Factors Associated With the Quality of Life of Nursing Home Residents During the COVID-19 Pandemic: A Cross-Sectional Study

Hoben, Matthias; Dymchuk, Emily; Corbett, Kyle; Devkota, Rashmi; Shrestha, Shovana; Lam, Jenny; Banerjee, Sube; Chamberlain, Stephanie; Cummings, Greta G.; Doupe, Malcolm; Duan,; Keefe, Janice; OʼRourke, Hannah M; Saeidzadeh, Seyedehtanaz; Song, Yuting; Estabrooks, A.

doi:10.1016/j.jamda.2023.03.033

Cited by 7 publications

(3 citation statements)

References 45 publications

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“…Accordingly, factors affecting residents’ HRQoL may be different in residents with acute and chronic pain and in residents assessed using self, proxy, or observation-based pain assessment [ 28 ]. Similarly, prior studies have shown that QoL in LTC residents may vary by sex/gender [ 38 ], race/ethnicity [ 49 , 84 ], study country of origin [ 85 ], and LTC organizational context [ 86 , 87 ]. Therefore, we will conduct sub-group analysis to report factors associated with HRQoL by type of pain (acute/chronic), pain assessment methods (self-report, proxy-report, observation), sex/gender, race/ethnicity, study country of origin, and LTC organizational context if we identify enough studies that allow stratification.…”

Section: Methodsmentioning

confidence: 94%

Factors influencing health-related quality of life among long-term care residents experiencing pain: a systematic review protocol

Shrestha,

Cummings,

Knopp-Sihota

et al. 2024

Syst Rev

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Background Pain is highly burdensome, affecting over 30% of long-term care (LTC) residents. Pain significantly reduces residents’ health-related quality of life (HRQoL), limits their ability to perform activities of daily living (ADLs), restricts their social activities, and can lead to hopelessness, depression, and unnecessary healthcare costs. Although pain can generally be prevented or treated, eliminating pain may not always be possible, especially when residents have multiple chronic conditions. Therefore, improving the HRQoL of LTC residents with pain is a priority goal. Understanding factors influencing HRQoL of LTC residents with pain is imperative to designing and evaluating targeted interventions that complement pain management to improve residents’ HRQoL. However, these factors are poorly understood, and we lack syntheses of available research on this topic. This systematic review protocol outlines the methods to identify, synthesize, and evaluate the available evidence on these factors. Methods This mixed methods review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. We will systematically search Medline, EMBASE, PsycINFO, CINAHL, Scopus, Cochrane Database of Systematic Reviews and ProQuest Dissertation and Thesis Global from database inception. We will include primary studies and systematically conducted reviews without restrictions to language, publication date, and study design. We will also include gray literature (dissertation and reports) and search relevant reviews and reference lists of all included studies. Two reviewers will independently screen articles, conduct quality appraisal, and extract data. We will synthesize results thematically and conduct meta-analyses if statistical pooling is possible. Residents and family/friend caregivers will assist with interpreting the findings. Discussion This proposed systematic review will address an important knowledge gap related to the available evidence on factors influencing HRQoL of LTC residents with pain. Findings will be crucial for researchers, LTC administrators, and policy makers in uncovering research needs and in planning, developing, and evaluating strategies in addition to and complementary with pain management to help improve HRQoL among LTC residents with pain. Systematic review registration PROSPERO CRD42023405425

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Section: Methodsmentioning

confidence: 94%

Factors influencing health-related quality of life among long-term care residents experiencing pain: a systematic review protocol

Shrestha,

Cummings,

Knopp-Sihota

et al. 2024

Syst Rev

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“…A recent Canadian study found that non-English speaking NH residents had an increased risk of hospitalization [ 37 ]. Our work in the Canadian province of Alberta found lower QoL among racialized NH residents [ 38 ]. Canadian qualitative studies illustrate barriers encountered by racialized older adults in accessing healthcare services [ 39 ], and the multiple challenges they face in maintaining good QoL in assisted living [ 40 ].…”

Section: Introductionmentioning

confidence: 99%

Counting what counts: assessing quality of life and its social determinants among nursing home residents with dementia

Hoben,

Dymchuk,

Doupe

et al. 2024

BMC Geriatr

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Background Maximizing quality of life (QoL) is a major goal of care for people with dementia in nursing homes (NHs). Social determinants are critical for residents' QoL. However, similar to the United States and other countries, most Canadian NHs routinely monitor and publicly report quality of care, but not resident QoL and its social determinants. Therefore, we lack robust, quantitative studies evaluating the association of multiple intersecting social determinants with NH residents’ QoL. The goal of this study is to address this critical knowledge gap. Methods We will recruit a random sample of 80 NHs from 5 Canadian provinces (Alberta, British Columbia, Manitoba, Nova Scotia, Ontario). We will stratify facilities by urban/rural location, for-profit/not-for-profit ownership, and size (above/below median number of beds among urban versus rural facilities in each province). In video-based structured interviews with care staff, we will complete QoL assessments for each of ~ 4,320 residents, using the DEMQOL-CH, a validated, feasible tool for this purpose. We will also assess resident’s social determinants of QoL, using items from validated Canadian population surveys. Health and quality of care data will come from routinely collected Resident Assessment Instrument – Minimum Data Set 2.0 records. Knowledge users (health system decision makers, Alzheimer Societies, NH managers, care staff, people with dementia and their family/friend caregivers) have been involved in the design of this study, and we will partner with them throughout the study. We will share and discuss study findings with knowledge users in web-based summits with embedded focus groups. This will provide much needed data on knowledge users' interpretations, usefulness and intended use of data on NH residents’ QoL and its health and social determinants. Discussion This large-scale, robust, quantitative study will address a major knowledge gap by assessing QoL and multiple intersecting social determinants of QoL among NH residents with dementia. We will also generate evidence on clusters of intersecting social determinants of QoL. This study will be a prerequisite for future studies to investigate in depth the mechanisms leading to QoL inequities in LTC, longitudinal studies to identify trajectories in QoL, and robust intervention studies aiming to reduce these inequities.

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“… 26 27 This complex web of worry and stress undeniably rippled outward, and affected the quality of care they provided. 28 …”

Section: Introductionmentioning

confidence: 99%

Burnout among care workers in long-term care institutions: a systematic review and meta-analysis protocol

Su,

Zhao,

et al. 2024

BMJ Open

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IntroductionCare workers play a fundamental role in delivering care services in long-term care institutions. Burnout has been found to have a negative impact on care recipients and organisations providing care. Little is known about the key factors associated with care workers’ burnout. This systematic review aims to explore the prevalence, severity and correlates of burnout among care workers before and during COVID-19 pandemic.Methods and analysisA five-stage framework outlined by Whittemore and Knafl will be used. The following databases will be used to identify relevant literature, including Medline (PubMed), EMBASE, Cochrane library, PsycINFO, CINAHL, Scopus and Web of Science. RevMan will be used to assist the meta-analysis. Heterogeneity of the included studies will be tested using theI2test.Ethics and disseminationNo ethics approval is required as this study only involves secondary data analysis. The findings will be published in peer-reviewed journals and presented at relevant conferences.PROSPERO registration numberCRD42024499178.

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Factors Associated With the Quality of Life of Nursing Home Residents During the COVID-19 Pandemic: A Cross-Sectional Study

Cited by 7 publications

References 45 publications

Factors influencing health-related quality of life among long-term care residents experiencing pain: a systematic review protocol

Factors influencing health-related quality of life among long-term care residents experiencing pain: a systematic review protocol

Counting what counts: assessing quality of life and its social determinants among nursing home residents with dementia

Burnout among care workers in long-term care institutions: a systematic review and meta-analysis protocol

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