holds than doubled early-pandemic period; although then returned pre-pandemic rates, durations remained slightly longer. There notable differences over time, but generally, higher needs had reduced likelihood Shorter tenure previously cancelling individual visits also good indicators future decisions. are relevant organizations providing services, policymakers, those interested predicting resource allocation goal optimal

Language: Английский

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The impact of COVID-19 on relationships between family/friend caregivers and care staff in continuing care facilities: a qualitative descriptive analysis

BMC Nursing, Journal Year: 2023, Volume and Issue: 22(1)

Published: April 14, 2023

The COVID-19 pandemic and related public health measures added a new dynamic to the relationship between caregivers care staff in congregate settings. While both play an important role resident quality of life care, it is common for conflict exist them. These issues were amplified by restrictions, impacting not only staff, but also residents. research has explored long-term assisted living homes, much focused on caregiver perspective. Our objective was explore impact COVID-19-related caregiver-staff relationships from perspective homes.We conducted 9 focus groups 2 semi-structured interviews via videoconference.We identified four themes relationships: (1) pressure caregivers, (2) conflict, (3) support (4) supporting caregivers.The disrupted long-standing negatively However, reported encouraging examples successful collaboration caregivers. Learning these promising practices will be critical improving preparedness future crises, as well general.

Language: Английский

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Caregiver Involvement and Concerns with Care of Residents of Assisted Living before and during the COVID-19 Pandemic

Gerontology, Journal Year: 2023, Volume and Issue: 69(7), P. 839 - 851

Published: Jan. 1, 2023

Family/friend caregivers play an essential role in promoting the physical and mental health of older adults need care - especially during COVID-19 pandemic assisted living (AL) homes, where resident needs are similarly complex as long-term homes but fewer staffing resources services available. However, little research is available on caregiver involvement concerns with AL residents prior to waves 1 2 pandemic. This study addressed this important knowledge gap.

Language: Английский

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