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The impact of Neighbourhood Team Development on resident quality of life in long-term care

Published online by Cambridge University Press:  19 July 2022

Michelle Heyer
Affiliation:
Canadian Institute for Seniors Care, Conestoga College Institute of Technology and Advanced Learning, Kitchener, Ontario, Canada
Veronique M. Boscart*
Affiliation:
School of Health & Life Sciences, Conestoga College Institute of Technology and Advanced Learning, Kitchener, Ontario, Canada
Jenny Ploeg
Affiliation:
School of Nursing, McMaster University, Hamilton, Ontario, Canada
Michelle Butt
Affiliation:
School of Nursing, McMaster University, Hamilton, Ontario, Canada
Sharon Kaasalainen
Affiliation:
School of Nursing, McMaster University, Hamilton, Ontario, Canada
Andrew Costa
Affiliation:
Department of Clinical Epidemiology and Biostatistics, Schlegel Chair in Epidemiology and Aging, Schlegel-University of Waterloo Research Institute for Aging, Waterloo, Ontario, Canada
*
*Corresponding author. Email: Vboscart@conestogac.on.ca

Abstract

Long-term care (LTC) residents often experience poor quality of life (QOL). Culture change has been proposed as an approach to improve resident centredness in care, thereby aiming to enhance residents' QOL. This article reports on one of the findings of the implementation of an organisational culture change approach, Neighbourhood Team Development (NTD). A retrospective cohort design was used to explore resident QOL scores. The sample included 232 residents across six Ontario LTC homes. Quantitative data were collected through the Resident Assessment Instrument–Minimum Data Set 2.0 (RAI-MDS 2.0) and the interRAI Self-Report QOL Survey for Long Term Care Facilities (SQOL-LTCF). Results demonstrated that culture change interventions, such as NTD, improve residents' QOL scores (+3.5 points, p = 0.0034). This article also adds to knowledge on the use of the SQOL-LTCF as a standardised assessment tool to measure QOL in LTC, and provides rationale to include resident QOL as a key outcome measure in quality improvement initiatives and care modelling in LTC homes.

Type
Article
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

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References

Ausserhofer, D, Deschodt, M, De Geest, S, van Achterberg, T, Meyer, G, Verbeek, H, Strømseng Sjetne, I, Malinowska-Lipien, I, Griffiths, P, Schlüter, W, Ellen, M and Engberg, S (2016) ‘There's no place like home’: a scoping review on the impact of homelike residential care models on resident, family, and staff-related outcomes. Journal of the American Medical Directors Association 17, 685693.CrossRefGoogle Scholar
Backhaus, R, Verbeek, H, van Rossum, E, Capezuti, E and Hamers, JP (2014) Nurse staffing impact on quality of care in nursing homes: a systematic review of longitudinal studies. Journal of the American Medical Directors Association 15, 383393.CrossRefGoogle ScholarPubMed
Boscart, V, Ploeg, J, Sidani, S, Heckman, G and Dupuis, S (2012) The Neighbourhood Team Development Program: Promoting Resident Centredness in LTC (CIHR Operating Grant Awarded October 2014–September 2014).Google Scholar
Boscart, V, Davey, M, Ploeg, J, Heckman, G, Dupuis, S, Sheiban, L, Luh Kim, J, Brown, P and Sidani, S (2018 a) Psychometric evaluation of the Team Member perspectives of Person-Centered Care (TM-PCC) survey for long-term care homes. Healthcare 6, 114.CrossRefGoogle Scholar
Boscart, VM, Sidani, S, Poss, J, Davey, M, d'Avernas, J, Brown, P, Heckman, G, Ploeg, J and Costa, AP (2018 b) The associations between staffing hours and quality of care indicators in long-term care. BMC Health Services Research 18(1), 17.CrossRefGoogle ScholarPubMed
Boscart, V, Sidani, S, Ploeg, J, Dupuis, S, Heckman, G, Luh Kim, J, d'Avernas, J and Brown, P (2019) Neighbourhood Team Development to promote resident centred approaches in nursing homes: a protocol for a multi component intervention. BMC Health Services Research 19(1), 17.CrossRefGoogle ScholarPubMed
Bourbonnais, A, Ducharme, F, Landreville, P, Michaud, C, Gauthier, M and Lavallée, M (2018) An action research to optimize the well-being of older people in nursing homes: challenges and strategies for implementing a complex intervention. Journal of Applied Gerontology 39, 119128.CrossRefGoogle ScholarPubMed
Burgess, J (2009) Creative care-sowing seeds: introducing the Eden Alternative. Journal of Dementia Care 17, 2730.Google Scholar
Canadian Institute for Health Information (CIHI) (2021) Dementia in Long Term Care. Available at https://www.cihi.ca/en/dementia-in-canada/dementia-care-across-the-health-system/dementia-in-long-term-care.Google Scholar
Carpenter, I and Hirdes, JP (2013) Using interRAI assessment systems to measure and maintain quality of long-term care. A Good Life in Old Age 17, 93139.Google Scholar
Carson, J, Brown, S, d'Avernas, J and Dunn, H (2015) Working Together to Put Living First. A Guidebook to Change the Culture of Aging in Long-term Care. Waterloo, Canada: Schlegel-University of Waterloo Research Institute for Aging. Available at https://the-ria.ca/wp-content/uploads/2018/08/Culture-Change-Guidebook-FINAL-Accessible.pdf.Google Scholar
Castle, NG (2012) Reviewing the evidence base for nurse staffing and quality of care in nursing homes. Evidence-based Nursing 15, 2324.CrossRefGoogle ScholarPubMed
Chisholm, L, Zhang, NJ, Hyer, K, Pradhan, R, Unruh, L and Lin, FC (2018) Culture change in nursing homes: what is the role of nursing home resources? INQUIRY: The Journal of Health Care Organization, Provision, and Financing 55, 16.Google ScholarPubMed
Duan, Y, Mueller, CA, Yu, F and Talley, KM (2020) The effects of nursing home culture change on resident quality of life in US nursing homes: an integrative review. Research in Gerontological Nursing 13, 210224.CrossRefGoogle Scholar
Freeman, S, Spirgiene, L, Martin-Khan, M and Hirdes, JP (2017) Relationship between restraint use, engagement in social activity, and decline in cognitive status among residents newly admitted to long-term care facilities. Geriatrics & Gerontology International 17, 246255.CrossRefGoogle ScholarPubMed
Gardette, V, Coley, N and Andrieu, S (2007) Attrition in geriatric research: how important is it and how should it be dealt with? Journal of Nutrition, Health & Aging 11, 265271.Google ScholarPubMed
Hartmann, C, Snow, AL, Allen, R, Parmelee, P, Palmer, J and Berlowitz, D (2013) A conceptual model for culture change evaluation in nursing homes. Geriatric Nursing 34, 388394.CrossRefGoogle ScholarPubMed
Hartmann, CW, Palmer, JA, Mills, WL, Pimentel, CB, Allen, RS, Wewiorski, NJ, Dillon, KR and Snow, AL (2017) Adaptation of a nursing home culture change research instrument for frontline staff quality improvement use. Psychological Services 14, 337346.CrossRefGoogle ScholarPubMed
Health Quality Ontario (2016) Insights into Quality Improvement: Long-term Care: Impressions and Observations – 2015/16 Quality Improvement Plans. Available at https://www.hqontario.ca/Quality-Improvement/Quality-Improvement-Plans/Quality-Improvement-Plan-Reports.Google Scholar
Hirdes, K, Ljunggren, G, Morris, J, Frijters, D, Soveri, H, Gray, L, Bjorkgren, M and Gilgen, R (2008) Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system. BMC Health Services Research 8, 277.CrossRefGoogle ScholarPubMed
interRAI (2017) Long-Term Care Facilities (LTCF). Available at http://interRAI.org/long-term-care-facilities.html.Google Scholar
Kehoe, MA and Van Heesch, B (2003) Culture change in long term care: the Wellspring model. Journal of Social Work in Long-term Care 2, 159173.CrossRefGoogle Scholar
Kehyayan, V, Hirdes, JP, Tyas, SL and Stolee, P (2015) Residents’ self-reported quality of life in long-term care facilities in Canada. Canadian Journal on Aging 34, 149164.CrossRefGoogle ScholarPubMed
Kehyayan, V, Hirdes, JP, Tyas, SL and Stolee, P (2016) Predictors of long-term care facility residents’ self-reported quality of life with individual and facility characteristics in Canada. Journal of Aging and Health 28, 503529.CrossRefGoogle ScholarPubMed
Kuske, B, Hanns, S, Luck, T, Angermeyer, MC, Behrens, J and Riedel-Heller, SG (2007) Nursing home staff training in dementia care: a systematic review of evaluated programs. International Psychogeriatrics 19, 818841.CrossRefGoogle Scholar
Lima, JC, Schwartz, ML, Clark, MA and Miller, SC (2020) The changing adoption of culture change practices in US nursing homes. Innovation in Aging 4, 3.CrossRefGoogle ScholarPubMed
Longino, CF, Murphy, JW and Hendricks, J (2020) The Old Age Challenge to the Biomedical Model: Paradigm Strain and Health Policy. Abingdon, UK: Routledge.CrossRefGoogle Scholar
Morris, JN, Moore, T, Jones, R, Mor, V, Angelelli, J, Berg, K, Hale, C, Morris, S, Murphy, KM and Rennison, M (2003) Validation of Long-term and Post-acute Care Quality Indicators. Cambridge, MA: Abt Associates, Brown University.Google Scholar
Morris, JN, Declercq, A, Hirdes, JP, Finne-Soveri, H, Fries, BE, James, ML, Geffen, L, Kehyayan, V, Saks, K, Szczerbińska, K and Topinkova, E (2018) Hearing the voice of the resident in long-term care facilities: an internationally based approach to assessing quality of life. Journal of the American Medical Directors Association 19, 207215.CrossRefGoogle ScholarPubMed
Ontario Long Term Care Association (OLTCA) (2019) This is Long Term Care 2019. Available at https://www.oltca.com/OLTCA/Documents/Reports/TILTC2019web.pdf.Google Scholar
Robertson, S, Cooper, C, Hoe, J, Hamilton, O, Stringer, A and Livingston, G (2017) Proxy rated quality of life of care home residents with dementia: a systematic review. International Psychogeriatrics 29, 569581.CrossRefGoogle ScholarPubMed
Statistics Canada (2019 a) Canada's Population Estimates: Age and Sex July 1, 2018. Available at https://www150.statcan.gc.ca/n1/daily-quotidien/190125/dq190125a-eng.htm.Google Scholar
Statistics Canada (2019 b) Changes in Life Expectancy by Selected Causes of Death, 2017. Available at https://www150.statcan.gc.ca/n1/daily-quotidien/190530/dq190530d-eng.htm.Google Scholar
Stites, SD, Karlawish, J, Harkins, K, Rubright, JD and Wolk, D (2017) Awareness of mild cognitive impairment and mild Alzheimer's disease dementia diagnoses associated with lower self-ratings of quality of life in older adults. Journals of Gerontology: Series B 72, 974985.CrossRefGoogle ScholarPubMed
Sturdevant, DL, Mueller, CA and Buckwalter, KC (2018) Measurement of nursing home culture change: systematic review. Research in Gerontological Nursing 11, 103112.CrossRefGoogle ScholarPubMed
Sullivan, LJ and Asselin, ME (2013) Revisiting quality of life for elders in long-term care: an integrative review. Nursing Forum 48, 191204.CrossRefGoogle ScholarPubMed
The Eden Alternative (2014) Eden Alternative: It Can Be Different. Available at http://www.edenalt.org/wordpress/wp-content/uploads/2014/02/Eden_Overview_092613LR.pdf.Google Scholar
van Leeuwen, KM, van Loon, MS, van Nes, FA, Bosmans, JE, de Vet, H, Ket, J, Widdershoven, G and Ostelo, R (2019) What does quality of life mean to older adults? A thematic synthesis. PloS one 14, e0213263.CrossRefGoogle ScholarPubMed
White-Chu, EF, Graves, WJ, Godfrey, SM, Bonner, A and Sloane, P (2009) Beyond the medical model: the culture change revolution in long-term care. Journal of the American Medical Directors Association 10, 370378.CrossRefGoogle ScholarPubMed
World Health Organization (2012) Dementia: A Public Health Priority. Geneva: World Health Organization. Available at http://apps.who.int/iris/bitstream/10665/75263/1/9789241564458_eng.pdf?ua=1.Google Scholar
World Health Organization (2019) WHOQOL: Measuring Quality of Life: Introducing the WHOQOL Instruments. Geneva: World Health Organization. Available at https://www.who.int/healthinfo/survey/whoqol-qualityoflife/en/.Google Scholar
Xu, M, Fralick, D, Zheng, JZ, Wang, B, Tu, XM and Feng, C (2017) The differences and similarities between two-sample t-test and paired t-test. Shanghai Archives of Psychiatry 29, 184188.Google ScholarPubMed