scholarly journals The Influence of Organizational Context on Best Practice Use by Care Aides in Residential Long-Term Care Settings

2015 ◽  
Vol 16 (6) ◽  
pp. 537.e1-537.e10 ◽  
Author(s):  
Carole A. Estabrooks ◽  
Janet E. Squires ◽  
Leslie Hayduk ◽  
Debra Morgan ◽  
Greta G. Cummings ◽  
...  
Keyword(s):  
Best Practice ◽  
Organizational Context ◽  
Long Term Care ◽  
Term Care ◽  
Care Aides ◽  
Residential Long Term Care

Health care aides use of time in a residential long-term care unit: A time and motion study

2013 ◽  
Vol 50 (9) ◽  
pp. 1229-1239 ◽  
Author(s):  
Anastasia A. Mallidou ◽  
Greta G. Cummings ◽  
Corinne Schalm ◽  
Carole A. Estabrooks
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Time And Motion Study ◽  
Use Of Time ◽  
Time And Motion ◽  
Motion Study ◽  
Health Care Aides ◽  
Care Aides ◽  
Residential Long Term Care

How Context Shapes the Experience of Staff and Residents in Residential Long-Term Care Settings

2019 ◽  
pp. 232-249
Author(s):  
Carole A. Estabrooks ◽  
Stephanie A. Chamberlain
Keyword(s):  
Quality Of Life ◽  
Organizational Context ◽  
Long Term Care ◽  
Local Context ◽  
Term Care ◽  
Context Shapes ◽  
Study Context ◽  
Residential Long Term Care

This chapter describes 10 years of research into organizational context in residential long-term care (LTC) settings. It focuses on this book’s first and third questions: What constitutes context for an event, situation, or phenomenon? And how do contexts change, and what is the role of actors in such processes? Although with respect to change, it does not focus as much on secular trends as it does on strategies to improve local context. We explore how context influences use of research by staff, quality-of-life indicators for staff, and ability to improve quality of care and quality of life for LTC residents. First, it describes the development and ongoing use of the Alberta Context Tool. Second, it describes the Translating Research in Elder Care (TREC) program of research, and the LTC setting in which the authors study context to bring about quality improvements. Third, it presents selected empirical findings as evidence that context matters in LTC. Finally, it proposes future directions to understand and modify context for improved quality in LTC.

Factors Associated With Nurses' Job Satisfaction In Residential Long-term Care: The Importance of Organizational Context

2019 ◽  
Vol 20 (12) ◽  
pp. 1611-1616.e4 ◽  
Author(s):  
Laura D. Aloisio ◽  
Wendy A. Gifford ◽  
Katherine S. McGilton ◽  
Michelle Lalonde ◽  
Carole A. Estabrooks ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Organizational Context ◽  
Long Term Care ◽  
Term Care ◽  
Factors Associated ◽  
Residential Long Term Care

scholarly journals Job Satisfaction among Care Aides in Residential Long-Term Care: A Systematic Review of Contributing Factors, Both Individual and Organizational

2015 ◽  
Vol 2015 ◽  
pp. 1-24 ◽  
Author(s):  
Janet E. Squires ◽  
Matthias Hoben ◽  
Stefanie Linklater ◽  
Heather L. Carleton ◽  
Nicole Graham ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Long Term Care ◽  
Organizational Factors ◽  
Individual Factors ◽  
Care Providers ◽  
Term Care ◽  
Care Facilities ◽  
Care Aides ◽  
Residential Long Term Care

Despite an increasing literature on professional nurses’ job satisfaction, job satisfaction by nonprofessional nursing care providers and, in particular, in residential long-term care facilities, is sparsely described. The purpose of this study was to systematically review the evidence on which factors (individual and organizational) are associated with job satisfaction among care aides, nurse aides, and nursing assistants, who provide the majority of direct resident care, in residential long-term care facilities. Nine online databases were searched. Two authors independently screened, and extracted data and assessed the included publications for methodological quality. Decision rules were developed a priori to draw conclusions on which factors are important to care aide job satisfaction. Forty-two publications were included. Individual factors found to be important were empowerment and autonomy. Six additional individual factors were found to benotimportant: age, ethnicity, gender, education level, attending specialized training, and years of experience. Organizational factors found to be important were facility resources and workload. Two additional factors were found to benotimportant: satisfaction with salary/benefits and job performance. Factors important to care aide job satisfaction differ from those reported among hospital nurses, supporting the need for different strategies to improve care aide job satisfaction in residential long-term care.

scholarly journals Does organizational context influence the use of best practices by healthcare aides in residential long term care?

2015 ◽  
Vol 10 (S1) ◽  
Author(s):  
Carole A Estabrooks ◽  
Janet E Squires ◽  
Leslie Hayduk ◽  
Debra Morgan ◽  
Greta G Cummings ◽  
...  
Keyword(s):  
Best Practices ◽  
Organizational Context ◽  
Long Term Care ◽  
Term Care ◽  
Residential Long Term Care

scholarly journals Issues Related to Late-Life Sexuality: Sex in Long-Term Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 602-602
Author(s):  
Rachael Spalding ◽  
Peter Lichtenberg
Keyword(s):  
Best Practice ◽  
Long Term Care ◽  
Social Stigma ◽  
Late Life ◽  
Assessment Tools ◽  
Geographical Differences ◽  
Term Care ◽  
Practical Applications ◽  
Ethical And Legal Issues

Abstract Despite surrounding social stigma and stereotypes of the “asexual older adult,” older adults, including those residing in long-term care facilities, indicate that expressing their sexuality continues to be important to them (Doll, 2013). This presentation will feature presentations regarding recent research and perspectives relevant to late-life sexuality with a focus on how issues of sexual expression may particularly emerge in long-term care settings. Dr. Maggie Syme will present findings from mixed-methods, consumer-based approaches that elucidate how current and future long-term care residents view late-life sexuality, with a focus on the practical applications of these findings to inform facility administration and policies. Ethical and legal issues surrounding sexuality in long-term care will be discussed by Dr. Pamela Teaster, who will present ethical models that can translate into potential best-practice recommendations and strategies. Rachael Spalding will discuss the paucity of psychometrically sound assessment tools for measuring attitudes towards late-life sexuality and discuss their development of such a measure. Finally, Dr. Lilanta Bradley and Dr. Pamela Payne-Foster will present a framework for sexual agency in late-life and identify relevant gaps in the literature regarding gender, ethnicity/race, and geographical differences. Ultimately, this presentation will offer a forum for lively discussion among attendees regarding these pertinent topics.

scholarly journals Evidence for Publicly Reported Quality Indicators in Residential Long-Term Care: A Systematic Review

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 181-181
Author(s):  
Franziska Zúñiga ◽  
Magdalena Osinska ◽  
Franziska Zuniga
Keyword(s):  
New Zealand ◽  
Quality Indicators ◽  
Long Term Care ◽  
Grey Literature ◽  
Public Reporting ◽  
Assessment Instrument ◽  
Term Care ◽  
Data Set ◽  
Residential Long Term Care

Abstract Quality indicators (QIs) are used internationally to measure, compare and improve quality in residential long-term care. Public reporting of such indicators allows transparency and motivates local quality improvement initiatives. However, little is known about the quality of QIs. In a systematic literature review, we assessed which countries publicly report health-related QIs, whether stakeholders were involved in their development and the evidence concerning their validity and reliability. Most information was found in grey literature, with nine countries (USA, Canada, Australia, New Zealand and five countries in Europe) publicly reporting a total of 66 QIs in areas like mobility, falls, pressure ulcers, continence, pain, weight loss, and physical restraint. While USA, Canada and New Zealand work with QIs from the Resident Assessment Instrument – Minimal Data Set (RAI-MDS), the other countries developed their own QIs. All countries involved stakeholders in some phase of the QI development. However, we only found reports from Canada and Australia on both, the criteria judged (e.g. relevance, influenceability), and the results of structured stakeholder surveys. Interrater reliability was measured for some RAI QIs and for those used in Germany, showing overall good Kappa values (>0.6) except for QIs concerning mobility, falls and urinary tract infection. Validity measures were only found for RAI QIs and were mostly moderate. Although a number of QIs are publicly reported and used for comparison and policy decisions, available evidence is still limited. We need broader and accessible evidence for a responsible use of QIs in public reporting.

Challenges in Research and Practice in Residential Long-Term Care

2016 ◽  
Vol 49 (1) ◽  
pp. 3-5 ◽  
Author(s):  
Mieke Deschodt ◽  
Franziska Zúñiga ◽  
Nathalie I.H. Wellens
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Research And Practice ◽  
Residential Long Term Care

scholarly journals Linguistic validation of the Alberta Context Tool and two measures of research use, for German residential long term care

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Matthias Hoben ◽  
Marion Bär ◽  
Cornelia Mahler ◽  
Sarah Berger ◽  
Janet E Squires ◽  
...  
Keyword(s):  
Long Term Care ◽  
Research Use ◽  
Term Care ◽  
Linguistic Validation ◽  
Alberta Context Tool ◽  
Two Measures ◽  
Residential Long Term Care
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