Seniors: Adding Life to Years (SALTY)
Start/End Dates: 2016 – 2020
Investigators: Keefe J (PI),Estabrooks CA (Co-PI), Andrew M, Armstrong H, Armstrong P, Aubrecht K, Berta W, Bourgeault I, Braedley S, Burger F, Cloutier-Fisher D, Cummings GG, Daly T, Gruneir A, Hoben M, Marshall E, McGregor M, Norton PG, Poss J, Stajduhar K, Cook H, English P, Grabusic C, Hillmer M, Schalm C, Silvius JU, Stevens S, Taylor D, Teare G, MacDonald L, Fifield H, Findlay E, Forbes F, Janz T, Kjorven M, lePair Y, Lynam C, Mann J, Nicol J, Norman K, Waugh J.
Funder: CIHR Team Grant - Late Life Issues
Grant Amount: CIHR-$1,397,931, Partner Funding-$637,500
Description: SALTY will address the health system’s current failure to secure quality of life and quality of care for older adults living in LTC. Part of this problem can be attributed to a bias in LTC for treatment over care. SALTY aims to determine how LTC facilities can best provide care in a person’s last days, months and years of life, in terms of both clinical needs and social needs such as support, meaningful engagement and relationships. SALTY seeks to optimize how LTC facilities promote and support what Atul Gawande describes as “a good life to the very end”25 for the older adults in their care.
SALTY’s program of research is organized in 4 interrelated research Streams. Each Stream applies a different perspective to the late life trajectory in LTC:
1) Stream 1 - Monitor care practices: What are appropriate approaches to longitudinal monitoring of care quality and outcome measures during late life for older adults in residential LTC facilities?
2) Stream 2 – Map care relationships: What are promising relational approaches to care in LTC? How do highly promising approaches to late life in LTC enhance quality care at the level of care relationships?
3) Stream 3 - Evaluate innovative practice: Can we successfully implement, evaluate and scale an internationally acclaimed care innovation designed to improve end of life care in LTC facilities?
4) Stream 4 - Examine policy context: What policies support or offer barriers for promising approaches to quality of late life in LTC?
Safer Care for Older People in (residential) Environments (SCOPE)
Start/End Dates: 2016 – 2019
Investigators: Wagg AS (PI), Estabrooks CA (Co-PI), Andersen E, Anderson M, Anderson R, Baunbusch J, Berta WB, Clement F, Cranley L,Cummings GG, Dearing J, Doupe M, Ginsburg L, Holroyd-Leduc J, Keefe J, Knopp-Sihota J, Lanham H, McGregor M, Norton P, Profetto-McGrath J, Reid C, Senthilselvan S, Smith M, Squires J, Anderson C, Collins M, Dacombe Dewar L, Forbes H, Kozak-Campbell C, Lamont L, McKenzie I, Mansell L, McLeod D, Regier C, Risling E, Taylor D, Thompson G, Trinidad G, Schultz M
Grant Amount: $913,577
Description: SCOPE is a randomized controlled trial which examines the effect of a quality improvement (QI) intervention which empowers Care Aides to take the lead on improvement strategies within their nursing home. SCOPE also aims to improve quality of work life for staff, demonstrated by measures of work engagement, staff empowerment and job satisfaction.
For more information see the TREC website.
Improving Nursing Home Care through Feedback On PerfoRMance Data (INFORM)
Start/End Dates: 2015 – 2018
Investigators: Estabrooks C (PI); Wagg A (co-PI); Andersen E, Anderson R, Baumbusch J, Berta W, Doupe M, Keefe J, Cranley L, Cummings GG, Dearing J, Ginsburg L, Hoben M, McGregor M, Norton P, Lanham H, Profetto-McGrath J, Reid C, Senthilselvan A, Smith M, Squires J, Teare G, Thompson G; Anderson C, Anderson M, Bloemink K, Cook H, Collins M, Dacombe Dewar L, Davidson H, Klaasen K, Lamont L, Mansell L, McBain K, Regier C, Risling E, Schalm C, Taylor D, Trinidad G (KUs); Nicklin W, Schutz M (Collaborators).
Grant Amount: $756,827
Description: This project will evaluate a tailored intervention targeting the leaders of clinical microsystems (care units) in residential long term care (nursing home) settings. Our aims are to:
- Evaluate and compare three feedback strategies – a standard feedback strategy and two assisted and goal-directed feedback strategies;
- Assess the sustainability and possible longer term effects of each strategy; and
- Refine, based on the outcomes of this evaluation, a practical assisted feedback strategy for use in the nursing home sector that specifically targets the leaders of their clinical microsystems.
Finding an effective and affordable approach to performance feedback derived from research findings will advance the field significantly and improve our ability to offer strong return from applied health services research done in partnership with system stakeholders.