Journal of long-term care最新文献_第6页

Navigating WeChat in COVID Times as a Chinese Care Home Resident 新冠肺炎疫情下，中国护理院居民微信导航

Journal of long-term care Pub Date : 2022-01-01 DOI: 10.31389/jltc.153

Doris Zhang, G. Cheung, S. Cullum, L. Ng

{"title":"Navigating WeChat in COVID Times as a Chinese Care Home Resident","authors":"Doris Zhang, G. Cheung, S. Cullum, L. Ng","doi":"10.31389/jltc.153","DOIUrl":"https://doi.org/10.31389/jltc.153","url":null,"abstract":"Context: In New Zealand, COVID-19-related lockdowns led to the implementation of visiting restrictions in care homes. This placed residents at risk of isolation. The Chinese community is a fast-growing ethnic group and faces additional difficulties, including language and cultural barriers. Information and communication technologies (ICTs) may enhance communication and maintain social connectedness between families and care homes during lockdowns. Objective(s): To explore the role of technology in the experiences of Chinese care home residents living in New Zealand during three lockdown periods from 2020 to mid-2021. Method(s): We performed semi-structured interviews with predominantly Chinese individuals (n = 18) across two Chinese-run care homes in Auckland, New Zealand. Participants included residents (n = 6), family members (n = 6) and facility staff (n = 6). Interviews were conducted and transcribed in either English or Mandarin Chinese, then coded and analysed to synthesise themes. Findings: We identified five themes: (i) an online care home community via WeChat, (ii) benefits of technology, (iii) barriers to technology use, (iv) the infodemic: technology as information overload and (v) the use of technology post-lockdowns. Limitations: Sample sizes for each sub-group were limited. The generalisability of findings is limited to those with no dementia or mild dementia. Residents with more severe dementia were excluded from the study but might also have benefitted from the intervention. Implications: The main finding of this study is that WeChat is an effective means of maintaining social connections in the Chinese care home community, particularly when usage is facilitated by staff. We recommend care homes consider using social media platforms to connect residents with the outside world. Sufficient resources, training and staff are needed to advocate for care home residents to be part of a digital community in a way that is culturally relevant. © 2022 The Author(s).","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81565054","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

A rapid review of innovations for attraction, recruitment and retention of social care workers, and exploration of factors influencing turnover within the UK context 对吸引、招聘和保留社会护理工作者的创新进行快速审查，并探讨在英国范围内影响人员流动的因素

Journal of long-term care Pub Date : 2022-01-01 DOI: 10.31389/jltc.130

D. Edwards, L. Trigg, Judith Carrier, A. Cooper, J. Csontos, Jon Day, Elizabeth Gillen, R. Lewis, Adrian Edwards

{"title":"A rapid review of innovations for attraction, recruitment and retention of social care workers, and exploration of factors influencing turnover within the UK context","authors":"D. Edwards, L. Trigg, Judith Carrier, A. Cooper, J. Csontos, Jon Day, Elizabeth Gillen, R. Lewis, Adrian Edwards","doi":"10.31389/jltc.130","DOIUrl":"https://doi.org/10.31389/jltc.130","url":null,"abstract":"Context: The UK social care sector has come under increased pressure to combat workforce shortages. With international recruitment of professionals impacted by Brexit and the COVID-19 pandemic, social care is in need of innovations to attract, recruit and retain staff. Objectives: This review aimed to identify (1) innovations to attract, recruit, and retain social workers (professionals working with children and adults to protect them from harm, often as case managers) and the wider social care workforce (workers providing direct practical support to children and adults with their daily activities) and (2) factors influencing staff turnover in the UK context. Method: Pre-defined inclusion criteria were developed using the SPIDER (Sample, Phenomenon of Interest, Design, Evaluation, Research type) framework. Searches were conducted across three databases and 32 key United Kingdom third sector and government organisations from 2001. In total, 1,835 citations were retrieved and 40 met the eligibility criteria (13 for social workers and 28 for social care workforce). Thematic analysis was used to explore the data and presented across two evidence maps. Findings: Evaluation evidence was only available for a small portion of innovations identified. Practice learning, fast-track graduate programmes, and apprenticeships may support the retention of social workers, while pre-employment training, national recruitment campaigns, care work ambassadors, and values-based recruitment could help attraction, recruitment, and retention of the wider social care workforce. Limitations: Most of the included studies were conducted pre-pandemic and mainly relied on descriptive and explorative methodologies. Implications: Future policy initiatives should include an evaluation strategy from the outset to develop a more extensive evidence base. Funding bodies should offer schemes supporting research in this area. © 2022 The Author(s).","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82612815","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: 3

Shaping Quality of Life with Nursing Assistance. A Grounded Theory Approach to Nursing Care for People with Physical Disabilities and Interactions with Carers in Long-Term Care 以护理协助塑造生活品质。身体残疾人士护理的扎根理论方法及与长期护理护理者的互动

Journal of long-term care Pub Date : 2022-01-01 DOI: 10.31389/jltc.114

Roman Helbig, S. Metzing, Änne-Dörte Latteck

引用次数: 1

Testing for SARS-CoV-2 Infection in Care Home Residents and Staff in English Care Homes: A Service Evaluation 英国护理院居民和工作人员SARS-CoV-2感染检测:服务评估

Journal of long-term care Pub Date : 2022-01-01 DOI: 10.31389/jltc.99

J. Brainard, C. Aldus, Emma Smith, Sharon Dunham, P. Hunter, N. Steel, P. Everden

{"title":"Testing for SARS-CoV-2 Infection in Care Home Residents and Staff in English Care Homes: A Service Evaluation","authors":"J. Brainard, C. Aldus, Emma Smith, Sharon Dunham, P. Hunter, N. Steel, P. Everden","doi":"10.31389/jltc.99","DOIUrl":"https://doi.org/10.31389/jltc.99","url":null,"abstract":"Context: COVID-19 is especially dangerous to older adults living in residential care. Objective: To evaluate the usefulness of a nurse-led Enhanced Care Home Team (ECHT) SARS-CoV-2 testing strategy to identify resident cases early, identify typical illness presentation residents, and correctly attribute cause of death in care home settings in Norfolk, UK. Method: Residents and staff received nose and throat swab tests (7 April to 29 June 2020). Resident test results were linked with symptoms on days 0–14 after test and mortality to 13 July 2020. The data collected were used to evaluate service performance. Findings: Residents (n = 521) and staff (estimated n = 340) in 44 care homes were tested in the ECHT service. SARS-CoV-2 positivity was identified in 103 residents in 14 homes and 49 staff in 7 homes. Of 103 SARS-CoV-2+ residents, just 37 had what were understood to be typical COVID-19 symptom(s). Among 51 residents without symptoms when initially tested, 13 (25%) developed symptoms within 14 days. Many SARS-CoV-2+ residents lacked typical symptoms but presented rather as ‘generally unwell’ (n = 16). Of 39 resident deaths during the monitoring period, 20 (51%) were initially attributed to SARS-CoV-2, all of whom tested SARS-CoV-2+. One deceased person not initially attributed to SARS-CoV-2 tested positive through a different monitoring programme. Of all staff tests, 9% were positive. Implications: A locally designed and integrated joint nursing and social care team approach successfully identified asymptomatic and pre-symptomatic SARS-CoV-2+ residents and staff. Being ‘generally unwell’ was common amongst symptomatic residents and indicated SARS-CoV-2 infection in older people in the absence of more ‘typical’ symptoms. The service supported correct attribution of cause of death. © 2022 The Author(s).","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89755294","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

Overcoming COVID-19 Constraints on Person Centered Dementia Care: A Narrative Inquiry of Lived Experiences of Residential Care Staff in Belgium 克服COVID-19对以人为本的痴呆症护理的限制:比利时住院护理人员生活经历的叙事调查

Journal of long-term care Pub Date : 2022-01-01 DOI: 10.31389/jltc.129

Anne‐Marie Martin

{"title":"Overcoming COVID-19 Constraints on Person Centered Dementia Care: A Narrative Inquiry of Lived Experiences of Residential Care Staff in Belgium","authors":"Anne‐Marie Martin","doi":"10.31389/jltc.129","DOIUrl":"https://doi.org/10.31389/jltc.129","url":null,"abstract":"Context: Person-centredness is integral to high-quality dementia care. The coronavirus prevention and control measures significantly disrupted delivery of person-centred dementia care. Objective: To explore the lived experiences of residential care staff of overcoming the coronavirus constraints on person-centred dementia care. Methods: A narrative correspondence inquiry undertaken between August and October 2020 engaged three (n = 3) residential care staff in Belgium. Criterion sampling included staff involved in caring for people with dementia in an organisation providing a multitude of residential care services. Findings: Four overarching themes were identified, comprising the chaos embedded in uncertainties, restructuring the service, transition shock, and reorienting the service to person-centred care. Working with unfamiliar procedures disorganised the care environment and the ability for residents to take part in meaningful activities. Residential care staff creatively remodelled person-centredness around the coronavirus prevention and control measures to restore continuity of good standards of dementia care. Limitations: The correspondence method of gathering narratives was opportune for undertaking qualitative research during the peak of the coronavirus pandemic and provided a means of exploring in-depth the experiences of staff. However, this study is limited to a small sample of participants from one organisation. Implications: The coronavirus pandemic not only introduced challenges but also prospects of effective ways of delivering care to adequately meet the needs of people with dementia. The hierarchical boundaries several disciplines often create in health and social care defy effective collaborations in dementia care. © 2022 The Author(s).","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85369939","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

Physical Activity Levels among American Long-Term Care Employees during the COVID-19 Pandemic COVID-19大流行期间美国长期护理员工的身体活动水平

Journal of long-term care Pub Date : 2022-01-01 DOI: 10.31389/jltc.140

Aaron J. Aslakson, B. Melton, Helen W. Bland, Duke D. Biber

{"title":"Physical Activity Levels among American Long-Term Care Employees during the COVID-19 Pandemic","authors":"Aaron J. Aslakson, B. Melton, Helen W. Bland, Duke D. Biber","doi":"10.31389/jltc.140","DOIUrl":"https://doi.org/10.31389/jltc.140","url":null,"abstract":"Context: Physical activity has been shown to have physiological and psychological benefits in adults worldwide. Those in the healthcare industry, including long-term care employees, face unique occupational stressors that could be barriers to initiating and maintaining a physically active lifestyle. Objectives: 1) to describe the physical activity level of a group of long-term care employees;and 2) examined demographic and self-efficacy influences on physical activity level. Methods: The cross-sectional study included an online questionnaire with demographics, the Godin Leisure-Time Exercise Questionnaire (GLTEQ), and the Self-Efficacy for Exercise Scale, in a convenience sample of 218 participants. Findings: Results found 71.5% of the sample were classified as active, the percentage of participants who indicated they were highly active in their youth compared to adulthood decreased from 40.3% to 16.0%, and 37.3% of the sample decreased their physical activity level during COVID-19. Additionally, the GLTEQ score was significantly higher for those with high exercise self-efficacy (M = 65.97, SD = 30.78) compared to those with moderate exercise self-efficacy (M = 37.14, SD = 27.07, p = .000) and low exercise self-efficacy (M = 16.00, SD = 15.11, p = .000). Implications: Although the majority of the long-term care employees were considered active even during the COVID-19 pandemic, strategies to promote physical activity in the occupation setting are needed. Additional research is warranted to better understand if the nature of healthcare and occupational physical activity may have impacted this value. © 2022, LSE Press. All rights reserved.","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77954702","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

‘Going through the Eye of the Storm’: The Impact of Covid-19 on the Long-Term Dementia Care Workforce “穿越风暴眼”:Covid-19对长期痴呆症护理人员的影响

Journal of long-term care Pub Date : 2022-01-01 DOI: 10.31389/jltc.127

A. Capstick, G. Previdoli, Ana Barbosa, Clare Mason

{"title":"‘Going through the Eye of the Storm’: The Impact of Covid-19 on the Long-Term Dementia Care Workforce","authors":"A. Capstick, G. Previdoli, Ana Barbosa, Clare Mason","doi":"10.31389/jltc.127","DOIUrl":"https://doi.org/10.31389/jltc.127","url":null,"abstract":"Context: Official guidance on Covid-19 failed to take account of the prevalence of dementia among people living in care homes or its implications for implementing infection control measures. Objective: To gain insight into the experience of those charged with implementing Covid-19 restrictions in long-term dementia care environments. Methods: Twenty members of the long-term dementia care workforce shared their experiences, using interviews, online discussion groups, or written personal accounts. Findings: Thematic analysis identified four key aspects of the participants’ experience: 1) Confusion and stress arising from the implementation of new policies, which changed very frequently;2) The negative impact of measures such as social isolation, PPE, and coronavirus testing on people living with dementia and their families;3) The impact on their own mental health and well-being over time;4) Creative problem-solving and collaboration in the face of these challenges. Analysis suggests that the social care dementia workforce faced many of the same challenges identified for acute healthcare workers, with the addition of a sense of personal bereavement and responsibility when residents died. Limitations: The study is United Kingdom (UK)-dominated. Data were collected retro-spectively and relate predominantly to the first wave of the pandemic. Most participants were studying on a MSc programme on which the first and third authors teach. Implications: Future guidance to care homes must take account of the high numbers of people with cognitive difficulties living in such environments. Co-designed strategies are needed to address the longer-term implications of Covid-19 for the social care dementia workforce. © 2022 The Author(s).","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78048073","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: 3

Timely Considerations of Using the de Jong Gierveld Loneliness Scale with Older Adults Living in Long-Term Care Homes: A Critical Reflection 使用de Jong Gierveld孤独感量表对长期护养院老年人的适时考虑:一个批判性的反思

Journal of long-term care Pub Date : 2022-01-01 DOI: 10.31389/jltc.141

Karen Lok Yi Wong, Chelsea Smith, Flora To-Miles, S. Dunn, Mario Gregorio, Lily Wong, Polly Huynh, Lillian Hung

{"title":"Timely Considerations of Using the de Jong Gierveld Loneliness Scale with Older Adults Living in Long-Term Care Homes: A Critical Reflection","authors":"Karen Lok Yi Wong, Chelsea Smith, Flora To-Miles, S. Dunn, Mario Gregorio, Lily Wong, Polly Huynh, Lillian Hung","doi":"10.31389/jltc.141","DOIUrl":"https://doi.org/10.31389/jltc.141","url":null,"abstract":"Context: Despite being widely used with older adults in the community, there is limited literature on using the de Jong Gierveld Loneliness Scale with older adults living in long-term care (LTC). Objective: The purpose of this article is to discuss the considerations of using this scale with older adults in LTC. Method: Our team consisted of older person and family partners, a clinician, and academic researchers working together in all stages of research using the Loneliness scale to conduct individual interviews with 20 older adults in LTC in Vancouver, Canada, as part of a study exploring the experience of loneliness during the COVID-19 pandemic. Team reflection was embedded in the research process, with reflection data consisting of data transcripts, field notes, and regular team meeting notes. Thematic analysis was employed to identify lessons learned and implications. Findings: Participants had various challenges responding to the scale. Our analysis identified five themes: a) diverse meanings of loneliness, b) multi-faceted factors of loneliness, c) technical challenges, d) social desirability, and e) situational experience. We also offer five recommendations to consider when using this scale with older adults in LTC. Limitations: We used this scale with a small sample of older adults in LTC, which is a more time and labour-intensive population. Data on marital status and educational background was not collected but might help in understanding considerations for using the scale with older adults in LTC. Implications: We offer practical recommendations for using the scale with older adults in LTC, especially how qualitative open-ended questions can complement the scale by providing useful insights into context and complex experiences. © 2022 The Author(s).","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74549905","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: 3

The Italian Experience in Protecting Older People During COVID-19: Lessons Learned for Long-Term Care Facilities (LTCF) 意大利在COVID-19期间保护老年人的经验:为长期护理机构提供的经验教训

Journal of long-term care Pub Date : 2022-01-01 DOI: 10.31389/jltc.92

Maria Luisa Buzelli, T. Boyce

{"title":"The Italian Experience in Protecting Older People During COVID-19: Lessons Learned for Long-Term Care Facilities (LTCF)","authors":"Maria Luisa Buzelli, T. Boyce","doi":"10.31389/jltc.92","DOIUrl":"https://doi.org/10.31389/jltc.92","url":null,"abstract":"Context: Older people living in LTCF were particularly affected by COVID-19. Italy was the first country in Europe to experience high death rates among older people. Analysing the factors which may have determined high mortality rates in LTCF and identifying actions to safeguard older people’s health in long-term care settings may be critical for future public health emergencies. Objectives: Identify the main challenges and failures faced by a small number of Italian professionals working in LTCF and suggest key actions to better protect older people’s health in future emergencies. Methods: Rapid survey conducted among Italian professionals working in the LTC sector in Italy during the pandemic. Findings: Several factors contributed to higher death rates in LTCF for older people in Italy. To better protect LTCF residents in case of future health emergencies, actions need to be implemented in relation to LTCF’s management, governance and capacity building. Furthermore, safety plans and strategies need to be put in place to ensure older residents’ protection and maintain high level of care in LTCF during public health emergencies, such as COVID-19. Limitations: The article reflects the opinions of a limited number of professionals working in the long-term care sector, which may not be representative of all workers operating in the sector. Implications: Policy and system changes are needed to strengthen the capacity of the Italian long-term care sector to respond to the needs of a growing older population in the context of COVID-19 and beyond. © 2022 The Author(s).","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75083144","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

Do Māori and Pacific Peoples Living with Dementia in New Zealand Receive Equitable Long-Term Care Compared with New Zealand Europeans? 与新西兰的欧洲人相比，Māori和太平洋地区的痴呆症患者在新西兰获得公平的长期护理吗?

Journal of long-term care Pub Date : 2022-01-01 DOI: 10.31389/jltc.148

E. Ma’u, Fady Saeed, S. Yates, Bede Oulaghan, Rosie Whittington, C. Coomarasamy, G. Cheung, S. Cullum

引用次数: 0