Video Conferencing With Residents and Families for Care Planning During COVID-19: Experiences in Canadian Long-Term Care.
Background and Objectives Government-mandated health and safety restrictions to mitigate the effects of coronavirus disease 2019 (COVID-19) intensified challenges in caring for older adults in long-term care (LTC) without family/care partners. This article describes the experiences of a multidiscipl...
| Publicado en: | Gerontologist Vol. 63; no. 3; pp. 478 - 490 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Apr2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=162734677&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 162734677 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Apr2023 vid: 63 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 162734677 10.1093/geront/gnac154 ppf: 478 ppct: 12 formats: tig: atl: Video Conferencing With Residents and Families for Care Planning During COVID-19: Experiences in Canadian Long-Term Care. aug: au: Connelly, Denise Hay, Melissa Garnett, Anna Hung, Lillian Yous, Marie-Lee Furlan-Craievich, Cherie Snelgrove, Shannon Babcock, Melissa Ripley, Jacqueline Snobelen, Nancy Gao, Harrison Zhuang, Ruthie Hamilton, Pam Sturdy-Smith, Cathy O'Connell, Maureen affil: School of Physical Therapy, The University of Western Ontario , London, Ontario , Canada Arthur Labatt Family School of Nursing, The University of Western Ontario , London, Ontario , Canada School of Nursing, The University of British Columbia , Vancouver, British Columbia , Canada School of Nursing, McMaster University , Hamilton, Ontario , Canada Vision '74 Inc. , Sarnia, Ontario , Canada APANS Health Service―Copper Terrace Long Term Care Home , Chatham, Ontario , Canada Registered Practical Nurses Association of Ontario (WeRPN) , Toronto, Ontario , Canada Department of Physiology and Pharmacology, The University of Western Ontario , London, Ontario , Canada PIECES Canada , Toronto, Ontario , Canada su: Canada Families & psychology Medical personnel Labor supply Experience Qualitative research Psychosocial factors Interpersonal relations COVID-19 pandemic Research methodology Videoconferencing Medical protocols Research funding Thematic analysis Long-term health care sug: subj: Families & psychology Medical personnel Labor supply Experience Qualitative research Psychosocial factors Interpersonal relations COVID-19 pandemic Canada Temporary Help Services All Other Business Support Services Research methodology Videoconferencing Medical protocols Research funding Thematic analysis Long-term health care keyword: Family engagement Implementation science PIECES Virtual care Family engagement Implementation science PIECES Virtual care ab: Background and Objectives Government-mandated health and safety restrictions to mitigate the effects of coronavirus disease 2019 (COVID-19) intensified challenges in caring for older adults in long-term care (LTC) without family/care partners. This article describes the experiences of a multidisciplinary research team in implementing an evidence-based intervention for family-centered, team-based, virtual care planning—PIECES approach—into clinical practice. We highlight challenges and considerations for implementation science to support care practices for older adults in LTC, their families, and the workforce. Research Design and Methods A qualitative descriptive design was used. Data included meetings with LTC directors and Registered Practical Nurses (i.e. licensed nurse who graduated with a 2-year diploma program that allows them to provide basic nursing care); one-on-one interviews with family/care partners, residents, Registered Practical Nurses, and PIECES mentors; and reflections of the academic team. The Consolidated Framework for Implementation Research provided sensitizing constructs for deductive coding, while an inductive approach also allowed themes to emerge. Results Findings highlighted how aspects related to planning, engagement, execution, reflection, and evaluation influenced the implementation process from the perspectives of stakeholders. Involving expert partners on the research team to bridge research and practice, developing relationships from a distance, empowering frontline champions, and adapting to challenging circumstances led to shared commitments for intervention success. Discussion and Implications Lessons learned include the significance of stakeholder involvement throughout all research activities, the importance of clarity around expectations of all team members, and the consequence of readiness for implementation with respect to circumstances (e.g. COVID-19) and capacity for change. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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