Download or read book Assessing the Determinants of Quality in Ontario s Long Term Care Homes Relationships Between Staff and Resident Satisfaction written by Kevin Ross Walker and published by . This book was released on 2011 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thesis aimed to test the relationship between resident satisfaction and staff satisfaction. Using a cross-sectional design, administrators, staff and residents from 24 LTC homes were surveyed. Logistic regression models predicting high resident satisfaction were developed with a primary focus on the relationship to direct care staff satisfaction, while controlling for facility, staff and resident characteristics (and facility-level clustering). Regression models were developed for overall staff satisfaction and three other domains of job satisfaction. The odds of high overall resident satisfaction decreased by 27% and 31% for each 1-unit increase in overall job satisfaction and satisfaction with workload, respectively. In contrast, the odds of high overall resident satisfaction increased by 5.56 times for each 1-unit increase in mean staff satisfaction with work content. LTC homes may be able to improve staff and resident experiences concurrently by encouraging direct care staff to enter into meaningful relationships with residents.
Download or read book The Fundamentals of Quality for Long Term Care written by Nora J. Wellington and published by AuthorHouse. This book was released on 2010-11-23 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: For all Administrators, Directors of Nursing, and Quality Assurance (QA)/Quality Improvement (QI) Directors or Coordinators, this is not only required reading for your facilities, but more important, it is a practical tool to guide you as you prepare for your survey. As the saying goes, Your facility must be survey-ready 365 days a year. So use this book to help you get readyand stay ready. The Fundamentals of Quality for LTC, Part I gives you the F-Tags, as well as the Centers for Medicare and Medicaid (CMS) Interpretive Guidelines and Guidance to Surveyors. This is a comprehensive monitoring tool for all disciplines to use in an interdisciplinary format. It covers the Federal Long Term Care Regulations 42 CFR 483.10 Resident Rights through 483.20 Resident Assessment. Because this is such a practical tool, it is a book that staff will keep handy at their desks to use for monitoring purposes and for quick reference. It will help the Interdisciplinary Team (IDT)including one of the most important and busiest groups, the Certified Nursing Assistants (CNAs) maintain awareness of the expectations of the Federal and State Surveyors. It will also keep the staffs focus on Quality of Care and Quality of Life.
Download or read book People Caring for People Impacting the Quality of Life and Care of Residents of Long Term Care Homes A Report of the Independent Review of Staffing and Care Standards for Long Term Care Homes in Ontario May 2008 written by Ontario. Ministry of Health and Long-Term Care. Independent Review of Staffing and Care Standards for Long-Term Care Homes in Ontario and published by . This book was released on 2008 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Association Between the Ownership Status of Ontario s Long term Care Homes and the Quality of Resident Care written by Michael Powell Hillmer and published by . This book was released on 2008 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are nearly 600 long-term care (LTC) homes with approximately 70,000 residents in Ontario. LTC residents are among the frailest and most vulnerable members of society; often they are unable to articulate their needs and wishes because of multiple comorbidities and cognitive decline. The establishment and maintenance of a high quality of care in LTC facilities is vital. The purpose of this dissertation is to contribute an understanding of LTC policies and practices by exploring the relationship between ownership status and the quality of resident care in Ontario. This thesis consists of three manuscripts which explore a variety of methodologies and quality indicators: (1) A systematic review to evaluate the strength of published evidence of a relationship between LTC ownership status and quality of care; (2) An analysis of a Statistics Canada survey to determine the nurse staffing levels in Ontario's LTC facilities; and (3) An examination of the relationship between potentially avoidable hospital visits and LTC ownership status in Ontario, using administrative billing databases. The systematic literature review demonstrated conclusively that for-profit ownership negatively influenced the quality of care in the United States. There was, however, limited evidence to support a categorical statement about LTC ownership in Canada. The analysis of Statistics Canada's Residential Care Facilities Survey found that in 2000, there was no significant difference in registered nurse hours across facility types in Ontario, but for-profit facilities had a slightly higher proportion of unlicensed staff compared to not-for-profit facilities. Finally, using administrative databases, a cohort of newly admitted LTC residents in 2003 was identified to determine the rates of potentially avoidable acute care hospitalizations in Ontario's LTC homes. Residents of for-profit LTC homes were substantially more likely to be hospitalized compared to not-for-profit residents (Adjusted hazard ratio: 1.23, 95% Cl: 1.12--1.34). Conclusions. Increased risk of adverse clinical outcomes in for-profit facilities in Ontario was found despite the finding of significantly little difference in staffing levels. Future efforts are required to identify the causes of this dramatic increase in risk in FP facilities.
Download or read book Cumulated Index Medicus written by and published by . This book was released on 2000 with total page 1836 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Enhancing the Quality of Care in Long Term Care Settings written by Tom Dening and published by Mdpi AG. This book was released on 2022-02-16 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: Quality of care in long-term care is a worldwide issue given the growing numbers of dependent older people. This book presents international research, 22 varied papers, exploring quality of care from several different angles. Important themes include: (1) workforce issues, such as staff training and support; job competencies, satisfaction, and intention to stay in work; staff burnout; effects of personal- and work-related factors on quality of care; (2) intervention studies: for depressive symptoms in nursing home residents; adjustment for new residents; social and psychological support; and loneliness and isolation; (3) methodology, including: developing and testing quality indicators; measuring residents' experience of quality; and assessing partnership between staff and families; and (4) older people's experiences, such as dry eyes and using ocular lubricants; associations between length of stay and end of life care; palliative care service use and comfort at end of of life; and causes of infection-related hospitalization. The book concludes with a systematic review of the current evidence base of care home research in Brazil.
Download or read book People Caring for People written by Independent Review of Staffing and Care Standards for Long-Term Care Homes in Ontario and published by . This book was released on 2008 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report presents the findings and recommendations of the Independent Review of Staffing and Care Standards for Long-Term Care Homes in Ontario (the Review). The Ministry of Health and Long-Term Care (MOHLTC) established the Review in September 2007 to provide independent advice that would inform the development of regulations under The Long-Term Care Homes Act 2007. MOHLTC appointed Shirlee Sharkey as an independent facilitator to lead the Review.
Download or read book Relationships Between Quality of Life and Selected Resident and Facility Characteristics in Long Term Care Facilities in Canada written by Vahe Kehyayan and published by . This book was released on 2011 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Quality of life (QoL) of long term care facility (LTC) residents is being recognized as an important outcome of care by LTC providers, researchers, and policy makers. For residents, measurement of QoL is a valued opportunity to express their perception of the quality of their daily life in the LTC facility. For clinicians, self-reported QoL provides useful information in planning and implementing resident-centred care. Purpose: The purposes of this study were: (1) to examine the distributional and psychometric properties of the interRAI Self-Report Nursing Home Quality of Life Survey (interRAI_QoL Survey); and (2) to explore the relationship of selected socio-demographic and clinical characteristics of residents and LTC facility attributes with residents' self-reported QoL. Methodology: This was a cross-sectional observational study. A convenience sample of 48 volunteer LTC facilities from six Canadian provinces was involved in this study. Nine hundred and twenty eight (928) residents agreed to participate in this study. Resident inclusion required an interRAI Cognitive Performance Scale score of 0 (intact) to 3 (moderate impairment). Residents' self-reported QoL was measured by trained surveyors using the interRAI_QoL Survey instrument. Residents' socio-demographic and clinical characteristics were obtained from the most recentResident Assessment Instrument -Minimum Data Set 2.0 prior to the QoL interviews. LTC facility attributes were measured by a survey form specifically designed for this purpose. Descriptive statistics were used to describe the participating LTC facilities, the sample of residents, and residents' self-reported QoL. Psychometric tests for reliability (test-retest and internal consistency) and validity (content and convergent) were conducted. Bivariate analyses were conducted to examine the relatioships between QoL and resident and facility charateristics. Multivariate linear and logistic regression analyses were conducted to identify predictors of residents' QoL. Results: The study confirmed the feasibility of assessing LTC facility residents' self-reported QoL. The findings showed positive ratings of some aspects of residents' daily lives while negative ratings in other aspects. Psychometric tests showed that the interRAI_QoL Survey instrument had test-retest reliability, internal consistency, content validity and construct (convergent) validity. Several resident and facility characteristics were associated with self-reported QoL. Religiosity and highest education level attained were significantly and positively associated with QoL. Other resident characteristics such as age, gender and marital status were not. Mild cognitive impairment, depression, aggressive behaviour, hearing impairment, bowel and bladder incontinence, and extensive assistance in activities of daily living were significantly but negatively associated with QoL. LTC facility ownership showed significant association with QoL. Residents in municipal LTC facilities followed by private LTC facilities reported higer QoL in contrast to charitable LTC facilities. Profit status, accreditation and leadership stability were not associated with QoL. Residents in rural settings reported significantly higher QoL than those in urban settings. Facility size (measured in number of beds), registered nurse hours of care, nursing staff turnover, and ratios of registered to non-registered nursing staff did not have a significant association with QoL. However, higher management hours and total hours of care had significant and positive associations with residents' overall QoL. Multiple linear regression showed that residents' religiosity, degree of social engagement, post secondary education, dependence in activities of daily living, and positive global disposition, and LTC facilities situated in rural settings and ownership type together accounted for 24% (adjusted R2=0.24) of the variance in overall QoL (the dependent variable). In logistic regression, low QoL was used as the binary dependent variable. Residents who were religious, were socially engaged and had a positive global disposition were less likely to report low QoL. In contrast, residents with dependence in activities of daily living and post secondary education were more likely to report low QoL. Residents in LTC facilities located in rural settings and operated by municipal or private operators were less likely to report low QoL compared to charitable facilities. Strengths and Limitations: This study had several strengths, including a sample of 928 residents who self-reported on their QoL and the use of RAI-MDS 2.0 for objective, external indicators of QoL. This study had several limitations, including response bias due to method of sample selection, inability to draw causal inferences due to study design; limited generalizability due to use of a convenience sample, lack of monitoring of surveyors for the integrity of resident interviews, and exclusion of residents with cognitive performance scale scores of more than three or inability to communicate in English. Future research should address these limitations. As well, future research should conduct more stringent psychometric analyses such as factor analysis and use multi-level modeling procedures. Implications: The findings of this study have implications for improving residents' QoL, LTC facility programming, future research, and social policy development. Conclusion: QoL can be measured from resident self-reports in LTC facilities. Self-reports from residents may be used by clinicians to plan and implement resident-centred care. There are significant associations of residents' QoL with select resident socio-demographic and clinical characteristics and facility attributes. Some of these resident characteristics and facility attributes may serve as predictors of QoL.
Download or read book Sociological Abstracts written by Leo P. Chall and published by . This book was released on 1998 with total page 812 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book People Caring for People written by Independent Review of Staffing and Care Standards for Long-Term Care Homes in Ontario and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report presents the findings and recommendations of the Independent Review of Staffing and Care Standards for Long-Term Care Homes in Ontario (the Review). The Ministry of Health and Long-Term Care (MOHLTC) established the Review in September 2007 to provide independent advice that would inform the development of regulations under The Long-Term Care Homes Act 2007. MOHLTC appointed Shirlee Sharkey as an independent facilitator to lead the Review.
Download or read book Long term Care written by Rosalie A. Kane and published by Churchill Livingstone. This book was released on 1987 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Quality of Care Defined written by Pennsylvania. Bureau of Vocational-Technical Education and published by . This book was released on 1995 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book To Enhance Quality of Life in Institutions an Empowerment Model in Long Term Care written by Lilian M. Wells and published by . This book was released on 1986 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Quality Assurance in Long term Care written by Larry W. Chambers and published by . This book was released on 1986 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book People caring for people written by and published by . This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Also, I had the opportunity to talk to and receive advice from a great number of individuals, many of whom spoke passionately about the need for improvements to the provision of care and to the environment within which the care is provided. [...] There must be from various sources including: regular evaluations and validation of the impact of staff increases on resident outcomes and • Input from stakeholders as to what factors quality of care and life, and the ability to make need to be considered, including levels improvements or modifications to staff resources and mix of staffing and programs that are and the mix of staff resources that [...] Strengthen BETTER Accountabilities Capacity for CARE for Outcomes Better Care 11 A Report of the Independent Review of Staffing and Care Standards for Long-Term Care Homes in Ontario CONTEXT Overview of Ontario's LTC Homes Based on individual needs, Ontario's LTC of services to residents as well as the operation homes provide health care services and and management of LTC homes. [...] There must be regular evaluations and validation of the feasibility and the impact of staff increases on resident outcomes and quality of care and life. [...] STRENGTHEN ACCOUNTABILITY FOR OUTCOMES RECOMMENDATIONS Strengthen Accountability for Outcomes: 9. The Ministry of Health and Long-Term Care should strengthen the accountability of Long-Term Care homes for the provision of quality care by linking resources to resident outcomes through the measurement of quality of care and resident and staff satisfaction.
Download or read book Relationships Between Quality of Life and Selected Resident and Facility Characteristics in Long Term Care Facilities in Canada written by and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Quality of life (QoL) of long term care facility (LTC) residents is being recognized as an important outcome of care by LTC providers, researchers, and policy makers. For residents, measurement of QoL is a valued opportunity to express their perception of the quality of their daily life in the LTC facility. For clinicians, self-reported QoL provides useful information in planning and implementing resident-centred care. Purpose: The purposes of this study were: (1) to examine the distributional and psychometric properties of the interRAI Self-Report Nursing Home Quality of Life Survey (interRAI_QoL Survey); and (2) to explore the relationship of selected socio-demographic and clinical characteristics of residents and LTC facility attributes with residents' self-reported QoL. Methodology: This was a cross-sectional observational study. A convenience sample of 48 volunteer LTC facilities from six Canadian provinces was involved in this study. Nine hundred and twenty eight (928) residents agreed to participate in this study. Resident inclusion required an interRAI Cognitive Performance Scale score of 0 (intact) to 3 (moderate impairment). Residents' self-reported QoL was measured by trained surveyors using the interRAI_QoL Survey instrument. Residents' socio-demographic and clinical characteristics were obtained from the most recentResident Assessment Instrument -Minimum Data Set 2.0 prior to the QoL interviews. LTC facility attributes were measured by a survey form specifically designed for this purpose. Descriptive statistics were used to describe the participating LTC facilities, the sample of residents, and residents' self-reported QoL. Psychometric tests for reliability (test-retest and internal consistency) and validity (content and convergent) were conducted. Bivariate analyses were conducted to examine the relatioships between QoL and resident and facility charateristics. Multivariate linear and logistic regression analyses were conducted to identify
Download or read book Canadian Journal of Psychiatry written by and published by . This book was released on 1993 with total page 714 pages. Available in PDF, EPUB and Kindle. Book excerpt:
