The Impact of a Shared Decision-Making Training Program on Dementia Care Planning in Long-Term Care

2018 ◽  
Vol 64 (4) ◽  
pp. 1123-1135 ◽  
Author(s):  
Elena Mariani ◽  
Rabih Chattat ◽  
Giovanni Ottoboni ◽  
Raymond Koopmans ◽  
Myrra Vernooij-Dassen ◽  
...  
Keyword(s):  
Decision Making ◽  
Training Program ◽  
Shared Decision Making ◽  
Long Term Care ◽  
Dementia Care ◽  
Care Planning ◽  
Shared Decision ◽  
Term Care ◽  
The Impact

scholarly journals Shared decision-making on a ‘life-and-care plan’ in long-term care facilities: research protocol

Nursing Open ◽  
2016 ◽  
Vol 3 (3) ◽  
pp. 179-187 ◽  
Author(s):  
Elena Mariani ◽  
Yvonne Engels ◽  
Raymond Koopmans ◽  
Rabih Chattat ◽  
Myrra Vernooij-Dassen
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Long Term Care ◽  
Care Plan ◽  
Shared Decision ◽  
Research Protocol ◽  
Term Care ◽  
Care Facilities

scholarly journals Strategies to facilitate shared decision‐making in long‐term care

2020 ◽  
Vol 15 (3) ◽  
Author(s):  
Lisa A. Cranley ◽  
Susan E. Slaughter ◽  
Sienna Caspar ◽  
Melissa Heisey ◽  
Mei Huang ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Long Term Care ◽  
Shared Decision ◽  
Term Care

scholarly journals SHARED DECISION MAKING IN DEMENTIA CARE PLANNING: INVOLVING FAMILY CAREGIVERS

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 667-667
Author(s):  
M. Vernooij-Dassen ◽  
E. Mariani ◽  
Y. Engels ◽  
R. Chattat
Keyword(s):  
Decision Making ◽  
Family Caregivers ◽  
Shared Decision Making ◽  
Dementia Care ◽  
Care Planning ◽  
Shared Decision

A Collaborative Approach for Online Dementia Care Training

2008 ◽  
pp. 224-230
Author(s):  
Colla MacDonald ◽  
Emma J. Stodel ◽  
Lynn Casimiro ◽  
Lynda Weaver
Keyword(s):  
Training Program ◽  
Long Term Care ◽  
Dementia Care ◽  
Collaborative Approach ◽  
Term Care ◽  
Delicate Balance ◽  
Care Training ◽  
Large Committee ◽  
Community Team

There are obvious benefits to working in collaboration. However, real collaboration takes time; time to engage in meetings, complete accountability processes, and resolve problems. The delicate balance between democracy and efficiency can be compromised when you have to choose between equal participation and looming deadlines (Stoecker, 2003). Weaver and Cousins (2004) described this dilemma as assessing manageability or having to make a choice between achieving complete diversity on the researcher-community team and the unwieldiness of working with a large committee. Compromise is often necessary. This article describes our experiences using a collaborative approach involving university-based researchers and community professionals—in this case, long-term care (LTC) managers, administrators, and hospital-based educators and researchers—to create an online dementia care training program.

A Collaborative Approach for Online Dementia Care Training

2011 ◽  
pp. 998-1005
Author(s):  
Colla MacDonald ◽  
Emma J. Stodel ◽  
Lynn Casimiro ◽  
Lynda Weaver
Keyword(s):  
Training Program ◽  
Long Term Care ◽  
Dementia Care ◽  
Collaborative Approach ◽  
Term Care ◽  
Delicate Balance ◽  
Care Training ◽  
Large Committee ◽  
Community Team

There are obvious benefits to working in collaboration. However, real collaboration takes time; time to engage in meetings, complete accountability processes, and resolve problems. The delicate balance between democracy and efficiency can be compromised when you have to choose between equal participation and looming deadlines (Stoecker, 2003). Weaver and Cousins (2004) described this dilemma as assessing manageability or having to make a choice between achieving complete diversity on the researcher-community team and the unwieldiness of working with a large committee. Compromise is often necessary. This article describes our experiences using a collaborative approach involving university-based researchers and community professionals—in this case, long-term care (LTC) managers, administrators, and hospital-based educators and researchers—to create an online dementia care training program.

scholarly journals THE IMPACT OF LEADERSHIP AND CULTURE ON SUSTAINABILITY OF A DEMENTIA TRAINING PROGRAM IN LONG-TERM CARE

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 726-726
Author(s):  
T Danylyshen-Laycock ◽  
D Morgan ◽  
N Stewart ◽  
M O’Connell ◽  
D Goodridge
Keyword(s):  
Training Program ◽  
Long Term Care ◽  
Term Care ◽  
The Impact

scholarly journals The Impact of Prior Advance Care Planning Documentation on End-of-Life Care Provision in Long-Term Care

2020 ◽  
Vol 23 (2) ◽  
pp. 172-183
Author(s):  
Henry Y.H. Siu ◽  
Dawn Elston ◽  
Neha Arora ◽  
Amie Vahrmeyer ◽  
Sharon Kaasalainen ◽  
...  
Keyword(s):  
Advance Care Planning ◽  
Long Term Care ◽  
Illness Management ◽  
Care Planning ◽  
Care Provision ◽  
Term Care ◽  
Advance Care ◽  
Eol Care ◽  
The Impact

Background The impact of prior advance care planning (ACP) documentation on substitute decision-makers’ (SDMs) knowledge of values for end-of-life (EOL) care, and its correlation with SDM satisfaction with EOL care provision, have not been assessed in long-term care (LTC). Methods A cross-sectional survey of 2,595 SDMs from 27 LTC homes assessed: 1) knowledge of pre-existing ACP documentation and values for EOL care, and 2) the importance and satisfaction of EOL care provision in LTC. Knowledge of values for EOL care was compared to administrative documentation. Importance and satisfaction were plotted on a performance-importance grid. Multiple linear regression assessed whether knowledge of pre-existing ACP documentation correlated with satisfaction. Results The response rate was 25% (658/2,595); 69% of LTC residents had pre-existing ACP documentation. Discordance was noted between SDMs’ knowledge of values for EOL care and administrative documentation. Pre-existing knowledge of ACP documentation was not correlated with EOL care provision satisfaction. Priority areas for increasing satisfaction include illness management, SDM communication, and relationships with LTC clinicians. Conclusions The discordance between SDMs’ knowledge of values for EOL care and formal documentation needs to be addressed. Although pre-existing ACP documentation does not impact satisfaction, EOL care provision could be improved by targeting illness management, SDM communication, and relationships with LTC clinicians.

Shared decision-making in dementia care planning: barriers and facilitators in two European countries

2016 ◽  
Vol 21 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Elena Mariani ◽  
Myrra Vernooij-Dassen ◽  
Raymond Koopmans ◽  
Yvonne Engels ◽  
Rabih Chattat
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Dementia Care ◽  
European Countries ◽  
Barriers And Facilitators ◽  
Care Planning ◽  
Shared Decision

scholarly journals A Review of Advance Care Planning Programs in Long-Term Care Homes: Are They Dementia Friendly?

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Abigail Wickson-Griffiths ◽  
Sharon Kaasalainen ◽  
Jenny Ploeg ◽  
Carrie McAiney
Keyword(s):  
Advance Care Planning ◽  
End Of Life Care ◽  
Long Term Care ◽  
Care Home ◽  
Family Members ◽  
Care Planning ◽  
Term Care ◽  
Advance Care ◽  
The Impact

Background. Persons living with dementia in the long-term care home (LTCH) setting have a number of unique needs, including those related to planning for their futures. It is therefore important to understand the advance care planning (ACP) programs that have been developed and their impact in order for LTCH settings to select a program that best suits residents’ needs.Methods. Four electronic databases were searched from 1990 to 2013, for studies that evaluated the impact of advance care planning programs implemented in the LTCH setting. Studies were critically reviewed according to rigour, impact, and the consideration of the values of residents with dementia and their family members according to the Dementia Policy Lens Toolkit.Results and Conclusion. Six ACP programs were included in the review, five of which could be considered more “dementia friendly.” The programs indicated a variety of positive impacts in the planning and provision of end-of-life care for residents and their family members, most notably, increased ACP discussion and documentation. In moving forward, it will be important to evaluate the incorporation of residents with dementia’s values when designing or implementing ACP interventions in the LTCH settings.

scholarly journals Working Conditions Supporting Person-Centered Care of Persons Living with Dementia in Long-Term Care Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 962-962
Author(s):  
Marie Savundranayagam ◽  
Susan Docherty-Skippen ◽  
Shalane Basque
Keyword(s):  
Working Conditions ◽  
Long Term Care ◽  
Dementia Care ◽  
Term Care ◽  
Support Person ◽  
Personal Support ◽  
Person Centered Care ◽  
Centered Care ◽  
The Impact

Abstract The COVID-19 pandemic has underscored the importance of person-centered dementia care and working conditions that support such care in long-term care (LTC) home settings. Personal support workers (PSWs), known also as certified nursing assistants, provide the most direct formal care for persons living with dementia. However, little is known about the working conditions that enable person-centered care. Accordingly, the purpose of this study was to examine the working conditions and the impact of those conditions on PSWs in LTC homes. PSWs (N=39) employed at one of five LTC homes in southwestern Ontario, Canada participated in a series of one-hour focus groups before, during, and after Be-EPIC, a person-centred communication training program for formal caregivers of persons living with dementia. Using an interpretive description investigative framework, textual data from focus group conversation transcripts were open-coded into categories. Overarching themes were interpreted inductively. Study credibility was enhanced through investigator triangulation. Three themes emerged related to working conditions of PSWs: dementia care is complex, lack of trained staff to provide person-centered dementia care, and residents’ families are not situated in the residents’ care circle. Four themes emerged related to the impact of current working conditions of PSWs: occupational burnout, poor resident care, frustrated and disengaged families, and PSWs leave their role. The findings offer opportunities for employers to ameliorate working conditions to support person-centered care. We conclude with specific workplace recommendations that respond to the complexity of dementia care and the associated occupational stresses PSWs experience in the current LTC environment.

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