RT Journal Article
SR Electronic
T1 21 Implementing virtual care planning with resident/family: A Canadian COVID long-term care experience
JF BMJ Open Quality
JO BMJ Open Qual
FD British Medical Journal Publishing Group
SP A26
OP A26
DO 10.1136/bmjoq-2021-IHI.21
VO 10
IS Suppl 2
A1 Melissa Babcock
A1 Denise Connelly
A1 Cherie Furlan-Craievich
A1 Harrison Gao
A1 Anna Garnett
A1 Pam Hamilton
A1 Melissa Hay
A1 Lillian Hung
A1 Jacqueline Ripley
A1 Samantha Salatino
A1 Lori Schindel Martin
A1 Shannon Snelgrove
A1 Nancy Snobelen
YR 2021
UL http://bmjopenquality.bmj.com/content/10/Suppl_2/A26.1.abstract
AB Background COVID-19 imposed extreme constraints on Canadian long-term care (LTC) homes, leading to intense isolation for residents, restricted family visits, and staff shortages. Consequently, these challenges negatively impacted the mental and physical health of residents, family, and interdisciplinary workforce in LTC homes.ObjectivesTo describe how two LTC homes addressed promising practices – Presence of family, People in the workforce, and Future COVID–19 and non-COVID–19 care with implementation science.To understand the enablers, barriers and outcomes to the implementation of an innovative re-engineered intervention – P.I.E.C.E.S.™ (PIECES), designed to include families virtually for team-based resident care planning, and empower Registered Practical Nurses (RPNs) to build resilience and wellbeing.Methods An interdisciplinary team (residents and family, nurses, and academic researchers), guided by the Consolidated Framework for Implementation Research, employed a mixed-method design to investigate implementation processes, determinants, and outcomes. Interviews with residents/families and staff focus groups provided insight into enablers and challenges. Pre- and post-intervention results of the Connor Davidson Resilience Scale, Resilience at Work, and Assessment of Interprofessional Team Collaboration Scale informed understandings of personal, professional and organizational resilience outcomes.Results Findings highlighted how implementation of virtual PIECES helped sustain enhanced person-centered care through more comprehensive, collaborative, efficient and effective teams, leading to better outcomes for residents. Moreover, results suggested improved resilience, wellbeing, and communication between LTC home staff and family. New learnings improved preparedness for future outbreaks. Providing a plan for adapting, embedding, and sustaining the intervention based on implementation science will accelerate the spread of high-quality actionable research evidence.Conclusions This is the first study to explore implementation processes of a virtually delivered PIECES intervention with meaningful engagement of multiple stakeholders (residents, family, RPNs). Findings provide evidence supporting important healthcare improvements, future spread of virtual interventions, and practice and policy changes for the LTC home sector.