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 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.

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

scholarly journals Dancing with dementia: Exploring the embodied dimensions of creativity and social engagement

2020 ◽  
Author(s):  
Pia Kontos ◽  
Alisa Grigorovich ◽  
An Kosurko ◽  
Rachel J Bar ◽  
Rachel V Herron ◽  
...  
Keyword(s):  
Social Engagement ◽  
Social Inclusion ◽  
Long Term Care ◽  
Participant Observation ◽  
Term Care ◽  
Embodied Self ◽  
And Function ◽  
Design And Methods ◽  
Residential Long Term Care

Abstract Background and Objectives Dance is increasingly being implemented in residential long-term care to improve health and function. However, little research has explored the potential of dance programs to support social inclusion by supporting embodied self-expression, creativity, and social engagement of persons living with dementia and their families. Research Design and Methods This was a qualitative sequential multiphase study of Sharing Dance Seniors, a dance program that includes a suite of remotely streamed dance sessions that are delivered weekly to participants in long-term care and community settings. Our analysis focused on the participation of 67 persons living with dementia and 15 family carers in residential long-term care homes in Manitoba, Canada. Data included participant observation, video-recordings, focus groups, and interviews; all data was analyzed thematically. Results We identified two themes: playfulness and sociability. Playfulness refers to the ways that the participants let go of what is ‘real’ and became immersed in the narrative of a particular dance, often adding their own style. Sociability captures the ways in which the narrative approach of the Sharing Dance Seniors program encourages connectivity/intersubjectivity between participants and their community; participants co-constructed and collaboratively animated the narrative of the dances. Discussion and Implications Our findings highlight the playful and imaginative nature of how persons living with dementia engage with dance and demonstrate how this has the potential to challenge stigma associated with dementia and support social inclusion. This underscores the urgent need to make dance programs such as Sharing Dance Seniors more widely accessible to persons living with dementia everywhere.

scholarly journals Assessing Quality for People Living With Dementia in Residential Long-Term Care: Trends and Challenges

2019 ◽  
Vol 5 ◽  
pp. 233372141986119
Author(s):  
Eleanor S. McConnell ◽  
Julienne Meyer
Keyword(s):  
Performance Indicators ◽  
Long Term Care ◽  
Well Being ◽  
Subjective Assessment ◽  
Term Care ◽  
Centered Care ◽  
Care Health ◽  
Residential Long Term Care

The global prevalence of dementia is growing rapidly, driving an increased use of residential long-term care (LTC) services. Performance indicators for residential LTC should support targeting of limited resources to promote person-centered care, health, and well-being for both patients and caregivers (formal and informal), yet many performance indicators remain focused on structure, process, or outcome measures that are only assumed to support personally relevant outcomes for those with dementia, without direct evidence of meaningfulness for these individuals. In this article, two complementary approaches to assessing quality in residential LTC serve as a lens for examining a series of tensions related to assessment in this setting. These include measurement-focused approaches using generic psychometrically valid instruments, often used to monitor quality of services, and meaning-focused approaches using individual subjective assessment of personally relevant outcomes, often used to monitor care planning. Examples from the European and U.S. literature suggest an opportunity to strengthen an emphasis on personally meaning-focused outcomes in quality assessment.

scholarly journals Disclosing and Reporting Practice Errors by Nurses in Residential Long-Term Care Settings: A Systematic Review

2020 ◽  
Vol 12 (7) ◽  
pp. 2630 ◽  
Author(s):  
Mojtaba Vaismoradi ◽  
Flores Vizcaya-Moreno ◽  
Sue Jordan ◽  
Ingjerd Gåre Kymre ◽  
Mari Kangasniemi
Keyword(s):  
Systematic Review ◽  
Long Term Care ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Nurse Leaders ◽  
Term Care ◽  
Reporting Practice ◽  
High Prevalence ◽  
Residential Long Term Care

Patient safety is crucial for the sustainability of the healthcare system. However, this may be jeopardized by the high prevalence of practice errors, particularly in residential long-term care. Development of improvement initiatives depends on full reporting and disclosure of practice errors. This systematic review aimed to understand factors that influence disclosing and reporting practice errors by nurses in residential long-term care settings. A systematic review using an integrative design was conducted. Electronic databases including PubMed (including Medline), Scopus, CINAHL, Embase, and Nordic and Spanish databases were searched using keywords relating to reporting and disclosing practice errors by nurses in residential long-term care facilities to retrieve articles published between 2010 and 2019. The search identified five articles, including a survey, a prospective cohort, one mixed-methods and two qualitative studies. The review findings were presented under the categories of the theoretical domains of Vincent’s framework for analyzing risk and safety in clinical practice: ‘patient’, ‘healthcare provider’, ‘task’, ‘work environment’, and ‘organisation & management’. The review findings highlighted the roles of older people and their families, nurses’ individual responsibilities, knowledge and collaboration, workplace atmosphere, and support by nurse leaders for reporting and disclosing practice errors, which had implications for improving the quality of healthcare services in residential long-term care settings.

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