Ontario Association of Residents' Councils, Markham, Ontario, Canada
Ontario Association of Residents' Councils, Markham, Ontario, Canada.
BMJ Open. 2024 Feb 6;14(2):e077791. doi: 10.1136/bmjopen-2023-077791.
Canada's long-term care (LTC) homes were founded on an institutional model that viewed residents as passive recipients of care. Many homes continue to follow this model leaving residents removed from operational decision-making within their homes. However, involving residents in the design of their LTC home's environment, programmes and operations can improve the residents' quality of life and other outcomes. This codesign project creates a toolkit/resource for LTC homes to facilitate meaningful resident engagement in their home's organisational design and governance.
This three-part project consists of a scoping review, qualitative interviews, toolkit/resource development and prototyping. In part 1, we conduct a scoping review to synthesise existing knowledge on approaches to engaging LTC home residents in organisational design and governance of their LTC homes, as well as explore barriers, challenges and facilitators of engagement, considerations for diversity and cognitive change, and approaches to evaluation. In part 2, we will have interviews and focus groups with residents, team members (staff) and administrators to assess community capacity to implement and sustain a programme to engage LTC residents in organisational design and governance of their LTC homes. The third part of our project uses these findings to help codesign toolkit(s)/resource(s) to enable the engagement of LTC residents in the organisational design and governance of their LTC homes.
The project is conducted in partnership with the Ontario Association of Residents' Councils. We will leverage their communication to disseminate findings and support the use of the codesigned toolkit(s)/resource(S) with knowledge users. We will also publish the study results in an academic journal and present at conferences, webinars and workshops. These results can influence practices within LTC homes by inspiring an organisational culture where residents help shape the place they call home. The interviews and focus groups, conducted in part 2, have been submitted to the University Health Network Research Ethics Board.
加拿大的长期护理（LTC）院建立在一种机构模式之上，该模式将居民视为被动的护理接受者。许多养老院仍然遵循这种模式，使居民无法参与他们所在养老院的运营决策。然而，让居民参与设计他们的长期护理院的环境、计划和运营，可以提高居民的生活质量和其他结果。这个共同设计项目为长期护理院创建了一个工具包/资源，以促进居民有意义地参与他们所在家庭的组织设计和治理。
这个三部分项目包括范围审查、定性访谈、工具包/资源开发和原型设计。在第 1 部分中，我们进行范围审查，以综合现有知识，了解让长期护理院居民参与他们所在长期护理院的组织设计和治理的方法，以及探索参与的障碍、挑战和促进因素、多样性和认知变化的考虑因素，以及评估方法。在第 2 部分，我们将对居民、团队成员（工作人员）和管理人员进行访谈和焦点小组讨论，以评估社区实施和维持一项计划的能力，该计划旨在让长期护理院居民参与他们所在长期护理院的组织设计和治理。我们项目的第三部分使用这些发现来帮助共同设计工具包/资源，以实现长期护理院居民参与他们所在长期护理院的组织设计和治理。
该项目是与安大略省居民委员会协会合作进行的。我们将利用他们的沟通渠道来传播研究结果，并支持知识用户使用共同设计的工具包/资源。我们还将在学术期刊上发表研究结果，并在会议、网络研讨会和研讨会上进行演示。这些结果可以通过激发一种居民帮助塑造他们称之为家的地方的组织文化，影响长期护理院的实践。第 2 部分中进行的访谈和焦点小组已提交给大学健康网络研究伦理委员会。
