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Using the Ecological Framework to identify barriers and enablers to implementing Namaste Care in Canada’s long-term care system

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Using the Ecological Framework to identify barriers and enablers to implementing Namaste Care in Canada’s long-term care system. / Hunter, Paulette; Kaasalainen, Sharon; Froggatt, Katherine Alison; Ploeg, J.; Dolovich, L.; Simard, Joyce; Salsali, M.

In: Annals of Palliative Medicine, Vol. 6, No. 4, 01.10.2017, p. 340-353.

Research output: Contribution to journalJournal article

Harvard

Hunter, P, Kaasalainen, S, Froggatt, KA, Ploeg, J, Dolovich, L, Simard, J & Salsali, M 2017, 'Using the Ecological Framework to identify barriers and enablers to implementing Namaste Care in Canada’s long-term care system' Annals of Palliative Medicine, vol. 6, no. 4, pp. 340-353. https://doi.org/10.21037/apm.2017.06.14

APA

Hunter, P., Kaasalainen, S., Froggatt, K. A., Ploeg, J., Dolovich, L., Simard, J., & Salsali, M. (2017). Using the Ecological Framework to identify barriers and enablers to implementing Namaste Care in Canada’s long-term care system. Annals of Palliative Medicine, 6(4), 340-353. https://doi.org/10.21037/apm.2017.06.14

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Author

Hunter, Paulette ; Kaasalainen, Sharon ; Froggatt, Katherine Alison ; Ploeg, J. ; Dolovich, L. ; Simard, Joyce ; Salsali, M. / Using the Ecological Framework to identify barriers and enablers to implementing Namaste Care in Canada’s long-term care system. In: Annals of Palliative Medicine. 2017 ; Vol. 6, No. 4. pp. 340-353.

Bibtex

@article{14913651be884e0c82ce1999b3979978,
title = "Using the Ecological Framework to identify barriers and enablers to implementing Namaste Care in Canada’s long-term care system",
abstract = "Background: Higher acuity of care at the time of admission to long-term care (LTC) is resulting in a shorter period to time of death, yet most LTC homes in Canada do not have formalized approaches to palliative care. Namaste Care is a palliative care approach specifically tailored to persons with advanced cognitive im-pairment who are living in LTC. The purpose of this study was to employ the ecological framework to identify barriers and enablers to an implementation of Namaste Care. Methods: Six group interviews were conducted with families, unlicensed staff, and licensed staff at two Canadian LTC homes that were planning to implement Namaste Care. None of the interviewees had prior experience implementing Namaste Care. The resulting qualitative data were analyzed using a template organizing approach.Results: We found that the strongest implementation ena-blers were positive perceptions of need for the program, benefits of the program, and fit within a resident-centred or palliative approach to care. Barriers included a generally low resource base for LTC, the need to adjust highly developed routines to accommodate the program, and reliance on a casual work force. Conclusions: We conclude that within the Canadian LTC system, positive perceptions of Namaste Care are tempered by concerns about organizational capacity to support new programming.",
author = "Paulette Hunter and Sharon Kaasalainen and Froggatt, {Katherine Alison} and J. Ploeg and L. Dolovich and Joyce Simard and M. Salsali",
year = "2017",
month = "10",
day = "1",
doi = "10.21037/apm.2017.06.14",
language = "English",
volume = "6",
pages = "340--353",
journal = "Annals of Palliative Medicine",
issn = "2224-5820",
publisher = "AME Publishing Company",
number = "4",

}

RIS

TY - JOUR

T1 - Using the Ecological Framework to identify barriers and enablers to implementing Namaste Care in Canada’s long-term care system

AU - Hunter, Paulette

AU - Kaasalainen, Sharon

AU - Froggatt, Katherine Alison

AU - Ploeg, J.

AU - Dolovich, L.

AU - Simard, Joyce

AU - Salsali, M.

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Background: Higher acuity of care at the time of admission to long-term care (LTC) is resulting in a shorter period to time of death, yet most LTC homes in Canada do not have formalized approaches to palliative care. Namaste Care is a palliative care approach specifically tailored to persons with advanced cognitive im-pairment who are living in LTC. The purpose of this study was to employ the ecological framework to identify barriers and enablers to an implementation of Namaste Care. Methods: Six group interviews were conducted with families, unlicensed staff, and licensed staff at two Canadian LTC homes that were planning to implement Namaste Care. None of the interviewees had prior experience implementing Namaste Care. The resulting qualitative data were analyzed using a template organizing approach.Results: We found that the strongest implementation ena-blers were positive perceptions of need for the program, benefits of the program, and fit within a resident-centred or palliative approach to care. Barriers included a generally low resource base for LTC, the need to adjust highly developed routines to accommodate the program, and reliance on a casual work force. Conclusions: We conclude that within the Canadian LTC system, positive perceptions of Namaste Care are tempered by concerns about organizational capacity to support new programming.

AB - Background: Higher acuity of care at the time of admission to long-term care (LTC) is resulting in a shorter period to time of death, yet most LTC homes in Canada do not have formalized approaches to palliative care. Namaste Care is a palliative care approach specifically tailored to persons with advanced cognitive im-pairment who are living in LTC. The purpose of this study was to employ the ecological framework to identify barriers and enablers to an implementation of Namaste Care. Methods: Six group interviews were conducted with families, unlicensed staff, and licensed staff at two Canadian LTC homes that were planning to implement Namaste Care. None of the interviewees had prior experience implementing Namaste Care. The resulting qualitative data were analyzed using a template organizing approach.Results: We found that the strongest implementation ena-blers were positive perceptions of need for the program, benefits of the program, and fit within a resident-centred or palliative approach to care. Barriers included a generally low resource base for LTC, the need to adjust highly developed routines to accommodate the program, and reliance on a casual work force. Conclusions: We conclude that within the Canadian LTC system, positive perceptions of Namaste Care are tempered by concerns about organizational capacity to support new programming.

U2 - 10.21037/apm.2017.06.14

DO - 10.21037/apm.2017.06.14

M3 - Journal article

VL - 6

SP - 340

EP - 353

JO - Annals of Palliative Medicine

JF - Annals of Palliative Medicine

SN - 2224-5820

IS - 4

ER -