Understanding Barriers to Continence Care in Institutions

2005 ◽  
Vol 24 (2) ◽  
pp. 151-159 ◽  
Author(s):  
Cara Tannenbaum ◽  
Danielle Labrecque ◽  
Christiane Lepage
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Nursing Assistants ◽  
Organizational Level ◽  
Care Providers ◽  
Cross Sectional ◽  
Internal Factors ◽  
Term Care ◽  
Environmental Support

ABSTRACTThis work seeks to identify factors that facilitate or diminish care-providers' propensity to improve continence care in long-term care (LTC) settings. We conducted a cross-sectional qualitative study using focus group methodology in four long-term care institutions in Montreal, QC. Forty-two nurses, nursing assistants, and orderlies caring for incontinent elderly residents were asked how they perceived urinary incontinence (UI), how it was being managed, and what factors enabled or hindered continence care in their institution. Content analysis was used. Facilitating and inhibiting elements of three individual/internal factors (beliefs about UI, attitudes towards the elderly, and knowledge about UI) and five institutional/external factors (workload demands, type of patient, environmental support, co-worker support, and attributes of UI interventions) emerged as important determinants of care-providers' propensity to manage UI. To be successful, continence programs must target multidimensional elements that take into account personal, systems, and organizational level factors.

An estimate of the prevalence of dementia among residents of long-term care geriatric institutions in the Jerusalem area

2006 ◽  
Vol 18 (4) ◽  
pp. 643-652 ◽  
Author(s):  
Helena Feldman ◽  
A. Mark Clarfield ◽  
Jenny Brodsky ◽  
Yaron King ◽  
Tzvi Dwolatzky
Keyword(s):  
Cognitive Impairment ◽  
Medical Records ◽  
Long Term Care ◽  
The Elderly ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Term Care ◽  
Prevalence Of Dementia

Background: To determine the prevalence of dementia among the residents of geriatric institutions in the greater Jerusalem area.Methods: A population-based, cross-sectional survey of a representative sample, weighted according to the level of care, of 11 of the 88 long-term care (LTC) wards in 34 LTC institutions providing care for the elderly residents in the greater Jerusalem area in 1999. A single physician interviewed 311 residents. The presence of dementia was determined from medical records and by performance on the Modified Mini-mental State Examination (3MS) instrument (with a score less than 78/100 indicating significant cognitive impairment or suspected dementia), and professional care providers were interviewed for their opinion regarding the presence of dementia in each subject.Results: The mean age of the patients was 83.9 years and 75% were women. Overall, 180 residents, representing 49.9% of the weighted sample in Jerusalem LTC facilities, were determined to have dementia according to medical records, ranging from 22.9% in independent and frail care units to 97.7% in skilled nursing care wards. However, based on their performance on the 3MS, the prevalence of cognitive impairment with suspected dementia among the subjects was substantially greater, with the staff being unaware of this diagnosis in about one-quarter of the subjects.Conclusions: There is a high prevalence of dementia in geriatric institutions in the Jerusalem area, particularly in those providing greater care. Moreover, significant cognitive impairment is probably under-reported in the medical records.

scholarly journals Linking Incidents in Long-Term Care Facilities to Worker Activities

2017 ◽  
Vol 65 (10) ◽  
pp. 457-466
Author(s):  
Rose McCloskey ◽  
Cindy Donovan ◽  
Alicia Donovan
Keyword(s):  
Health Care Providers ◽  
Long Term Care ◽  
Occupational Injury ◽  
Worker Safety ◽  
Care Providers ◽  
Cross Sectional ◽  
Term Care ◽  
Care Facilities ◽  
The Impact

This article reports on a study examining staff activities being performed when incidents were reported to have occurred. The risk for injury among health care providers who engage in patient handling activities is widely acknowledged. For those working in long-term care, the risk of occupational injury is particularly high. Although injuries and injury prevention have been widely studied, the work has generally focused on incident rates and the impact of specific assistive devices on worker safety. The purpose of this study was to examine reported staff incidents in relation to staff activities. A multicenter cross-sectional exploratory study used retrospective data from reported staff incidents (2010, 2011, and 2012) and prospective data from 360 hours of staff observations in five long-term care facilities during 2013. Descriptive statistics were used to analyze data. A total of 898 staff incidents were reviewed from the facilities. Incidents were most likely to occur in resident rooms. Resident aides were more likely to be engaged in high-risk activities than other care providers. Times when staff incidents were reported to have occurred were not associated with periods of high staff-to-resident contact. Safe handling during low and moderate risk activities should be promoted. Education on what constitutes a reportable incident and strategies to ensure compliance with reporting policies and procedures may be needed to ensure accuracy and completeness of incident data.

scholarly journals Virtual Reality Therapy for Depression and Mood in Long-Term Care Facilities

2021 ◽  
Author(s):  
Kevin Zhai ◽  
Azwa Dilawar ◽  
Mohammad S. Yousef ◽  
Sean Holroyd ◽  
Haithem El-Hammali ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cognitive Abilities ◽  
Place Attachment ◽  
Long Term Care ◽  
The Elderly ◽  
Care Providers ◽  
Term Care ◽  
Positive Effects ◽  
Care Facilities

Virtual reality (VR) describes a family of technologies which immerse users in sensorily-stimulating virtual environments. Such technologies have increasingly found applications in the treatment of neurological and mental health disorders. Depression, anxiety, and other mood abnormalities are of concern in the growing elderly population – especially those who reside in long-term care facilities (LTCFs). The transition from the familiar home environment to the foreign LTCF introduces a number of stressors that can precipitate depression. However, recent studies reveal that VR therapy (VRT) can promote positive emotionality and improve cognitive abilities in the elderly, both at home and in LTCFs. VR thus holds potential in allowing elderly individuals to gradually adapt to their new environments – thereby mitigating the detrimental effects of place attachment and social exclusion. Nevertheless, while the current psychological literature is promising, the implementation of VR in LTCFs faces many challenges. LTCF residents must gain trust in VR technologies, care providers require training to maximize the positive effects of VRT, and decision makers must evaluate both the opportunities and obstacles in adopting VR. Here, we concisely review the implications of depression related to place attachment in LTCFs, and explore the potential therapeutic applications of VR.

scholarly journals Keyword Network Analysis on Long Term Care Insurance Using Text Mining

2021 ◽  
Vol 46 (3) ◽  
pp. 257-266
Author(s):  
Jonggeun Seo ◽  
Chung Mo Nam ◽  
Tae Hyun Kim ◽  
So-Hee Park
Keyword(s):  
Big Data ◽  
Text Mining ◽  
Long Term Care ◽  
The Elderly ◽  
Care Providers ◽  
Data Types ◽  
Term Care ◽  
Service Institution ◽  
Long Term Care Insurance

Objectives: This study conducted research using big data in order to overcome the limitations of existing qualitative research or analysis research. By analyzing keywords, the flow and role of long-term care insurance in society were analyzed.Methods: Issues were searched through text mining, one of the big data techniques, and the flow of agendas by period was examined by 3 time points (institutional settlement period, 1st basic plan, 2nd basic plan). Using R and NetMiner, Daum News (news.daum.net) and Naver News (news.naver.com) were web-scraped to collect 20,965 news articles, 4,994 articles were filtered for keyword extraction and analysis. Result: Looking at the characteristics of each data type, in all data types, long-term care institutions (including nursing homes) and care providers appear as the top keywords, and the keyword subgroup characteristics are ① grade/service, ② institution management, and ③ the employee group includes the keyword subgroup.Conclusions: This study is based on the subject of long-term care insurance for the elderly and applies big data analysis techniques, and can be used as a decision-making tool in establishing policies and systems.

scholarly journals The Level of Importance on Education of long Term Care Nursing Assistants Perceived by Caregivers of the Elderly

2008 ◽  
Vol 14 (1) ◽  
pp. 127-137 ◽  
Author(s):  
Nam-Ok Cho ◽  
Sung-Hee Ko ◽  
Chun-Gill Kim ◽  
Soo Yang ◽  
Kyong-Ok Oh ◽  
...  
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Nursing Assistants ◽  
Term Care ◽  
Level Of Importance ◽  
Care Nursing

Culture and Long-Term Care: The Bath as Social Service in Japan

2004 ◽  
Vol 5 (1) ◽  
pp. 53-60 ◽  
Author(s):  
John W. Traphagan
Keyword(s):  
Home Health Care ◽  
Social Service ◽  
Long Term Care ◽  
Family Care ◽  
The Elderly ◽  
The United States ◽  
Central Feature ◽  
Care Providers ◽  
Term Care

A central feature of Japan’s approach to community-based care of the elderly, including long-term home health care, is the emphasis on providing bath facilities. For mobile elders, senior centers typically provide a public bathing facility in which people can enjoy a relaxing soak along with friends who also visit the centers. In terms of in-home long-term care, visiting bath services are provided to assist family care providers with the difficult task of bathing a frail or disabled elder—a task made more problematic as a result of the Japanese style of bathing. I argue that the bath, as social service, is a culturally shaped solution to a specific problem of elder care that arises in the Japanese context as a result of the importance of the bath in everyday life for Japanese. While the services may be considered specific to Japan, some aspects of bathing services, particularly the mobile bath service, may also have applicability in the United States.

scholarly journals ECHO Care of the Elderly: Innovative Learning to Build Capacity in Long-term Care

2021 ◽  
Vol 24 (1) ◽  
pp. 36-43
Author(s):  
Navena R. Lingum ◽  
Lisa Guttman Sokoloff ◽  
James Chau ◽  
Sid Feldman ◽  
Shaen Gingrich ◽  
...  
Keyword(s):  
Health Care ◽  
Capacity Building ◽  
Health Care Providers ◽  
Self Efficacy ◽  
Long Term Care ◽  
The Elderly ◽  
Care Providers ◽  
Term Care ◽  
Building Program

Background Older adults are entering long-term care (LTC) homes with more complex care needs than in previous decades, resulting in demands on point-of-care staff to provide additional and specialty services. This study evaluated whether Project ECHO® (Extension for Community Healthcare Outcomes) Care of the Elderly Long-Term Care (COE-LTC)—a case-based online education program—is an effective capacity-building program among interprofessional health-care teams caring for LTC residents. Methods A mixed-method, pre-and-post study comprised of satisfaction, knowledge, and self-efficacy surveys and exploration of experience via semi-structured interviews. Participants were interprofessional health-care providers from LTC homes across Ontario. Results From January–March 2019, 69 providers, nurses/nurse practitioners (42.0%), administrators (26.1%), physicians (24.6%), and allied health professionals (7.3%) participated in 10 weekly, 60-minute online sessions. Overall, weekly session and post-ECHO satisfaction were high across all domains. Both knowledge scores and self-efficacy ratings increased post-ECHO, 3.9% (p = .02) and 9.7 points (p < .001), respectively. Interview findings highlighted participants’ appreciation of access to specialists, recognition of educational needs specific to LTC, and reduction of professional isolation. Conclusion We demonstrated that ECHO COE-LTC can be a successful capacity-building educational model for interprofessional health-care providers in LTC, and may alleviate pressures on the health system in delivering care for residents.

scholarly journals Job Competency and Intention to Stay among Nursing Assistants: The Mediating Effects of Intrinsic and Extrinsic Job Satisfaction

2021 ◽  
Vol 18 (12) ◽  
pp. 6436
Author(s):  
Yu-Chia Chang ◽  
Te-Feng Yeh ◽  
I-Ju Lai ◽  
Cheng-Chia Yang
Keyword(s):  
Job Satisfaction ◽  
Long Term Care ◽  
Cross Sectional Study ◽  
Nursing Assistants ◽  
Intention To Stay ◽  
Cross Sectional ◽  
Term Care ◽  
Job Competency ◽  
The Relationship

This study investigated the influences of nursing assistants’ job competency on their intrinsic and extrinsic satisfaction and intention to stay in the profession of long-term care institutions. Understanding the relationship between job competency and job satisfaction, both intrinsic and extrinsic, would enable institutions to strengthen service workers’ intention to stay and to retain essential personnel. This study was a cross-sectional study in which nursing assistants from 26 nursing homes and 15 elderly welfare institutions in Taiwan. The relationship between job competency and intention to stay was discovered to be significantly mediated by intrinsic and extrinsic job satisfaction. Given the staff shortages and difficulty retaining staff in long-term care environments, organizations must be able to strengthen employees’ intention to stay; one suggestion is to improve the employees’ competency, because higher competency results in higher quality of care and greater extrinsic job satisfaction. Furthermore, greater job competency is more likely to result in affirmation and accomplishment, both of which increase intrinsic job satisfaction and thus positively influence intention to stay.

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