on behalf of the WE-THRIVE Group Authorship Statement: The following are members of WE-THRIVE (Worldwide Elements to Harmonize Research in Long Term Care Living Environments): [To insert all participants in domain discussions and IAGG-GSA session who wish to be included; we are following the ICMJE guidelines for consortium authorship, as operationalized by BMJ Special articles do not involve original research but instead provide novel interpretation or synthesis of information in 1 an area of general interest to readers of the journal. Examples of special articles include consensus statements, 2 clinical tools, practice guidelines, and discussion of new policies or regulations. Manuscripts may be solicited by the 3 editors or submitted at the initiative of authors. The body of the submission (excluding abstract and references) 4should generally be limited to 3,000 words; it can include 3 tables or figures, and 50 references. An unstructured 5 abstract of up to 300 words is required, and specific headings to organize the text are not prescribed; however, the 6 text should conclude with a section entitled "Implications for Practice, Policy, and/or Research." 7 8 ABSTRACT 9To support person-centered, residential long-term care internationally, a consortium of 10 researchers in medicine, nursing, behavioral and social sciences from 21 geographically and 11 economically diverse countries have launched the WE-THRIVE initiative to develop a common 12 data infrastructure. The consortium aims to identify measurement domains that are 13 internationally relevant, including in low and middle income countries, prioritize concepts to 14 operationalize domains, and specify a set of data elements to measure concepts that can be used (CDEs) initiative. Four domains were identified, including organizational context; workforce and 21 staffing; person-centered care; and care outcomes. Using a nominal group process, WE-22 103 who facilitated domain-specific discussions. Domain-specific discussions focused on potential 104 concepts in each domain that were common to LTC settings across represented countries. The 105 domain committee chairs met in monthly WE-THRIVE steering committee meetings to report 106 updates and share challenges and ideas across subgroups. Figure 1 summarizes the 107 developmental timeline of WE-THRIVE's work, totaling 8 steering committee meetings and 9 108 domain committee meetings that occurred in preparation for IAGG 2017.
109Because of the group's commitment to global inclusiveness, a standing item for the 110 steering committee and the domain committee meetings was to identify new WE-THRIVE 111 members, especially those from low and middle-income countries (LMICs), to vet the work to 112 date. We built an inclusive, flexible network of researchers with ongoing participation through 113 face-to-face or distance-based technology that was not limited to researchers who could attend 114 IAGG 2017. This approach is consistent with the ESSENCE on Health Research initiative's 115 principle of building collaborativ...
The aim of this review is to develop a common data element for the concept of
staff retention and turnover
within the domain of
workforce and staffing
. This domain is one of four core domains identified by the WE-THRIVE (
W
orldwide
E
lements to
H
armonize
R
esearch
i
n Long-Term Care Li
v
ing
E
nvironments) group in an effort to establish an international, person-centered long-term care research infrastructure. A rapid review identified different measurement methods to assess either turnover or retention at facility level or intention to leave or stay at the individual staff level. The selection of a recommended measurement was guided by the WE-THRIVE group’s focus on capacity rather than deficits, the expected availability of internationally comparable data, and the goal to provide a short, ecologically viable measurement. We therefore recommend to measure staff’s intention to stay with a single item, at the individual staff level. This element, we argue, is an indicator of staff stability, which is important for reduced organizational cost and improved productivity, positive work environment, and better resident–staff relationships and quality of care.
An increase in older people coupled with growing life expectancy has created a higher demand for long-term care (LTC) services in the global North. Recruitment of staff with an immigrant background has been a solution to meet this demographic challenge. Research shows that linguistic barriers and cultural differences can influence immigrant carers’ abilities to offer adequate care, while less is known about workplace training and intra-collegial support. This article explores systems and practices of training offered to new employees with immigrant backgrounds, and how the qualification process unfolds in daily work in nursing homes in Norway through an intersectional perspective focusing on the interlocking of gender, class and migrancy. The article shows that organizational conditions together with incomplete training combined with attitudes of ‘willful ignorance’ maintain privilege and oppression in these workplaces. The increased immigrant participation and their labor trajectories indicate the emergence of a new immigrant niche in the lower tiers of the LTC sector. The article contributes to the literature of migration, gender, healthcare services and labor by exploring immigrants’ situated labor experiences within changing institutional conditions in LTC.
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