A Clinical Response Team Providing Support to Long-Term Care Homes with COVID-19 Outbreaks in Eastern Ontario—a Cohort Study

Downar, James; Boese, Kaitlyn; Lalumiere, Genevieve; Bercier, Ghislain; Leduc, Shannon; Rice, Jill; Arya, Amit; Charbonneau, Valerie

doi:10.5770/cgj.25.561

Cited by 5 publications

(3 citation statements)

References 3 publications

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“…The instructions focus on risk mitigation strategies; isolation and quarantine, increased testing, and appropriate personal protective equipment are most effective before extensive virus spread. This highlights the importance of establishing an easily reachable team with infection preventionists in local or central public health units in an effort to halt transmission in the facility already from the first case, as was evident in other studies with a similar intervention [ 24 , 25 ].…”

Section: Discussionmentioning

confidence: 60%

COVID-19 Burden in Long-Term Care Facilities in the Omicron Era: Public Health Action Not Yet Redundant

Krystallaki

Kavakioti

Gkova

et al. 2023

Viruses

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Since the beginning of the pandemic, public health authorities have provided support to long-term care facilities (LTCFs) for the implementation of risk mitigation measures. Nevertheless, the necessity of these measures has been doubted, especially after vaccines and antiviral treatment became available. Here, we present the burden of COVID-19 infection in LTCFs during the first 9 months of 2022 across Greece. We tested the possible association of LTCF characteristics and public health response with the occurrence of clusters (two or more linked cases in LTCFs) with facilities recording one case as reference. After excluding LTCFs with sporadic cases, we tested the effect of the abovementioned variables on attack rate (cases/total number of persons in the LTCF). The disease burden in LTCFs was high and substantially varied among facilities, with hospitalization and case fatality rates ranging from 2 to 80% (median 14%, IQR 27%) and from 1 to 50% (median 5%, IQR 7%), respectively. The probability of transmission inside the facility increased when notification of public health authorities was delayed (p-value < 0.001) after adjusting for vaccination status and phase of the pandemic. Results showed that active support from public health authorities is still important in reducing the burden in LTCFs.

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Section: Discussionmentioning

confidence: 60%

COVID-19 Burden in Long-Term Care Facilities in the Omicron Era: Public Health Action Not Yet Redundant

Krystallaki

Kavakioti

Gkova

et al. 2023

Viruses

View full text Add to dashboard Cite

show abstract

“…Within the mesosystem, paramedics interact and communicate with other agents, directly and indirectly related to patient care [58]. These include people receiving care, caregivers and care team members, members of the interdisciplinary team (e.g., other health and social care professionals, personal support workers), public safety personnel (e.g., dispatchers, police, and fire personnel), health services leadership, and members of the public [78,79]. Differences in professional values and cultural expectations could be another instance where practice (reflected in a competency framework) and care needs are poorly aligned.…”

Section: Mesosystem -Appreciating the Influence Of People Policies An...mentioning

confidence: 99%

Identifying Features of a System of Practice to Inform a Contemporary Competency Framework for Paramedics in Canada

Batt,

Lysko,

Bolster

et al. 2024

Preprint

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Introduction Paramedic practice is highly variable, occurs in diverse contexts, and involves the assessment and management of a range of presentations of varying acuity across the lifespan. As a result, attempts to define paramedic practice have been challenging and incomplete. This has led to inaccurate or under-representations of practice that can ultimately affect education, assessment, and the delivery of care. In this study, we outline our efforts to better identify, explore, and represent professional practice when revising a national competency framework for paramedics in Canada. Methods We used a systems thinking approach to identify the settings, contexts, features, and influences on paramedic practice in Canada. This approach makes use of the role and influence of system features at the microsystem, mesosystem, exosystem, macrosystem, supra-macro system, and chronosystem levels in ways that can provide new insights. We used methods such as rich pictures, diagramming, and systems mapping to explore relationships between these contexts and features. Findings When we examine the system of practice in paramedicine, multiple layers become evident and within them we start to see details of features that ought to be considered in any future competency development work. Our exploration of the system highlights that paramedic practice considers the person-receiving care, caregivers, and paramedics. It involves collaboration within co-located and dispersed teams that are composed of other health and social care professionals, public safety personnel, and others. Practice is enacted across varying geographical, cultural, social, and technical contexts, and is subject to multiple levels of policy, regulatory, and legislative influence. Conclusion Using a systems thinking approach, we developed a detailed systems map of paramedic practice in Canada. This map can be used to inform the initial stages of a more representative, comprehensive, and contemporary national competency framework for paramedics in Canada.

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“…Within the mesosystem, paramedics interact and communicate with other agents, directly and indirectly related to patient care [52]. These include people receiving care, caregivers and care team members, members of the interdisciplinary team (e.g., other health and social care professionals, personal support workers), public safety personnel (e.g., dispatchers, police, and fire personnel), health services leadership, and members of the public [73,74]. Differences in professional values and cultural expectations could be another instance where practice (reflected in a competency framework) and care needs are poorly aligned.…”

Section: Mesosystem-appreciating the Influence Of People Policies And...mentioning

confidence: 99%

Identifying Features of a System of Practice to Inform a Contemporary Competency Framework for Paramedics in Canada

Batt,

Lysko,

Bolster

et al. 2024

Healthcare

View full text Add to dashboard Cite

Introduction: Paramedic practice is highly variable, occurs in diverse contexts, and involves the assessment and management of a range of presentations of varying acuity across the lifespan. As a result, attempts to define paramedic practice have been challenging and incomplete. This has led to inaccurate or under-representations of practice that can ultimately affect education, assessment, and the delivery of care. In this study, we outline our efforts to better identify, explore, and represent professional practice when developing a national competency framework for paramedics in Canada. Methods: We used a systems-thinking approach to identify the settings, contexts, features, and influences on paramedic practice in Canada. This approach makes use of the role and influence of system features at the microsystem, mesosystem, exosystem, macrosystem, supra-macrosystem, and chronosystem levels in ways that can provide new insights. We used methods such as rich pictures, diagramming, and systems mapping to explore relationships between these contexts and features. Findings: When we examine the system of practice in paramedicine, multiple layers become evident and within them we start to see details of features that ought to be considered in any future competency development work. Our exploration of the system highlights that paramedic practice considers the person receiving care, caregivers, and paramedics. It involves collaboration within co-located and dispersed teams that are composed of other health and social care professionals, public safety personnel, and others. Practice is enacted across varying geographical, cultural, social, and technical contexts and is subject to multiple levels of policy, regulatory, and legislative influence. Conclusion: Using a systems-thinking approach, we developed a detailed systems map of paramedic practice in Canada. This map can be used to inform the initial stages of a more representative, comprehensive, and contemporary national competency framework for paramedics in Canada.

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A Clinical Response Team Providing Support to Long-Term Care Homes with COVID-19 Outbreaks in Eastern Ontario—a Cohort Study

Cited by 5 publications

References 3 publications

COVID-19 Burden in Long-Term Care Facilities in the Omicron Era: Public Health Action Not Yet Redundant

COVID-19 Burden in Long-Term Care Facilities in the Omicron Era: Public Health Action Not Yet Redundant

Identifying Features of a System of Practice to Inform a Contemporary Competency Framework for Paramedics in Canada

Identifying Features of a System of Practice to Inform a Contemporary Competency Framework for Paramedics in Canada

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