Caring during the COVID‐19 crisis: Intersectional exclusion of immigrant women health care aides in Canadian long‐term care

2021 ◽  
Author(s):  
Naomi Lightman
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Immigrant Women ◽  
Term Care ◽  
Women Health ◽  
Health Care Aides ◽  
Care Aides

scholarly journals Should Health Care Aides Assist With Medications in Long-Term Care?

2016 ◽  
Vol 2 ◽  
pp. 233372141664913 ◽  
Author(s):  
Mubashir Arain ◽  
Siegrid Deutschlander ◽  
Mahnoush Rostami ◽  
Esther Suter
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Term Care ◽  
Health Care Aides ◽  
Care Aides

scholarly journals Perspectives Toward Person-Centered Long-Term Care in China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 161-161
Author(s):  
Kirsten Corazzini ◽  
Bei Wu ◽  
Jing Wang
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Advanced Dementia ◽  
Term Care ◽  
Person Centered Care ◽  
Care Facilities ◽  
Centered Care ◽  
Health Care Aides ◽  
Care Aides

Abstract Health care aides provide direct care for older residents with advanced dementia in long-term care facilities. This study aims to understand care aides’ perceptions of what is ‘good’ care, what is person-centered care, and how to provide person-centered care for older residents with advanced dementia, as preparatory work of the WE-THRIVE consortium’s efforts to develop internationally-relevant common data elements of person-centered dementia care and launch comparative research in LMICs. Semi-structured interviews were conducted with health care aides (N=35) from 2 government-owned and 2 private long-term care facilities in urban China. Directed and conventional content analysis were used, drawing upon core constructs of person-centered dementia care and Nolan’s (2006) senses framework. We found that although care aides were not trained in person-centered care, they did incorporate person-centeredness in their work by tailoring their care to the needs of older residents and facilitating interactions with residents and their peers through communication cues.

scholarly journals The evolving role of health care aides in the long-term care and home and community care sectors in Canada

2013 ◽  
Vol 11 (1) ◽  
Author(s):  
Whitney Berta ◽  
Audrey Laporte ◽  
Raisa Deber ◽  
Andrea Baumann ◽  
Brenda Gamble
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Community Care ◽  
Term Care ◽  
Home And Community Care ◽  
Health Care Aides ◽  
Care Aides

Long-Term Care Health Care Aides’ Perceptions of Decision-Making Processes in Transferring Residents to Acute Care Services

2018 ◽  
Vol 39 (8) ◽  
pp. 846-854
Author(s):  
Kaitlyn Tate ◽  
Jude Spiers ◽  
Rowan El-Bialy ◽  
Greta Cummings
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Long Term Care ◽  
Term Care ◽  
Care Services ◽  
Communication Processes ◽  
Decision Making Processes ◽  
Health Care Aides ◽  
Care Aides

Most transfers of long-term care (LTC) facility residents to the emergency department (ED) via 911 calls are necessary. Avoidable transfers can have adverse effects including increased confusion and dehydration. Around 20% of transfers are perceived to be avoidable or unnecessary, yet decision making around transfers is complex and poorly understood. Using a qualitative-focused ethnographic approach, we examined 20 health care aides’ (HCAs) perceptions of decision processes leading to transfer using experiential interview data. Inductive analysis throughout iterative data collection and analysis illuminated how HCAs’ familiarity with residents make them vital in initiating care processes. Hierarchical reporting structures influenced HCAs’ perceptions of nurse responsiveness to their concerns about resident condition, which influenced communications related to transfers. Communication processes in LTC facilities and the value placed on HCA concerns are inconsistent. There is an urgent need to improve conceptualization of HCA roles and communication structures in LTCs.

The Influence of Supportive Supervisory Practices and Health Care Aides’ Self-Determination on the Provision of Person-Centered Care in Long-Term Care Facilities

2017 ◽  
Vol 38 (11) ◽  
pp. 1564-1582 ◽  
Author(s):  
Sienna Caspar ◽  
Anne Le ◽  
Katherine S. McGilton
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Self Determination ◽  
Total Effect ◽  
Term Care ◽  
Perceived Ability ◽  
Health Care Aides ◽  
Care Aides ◽  
Supervisory Practices

Person-centred care (PCC) is recognized as best practice in long-term care (LTC). Using a cross-sectional design, we examined the relationship between supportive supervisory practices and health care aides’ (HCAs) self-determination on HCAs’ perceived ability to provide PCC. A total of 131 HCAs from four LTC facilities participated in the study. There were strong, positive associations between HCAs’ self-determination and their perceived ability to provide PCC, r = .59, p < .0001, and how supportive their supervisors were, r = .50, p < .0001. Mediation analysis using structural equation modeling found the direct effect of self-determination on PCC was 73% of its total effect on PCC; its indirect effect mediated through supervisory support was 27% of its total effect on PCC. Improving supportive supervisory relationships that encourage and enable HCAs’ self-determination in LTC settings may be an important and effective means by which to increase the provision of PCC.

scholarly journals Providing Care for Older Residents With Dementia in Nursing Homes in China: Through the Lens of Adaptive Leadership

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 171-172
Author(s):  
Xueli Bian ◽  
Ruth Anderson ◽  
Anna Beeber ◽  
Junqiao Wang ◽  
Jing Wang
Keyword(s):  
Health Care ◽  
Long Term Care ◽  
Peer Interactions ◽  
Adaptive Leadership ◽  
Urban China ◽  
Term Care ◽  
Care Facilities ◽  
Health Care Aides ◽  
Care Aides

Abstract This study aims to understand staff’s experiences of providing direct care for older residents with advanced dementia in long-term care facilities through the lens of Adaptive Leadership Framework for Chronic Illness (ALFCI). Semi-structured interviews were conducted with health care aides (N=35) from 2 government-owned and 2 private long-term care facilities in urban China. Directed and conventional content analysis were used, drawing upon core constructs of ALFCI. We found that health care aides are confronted with multiple challenges such as high intensity of work, stress from managing older residents’ behavioral and psychological symptoms of dementia (BPSD), a lack of access to on-the-job dementia-specific training, and a lack of support from nurses and managing team. Some of the health care aides demonstrated use of their strengths and doing adaptive work to improve work life and care for older residents by using communication cues, enhancing person-centeredness in their care, and facilitate peer interactions.

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

scholarly journals Person-Centered Health Care: An Approach That Integrates Acute and Long-Term Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 704-704
Author(s):  
Yuchi Young ◽  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Systems ◽  
Long Term Care ◽  
The United States ◽  
World Population ◽  
Term Care ◽  
The Usa ◽  
Aged Society

Abstract The world population is aging. The proportion of the population over 60 will nearly double from 12% in 2015 to 22% in 2050. Global life expectancy has more than doubled from 31 years in 1900 to 72.6 years in 2019. The need for long-term care (LTC) services is expanding with the same rapidity. A comprehensive response is needed to address the needs of older adults. Learning from health systems in other countries enables health systems to incorporate best long-term care practices to fit each country and its culture. This symposium aims to compare long-term care policies and services in Taiwan, Singapore, and the USA where significant growth in aging populations is evidenced. In 2025, the aging population will be 20% in Taiwan, 20% in Singapore and 18 % in the USA. In the case of Taiwan, it has moved from aging society status to aged society, and to super-aged society in 27 years. Such accelerated rate of aging in Taiwan is unparalleled when compared to European countries and the United States. In response to this dramatic change, Taiwan has passed long-term care legislation that expands services to care for older adults, and developed person-centered health care that integrates acute and long-term care services. Some preliminary results related to access, care and patterns of utilization will be shared in the symposium. International Comparisons of Healthy Aging Interest Group Sponsored Symposium.

Aging, health expenditure, proximity to death, and income in Finland

2008 ◽  
Vol 3 (2) ◽  
pp. 165-195 ◽  
Author(s):  
UNTO HÄKKINEN ◽  
PEKKA MARTIKAINEN ◽  
ANJA NORO ◽  
ELINA NIHTILÄ ◽  
MIKKO PELTOLA
Keyword(s):  
Health Care ◽  
Health Expenditure ◽  
Long Term Care ◽  
Health Care Expenditure ◽  
Term Care ◽  
Age And Gender ◽  
And Gender ◽  
Proximity To Death ◽  
Naive Model

AbstractThis study revisits the debate on the ‘red herring’, i.e. the claim that population aging will not have a significant impact on health care expenditure (HCE), using a Finnish data set. We decompose HCE into several components and include both survivors and deceased individuals into the analyses. We also compare the predictions of health expenditure based on a model that takes into account the proximity to death with the predictions of a naïve model, which includes only age and gender and their interactions. We extend our analysis to include income as an explanatory variable. According to our results, total expenditure on health care and care of elderly people increases with age but the relationship is not as clear as is usually assumed when a naïve model is used in health expenditure projections. Among individuals not in long-term care, we found a clear positive relationship between expenditure and age only for health centre and psychiatric inpatient care. In somatic care and prescribed drugs, the expenditure clearly decreased with age among deceased individuals. Our results emphasize that even in the future, health care expenditure might be driven more by changes in the propensity to move into long-term care and medical technology than age and gender alone, as often claimed in public discussion. We do not find any strong positive associations between income and expenditure for most non-LTC categories of health care utilization. Income was positively related to expenditure on prescribed medicines, in which cost-sharing between the state and the individual is relatively high. Overall, our results indicate that the future expenditure is more likely to be determined by health policy actions than inevitable trends in the demographic composition of the population.

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