Search results for ‘Author:"et al"’ Sort:
Results 1 - 10 of 816
LTCcovid International living report on Covid-19 and long-term care
- Author:
- et al
- Editor:
- COMAS-HERRERA A.
- Publisher:
- London School of Economics and Political Science, Care Policy and Evaluation Centre
- Publication year:
- 2022
- Place of publication:
- London
This live report has been compiled collaboratively by researchers on Long-Term Care all over the world. It aims to: provide an overview of long-term care systems around the world; assess how the people who use and provide long-term care have been affected by the COVID-19 pandemic; describe the measures adopted to mitigate the impacts of the pandemic in the long-term care sector; compile actions and reforms that countries are adopting to strengthen their care systems and be better prepared for future pandemics and shocks. This report does not seek to provide detailed or comprehensive information for each country, but instead aims to summarise key reports and articles and point the reader towards those. It builds on the country reports previously published in this website, as well as other more recent sources. It is being developed collaboratively, by answering a list of questions for as many countries as possible and updating as new information and research become available. (Edited publisher abstract)
Intensive home care supports, informal care and private provision for people with dementia in Ireland
- Author:
- et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 20(1), 2021, p.47–65.
- Publisher:
- Sage
Background: This study analysed the cost of intensive home care packages for people with dementia living on the boundary of home care and residential care facilities in Ireland. The cost of community-based services and supports, including informal care and private out-of-pocket expenditure, was compared to the cost of public and private residential care. Methods: The study recruited 42 people with dementia and/or their caregivers, who were living on the boundary of home care and residential care, to an in-depth study on the cost of care. The Resource Utilization in Dementia scale was used to collect data on the utilization of standard formal care and informal care by people with dementia in receipt of an intensive home care package. Information on private out-of-pocket expenditure on care was also collected. Unit costs were assigned and community-based care was compared with public and private residential care alternatives. Results: The average weekly cost of home care, including the intensive home care package, standard formal community care provision, medications, consumption and housing, was estimated at €1127. This is lower than the average weekly cost of public long-stay care facilities (€1526) and around the same as for private nursing home fees in the Dublin region (€1149). When the opportunity cost valuation of informal care is included, the cost of home care is higher than all types of residential care. Adding private care expenditure further inflates the cost of home care. Conclusion: Keeping highly dependent people with dementia living at home is not cheap and raises questions about optimal resource allocation on the boundary of home care and residential care. Even with significant public spending on intensive home care packages, family care costs remain high. So too does private out-of-pocket expenditure on care for some people with dementia. (Edited publisher abstract)
Presence redefined: the reciprocal nature of engagement between elder-clowns and persons with dementia
- Author:
- et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 16(1), 2017, pp.46-66.
- Publisher:
- Sage
Elder-clowns are a recent innovation in arts-based approaches to person-centred dementia care. They use improvisation, humour, and empathy, as well as song, dance, and music. The authors examined elder-clown practice and techniques through a 12-week programme with 23 long-term care residents with moderate to severe dementia in Ontario, Canada. Analysis was based on qualitative interviews and ethnographic observations of video-recorded clown-resident interactions and practice reflections. Findings highlight the reciprocal nature of clown-resident engagement and the capacity of residents to initiate as well as respond to verbal and embodied engagement. Termed relational presence, this was achieved and experienced through affective relationality, reciprocal playfulness, and coconstructed imagination. These results highlight the often overlooked capacity of individuals living with dementia to be deliberately funny, playful, and imaginative. Relational presence offers an important perspective with which to rethink care relationships between individuals living with dementia and long-term care staff. (Edited publisher abstract)
Media reactions to the Panorama programme “Behind Closed Doors: Social Care Exposed” and care staff reflections on publicity of poor practice in the care sector
- Author:
- et al
- Journal article citation:
- Journal of Adult Protection, 18(5), 2016, pp.266-276.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present an analysis of media reactions to the BBC Television Panorama programme, Behind Closed Doors’ and to set this in the context of interviews with care staff about their reflections on publicity about poor practice in the care sector. Design/methodology/approach: This paper reports on an analysis of media reactions to recent exposé of abuse in social care in England and data from an interview-based study of care workers. The interviews were analysed to consider the impact of such media reports on staff and to explore their views of action that might be need to be taken about care failings. Findings: There are mixed reactions to exposé of poor care on television and to the debates that precede and follow their broadcast. Debates occur in print and on television, but also in social media. The particular exposé of care home practices by the Panorama programme, Behind Closed Doors, led to debate in England about the potential role of covert cameras in care homes. The interviews revealed that while care staff are affected by scandals in the media about social care, they do not necessarily focus on themes that the media stories subsequently highlight. Overall some are disenchanted while others have ideas of what needs to change to improve practice. Care staff consider that there remain problems in raising concerns about practices and some staff feel unable to stay in workplaces where they have made complaints. Research limitations/implications: The care workers interviewed may not be representative of the sector and they may have wished to provide socially acceptable answers to the researchers. Practice was not observed. Practical implications: Local Safeguarding Adult Boards may wish to develop a communications strategy to deal with requests for reactions to media reports locally and nationally. Safeguarding practitioners may wish to prepare for increased referrals following media coverage of poor care in their areas. They may later be able to use media reports to discuss any local differences of interpretation over matters such as prosecutions for abuse. Trainers and educationalists may wish to clarify the importance given by care providers to raising concerns, the ways in which difficult conversations can be held, and the protections available to whistle-blowers or those raising concerns – with local examples to provide assurance that this is not mere rhetoric. Originality/value: Television reports of problems with social care attract wide media interest but the authors know very little about how care workers respond to depictions of their work and their occupational grouping. This paper links media and expert commentator reactions to television exposé with data acquired from interviews with those on the frontline of care. (Publisher abstract)
The cost of caring: poverty and deprivation among residential care workers in the UK
- Authors:
- ALLEN Lucinda, et al
- Publisher:
- Health Foundation
- Publication year:
- 2022
- Place of publication:
- London
This briefing analyses national survey data from 2017/18 to 2019/20 to understand rates of poverty and deprivation among residential care workers in the UK and compare them to other sectors, including health, retail, hospitality, administration, and all workers. We found over a quarter of the UK's residential care workers lived in, or were on the brink of, poverty. Nearly 1 in 10 experienced food insecurity. And around 1 in 8 children of residential care workers were 'materially deprived', meaning they may not have access to essential resources such as fresh fruit and vegetables or adequate winter clothing. The prevalence of poverty and deprivation in residential care is similar to hospitality, retail and administration. But residential care workers experienced much higher rates than most workers, and were at least twice as likely to experience poverty and food insecurity than health workers. Their dependent children were nearly four times as likely to experience material deprivation than children of health workers. Our analysis covers up to April 2020. Since then, a grim cocktail of factors has affected the social care system and its staff, including COVID-19, Brexit, recruitment challenges, and now the cost-of-living crisis. Sustained underfunding of social care by central government limits the ability of care providers to increase pay. Devolved governments in the UK have taken some steps to address workforce problems in social care. Yet in England, 13 years have passed since the publication of a national workforce plan for social care and plans for reform include nothing to increase staff pay. Ensuring people are rewarded fairly in social care must be a priority for the new government. Increasing pay will require additional investment and action to ensure funding reaches staff. A mix of policy options should be considered, such as introducing a sector-specific wage for social care, as part of a comprehensive workforce plan. Broader policy action is also needed to improve living conditions and reduce the burden of poverty on the nation's health, including investment in housing, education and training, and social security. (Edited publisher abstract)
Understanding the distinct challenges for nurses in care homes: learning from Covid-19 to support resilience and mental wellbeing
- Authors:
- BUNN Diane, et al
- Publisher:
- University of East Anglia
- Publication year:
- 2022
- Pagination:
- 13
- Place of publication:
- Norwich
This study aimed to understand the distinct challenges faced by registered nurses (RNs) working in the care home sector during the COVID-19 pandemic, how RNs managed these stresses and challenges and to co-produce recommended strategies which would be feasible and acceptable to supporting the future wellbeing of care-home RNs. The study was conducted in two phases and for both phases we recruited NMC-registered nurses - the eighteen interview participants and twelve workshop attendees came mainly from England and Scotland, and most were female with an Adult Nurse registration (three reported a Mental Health Nurse registration). The study identified six activities or practices which can support the wellbeing of RNs working in care homes during the COVID-19 pandemic. These are: a formal, bespoke mental health and wellbeing strategy for nurses and staff working in care homes; debriefing sessions; emotional support networks; improving communication from external agencies to care homes as well as within care homes; providing training and career development opportunities for the whole care-home workforce; improved planning for future pandemics and major unplanned events. (Edited publisher abstract)
Good practice in supporting ancillary staff working in care homes
- Authors:
- SAMSI Kritika, et al
- Publisher:
- King's College London
- Publication year:
- 2022
- Pagination:
- 9
- Place of publication:
- London
This good practice guidance has been designed as a reflective tool for care home managers and senior care home staff to help them support their ancillary colleagues. Cleaning, cooking, housekeeping, and laundry staff (ancillary workers) are a crucial part of the care home workforce. From February to July 2021, 63 people (ancillary staff, care home managers, Human Resource (HR) managers, and care home residents and their relatives) told us what good support for ancillary staff workforce looks and feels like. These points were discussed with 13 stakeholders, whose advice helped finalise this good practice guide. This document is intended to help thinking and reflection on current support for ancillary staff and how this may be sustained or improved. It sets out 6 principles: fair reward and recognition; clear communication through leadership; effective support systems; person centred staff development opportunities; equal and respectful leadership; recognising relationships with residents and relatives. Each principle is described, followed by some reflective questions. We use the words of managers and ancillary staff themselves with some suggestions and prompts. The 6 principles are linked, and some are context specific, depending on, for example, the size and layout of the care home, number of residents and their health, structure, and make-up of the staff group, and whether the care home is independent or part of a larger group. (Edited publisher abstract)
The impact of pandemic management strategies on staff mental health, work behaviours, and resident care in one long-term care facility in British Columbia: a mixed method study
- Authors:
- HAVAEI Farinaz, et al
- Journal article citation:
- Journal of Long-Term Care, March 2022, pp.71-87.. Online only
- Publisher:
- King's College London
- Place of publication:
- London
Context: To slow the spread of COVID-19 within the Canadian long-term residential care (LTRC) sector, a series of pandemic management strategies were introduced, including restricted visitation and single site employment. These strategies were enacted to prevent and control infection, resulting in unknown impact on direct care staff and staff capacity to deliver quality care or service. Objective: To explore staff reports of outcomes associated with LTRC pandemic management strategies, particularly their impact on LTRC staff mental health, work behaviours and quality of care or service provision. Method: This was a case study using mixed methods including a longitudinal survey and interviews with staff from one LTRC site in British Columbia. Survey data from 68 staff who participated in both survey times were analyzed using regressions with relative weight analysis. Semi-structured interviews were conducted with 26 LTRC staff and analyzed using content analysis. Findings: Survey data demonstrated that staff perceived the sick time policy and staffing levels as the most inadequate pandemic management strategies. Survey data also showed the visitation policy, the sick time policy and the single site employment policy were most significantly associated with negative outcomes to staff mental health, work behaviours and quality of care or service delivery. Qualitative data suggested connections between these policies and inadequate staffing levels and heavy workloads. Limitations: The study design along with the low response rate and the small sample size limits the generalizability of the findings to other settings. Implications: The development and implementation of pandemic management strategies must be informed by and give consideration to working conditions of LTRC staff including long standing systemic issues such as staffing shortages and heavy workloads. (Edited publisher abstract)
Exploring vaccine hesitancy in care home employees in North West England: a qualitative study
- Authors:
- DENNIS Amelia, et al
- Journal article citation:
- BMJ Open, 12(5), 2022, Online only
- Publisher:
- BMJ Publishing Group
Objectives: Care homes have experienced a high number of COVID-19 outbreaks, and it is therefore important for care home employees to receive the COVID-19 vaccine. However, there is high vaccine hesitancy among this group. We aimed to understand barriers and facilitators to getting the COVID-19 vaccine, as well as views on potential mandatory vaccination policies. Design: Semi-structured interviews. Setting: Care home employees in North West England. Interviews conducted in April 2021. Participants:10 care home employees (aged 25-61 years) in the North West, who had been invited to have, but not received the COVID-19 vaccine. Results: We analysed the interviews using a framework analysis. Our analysis identified eight themes: perceived risk of COVID-19, effectiveness of the vaccine, concerns about the vaccine, mistrust in authorities, facilitators to getting the vaccine, views on mandatory vaccinations, negative experiences of care work during the COVID-19 pandemic, and communication challenges. Conclusions: Making COVID-19 vaccination a condition of deployment may not result in increased willingness to get the COVID-19 vaccination, with most care home employees in this study favouring leaving their job rather than getting vaccinated. At a time when many care workers already had negative experiences during the pandemic due to perceived negative judgement from others and a perceived lack of support facing care home employees, policies that require vaccination as a condition of deployment were not positively received. (Edited publisher abstract)
Moving our care home: a qualitative study of the views and experiences of residents, relatives and staff
- Authors:
- IBRAHIM Kinda, et al
- Journal article citation:
- International Journal of Older People Nursing, early cite April 2022, p.e12466.
- Publisher:
- John Wiley & Sons, Ltd
- Place of publication:
- West Sussex
Introduction: Involuntary relocation when care homes close can be detrimental to residents' health and well-being and is associated with increased mortality. There is little formal evidence to support whether planning can mitigate the impact of such moves. This study aimed to understand the experiences of a whole care home relocation where staff and residents relocated together using existing published guidance. Methods: A longitudinal qualitative research study using individual face-to-face semi-structured interviews was conducted between August 2018 and August 2019. Baseline interviews were conducted 6-8 weeks after relocation with follow-up interviews 10-12 months later. Interviews were recorded, transcribed and analysed using framework analysis. Results: 27 interviews were conducted; 19 baseline interviews (4 residents, 7 family members, 8 staff) and 8 follow-up interviews (2 residents, 2 family members, 4 staff). Participants’ feelings about the relocation were mixed: some reported apprehension before the move but others excitement. Residents and families felt variably involved in planning the move, whereas staff expressed lack of involvement. Time, family support and continuity of care helped participants settle in. The new environment shaped participants' experiences and abilities to adjust, especially the lack of a homely feeling with the new home, the larger size and changes in staff organisation and management. Conclusions: Despite implementation of existing guidance, relocation was still challenging for residents, staff and family members. Future relocations should increase involvement of staff in the planning and design of the home; offer continuous support to those involved; and ensure continuity of care and management style. (Edited publisher abstract)