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Lessons from Long-Term Care Home Partners during the COVID-19 Pandemic. COVID-19大流行期间长期护理院合作伙伴的经验教训。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-12-01 DOI: 10.12927/hcq.2022.26981
Sheena Campbell, Mary Boutette, Jennifer Plant
{"title":"Lessons from Long-Term Care Home Partners during the COVID-19 Pandemic.","authors":"Sheena Campbell,&nbsp;Mary Boutette,&nbsp;Jennifer Plant","doi":"10.12927/hcq.2022.26981","DOIUrl":"https://doi.org/10.12927/hcq.2022.26981","url":null,"abstract":"<p><p>Rapid response to a quickly evolving pandemic was critical to keep residents and those who provide care in long-term care (LTC) safe. Two Ontario-based LTC homes, Perley Health and peopleCare Communities, share key aspects of their pandemic response that left both homes well positioned to partner in the Strengthening Pandemic Preparedness in Long-Term Care rapid response research program (HEC 2022a). To share lessons learned and generate evidence around practical solutions to mitigate future outbreaks, Perley Health and peopleCare Communities identify key considerations to enhance quality of care and quality of life for LTC residents now and in the future.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"25 SP","pages":"27-33"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10422798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strengthening Pandemic Preparedness in Long-Term Care. 加强长期护理中的大流行防范。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-12-01 DOI: 10.12927/hcq.2022.26984
{"title":"Strengthening Pandemic Preparedness in Long-Term Care.","authors":"","doi":"10.12927/hcq.2022.26984","DOIUrl":"https://doi.org/10.12927/hcq.2022.26984","url":null,"abstract":"<p><p>In response to the COVID-19 pandemic, Healthcare Excellence Canada, the Canadian Institutes of Health Research and several provincial partners launched the Implementation Science Teams - Strengthening Pandemic Preparedness in Long-Term Care rapid research program. The program provided funding and a range of supports to the Implementation Science Teams (ISTs) that implemented and evaluated at least one of six promising practice interventions/policy options within Canadian long-term care and retirement homes. This article provides context in terms of introducing the purpose of this special issue and outlining the research initiative, the ISTs' research areas of focus and the program's overall reach.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"25 SP","pages":"7-12"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10422793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From the Editors. 来自编辑。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26950
Anne Wojtak, Neil Stuart
{"title":"From the Editors.","authors":"Anne Wojtak,&nbsp;Neil Stuart","doi":"10.12927/hcq.2022.26950","DOIUrl":"https://doi.org/10.12927/hcq.2022.26950","url":null,"abstract":"<p><p>It would be a vast understatement to say that our healthcare systems are facing extraordinary pressure. The COVID-19 pandemic has pushed our people and our systems to their limits. We observe with trepidation that the current state of healthcare has not looked more precarious at any time in recent memory. Patients and families are feeling it. Providers, clinicians and leaders in the system are feeling it. And all of us recognize that it will take incredible political will and system-wide commitment to make the changes that are needed to renew and strengthen our front-line teams, structures and capacity. As editors for Healthcare Quarterly (HQ), we see the opportunity to contribute to the daunting task ahead by shining a light on leading practices and lessons learned from implementing change across Canada and beyond. Our commitment is to continue to showcase healthcare leadership in all forms and share opportunities for post-pandemic recovery and the future of healthcare.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"25 3","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40700342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Creation of a Clinical Demonstration Unit: Embedding Academic Research into Point of Care in a Geriatric Unit. 创建临床示范单位:将学术研究嵌入老年单位的护理点。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26939
Sheri Horsburgh, Sanaz Riahi, Tim Pauley, Sayani Paul, Andra Duff-Woskosky, Chaitali Desai, Wally J Bartfay, Brenda Gamble, Jennifer Freeman
{"title":"Creation of a Clinical Demonstration Unit: Embedding Academic Research into Point of Care in a Geriatric Unit.","authors":"Sheri Horsburgh,&nbsp;Sanaz Riahi,&nbsp;Tim Pauley,&nbsp;Sayani Paul,&nbsp;Andra Duff-Woskosky,&nbsp;Chaitali Desai,&nbsp;Wally J Bartfay,&nbsp;Brenda Gamble,&nbsp;Jennifer Freeman","doi":"10.12927/hcq.2022.26939","DOIUrl":"https://doi.org/10.12927/hcq.2022.26939","url":null,"abstract":"<p><p>Given that there are limited evidence-informed non-pharmacological interventions to treat behavioural and psychological symptoms of dementia, a specialized psychiatric hospital partnered with an academic university to create a clinical demonstration unit (CDU) - a learning health systems (LHS) model to advance dementia care. In this paper, we identify five key enablers that led to the successful creation of the CDU, its achievements and challenges encountered. The paper provides learnings for other healthcare providers who are considering initiating an LHS model within their setting to advance patient care.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"25 3","pages":"60-68"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toward an Integrated Strategy for Care in the Home for Frail Elders. 体弱长者家居照顾综合策略的探讨。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26947
Neil Seeman
{"title":"Toward an Integrated Strategy for Care in the Home for Frail Elders.","authors":"Neil Seeman","doi":"10.12927/hcq.2022.26947","DOIUrl":"https://doi.org/10.12927/hcq.2022.26947","url":null,"abstract":"<p><p>Canada requires a strategic plan to care for frail elders in the home. The nation needs a holistic system that addresses the multiple, often unique and dynamic needs of seniors, caregivers and families. This essay introduces ethical, technological and stakeholder engagement considerations that may help Canada move forward with a strategy that offers the capacity to better understand the perspectives of different stakeholders and champions high-quality homecare services. Stakeholder engagement can draw on the concept of brokered dialogue (Parsons and Lavery 2012) as a way to study and ethically design a high-quality national homecare strategy.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"25 3","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40700345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Trusted Relationships and Community-Led Approaches to Promote COVID-19 Vaccine Confidence and Uptake across Ontario. 利用可信赖的关系和社区主导的方法促进安大略省对COVID-19疫苗的信心和吸收。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26945
Sara Bhatti, Josephine Pham, Jennifer Rayner
{"title":"Using Trusted Relationships and Community-Led Approaches to Promote COVID-19 Vaccine Confidence and Uptake across Ontario.","authors":"Sara Bhatti,&nbsp;Josephine Pham,&nbsp;Jennifer Rayner","doi":"10.12927/hcq.2022.26945","DOIUrl":"https://doi.org/10.12927/hcq.2022.26945","url":null,"abstract":"<p><p>Data underscore how challenging it can be for populations that experience systemic and historical barriers to access necessary health information and services, including COVID-19 vaccinations and testing. In this paper, we describe the initiatives used by member centres of Alliance for Healthier Communities to promote vaccine confidence and uptake, highlight specific examples that applied a health equity lens, describe some of the challenges that centres faced and explore the key enablers for these initiatives. Lessons learned here can be used to engage in other health promoting activities including population health efforts currently under way across the country.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"25 3","pages":"25-29"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Hôpital Montfort's Postnatal Care-at-Home Program: An Innovative Model for Early Postnatal Care. Hôpital蒙特福特的产后护理在家计划:早期产后护理的创新模式。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26942
Ann Salvador, Wendy Peterson, Julie Nault, Anne Gravelle, David McCoubrey, Laurence Tsorba, Dean Leduc, Teresa Bandrowska, Carolyn Crowley, Josette Messier, Daniel Moreau
{"title":"Hôpital Montfort's Postnatal Care-at-Home Program: An Innovative Model for Early Postnatal Care.","authors":"Ann Salvador,&nbsp;Wendy Peterson,&nbsp;Julie Nault,&nbsp;Anne Gravelle,&nbsp;David McCoubrey,&nbsp;Laurence Tsorba,&nbsp;Dean Leduc,&nbsp;Teresa Bandrowska,&nbsp;Carolyn Crowley,&nbsp;Josette Messier,&nbsp;Daniel Moreau","doi":"10.12927/hcq.2022.26942","DOIUrl":"https://doi.org/10.12927/hcq.2022.26942","url":null,"abstract":"<p><p>The Montfort Postnatal Care-at-Home (MPCH) Program is an innovative, integrated physician, nurse and midwifery model of care that offers an early hospital discharge option to families. The MPCH Program provides care and support to families throughout their transition from hospital to home. The program has the potential to improve families' experiences and maternal-newborn health outcomes, and provides a safety net to families 24/7 during the first seven days postpartum at home. This model transforms how postnatal care is delivered, and has the potential to improve the flow of the birthing unit and the unit capacity and reduce acute care hospital costs.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"25 3","pages":"42-48"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating Toronto Hospitals' COVID-19 Visitor Policy Using Accountability for Reasonableness. 利用问责制的合理性评估多伦多医院的COVID-19访客政策
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26944
Vivian Tam, Rebecca Greenberg, Peter Allatt
{"title":"Evaluating Toronto Hospitals' COVID-19 Visitor Policy Using Accountability for Reasonableness.","authors":"Vivian Tam,&nbsp;Rebecca Greenberg,&nbsp;Peter Allatt","doi":"10.12927/hcq.2022.26944","DOIUrl":"https://doi.org/10.12927/hcq.2022.26944","url":null,"abstract":"<p><p>In March 2020, the Toronto Region COVID-19 Hospital Operations Table developed a policy to guide visitor restrictions at six hospitals (Toronto Region COVID-19 Hospital Operations Table 2021). We conducted nine interviews with the developers and implementers of the policy based on the accountability for reasonableness (A4R) framework. Participants agreed that the A4R principles were met suggesting fair development and implementation of the policy. However, recurrent themes suggested that the policy disadvantaged those unable to advocate for themselves and that there were unaccounted costs to patients, such as lost time and function. We suggest that visitor policies incorporate equity considerations upfront and predetermine metrics to measure harms to patients.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"25 3","pages":"30-35"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Factors that Delay Transfers from Acute Care to a Local Palliative Care Unit. 延迟从急症护理转到当地姑息治疗单位的因素。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26943
Jennifer Bottoms, Amy Nolen, Jennifer Moore, Sarah Torabi, Sandra De Costa, Heather Mays, Kalli Kalliopi Stilos
{"title":"Factors that Delay Transfers from Acute Care to a Local Palliative Care Unit.","authors":"Jennifer Bottoms,&nbsp;Amy Nolen,&nbsp;Jennifer Moore,&nbsp;Sarah Torabi,&nbsp;Sandra De Costa,&nbsp;Heather Mays,&nbsp;Kalli Kalliopi Stilos","doi":"10.12927/hcq.2022.26943","DOIUrl":"https://doi.org/10.12927/hcq.2022.26943","url":null,"abstract":"<p><p>For patients desiring end-of-life care in a palliative care unit, ensuring a safe and timely transfer while reducing length of stay in acute care is optimal. A chart review of 130 patients was completed on those who either died in acute care or were transferred to a palliative care unit. In all, 31% of patients died in acute care and 69% were transferred to a palliative care unit. Barriers impacting a timely transfer included disposition planning, behavioural changes requiring monitoring, imminently dying patients and those awaiting medical assistance in dying. This article makes clinical recommendations to address these barriers.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"25 3","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Understanding the Use of Patient Rooms to Inform Family Zone Implementation: A Qualitative Study. 了解使用病房通知家庭区实施:一项定性研究。
Healthcare quarterly (Toronto, Ont.) Pub Date : 2022-10-01 DOI: 10.12927/hcq.2022.26941
Madeline E Shivgulam, Mai Landau, Kari Steiner, Lee Verweel, Martha Harvey
{"title":"Understanding the Use of Patient Rooms to Inform Family Zone Implementation: A Qualitative Study.","authors":"Madeline E Shivgulam,&nbsp;Mai Landau,&nbsp;Kari Steiner,&nbsp;Lee Verweel,&nbsp;Martha Harvey","doi":"10.12927/hcq.2022.26941","DOIUrl":"https://doi.org/10.12927/hcq.2022.26941","url":null,"abstract":"<p><p>A family zone (FZ) is a portion of the patient room that visitors use to visit their loved one. The purpose of this study was to explore the experiences of patients, family and hospital staff to inform potential FZ implementation. Two focus groups (N = 17) were conducted using semi-structured interviews. Participants reported that family members assisted with patient care and engaged in positive social interactions while in the patient room, but physical design elements and organizational policies may act as barriers. Understanding the current use of and barriers to FZs can guide future implementation to maximize benefits for patient care.</p>","PeriodicalId":39763,"journal":{"name":"Healthcare quarterly (Toronto, Ont.)","volume":"25 3","pages":"49-53"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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