Always Essential: Valuing Direct Care Workers in Long-Term Care

Scales, Kezia; Kaskie, Brian

doi:10.1093/ppar/praa022

Cited by 31 publications

(21 citation statements)

References 15 publications

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“…The current findings suggest that investing in better on-boarding of staff increased likelihood of staff retention. However, without sustained support for this workforce, employers will continue to face high turnover rates, persistent loss of DCWs to other sectors with better benefits (Scales & Lepore, 2020). This unprecedented scenario in NH care underscores the importance of the prepandemic findings.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, unless we concentrate equally on staff, their job quality and retention, and the educational resources available, widespread adoption of PCC are unattainable across the NH setting. The exacerbation of turnover, overload and the increased social isolation, depression, and loneliness of residents seen because of the COVID-19 pandemic only underscores the need to support beleaguered NH staff (Scales & Lepore, 2020). Therefore, the idea of PCC could only be achieved if residents, NH staff, and administration collaborate with each other.…”

Section: Discussionmentioning

confidence: 99%

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Person-Centered Care in Nursing Homes: Potential of Complementary and Alternative Approaches and Their Challenges

2021

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A person-centered approach to care shifts the mind-set of care partners from a traditional medical model to a social model in managing chronic conditions. Using a qualitative descriptive approach, this study examines the barriers and facilitators to the implementation of person-centered care (PCC) and how the integration of complementary and alternative approaches (CAA) has the potential to improve residents’ quality of life in nursing homes (NHs). Findings indicate that NHs offer a wide range of engagement activities, but these activities are not purposefully integrated into a person-centered plan of care. Factors such as turnover, “working short,” supervisor support, and rising resident care needs make it challenging to implement PCC in NHs. This knowledge of the landscape of activities will help us identify and improve strategies for supporting residents at a deeper, more meaningful level. CAA has the potential to be therapeutic for residents if integrated into collaborative approaches to care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Person-Centered Care in Nursing Homes: Potential of Complementary and Alternative Approaches and Their Challenges

2021

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“…Patients with multiple chronic conditions spend a minute fraction of their time in the health care setting. These patients themselves, their informal caregivers, and other direct care workers do most of the work of health care most of the time 23,24 . Outcomes are therefore mostly in their hands.…”

Section: Investing In Primary Care Relationshipsmentioning

confidence: 99%

“…These patients themselves, their informal caregivers, and other direct care workers do most of the work of health care most of the time. 23,24 Outcomes are therefore mostly in their hands. It is in the collaborative space of the ongoing conversation between the patient and familiar members of the primary care team at the point of care that useful, usable, and desirable plans of care emerge that are then implemented at the point of life.…”

Section: Investing In Primary Care Relationshipsmentioning

confidence: 99%

Removing the blindfold: The centrality of care in caring for patients with multiple chronic conditions

Montori

2021

Health Services Research

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Chronic multimorbidity is one of the most important problems in contemporary health care. The average middle-aged American lives with at least one chronic condition, and nearly everyone ages with chronic multimorbidity. In this supplement on the care of patients with multiple chronic conditions, readers of Health Service Research will find a collection of reports that offer evidence about health services research's response to the problem of chronic multimorbidity.In this commentary, I focus on the role that primary care and health services research can play in responding to this challenge, with particular attention to the centrality of care itself.How to cite this article: Montori VM. Removing the blindfold:The centrality of care in caring for patients with multiple chronic conditions.

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“…This special article makes the case for transforming direct care jobs and stabilizing this workforce as a centerpiece of efforts to reimagine LTSS access, quality, and outcomes. The ideas presented here build on decades of direct care workforce research, advocacy, and incremental policy and practice reform 1 dbut they are newly energized by the urgency of the workforce crisis; animated by the unprecedented public and political attention on LTSS and direct care jobs; characterized by a coherent perspective on this workforce across occupational roles and settings; and distinguished by an explicit commitment to promoting equity and social justice for all those who receive and provide LTSS.…”

Section: Introductionmentioning

confidence: 99%