A5068732834- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Frailty in Older Adults
- Health Policy Implementation Science
- Health disparities and outcomes
- Palliative Care and End-of-Life Issues
- Interprofessional Education and Collaboration
- Health Systems, Economic Evaluations, Quality of Life
- Intergenerational Family Dynamics and Caregiving
- Migration, Aging, and Tourism Studies
- Dental Health and Care Utilization
- Family and Patient Care in Intensive Care Units
- Intensive Care Unit Cognitive Disorders
- Health, psychology, and well-being
- Patient Satisfaction in Healthcare
- Workplace Health and Well-being
- Aging and Gerontology Research
- Mental Health and Patient Involvement
- COVID-19 and Mental Health
- Employment and Welfare Studies
- Health and Well-being Studies
- Chronic Disease Management Strategies
- Delphi Technique in Research
- Healthcare innovation and challenges
- Healthcare professionals’ stress and burnout
York University
2022-2025
University of Alberta
2016-2025
Heidelberg University
2013-2017
Athabasca University
2017
University of Manitoba
2017
University of Calgary
2017
Kelowna General Hospital
2017
University of British Columbia
2017
University of Ottawa
2017
Ottawa Hospital
2017
High-quality care at the end of life supports freedom from pain and other potentially burdensome symptoms. Lowering symptom burden is an urgent achievable goal in delivering services nursing home settings. Few published reports describe among older adults homes; none examine links between modifiable features organizational context (work environment).To influence on to compare last year residents with without dementia.Retrospective analysis longitudinal survey data.A stratified random sample...
Fidelity in complex behavioural interventions is underexplored and few comprehensive or detailed fidelity studies report on specific procedures for monitoring fidelity. Using Bellg's popular Treatment model, this paper aims to increase understanding of how practically comprehensively assess complex, group-level, interventions.Drawing our experience using a mixed methods approach the INFORM study (Improving Nursing home care through Feedback On perfoRMance data-INFORM), we challenges...
RÉSUMÉ Les aides-soignants non réglementés fournissent la majorité des soins directs dans les résidences pour personnes âgées. Nos travaux précédents ont rapporté un premier profil démographique de l’ouest du Canada par le programme recherche Translating Research in Elder Care (TREC; 2007-2022) visant services santé appliqués. Dans cette étude, nous présentons caractéristiques démographiques, liées à et vie professionnelle d’aides-soignants provenant 91 âgées Canada. données démographiques...
Unregulated health care aides provide the majority of direct to residents in long term homes. Lower job satisfaction as reported by is associated with increased turnover staff. Turnover leads inferior performance and negatively impacts quality for residents. This study aimed determine individual organizational variables aides. We surveyed a sample 1224 from 30 homes three Western Canadian provinces. The their perception work environment. used hierarchical, mixed-effects ordered logistic...
In Canada, approximately 81% of residents nursing homes live with mild to severe cognitive impairment. Care needs this population are increasingly complex, but resources, such as staffing, for continue be limited. Staff risk missing or rushing care tasks and interfering quality life.To assess the association work environment essential in homes.This cross-sectional study used survey data collected from a random sample 93 urban Western stratified by health region, owner-operator model,...
Abstract Background Implementation scientists and practitioners, alike, recognize the importance of sustaining practice change, however post-implementation studies interventions are rare. This is a protocol for Sustainment, Sustainability Spread Study (SSaSSy). The purpose this study to contribute knowledge on sustainment (sustained use), sustainability benefits), spread evidence-based innovations in health care. Specifically, an evidence-informed, Care Aide-led, facilitation-based...
Oral health in nursing home residents is poor. Robust, mandated assessment tools such as the Resident Assessment Instrument - Minimum Data Set (RAI-MDS) 2.0 are key to monitoring and improving quality of oral care homes. However, psychometric properties RAI-MDS oral/dental items have been challenged criterion validity these has never assessed.We used 73,829 records (13,118 residents), collected a stratified random sample 30 urban homes Western Canada (2007-2012). We derived subsample all (n...
Abstract Background Family and friend caregivers play significant roles in advocating for ensuring quality health social care of residents Assisted Living (AL) homes. However, little is known about how the COVID-19 pandemic related visitor restrictions affected their mental well-being. We examined prevalence correlates anxiety depressive symptoms among AL during initial wave two Canadian provinces. Methods A cross-sectional web-based survey was conducted family/friend Alberta British...
Abstract Background While assisted living (AL) and nursing home (NHs) residents in share vulnerabilities, AL provides fewer staffing resources services. Research has largely neglected AL, especially during the COVID‐19 pandemic. Our study compared trends of practice‐sensitive, risk‐adjusted quality indicators between NHs, changes these after start Methods This repeated cross‐sectional used population‐based resident data Alberta, Canada. Using Resident Assessment Instrument (01/2017–12/2021),...
Interventions to improve quality of care for residents long-term facilities, and examine the sustainability spread such initiatives, remain a top research priority. The purpose this exploratory study was assess extent which activities initiated in improvement (QI) collaborative using aide led teams were sustained or following cessation initial project identify factors that its success. This used an mixed methods design conducted seven residential facilities two Canadian provinces....
Abstract Background The main objective is to better understand the prevalence of depressive symptoms, in long-term care (LTC) residents with or without cognitive impairment across Western Canada. Secondary objectives are examine comorbidities and other factors associated treatments used LTC. Methods 11,445 a random sample 91 LTC facilities, from 09/2014 05/2015, were stratified by owner-operator model (private for-profit, public voluntary not-for-profit), size (small: < 80 beds, medium:...
Abstract Background Fidelity in complex behavioral interventions is underexplored. This study examines the fidelity of INFORM trial and explores relationship between fidelity, arm, trial’s primary outcome—care aide involvement formal team communications about resident care. Methods A concurrent process evaluation implementation was conducted 33 nursing homes Western Canada (Alberta British Columbia). Study participants were from 106 clinical care units clustered randomized to Basic...
Abstract Background The increased complexity of residents and needs for care in long-term (LTC) have not been met with staffing. There remains a need to improve the quality residents. Care aides, providers bulk direct care, are well placed contribute improvement efforts but often excluded from so doing. This study examined effect facilitation intervention enabling aides lead use evidence-informed best practices. eventual goal was both older LTC homes engagement empowerment leading efforts....
Quality of life (QoL) is a priority goal dementia care, but measuring QoL becomes increasingly difficult as person's ability to self-report declines. measurement particularly challenging among Nursing home (NH) residents, due their often advanced cognitive impairment. The DEMQOL-CH validated tool assess NH residents' QoL, using care staff proxy reports. Care and residents have diverse ethno-cultural backgrounds, which may affect the QoL. Our objective was invariance differential item...
Loneliness is common among nursing home residents, and it also thought to be a problem in assisted living (AL). However, we lack research on loneliness AL. Our objectives were assess changes risk-adjusted prevalence of AL, facility-level variations before during the COVID-19 pandemic, factors associated with AL resident pandemic. This population-based, repeated cross-sectional study used Resident Assessment Instrument-Home Care (RAI-HC) data (01/2017-12/2021) from Alberta, Canada. On...