scholarly journals Staffing levels in not-for-profit and for-profit long-term care facilities: Does type of ownership matter?

2005 ◽  
Vol 172 (5) ◽  
pp. 645-649 ◽  
Author(s):  
M. J. McGregor
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
For Profit ◽  
Staffing Levels ◽  
Not For Profit ◽  
Care Facilities

scholarly journals Incapacitated and Alone: Prevalence of Unbefriended Residents in Alberta Long-Term Care Homes

SAGE Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 215824401988512 ◽  
Author(s):  
Stephanie A. Chamberlain ◽  
Wendy Duggleby ◽  
Janet Fast ◽  
Pamela B. Teaster ◽  
Carole A. Estabrooks
Keyword(s):  
Online Survey ◽  
Long Term Care ◽  
Survey Methods ◽  
Population Level ◽  
Urban Centers ◽  
Cross Sectional ◽  
Term Care ◽  
For Profit ◽  
Not For Profit

The objective of this study was to assess the prevalence of residents who are incapacitated and have no surrogate decision maker, known as the “unbefriended” in Alberta long-term care (LTC) homes. Using cross-sectional online survey methods, data were collected from 123 staff (i.e., directors of care/nursing, administrators) from Alberta LTC homes. Information was collected on survey respondents’ demographic characteristics, number of unbefriended residents, and on organizational characteristics. The overall prevalence of unbefriended residents in LTC homes was 4.14% in Alberta ( SD = 6.28%, range: 0%-34.6%). Homes with the highest prevalence (nearly 15%) of unbefriended residents had >135 beds and were public not-for-profit and located in large urban centers. Fifty-three percent of unbefriended residents were male. The highest prevalence of unbefriended residents lived in homes located in large urban centers and public not-for-profit operators. Population level and LTC home level prevalence data are needed to assess the scope of unmet needs.

scholarly journals Hospitalization and Mortality Rates in Long-Term Care Facilities: Does For-Profit Status Matter?

2015 ◽  
Vol 16 (10) ◽  
pp. 874-883 ◽  
Author(s):  
Peter Tanuseputro ◽  
Mathieu Chalifoux ◽  
Carol Bennett ◽  
Andrea Gruneir ◽  
Susan E. Bronskill ◽  
...  
Keyword(s):  
Long Term Care ◽  
Mortality Rates ◽  
Term Care ◽  
For Profit ◽  
Care Facilities ◽  
Profit Status

scholarly journals Hospice nurse reflections on a palliative care educational intervention in long-term care: An inductive content analysis

2019 ◽  
Author(s):  
Rosemary Ann Frey ◽  
Deborah Balmer ◽  
Michal Boyd ◽  
Jackie Robinson ◽  
Merryn Gott
Keyword(s):  
Palliative Care ◽  
Content Analysis ◽  
Educational Intervention ◽  
Long Term Care ◽  
Knowledge Exchange ◽  
Term Care ◽  
Hospice Nurses ◽  
Staffing Levels ◽  
Care Facilities

Abstract Abstract Background: Older people in long-term care facilities are at a greater risk of receiving care at the end of life that does not adequately meet their needs, yet staff in long-term care are often unprepared to provide palliative care. The objective of the study was to explore hospice nurse experiences regarding the barriers and facilitators to the implementation of a palliative care educational intervention, Supportive Hospice Aged Residential Exchange (SHARE) in 20 long-term care facilities. Methods: Reflective logs (465), recorded over the course of the yearlong SHARE intervention by the three hospice nurses, who were the on-site mentors, were qualitatively analyzed by two researchers utilizing inductive content analysis. Results: Categories emerging from the logs include the importance of relationships, knowledge exchange, communication, and the challenges of providing palliative care in a long-term care setting. Conclusion: Evidence from the logs indicated that sustained relationships between hospice nurses and staff as well as reciprocal learning were key factors supporting the implementation of this palliative care educational intervention. Challenges remain however in relation to staffing levels, which further emphasizes the importance of hospice presence as a point of stability.

scholarly journals Staffing levels in long-term care facilities

2007 ◽  
Vol 176 (12) ◽  
pp. 1736-1737
Author(s):  
K. M. McGrail ◽  
M. J. McGregor
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Staffing Levels ◽  
Care Facilities

scholarly journals For-profit versus not-for-profit delivery of long-term care

2006 ◽  
Vol 176 (1) ◽  
pp. 57-58 ◽  
Author(s):  
K. M. McGrail ◽  
M. J. McGregor ◽  
M. Cohen ◽  
R. B. Tate ◽  
L. A. Ronald
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
For Profit ◽  
Not For Profit

Observations on Institutional Long-Term Care in Ontario: 1996–2002

2005 ◽  
Vol 24 (1) ◽  
pp. 71-84 ◽  
Author(s):  
Whitney Berta ◽  
Audrey Laporte ◽  
Vivian Valdmanis
Keyword(s):  
Long Term Care ◽  
Direct Care ◽  
Care Staff ◽  
Term Care ◽  
Non Profit ◽  
Residential Care Facilities ◽  
For Profit ◽  
Staffing Levels ◽  
Extended Care

ABSTRACTWe provide descriptive statistics for data collected via the Residential Care Facilities Survey (RCFS), from long-term care (LTC) facilities operating in Ontario between 1996 and 2002. The LTC sector in Ontario is dominated by large, proprietary for-profit facilities. The proportion of residents receiving extended care has increased from 53 per cent in 1996 to over 61 per cent in 2002. Government-owned facilities are significantly larger than both for-profit proprietary facilities and lay non-profit facilities. Religious and lay non-profit facilities provide care to more residents 85 years of age and older than do for-profit and government-owned facilities, while government-owned facilities provide care to a greater proportion of higher needs residents. Government-owned facilities have higher nursing intensity levels and higher direct care staffing levels than other ownership types, while for-profit facilities have significantly lower levels than other facility types. Non-profit operators have higher ratios of administrative to care staff than proprietary and government-owned facilities.

Strategic Alliance: Adapting to the Business Environment in Long-Term Care

2002 ◽  
Vol 3 (4) ◽  
pp. 205-211
Author(s):  
Cynthia Massie Mara ◽  
James T. Ziegenfuss
Keyword(s):  
Strategic Alliance ◽  
Long Term Care ◽  
Business Environment ◽  
Strategic Partnerships ◽  
Term Care ◽  
For Profit ◽  
Not For Profit ◽  
Technological Educational ◽  
Will Force

This article is addressed to long-term-care administrators and planners as well as purchasers of long-term care. Believing the current and future business environment will force continued adaptation in long-term-care organizations, the authors utilize nine categories to map pressures for change: cultural, technological, educational, political, legal, natural resource, demographic, sociologic, and economic. Long-term-care organizations, especially those that are not-for-profit, are becoming members of alliances as one way of addressing these pressures. This article describes and presents a case example of a composite alliance to demonstrate the advantages of membership in a strategic alliance. We also present examples of ways in which alliance members use strategic partnerships to improve their ability to manage these forces.

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