Engagement during post-acute care transition: Perceptions and experiences of family caregivers of older adults with dementia

Older adults with dementia experience hospitalizations and post-acute care transitions more than people without dementia and rely on family caregivers for support. Family caregivers of older adults with dementia, therefore, play a crucial role during care transitions, and caregiver engagement is acknowledged as a critical factor in promoting quality of care. Despite this, "engagement" has been exclusively defined from the perspective of clinical care providers in other settings, and little is known about the post-acute care experiences and perceptions of family caregivers. The purpose of this dissertation was to describe the meaning of engagement to family caregivers navigating post-acute care transition, to elucidate their perspectives on barriers and facilitators of engagement, and to explore their support needs.Following an interpretive descriptive approach and guided by Meleis's Middle Range transition theory, semi-structured interviews were conducted with a purposive sample of 15 family caregivers of older adults with dementia. Using an inductive coding process, similar codes were categorized by grouping codes that describe similar concepts related to the caregiver experiences and perceptions. The process helped to develop themes from the categories and a conceptual framework that described the meaning of engagement.Thematic findings revealed family caregivers' descriptions of the meaning of engagement during post-acute care transitions is linked to being there, having meaningful connection with professional care providers, and having communication with the person with dementia. Limited communication and not being able to be there were seen as barriers to engagement. Nine family caregivers' level of engagement was impacted by the COVID-19 pandemic new visitation policies. Facilitator to engagement were linked to having good communication with professional care providers and having past post-acute care transition experience. The support needs of family caregivers were also related to their relationship with healthcare providers and receiving support from family and friends. The study supports highlighting communication as an integral part of transition and makes an argument to expanding the Meleis's Middle Range transition theory. Findings of the study contribute to the dementia caregiving literature and make an appeal to healthcare providers and policymakers to include family caregivers as part of the care team. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Graduate Nurse Education Programs: Transition Pathway for Registered Nurse Employment

(20171 purported that "increased nursing education enrolments to cater for possible future nursing shortages, (ii) decreased state expenditure on health services and, (iii) graduate employment dictated by staff vacancies rather than ensuring sustainability of the future workforce" (p. 251) are contributing factors. Sample and Data Collection Convenience sampling technique was used, and to ensure sufficient data sampling, two cohorts of graduating students were Invited to participate. The online survey data collection Incorporated closed and opened ended questions about participant engagement with the profession of nursing. All study participants, including the graduates with a previous Diploma of Nursing, provided a 100% response rate to their intention to register with the Nursing and Midwifery Board as a registered nurse (RN).

Seniors' Long‐Term Care in Canada: A Continuum of Soft to Brutal Privatisation

We situate the contemporary crisis of COVID‐19 deaths in seniors' care facilities within the restructuring and privatisation of this sector. Through an ethnographic comparison in a for‐profit and nonprofit facility, we explore what we identify as brutal and soft modes of privatisation within publicly subsidised long‐term seniors' care in Vancouver, British Columbia, and their influence on the material and relational conditions of work and care. Workers in both places are explicit that they deliver only bare‐bones care to seniors with increasingly complex care needs, and we document the distinct forms and extent to which these precarious workers give gifts of their time, labour and other resources to compensate for the gaps in care that result from state withdrawal and the extraction of profits within the sector. We nonetheless locate more humane and hopeful processes in the nonprofit facility, where a history of cooperative relations between workers, management and families suggest the possibility of re‐valuing the essential work of care. [ FROM AUTHOR] Copyright of Antipode is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Designing the post-pandemic hospice environment: "The last place"

Where and how people die is a significant concern of human life and society (Worpole, 2009). In these days, people die either in their home or in an end-of-life care facility, such as hospice. Hospice is a place to provide end-of-life care to individuals certified as "terminal." Hospice care or end-of-life care is a multidisciplinary care and support (non-curative) system designed to address the physical, emotional, psychosocial, and spiritual concerns of terminal patients and their families. Thus, the facility design is significantly different in various dimensions. For example, hospice patients are mostly bed-bound, and a patient's family accommodation plays a significant role in the patient's dying experience. Providing a supportive physical environment of hospice has an imperative impact on the patient "quality of life" and the possibility of a "good death." With the COVID-19 challenges, it has become significant to explore the best possible solutions of hospice facility design. This chapter discusses the 11 therapeutic goals of hospice care environment which was developed by Kader and Diaz Moore in 2015 considering dying experiences. The physical settings of hospice along with the carefully designed organizational environment can contribute to the realization of desired therapeutic goals and have a positive effect on the lives of dying patients. This chapter discusses each therapeutic goal and how hospice facility design can support these goals with a few examples and presents six major design-related challenges of post-pandemic (COVID-19) hospice care facilities. Lastly, several prospective design concepts have explored considering pandemic resiliency. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

(Re)designing the continuum of care for older adults: The future of long-term care settings

This book broadens the visioning on new care environments that are designed to be inclusive, progressive, and convergent with the needs of an aging population. The contents cover a range of long-term care (LTC) settings in a single collection to address the needs of a wide audience. Due to the recent COVID-19 pandemic, rethinking the spatial design of care facilities in order to prepare for future respiratory and contagious pathogens is one of the prime concerns across the globe, along with social connectedness and autonomy in care settings. This book contributes to the next generation of knowledge and understanding of the growing field of the design of technology, programs, and environments for LTC that are more effective in infection prevention and control as well as social connectedness. To address these issues, the chapters are organized in four sections: Part I: Home- and community-based care;Part II: Facility-based care;Part III: Memory care and end-of-life care;and Part IV: Evidence-based applied projects and next steps. (Re)designing the Continuum of Care for Older Adults is an essential resource for researchers, practitioners, educators, policymakers, and students associated with LTC home and healthcare settings. With diverse topics in theory, substantive issues, and methods, the contributions from notable researchers and scholars cover a range of innovative programming, environments, and technologies which can impact the changing needs and support for older adults and their families across the continuum of care. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Envisioning innovative post-COVID approaches toward LTCF design in dense urban areas: Exploring an evidence-based design prototype

The COVID-19 (coronavirus disease 2019) pandemic has posed greater challenges to older adults, especially those who live in congregated long-term care facilities (LTCFs) in dense urban settings. These facilities struggle with high rates of COVID-19 infections and other challenges that undermine LTCF residents' well-being. These challenges, including social isolation and limited access to nature and community, have been exacerbated by the pressures of the pandemic. This has led to feelings of loneliness, depression, and other mental health issues among residents and a higher risk of psychological stress and infection among nurses. The pandemic has challenged the existing built environment of LTCFs. Issues regarding physical and mental health, quality of life (QoL), infection control, and pandemic resiliency have been shown to be increasingly interwoven. This chapter envisions innovative approaches toward a post-COVID-19 environment for older adults and their caregivers. This chapter provides an extensive review and synthesis of the lessons learned from LTCFs during the pandemic, with a focus on how their experience was impacted by design. The authors also draw from current design trends to identify their potential to support residents', staff, and visitors' needs during and after pandemics. From these learnings, the following design principles were developed: (1) small household model, (2) biophilic design, (3) intergenerational community, and (4) multi-tier infection control strategies. These design principles were then translated to a prototype through a graduate capstone studio project, which provides a visual illustration of how these evidence-based design solutions can be applied within a dense urban environment. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Janna Thompson: Philosopher and Sleuth

Janna Thompson, feminist, social justice advocate, and internationally esteemed professor of philosophy, died on 24 June 2022, as a result of multiple brain tumours. [...]the importance of apologies for past wrongs: she observes that authorised apologies on behalf of communities have a range of notable features, but their main point is to "signal that a nation or organization repudiates injustices of the past and is committed to just dealings with groups that were persecuted or oppressed" (Thompson, "Apologising," 2020: 1041). [...]in accordance with her lifelong commitment to social justice, the novel explores the loss of human rights and the low social status blithely assigned to older people by institutions, governments, and culture. Along with the shocking and disproportionate Covid death rate among aged care residents, the epidemic highlighted the abuse of human rights with respect to residents' loss of liberty: they were locked up in their rooms, locked away from families and friends, and locked down in unsafe environments. In her pivotal essays, Sarah Holland-Batt, an award-winning poet, academic and aged care activist,3 has damned the Federal government's failure to prepare Australia's residential aged care facilities for Covid outbreaks (September, 2020), and has exposed the immorality of current Australian society: "We treat older people as a separate and subhuman class, frequently viewing them as a burden on their families, the community and the state" (May, 2020).

Public perceptions of general practice and the allocation of funds/Reply

The Taskforce aims include: 'improving patient access to general practice and GP-led multidisciplinary teams, making primary care more affordable, improving prevention, and reducing pressure on hospitals',3 and these data suggest that increasing general practice funding to support the Taskforce's aims is consistent with community expectations. The use of market researchers to rapidly access data is innovative and highlights the value of consumer input into health policy decision making, reinforcing the need for sharing of routinely collected data to better understand allocation of health system expenditure. Authors Michael Wright MBBS, MSc, PhD (UTS), GAICD, FRACGP, Research Fellow, Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW;Clinical Associate Professor, Sydney University Medical School, University of Sydney, Sydney, NSW Roald Versteeg BBusMan, Chief Policy Officer, The Royal Australian College of General Practitioners, East Melbourne, Vic (at time of submission) References 1.

The Demographic Challenge Facing the EU: Roads to Sustainability in an Ageing Europe

The pandemic put all underlying structural problems about the living conditions of older persons in Europe on display. The inadequate protection afforded to older persons during this crisis reflects the weak position of this group. Additionally, the growing ageing population in EU entails an urgent challenge to the union. In this chapter, I argue for what policies the EU needs to implement to ensure an equitable society for all ages, both in times of crisis and otherwise. Three different recommendations are also provided;(1) establish commissions for the rights of older persons that implement the evidence-based knowledge that already exists about older persons' conditions, (2) contribute to the jurisprudence instituting the rights for the older persons, including codifying these rights in an international convention, and (3) give special priority to its work for advancing a social market economy by implementing the EU Charter of Fundamental Rights as a central element in EU law and policy for older persons. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022, corrected publication 2022.

Measuring Quality of Life in Residential Aged Care Using the EQ-5D-5L: A Cross-Sectional Study on the Impact of Cognition Level and Proxy Perspective on Interrater Agreement

Quality of life (QoL) is an important outcome in aged care, but self-report is not always possible due to the high prevalence of cognitive impairment in older aged care residents. This study aims to assess the impact of family member proxy perspective (proxy-proxy or proxy-person) on interrater agreement with resident self-report by different cognition levels. The influence of proxy perspective and cognition level is a significant gap in the extant literature which this study seeks to address. A cross-sectional study was undertaken with residents classified into cognition subgroups according to the Mini Mental State Examination. Residents completed the self-report EQ-5D-5L, a well-established generic measure of health-related quality of life (HRQoL). Family member proxies completed EQ-5D-5L proxy version 1 (proxy-proxy perspective, where the proxy responds based on their own opinions) and proxy version 2 (proxy-person perspective, where the proxy responds as they believe the person would). Interrater agreement was assessed using the concordance correlation coefficient (CCC) for utility scores and the weighted kappa for dimension-level responses. Sixty-three residents (n = 22 no cognitive impairment, n = 27 mild impairment, and n = 14 moderate impairment) and proxies participated. EQ-5D-5L utility scores were lower for proxies compared with residents (self-report = 0.522, proxy-proxy = 0.299, and proxy-person = 0.408). Interrater agreement with self-report was higher for proxy-person (CCC = 0.691) than for proxy-proxy (CCC = 0.609). Agreement at the dimension level was higher for more easily observable dimensions, such as mobility, compared to less observable dimensions, such as anxiety/depression. Resident self-reported and proxy family member-reported HRQoL assessments, using the EQ-5D-5L, are different but may be more closely aligned when the proxy is specifically guided to respond from the person's perspective. Further research is needed to address the impact of divergences in self-report and proxy-report ratings of HRQoL for quality assessment and economic evaluation in aged care.

Managers' strategies in handling the COVID-19 pandemic in Norwegian nursing homes and homecare services.

PURPOSE: This study aims to explore nursing home and home care managers' strategies in handling the COVID-19 pandemic. DESIGN/METHODOLOGY/APPROACH: This study has a qualitative design with semistructured individual interviews conducted digitally by videophone (Zoom). Eight managers from nursing homes and five managers from home care services located in a large urban municipality in eastern Norway participated. Systematic text condensation methodology was used for the analysis. FINDINGS: The managers used several strategies to handle challenges related to the COVID-19 pandemic, including being proactive and thinking ahead in terms of possible scenarios that might occur, continuously training of staff in new procedures and routines and systematic information sharing at all levels, as well as providing different ways of disseminating information for staff, service users and next-of-kins. To handle staffing challenges, managers used strategies such as hiring short-term staff that were temporary laid off from other industries and bringing in students. ORIGINALITY/VALUE: The COVID-19 pandemic heavily affected health-care systems worldwide, which has led to many health-care studies. The situation in nursing homes and home care services, which were strongly impacted by the pandemic and in charge of a vulnerable group of people, has not yet received enough attention in research. This study, therefore, seeks to contribute to this research gap by investigating how managers in nursing homes and home care services used different strategies to handle the COVID-19 pandemic.

Ensuring nurses have PPE

NZNO has also received reports of staff being advised to use hand-made cloth masks;of gloves that were not of an adequate grade;and of paper gowns ripping easily. Staff dealing with elderly, confused dementia patients have to contend with saliva and other body fluids. Clusters of COVID-19 positive patients in a number of aged-care facilities made it even more important that staff felt safe - another example of the science of IPC meeting the reality of practice.

Older adults access to mental health and social care services during COVID-19 restrictions in Western Australia

Objective: This study aimed to understand the impact of COVID-19 on access to mental health and social services among older adults in Western Australia. Method: A cross-sectional study was conducted with 194 adults aged >=70 years or >=60 years with chronic conditions. A questionnaire co-developed by a consumer reference group was used to collect data on social networks and service access. Frequency analyses were used to assess quantitative data. Qualitative data were assessed using thematic analyses. Results: 62.7% of participants reported being not at all/slightly affected by COVID-19;40.7% reported having three/four people to chat with. 76.3% of participants did not access mental health or social services during the 2020 COVID-19 restrictions. The remaining 23.7% mostly accessed mental health-related services, with GPs the most common source of support. 18.0% of the total sample reported choosing not to access services even though they would have liked to. Conclusions: Most older adults in this sample did not access mental health or social care services. 18.0% of all participants felt they needed services but did not access them. This suggests there were some unmet needs within the community. Strengthening social networks may help protect older adults against psychosocial declines during and post-COVID-19. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Exploring the perspectives of older adults and health care providers on patient participation in transitional care from hospital to cardiac rehabilitation during the COVID-19 pandemic

Older adults who transition from hospital to cardiac rehabilitation settings often are vulnerable and at risk of experiencing adverse health care outcomes. Given the complexities of transitional care, it is crucial to engage older adults in the clinical decision-making process and to promote their active participation in their medical care. Older adults have unique ways of understanding their participation in the transitional care process. Gaining an in-depth understanding of their specific needs during this process can help inform clinical practice and interventions aiming to improve care for older adults living with cardiovascular disease. Focused ethnography methodology was used to explore the perspectives of older adults and health care providers on patient participation in transitional care from hospital to cardiac rehabilitation. The study also sought to identify and to gain a better and more in-depth understanding of the challenges and opportunities that shape participation for older adults during transitional care from hospital to cardiac rehabilitation. Semi-structured interviews were conducted with 15 older adults and 6 healthcare providers from cardiac rehabilitation and cardiology units. Additional methods included document analysis and reflexive journaling. Thematic analysis revealed six themes and fifteen subthemes. Themes included: Follow-up from Healthcare Provides, Interactions with Healthcare Providers, Support from Family Members, Information about Medical Care and Rehabilitation, Decision-Making and Participation, and Healthcare Journey during COVID-19. Older adults reported gaps in follow-up and insufficient spaces or opportunities for participation in decision-making. Healthcare provider's support was reported as essential for a smooth transition, particularly nurses' support. The COVID-19 pandemic was mostly reported as a major barrier for participants, especially in terms of delayed medical procedures and difficult hospitalization experiences. Some participants, particularly those who seek social connection, viewed technology and virtual care negatively. However, virtual care delivery also was reported as a fruitful strategy to engage older adults in their care and to overcome transportation barriers. The results of this study can help inform the implementation of strategies that will engage older adults more actively in their care, as they transition from hospital to cardiac rehabilitation settings. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Application of six sigma and the system thinking approach in COVID-19 operation management: a case study of the victorian aged care response centre (VACRC) in Australia

COVID-19 has posed many unique and critical challenges in various contexts and circumstances. This often led the stakeholders and decision-makers to depart from traditional thinking and the business-as-usual processes and to come up with innovative approaches to tackle various mission-critical situations within a short time frame. In this paper, a real-life case study of COVID-19 operation management following a multi-disciplinary, multi-stakeholder novel integrated approach in aged care facilities in Victoria, Australia, is presented which yielded significant and positive outcomes. The purpose of the intervention was to develop an integrated system performance approach through the application of various quality management tools and techniques to achieve organizational excellence at the aged care centers. The case involved the use of mathematical models along with statistical tools and techniques to address the specific problem scenario. A system-wide management plan was proposed, involving various agencies across several residential aged care facilities during the pandemic. A three-step methodological framework was developed, where Six Sigma, a system thinking approach, and a holistic metric were proposed to manage the value chain of the pandemic management system. The experimental result analyses showed significant improvement in the management process, suggesting the validity and potential of this holistic approach to stabilize the situation and subsequently set the conditions for operations excellence within the sectors. The model offers new insight into the existing body of knowledge and offers an efficient approach to achieving operational excellence in any organization or business regardless of its type, shape and complexity, which can help practitioners in managing complex, mission-critical situations like a pandemic.

Crisis accountability and aged "care” during COVID-19

PurposeThis study aims to fill the gaps in mandated reports with social accounts to provide more inclusive accountability during a crisis using the illustrative example of Anglicare's Newmarch House during a deadly COVID-19 outbreak.Design/methodology/approachThis study uses a close-reading method to analyse Anglicare's annual review, reports, board meeting minutes and Royal Commission into Aged Care submissions. Informed by Foucault's concept of biopolitics, the study collocates alternate "social accounts” in the form of investigative journalism, newspaper articles and media commentary on the events that transpired at Newmarch House to unveil a more nuanced and human-centric rendering of the ramifications of a public health/aged care crisis.FindingsCOVID-19 exacerbated pre-existing issues within the aged care sector, exemplified by Newmarch House. The privileging of financial concerns and lack of care, leadership and accountability contributed to residents' physical, emotional and psychological distress. The biopolitical policy pursued by powerful actors let die vulnerable individuals while simultaneously making live more productive citizens and "the economy”.Research limitations/implicationsOrganisations express their accountability by using financial information provided by accounting, even during circumstances with more prevailing humanistic concerns. A transformational shift in how we define, view and teach accounting is required to recognise accounting as a social and moral practice that should instead prioritise human dignity and care for the betterment of our world.Originality/valueThis paper contributes to the limited literature on aged care, extending particularly into the impact of COVID-19 while contributing to the literature concerned with crisis accountability. To the best of the author's knowledge, this paper is also the first to examine a form of biopolitics centred on making live something other than persons – the economy.

Kurumsal Bakım Çalışanlarının Gözünden Bakım Emeği ve Pandemi Sonrası Uzun Dönemli Yaşlı Bakımı: Niteliksel Bir Araştırma

COVID-19 salgınının ortaya çıkışı ile dünya gündemine oturan uzun dönemli bakım politikası tartışmaları bakım emeğinin ve evrensel bakım hizmeti sunumunun toplumsal refah açısından önemini ortaya çıkardı. Bu makale, Türkiye'de uzun dönemli bakım hizmetleri bağlamında bakım emeğinin, bakım emeği çalışanlarının perspektifinden bir değerlendirmesini sunmakta ve evrensel sosyal bakım hizmetinin önemini bakım emeği çerçevesinde tartışmaktadır. Araştırmanın verisi kamu ve belediyeye ait ve özel uzun dönemli bakım kurumlarında çalışmakta olan 11 bakım çalışanı ile gerçekleştirilen yarı yapılandırılmış derinlemesine görüşmelerin niteliksel çözümlemesine dayanmaktadır. Bu bağlamda sosyal bakım çalışanlarının bakıma atfettikleri anlamlar, bakım emeğinin sınırlarına ilişkin algıları ve emek piyasasındaki durumları tartışılmaktadır. Araştırmanın sonucu, pandemi sonrası evrensel sosyal hizmetlerin ve bakım çalışanlarının çalışma koşullarının iyileştirilmesinin öneminin altını çizerken, toplumsal refah için temel iş olan ücretli bakım emeğinin değerli kılınarak sosyal bakım hizmetlerinin evrensel olarak sunulmasının önemini de vurgulamaktadır.Alternate :he long-term care policy debates that came to the fore with the outbreak of the COVID-19 pandemic have revealed the importance of care labour and universal social care service delivery. This article presents an evaluation of care work from the perspective of care workers in the context of long-term care services in Turkey. It discusses the importance of universal social care services within the framework of care work. The research data is based on the qualitative analysis of semi-structured in-depth interviews with 11 care workers working in public, municipal and private long-term care institutions. In this context, the meanings attributed to care by social care workers, their perceptions of the limits of care work, and their situation in the labour market are discussed. The result of the research underlines the importance of the delivery of post-pandemic universal social care services and improving the working conditions of care workers while emphasizing the importance of the universal provision of social care services by rendering paid care work valuable with a view to enhancing social welfare.

The impact of the pandemic generated by Coronavirus on employees in social services for seniors from Romania

Since 2020, senior social services staff have been working under new circumstances resulting from the global spread of COVID-19. The pandemic and the restrictions put in place to control it have affected every area of our lives. Thus, this paper aims to analyze the perception of employees on social services for the elderly in Romania and is based on the indicators: the degree of involvement of employees in social services for seniors, the resilience capacity of employees in social services for seniors and the impact of the pandemic on employees in social services for seniors. In order to assess the impact of the Coronavirus pandemic on social services for seniors, the employees of the service providers were invited to participate in a quantitative research based on the sociological survey based on the questionnaire with the most honest answers to each question. The design of the questionnaire was based on previous research, and adaptations were made where necessary. According to the centralization of the data obtained, the personnel employed in social assistance institutions providing social services to elderly people in our country confirm that access to protective equipment and risk management recommendations have been improved. [ FROM AUTHOR]

Exploring the perspectives of older adults and health care providers on patient participation in transitional care from hospital to cardiac rehabilitation during the COVID-19 pandemic

Older adults who transition from hospital to cardiac rehabilitation settings often are vulnerable and at risk of experiencing adverse health care outcomes. Given the complexities of transitional care, it is crucial to engage older adults in the clinical decision-making process and to promote their active participation in their medical care. Older adults have unique ways of understanding their participation in the transitional care process. Gaining an in-depth understanding of their specific needs during this process can help inform clinical practice and interventions aiming to improve care for older adults living with cardiovascular disease. Focused ethnography methodology was used to explore the perspectives of older adults and health care providers on patient participation in transitional care from hospital to cardiac rehabilitation. The study also sought to identify and to gain a better and more in-depth understanding of the challenges and opportunities that shape participation for older adults during transitional care from hospital to cardiac rehabilitation. Semi-structured interviews were conducted with 15 older adults and 6 healthcare providers from cardiac rehabilitation and cardiology units. Additional methods included document analysis and reflexive journaling. Thematic analysis revealed six themes and fifteen subthemes. Themes included: Follow-up from Healthcare Provides, Interactions with Healthcare Providers, Support from Family Members, Information about Medical Care and Rehabilitation, Decision-Making and Participation, and Healthcare Journey during COVID-19. Older adults reported gaps in follow-up and insufficient spaces or opportunities for participation in decision-making. Healthcare provider's support was reported as essential for a smooth transition, particularly nurses' support. The COVID-19 pandemic was mostly reported as a major barrier for participants, especially in terms of delayed medical procedures and difficult hospitalization experiences. Some participants, particularly those who seek social connection, viewed technology and virtual care negatively. However, virtual care delivery also was reported as a fruitful strategy to engage older adults in their care and to overcome transportation barriers. The results of this study can help inform the implementation of strategies that will engage older adults more actively in their care, as they transition from hospital to cardiac rehabilitation settings. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Acceptability of Telegram-based Training among Aged Care Providers

During the COVID-19 pandemic, increasing infection prevention and control (IPC) in nursing homes was challenging due to the impracticality of typical face-to-face teaching. Concerns about device availability, Internet connectivity, and acceptance of online training for care workers led to the selection of Telegram for its minimal bandwidth use and appeal in the socio-educational setting. An online survey assessing the acceptability of a Telegram-based IPC training program was conducted on 60 care providers from 14 aged care facilities. Despite the strong acceptability of Telegram-based training, there are challenges to be overcome when delivering online learning for aged care providers. [ FROM AUTHOR]