Thematic analysis is a widely cited method for analyzing qualitative data. As team of graduate students, we sought to explore methods data that were grounded in philosophies and aligned with our orientation as applied health researchers. We identified reflexive thematic analysis, developed by Braun Clarke, an interpretive firmly situated within paradigm would also have broad applicability range research designs. In this approach the subjectivity researcher recognized viewed not problematic...

ABSTRACTObjective:End-of-life (EoL) communication in long-term care (LTC) homes is often inadequate and delayed, leaving residents dying with unknown preferences or goals of care. Poor staff contributes to families feeling unprepared, distressed, dissatisfied Family conferences (FCCs) aim increase structured systematic around plans for the end life. As part Strengthening a Palliative Approach Care (SPA-LTC) project, FCCs were implemented four LTC sites Ontario, Canada. The purpose this...

Introduction: Rates of successful organ donation vary between otherwise comparable intensive care units (ICUs). The ICU staff have a unique perspective into the facilitators and barriers underlying this variation in deceased donation. Research Question: What do perceive to be most meaningful donation? Design: We designed conducted survey all disciplines working ascertain perceived an academic tertiary hospital. Survey reliability was assessed using Cronbach α. Factor analysis used assess...

Purpose: This mixed methods study aimed to assess the knowledge and skills related infection prevention control amongst visitors long-term care homes following removal of visiting restrictions during Covid-19 pandemic. Methods: Forty residents in were recruited. Participants' Covid-19, practices, self-reported use protective behaviours assessed through questionnaires. Handwashing skills, donning doffing personal equipment decision-making surrounding hand hygiene moments laboratory simulation...

Objectives: Caregivers (CG) of persons with dementia have described positive and challenging experiences related to caring for a person neurological disease. This study explored perceived benefits challenges unique psychoeducation program provided at end life (EOL) jointly attended by current bereaved CGs dementia, residing in hospital Specialized Care Unit.Method: Semi-structured interviews were held sixteen participants analyzed content analysis.Results: Program such as: (i) enhanced...

Quality end-of-life (EOL) care is critical for dying residents and their family/friend caregivers. While best practices to support resident comfort at EOL in long-term (LTC) homes are emerging, research rarely explores if how the type of received may contribute caregivers' perceptions a good death. To address this gap, study explored contributed death.This used retrospective cross-sectional survey design. Seventy-eight participants whose relative or friend died one five LTC Canada completed...

A philosophical discussion of constructive realism and measurement in the development nursing knowledge is presented.Through Carper's four patterns knowing, nurses come to know a person holistically. However, as source for has been criticized underlying positivism reductionist approach exploring reality. Which seems mal-alignment with person-centred care.Discussion paper.Constructive bridges constructivism, facilitating physical psychological phenomena. Reduction complex phenomena...

Objectives: Death preparedness amongst family caregivers (CG) is a valuable and measurable concept. Preparedness predicts CG outcomes in bereavement modifiable through palliative approach which includes advance care planning (ACP) interventions. Improving death important for CGs of persons with dementia (PwD) whom are more likely to develop negative bereavement, experience less than adequate care. However, the adequacy existing tools measure PwD unknown, limits intervention design...

Introduction Caregivers of persons with dementia experience challenges that can make preparing for end-of-life particularly difficult. Feeling prepared death is associated caregiver well-being in bereavement and promoted by strategies supporting a palliative approach. Further conceptualization preparedness needed to guide the practice healthcare providers inform development questionnaire. Objectives We aimed to: 1) explore experiences caregivers understand factors perceived as influencing...

Background: Family caregivers of persons with dementia often feel unprepared for end-of-life and preparedness predicts caregiver outcomes in bereavement. Existing questionnaires assessing have limitations. A multi-dimensional questionnaire family the is needed to identify at risk negative bereavement evaluate quality strategies within a palliative approach. Aim: To develop titled ‘Caring Ahead’ assess feelings dementia. Design: mixed methods, sequential design employed semi-structured...

Objectives To assess the feasibility of a randomized controlled trial (RCT), evaluating efficacy and patients’ perceptions psychological intervention aimed at reducing anxiety levels in adults undergoing first-time colonoscopy. Methods Adults colonoscopy were to vs. sham intervention. The primary outcome was feasibility, defined as recruitment rate >50%. Patients’ state assessed before after using state-trait inventory for cognitive somatic (STICSA) score. Follow-up interviews performed...

Background/Objectives: InterRAI is a globally validated platform aimed at improving care for individuals with disabilities and complex medical needs, particularly in long-term settings. This study explores the experiences of interRAI coordinators New Brunswick, Canada, their perceptions an educational intervention designed to enhance ability effectively use data quality care. Methods: The recruited from 73 Brunswick homes intervention. Nine participated interviews about experiences. A...

The goal of this study was to examine current rates resident deaths, Emergency Department (ED) use within the last year life, and hospital deaths for long-term care (LTC) residents. Using a mixed-methods approach, we compared these across four LTC homes in Ontario, Canada, explored potential explanations variations stimulate staff reflections improve performance based on quality improvement approach. Chart audits revealed that 59% residents sites visited EDs during month life 26% occurred...

Background: Carers (or care partners) of adults in LTC contribute substantially to the health and well-being their loved ones by providing physical care, emotional support, companionship. Despite critical role, little is known about how caregivers have been impacted pandemic. The purpose this study was explore lived experiences people living long-term (LTC) homes during initial phases COVID-19 pandemic potential supports resources needed improve caregivers’ quality life.Design: An...