scholarly journals Factors Affecting the Implementation, Use, and Adoption of Real-Time Location System Technology for Persons Living With Cognitive Disabilities in Long-term Care Homes: Systematic Review

10.2196/22831 ◽  
2021 ◽  
Vol 23 (1) ◽  
pp. e22831
Author(s):  
Alisa Grigorovich ◽  
Yalinie Kulandaivelu ◽  
Kristine Newman ◽  
Andria Bianchi ◽  
Shehroz S Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Real Time ◽  
Long Term Care ◽  
Cognitive Disabilities ◽  
Care Homes ◽  
Care Providers ◽  
Term Care ◽  
Barriers To Implementation ◽  
Residential Long Term Care

Background As the aging population continues to grow, the number of adults living with dementia or other cognitive disabilities in residential long-term care homes is expected to increase. Technologies such as real-time locating systems (RTLS) are being investigated for their potential to improve the health and safety of residents and the quality of care and efficiency of long-term care facilities. Objective The aim of this study is to identify factors that affect the implementation, adoption, and use of RTLS for use with persons living with dementia or other cognitive disabilities in long-term care homes. Methods We conducted a systematic review of the peer-reviewed English language literature indexed in MEDLINE, Embase, PsycINFO, and CINAHL from inception up to and including May 5, 2020. Search strategies included keywords and subject headings related to cognitive disability, residential long-term care settings, and RTLS. Study characteristics, methodologies, and data were extracted and analyzed using constant comparative techniques. Results A total of 12 publications were included in the review. Most studies were conducted in the Netherlands (7/12, 58%) and used a descriptive qualitative study design. We identified 3 themes from our analysis of the studies: barriers to implementation, enablers of implementation, and agency and context. Barriers to implementation included lack of motivation for engagement; technology ecosystem and infrastructure challenges; and myths, stories, and shared understanding. Enablers of implementation included understanding local workflows, policies, and technologies; usability and user-centered design; communication with providers; and establishing policies, frameworks, governance, and evaluation. Agency and context were examined from the perspective of residents, family members, care providers, and the long-term care organizations. Conclusions There is a striking lack of evidence to justify the use of RTLS to improve the lives of residents and care providers in long-term care settings. More research related to RTLS use with cognitively impaired residents is required; this research should include longitudinal evaluation of end-to-end implementations that are developed using scientific theory and rigorous analysis of the functionality, efficiency, and effectiveness of these systems. Future research is required on the ethics of monitoring residents using RTLS and its impact on the privacy of residents and health care workers.

scholarly journals Factors Affecting the Implementation, Use, and Adoption of Real-Time Location System Technology for Persons Living With Cognitive Disabilities in Long-term Care Homes: Systematic Review (Preprint)

2020 ◽  
Author(s):  
Alisa Grigorovich ◽  
Yalinie Kulandaivelu ◽  
Kristine Newman ◽  
Andria Bianchi ◽  
Shehroz S Khan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Real Time ◽  
Long Term Care ◽  
Cognitive Disabilities ◽  
Care Homes ◽  
Care Providers ◽  
Term Care ◽  
Barriers To Implementation ◽  
Residential Long Term Care

BACKGROUND As the aging population continues to grow, the number of adults living with dementia or other cognitive disabilities in residential long-term care homes is expected to increase. Technologies such as real-time locating systems (RTLS) are being investigated for their potential to improve the health and safety of residents and the quality of care and efficiency of long-term care facilities. OBJECTIVE The aim of this study is to identify factors that affect the implementation, adoption, and use of RTLS for use with persons living with dementia or other cognitive disabilities in long-term care homes. METHODS We conducted a systematic review of the peer-reviewed English language literature indexed in MEDLINE, Embase, PsycINFO, and CINAHL from inception up to and including May 5, 2020. Search strategies included keywords and subject headings related to cognitive disability, residential long-term care settings, and RTLS. Study characteristics, methodologies, and data were extracted and analyzed using constant comparative techniques. RESULTS A total of 12 publications were included in the review. Most studies were conducted in the Netherlands (7/12, 58%) and used a descriptive qualitative study design. We identified 3 themes from our analysis of the studies: barriers to implementation, enablers of implementation, and agency and context. Barriers to implementation included lack of motivation for engagement; technology ecosystem and infrastructure challenges; and myths, stories, and shared understanding. Enablers of implementation included understanding local workflows, policies, and technologies; usability and user-centered design; communication with providers; and establishing policies, frameworks, governance, and evaluation. Agency and context were examined from the perspective of residents, family members, care providers, and the long-term care organizations. CONCLUSIONS There is a striking lack of evidence to justify the use of RTLS to improve the lives of residents and care providers in long-term care settings. More research related to RTLS use with cognitively impaired residents is required; this research should include longitudinal evaluation of end-to-end implementations that are developed using scientific theory and rigorous analysis of the functionality, efficiency, and effectiveness of these systems. Future research is required on the ethics of monitoring residents using RTLS and its impact on the privacy of residents and health care workers. CLINICALTRIAL

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.

scholarly journals Healthcare Professionals’ Perspective on Implementing a Detector of Behavioural Disturbances in Long-Term Care Homes

2021 ◽  
Vol 18 (5) ◽  
pp. 2720
Author(s):  
Mohamed-Amine Choukou ◽  
Sophia Mbabaali ◽  
Ryan East
Keyword(s):  
Healthcare Professionals ◽  
Long Term Care ◽  
Tertiary Care ◽  
Care Facility ◽  
Care Homes ◽  
Care Providers ◽  
Term Care ◽  
Tertiary Care Facility ◽  
To Come

The number of Canadians with dementia is expected to rise to 674,000 in the years to come. Finding ways to monitor behavioural disturbance in patients with dementia (PwDs) is crucial. PwDs can unintentionally behave in ways that are harmful to them and the people around them, such as other residents or care providers. Current practice does not involve technology to monitor PwD behaviours. Events are reported randomly by nonstaff members or when a staff member notices the absence of a PwD from a scheduled event. This study aims to explore the potential of implementing a novel detector of behavioural disturbances (DBD) in long-term care homes by mapping the perceptions of healthcare professionals and family members about this technology. Qualitative information was gathered from a focus group involving eight healthcare professionals working in a tertiary care facility and a partner of a resident admitted in the same facility. Thematic analysis resulted in three themes: (A) the ability of the DBD to detect relevant dementia-related behavioural disturbances that are typical of PwD; (B) the characteristics of the DBD and clinical needs and preferences; (C) the integration of the DBD into daily routines. The results tend to confirm the adequacy of the DBD to the day-to-day needs for the detection of behavioural disturbances and hazardous behaviours. The DBD was considered to be useful and easy to use in the tertiary care facility examined in this study. The participants intend to use the DBD in the future, which means that it has a high degree of acceptance.

Separate and Unequal: A Time to Reimagine Dementia

2021 ◽  
pp. 1-5
Author(s):  
Pia Kontos ◽  
Mary L. Radnofsky ◽  
Phyllis Fehr ◽  
Mike R. Belleville ◽  
Frances Bottenberg ◽  
...  
Keyword(s):  
Long Term Care ◽  
Care Homes ◽  
Centralized Control ◽  
Term Care ◽  
The Arts ◽  
People With Dementia ◽  
Health And Social Care ◽  
Separate And Unequal ◽  
Residential Long Term Care

The rapid emergence of COVID-19 has had far-reaching effects across all sectors of health and social care, but none more so than for residential long-term care homes. Mortality rates of older people with dementia in residential long-term care homes have been exponentially higher than the general public. Morbidity rates are also higher in these homes with the effects of government-imposed COVID-19 public health directives (e.g., strict social distancing), which have led most residential long-term care homes to adopt strict “no visitor” and lockdown policies out of concern for their residents’ physical safety. This tragic toll of the COVID-19 pandemic highlights profound stigma-related inequities. Societal assumptions that people living with dementia have no purpose or meaning and perpetuate a deep and pernicious fear of, and disregard for, persons with dementia. This has enabled discriminatory practices such as segregation and confinement to residential long-term care settings that are sorely understaffed and lack a supportive, relational, and enriching environment. With a sense of moral urgency to address this crisis, we forged alliances across the globe to form “Reimagining Dementia: A Creative Coalition for Justice. ” We are committed to shifting the culture of dementia care from centralized control, safety, isolation, and punitive interventions to a culture of inclusion, creativity, justice, and respect. Drawing on the emancipatory power of the imagination with the arts (e.g., theatre, improvisation, music), and grounded in authentic partnerships with persons living with dementia, we aim to advance this culture shift through education, advocacy, and innovation at every level of society.

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.

Filipinas as Residential Long-Term Care Providers

2006 ◽  
Vol 48 (3-4) ◽  
pp. 439-455 ◽  
Author(s):  
Colette V. Browne ◽  
Kathryn L. Braun ◽  
Pam Arnsberger
Keyword(s):  
Long Term Care ◽  
Care Providers ◽  
Term Care ◽  
Residential Long Term Care
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