Correction to: factors affecting residents transition from long term care facilities to the community: a scoping review

Abstract Background Evidence of the impact of public reporting of healthcare performance on quality improvement is not yet sufficient to draw conclusions with certainty, despite the important policy implications. This study explored the impact of implementing public reporting of performance indicators of long-term care facilities in Canada. The objective was to analyse whether improvements can be observed in performance measures after publication. Methods We considered 16 performance indicators in long-term care in Canada, 8 of which are publicly reported at a facility level, while the other 8 are privately reported. We analysed data from the Continuing Care Reporting System managed by the Canadian Institute for Health Information and based on information collection with RAI-MDS 2.0 © between the fiscal years 2011 and 2018. A multilevel model was developed to analyse time trends, before and after publication, which started in 2015. The analysis was also stratified by key sample characteristics, such as the facilities' jurisdiction, size, urban or rural location and performance prior to publication. Results Data from 1087 long-term care facilities were included. Among the 8 publicly reported indicators, the trend in the period after publication did not change significantly in 5 cases, improved in 2 cases and worsened in 1 case. Among the 8 privately reported indicators, no change was observed in 7, and worsening in 1 indicator. The stratification of the data suggests that for those indicators that were already improving prior to public reporting, there was either no change in trend or there was a decrease in the rate of improvement after publication. For those indicators that showed a worsening trend prior to public reporting, the contrary was observed. Conclusions Our findings suggest public reporting of performance data can support change. The trends of performance indicators prior to publication appear to have an impact on whether further change will occur after publication. Key messages Public reporting is likely one of the factors affecting change in performance in long-term care facilities. Public reporting of performance measures in long-term care facilities may support improvements in particular in cases where improvement was not observed before publication.

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Mapping Research Conducted on Long-Term Care Facilities for Older People in Brazil: A Scoping Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041522 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1522

Author(s):

Patrick Alexander Wachholz ◽

Deborah Cristina De Oliveira ◽

Kathryn Hinsliff-Smith ◽

Reena Devi ◽

Paulo José Fortes Villas Boas ◽

...

Keyword(s):

Mixed Methods ◽

Older People ◽

Study Design ◽

Scoping Review ◽

Long Term Care ◽

Assessment Tools ◽

Small Scale ◽

Term Care ◽

Care Facilities

This scoping review aimed to explore the characteristics, strengths, and gaps in research conducted in Brazilian long-term care facilities (LTCFs) for older adults. Electronic searches investigating the residents (≥60 years old), their families, and the LTCF workforce in Brazil were conducted in Medline, EMBASE, LILACS, and Google Scholar, within the timescale of 1999 to 2018, limited to English, Portuguese, or Spanish. The reference lists were hand searched for additional papers. The Mixed Methods Appraisal Tool (MMAT) was used for critical appraisal of evidence. Data were reported descriptively considering the study design, using content analysis: 327 studies were included (n = 159 quantitative non-randomized, n = 82 quantitative descriptive, n = 67 qualitative, n = 11 mixed methods, n = 6 randomized controlled trials, and n = 2 translation of assessment tools). Regardless of the study design, most were conducted in a single LTCF (45.8%), in urban locations (84.3%), and in non-profit settings (38.7%). The randomized trials and descriptive studies presented the lowest methodological quality based on the MMAT. This is the first review to provide an overview of research on LTCFs for older people in Brazil. It illustrates an excess of small-scale, predominantly qualitative papers, many of which are reported in ways that do not allow the quality of the work to be assured.

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Factors Affecting Mistreatment of the Elderly in Long-Term Care Facilities

Healthcare ◽

10.3390/healthcare8030224 ◽

2020 ◽

Vol 8 (3) ◽

pp. 224

Author(s):

Jeongmi Lim

Keyword(s):

Long Term Care ◽

Institutional Environment ◽

Community Support ◽

The Elderly ◽

Term Care ◽

Factors Affecting ◽

Care Workers ◽

Care Facilities ◽

And Coping

In long-term care facilities, elderly mistreatment occurs routinely and frequently. However, few studies have empirically explored the multifaceted risk factor of mistreatment. The purpose of this paper was to explore the factors affecting elderly mistreatment by care workers in Japanese long-term care facilities and to examine the relationship between these factors and mistreatment. This analysis was based on a sample of 1473 care workers from long-term care facilities and used multiple regression analyses. The results revealed that the nursing care level, work period, resilience, and attitude towards mistreatment among residents and staff were factors significantly associated with the degree of mistreatment. Facility size, an institutional environment that does not limit the behavior of residents, and family and community support for the elderly were among the institutional environment factors that had significant relationships with mistreatment. Staff gender, care-related qualifications, and workload were not associated with mistreatment. These findings suggest that strengthening the staff’s attitude and coping skills to prevent mistreatment, as well as interventions for changes in the institutional environment, are needed to prevent and reduce the prevalence of mistreatment in Japan. In addition, raising staff resilience to stress situations and building a resident-centered facility care environment is an important measure to reduce mistreatment.

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Psycho-social factors affecting elders' maltreatment in long-term care facilities

International Nursing Review ◽

10.1111/j.1466-7657.2009.00771.x ◽

2010 ◽

Vol 57 (1) ◽

pp. 113-120 ◽

Cited By ~ 27

Author(s):

M. Ben Natan ◽

A. Lowenstein ◽

Z. Eisikovits

Keyword(s):

Social Factors ◽

Long Term Care ◽

Term Care ◽

Factors Affecting ◽

Care Facilities

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Eating Difficulties among Older Adults with Dementia in Long-Term Care Facilities: A Scoping Review

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph181910109 ◽

2021 ◽

Vol 18 (19) ◽

pp. 10109

Author(s):

Dukyoo Jung ◽

Kyuri Lee ◽

Jennie C. De Gagne ◽

Minkyung Lee ◽

Hyesoon Lee ◽

...

Keyword(s):

Older Adults ◽

Scoping Review ◽

Long Term Care ◽

Skill Training ◽

Cochrane Library ◽

Bibliographic Databases ◽

Term Care ◽

Feeding Difficulties ◽

Care Facilities

This paper reports a scoping review of the literature on eating difficulties among older adults with dementia in long-term care facilities to identify key concepts, methods of measuring outcomes, interventions, and related factors. A scoping review was performed using the bibliographic databases PubMed, CINAHL, PsycINFO, and Cochrane Library. A combination of keywords and subject headings related to eating or feeding difficulties was used. Inclusion criteria were limited to materials published in English. A total of 1070 references were retrieved, of which 39 articles were selected after applying the inclusion and exclusion criteria. Articles that met the criteria were published between 1987 and 2020. “Eating disabilities” have been defined as problems related to choosing food and/or the ability to get food to one’s mouth, chew, and swallow. Interventions for eating difficulties described in the literature include spaced retrieval training, Montessori training, and feeding skill training. Intrapersonal, interpersonal, and environmental factors related to eating difficulties were identified. This scoping review will provide direct care workers, nursing educators, and administrators with an overview of eating performance and a broad understanding of eating difficulties for older adults with dementia in long-term care facilities.

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Evaluating the implementation of the PACE Steps to Success Programme in long-term care facilities in seven countries according to the RE-AIM framework

Implementation Science ◽

10.1186/s13012-019-0953-8 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 3

Author(s):

Mariska Oosterveld-Vlug ◽

◽

Bregje Onwuteaka-Philipsen ◽

Maud ten Koppel ◽

Hein van Hout ◽

...

Keyword(s):

Process Evaluation ◽

Long Term Care ◽

Controlled Trial ◽

A Priori ◽

Evaluation Study ◽

Care Staff ◽

Term Care ◽

Factors Affecting ◽

Care Facilities

Abstract Background The PACE ‘Steps to Success’ programme is a complex educational and development intervention for staff to improve palliative care in long-term care facilities (LTCFs). In a cluster randomized controlled trial, this programme has been implemented in 37 LTCFs in 7 European countries. Alongside an effectiveness study, a process evaluation study was conducted. This paper reports on the results of this process evaluation, of which the aim was to provide a more detailed understanding of the implementation of the PACE Programme across and within countries. Methods The process evaluation followed the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework and involved various measures and tools, including diaries for country trainers, evaluation questionnaires for care staff, attendance lists and interviews (online and face-to-face, individual and in groups) with country trainers, managers, PACE coordinators and other staff members. Based on key elements of the PACE Programme, a priori criteria for a high, medium and low level of the RE-AIM components Reach, Adoption, Implementation and intention to Maintenance were defined. Qualitative data on factors affecting each RE-AIM component gathered in the online discussion groups and interviews were analysed according to the principles of thematic analysis. Results The performance of the PACE Programme on the RE-AIM components was highly variable within and across countries, with a high or medium score for in total 28 (out of 37) LTCFs on Reach, for 26 LTCFs on Adoption, for 35 LTCFs on Implementation and for 34 LTCFs on intention to Maintenance. The factors affecting performance on the different RE-AIM components could be classified into three major categories: (1) the PACE Programme itself and its way of delivery, (2) people working with the PACE Programme and (3) contextual factors. Several country-specific challenges in implementing the PACE Programme were identified. Conclusions The implementation of the PACE Programme was feasible but leaves room for improvement. Our analysis helps to better understand the optimal levels of training and facilitation and provides recommendations to improve implementation in the LTC setting. The results of the process evaluation will be used to further adapt and improve the PACE Programme prior to its further dissemination. Trial registration The PACE study was registered at www.isrctn.com—ISRCTN14741671 (FP7-HEALTH-2013-INNOVATION-1 603111) July 30, 2015.

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