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Culture Change in Long-Term Care-Post COVID-19: Adapting to a New Reality Using Established Ideas and Systems.
Iyamu, Ihoghosa; Plottel, Louis; Snow, M Elizabeth; Zhang, Wei; Havaei, Farinaz; Puyat, Joseph; Sawatzky, Richard; Salmon, Amy.
  • Iyamu I; Centre for Health Evaluation and Outcome Sciences (CHÉOS), Vancouver, British Columbia, Canada.
  • Plottel L; School of Population and Public Health, University of British Columbia (UBC), Vancouver, British Columbia, Canada.
  • Snow ME; Centre for Health Evaluation and Outcome Sciences (CHÉOS), Vancouver, British Columbia, Canada.
  • Zhang W; Centre for Health Evaluation and Outcome Sciences (CHÉOS), Vancouver, British Columbia, Canada.
  • Havaei F; Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
  • Puyat J; Centre for Health Evaluation and Outcome Sciences (CHÉOS), Vancouver, British Columbia, Canada.
  • Sawatzky R; School of Population and Public Health, University of British Columbia (UBC), Vancouver, British Columbia, Canada.
  • Salmon A; University of British Columbia (UBC) School of Nursing, Vancouver, British Columbia, Canada.
Can J Aging ; : 1-8, 2022 Nov 09.
Article in English | MEDLINE | ID: covidwho-2315629
ABSTRACT
The response to the COVID-19 pandemic in long-term care (LTC) has threatened to undo efforts to transform the culture of care from institutionalized to de-institutionalized models characterized by an orientation towards person- and relationship-centred care. Given the pandemic's persistence, the sustainability of culture-change efforts has come under scrutiny. Drawing on seven culture-change models implemented in Canada, we identify organizational prerequisites, facilitatory mechanisms, and frontline changes relevant to culture change that can strengthen the COVID-19 pandemic response in LTC homes. We contend that a reversal to institutionalized care models to achieve public health goals of limiting COVID-19 and other infectious disease outbreaks is detrimental to LTC residents, their families, and staff. Culture change and infection control need not be antithetical. Both strategies share common goals and approaches that can be integrated as LTC practitioners consider ongoing interventions to improve residents' quality of life, while ensuring the well-being of staff and residents' families.
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Full text: Available Collection: International databases Database: MEDLINE Topics: Long Covid Language: English Journal: Can J Aging Journal subject: Geriatrics Year: 2022 Document Type: Article Affiliation country: S0714980822000344

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Full text: Available Collection: International databases Database: MEDLINE Topics: Long Covid Language: English Journal: Can J Aging Journal subject: Geriatrics Year: 2022 Document Type: Article Affiliation country: S0714980822000344