Posted: December 19th, 2022
Literature Evaluation Table
PICOT: benefits of continuous training for the employee in long-term care facilities to provide adequate care for the elderly
|Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article||Article Title and Year Published
|Research Questions/ Hypothesis, and Purpose/Aim of Study
|Design (Quantitative, Qualitative, or other)
|Methods: Intervention/ Instruments
|Explanation of How the Article Supports Your Proposed EBP Practice Project Proposal|
|Chu, C. H., McGilton, K. S., Spilsbury, K., Le, K. N., Boscart, V., Backman, A., Fagertun, A., Devi, R., & Zúñiga, F. Gerontology and Geriatric Medicine. https://doi.org/10.1177/2333721421999312||Strengthening International Research in Long-Term Care: Recommended Common Data Elements to Support Clinical Staff Training, 2021. NUR 550 RS5 Literature Evaluation Table
|The aim of the study was to develop a training program that supports international research for medical personnel in long-term care facilities.||Qualitative design that applied a literature review approach that explored available current literature on the research topic.||Literature search conducted in Medline, Embase, CINAHL, HAPI, and Google Scholar.||Literature search conducted.||Analysis of search results based on completeness of literature and suitable common data elements.||Staff training required on facilitating international research, assisting in policy, and decision-making regarding long-term care.||Capacity of medical personnel in long-term care facilities can be improved by subjecting them to training on facilitating international research, assisting in policy, and decision-making regarding long-term care.||The article supports the proposed EBP practice project proposal by highlighting the need for personnel in long-term care facilities to be subjected to continuous training.|
|Wang, L., Chen, H., Yang, L., Qian, C., Sun, D., & Sun, Y. Medicine, https://doi.org/10.1097/MD.0000000000020559||Systematic training program for nursing home staff based on the concept of combination of medicine and care, 2020.||The aim of the study was to a training program for medical personnel in nursing homes.||Quantitative design, experimental approach that had an experimental and control group with the results subjected to statistical analysis.||34 nursing staff working in nursing homes in Qiqihar City.||Experimental group subjected to systematic training at three levels for 4 months.||Competence scores compared for experimental and control groups.
Living quality of the elderly in nursing home.
Satisfaction levels of the elderly in nursing home.
|Experimental group reported significantly higher competence scores when compared to the control group. Also, living quality and satisfaction levels of elderly were higher for nursing staff in experimental group when compared to the nursing staff in the control group.||Nursing staff should be routinely subjected to systematic training based on concept of combination of medicine and care.||The article supports the proposed EBP practice project proposal by presenting evidence to show that training personnel improves their capacity to provide adequate care to elderly in long-term care facilities.|
|Lamppu, P. J., Laakkonen, M-L., Finne-Soveri, H., Kautianen, H., Laurila, J. V., & Pitkala, K. H. Journal of Pain and Symptom Management. https://doi.org/10.1016/j.jpainsymman.2021.03.020||Training Staff in Long-Term Care Facilities–Effects on Residents’ Symptoms, Psychological Well-Being, and Proxy Satisfaction, 2021.||The aim of the study was to conduct an investigation on how training affects medical staff management of pain symptoms, psychological wellbeing, and satisfaction in long-term care facilities.||Quantitative design, cluster randomized controlled trial.||324 residents in with end-of-life care needs in 20 long-term care facilities wards in Helsinki.||Training intervention including four 4-hour educational workshop on palliative care principles.||Residents assessed for symptoms, pain, psychological well-being, and proxies’ satisfaction.||Intervention group had better symptoms management results at 6 months, although the effects were diluted 12 months. Pain management, psychological wellbeing and proxies’ satisfaction scores were not affected by the intervention.||Nursing staff be subjected to palliative care training intervention to help improve the symptoms of residents.||The article supports the proposed EBP practice project proposal by highlighting that training intervention helps to improve the capacity of nurses to provide adequate care to elderly in long-term care facilities.|
|Tak, Y. R., Woo, H. Y., Yi, L. H., & Kim, A. R. International Journal of Qualitative Studies on Health and Well-being. https://doi.org/10.1080/17482631.2019.1565238||Useful lessons for the provision of services in long-term care facilities in South Korea: operators’ experiences illuminate the phenomenon of working with the elderly in the field, 2019.||The aim of the study was to collect insights of facility operators on elderly long-term care facilities.||Qualitative design, phenomenological study with 10 participants.||10 participants who operate nursing home businesses.||Interviews with the participants.||Thematic analysis of the interview responses.||Four themes identified: obtaining hope by providing care, struggling desperately in practice, ream of an ideal long-term care facility, and starting as a facility operator.||There are diverse barriers and hardships that operators face in offering person-centered health care services. There is a need to address these barriers.||The article supports the proposed EBP practice project proposal by highlighting that there are significant shortcomings in the capacity of long-term care facilities to meet the needs of their elderly patients/residents.|
|Wu, C-S., & Rong, J-R. BMC Geriatrics, https://doi.org/10.1186/s12877-020-01679-5||Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study, 2020.||The aim of the study was to explore the experiences of elderly residents in a long-term care facility NUR 550 RS5 Literature Evaluation Table.||Qualitative design.||16 elderly patients who relocated to and lived in long-term care facility in Taiwan for up to 12 months.||Semi-structured in-depth interviews with participants.||Thematic analysis of interview responses.||Four themes identified: acceptance and engagement, value tailored care, perceived barriers to adaptation, and stay connected with family and wish to while minimizing burden.||Relocating elderly persons to a long-term care facility is a dynamic process that involves a range of experiences, feelings and emotions. Planning the relocation with provisions for individually tailored care helps to maximize the adaptation.||The article supports the proposed EBP practice project proposal by highlighting that individually tailored care is required for residents in long-term care facilities. The identified shortcomings show that standard training does not prepare facility personnel well to meet the needs of patients.|
|Yen, M-Y., Schwartz, J., King, C-C., Lee, C-M., & Hsueh, P-R. Journal of Microbiology, Immunology and Infection, https://doi.org/10.1016/j.jmii.2020.04.003||Recommendations for protecting against and mitigating the COVID-19 pandemic in long-term care facilities, 2020.||The aim of the study was to highlight the relative lack of attention to Covid-19 outbreak concern facing the vulnerable elderly community residing in long-term care facilities.||Qualitative design.||Literature review.||Searched for literature relevant to the research topic.||Synthesis of the secondary literature.||Long-term care facilities are highly dynamic, a situation that the vulnerable community of elderly contributes to.||Medical personnel in long-term care facilities must be ready to meet the dynamic needs of the residents.||Although the article talks of Covid-19 and need for enhanced traffic control bundling to protect the residents and staff against the virus, it shows that the long-term care facility environment keeps changing, and that staff must be ready to apply innovative approaches in addressing the changes. Routine training would equip medical personnel with the tools to provide better care by anticipating and addressing the dynamic changes as they occur.|
|Lan, S-H., Lu, L-C., Lan, S-J., & Chen, J. The Kaohsiung Journal of Medical Sciences, https://doi.org/10.1016/j.kjms.2017.05.012||Educational intervention on physical restraint use in long-term care facilities – Systematic review and meta-analysis, 2017.||The aim of the study was to determine of education programs among medical personnel in long-term care facilities are effective in reducing the use of physical restraints.||Qualitative design. NUR 550 RS5 Literature Evaluation Table||Systematic review.||Literature search in databases: Physiotherapy Evidence Database, Ovid Medline, Web of Science, EBSCO, EMBASE, ProQuest, and Cochrane Library.||Meta-analysis of literature.||Education group used physical restraints less often when compared to control group. Also, period of post education decreases the effect of the restraint education. Longer education period and more times of education have stronger effect of reducing use of physical restraint.||Medical personnel in long-term care facilities be subjected to continuous training to improve their ability to provide adequate care.||The article supports the proposed EBP practice project proposal by highlighting that continuous training improve the ability of medical personnel in long-term care facilities to provide adequate care.|
|Chen, H., Feng, H., Liao, L., Wu, X., Zhao, Y., Hu, M., Li, H., Hu, H., & Yang, X. Journal of Clinical Nursing, https://doi.org/10.1111/jocn.15289
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|Evaluation of quality improvement intervention with nurse training in nursing homes: A systematic review, 2020.||The aim of the study was to evaluate quality improvement intervention designs, and present training programs that support the design for nurses.||Qualitative design.||Systematic review.||Literature search in CINAHL, Cochrane Library, EMBASE, and Medline.||Meta-analysis of literature.||Care quality is affected by provision of advanced training, available training resources, feedback process, building quality improvement teams, setting up mentors, nursing leadership training, external cooperation, and leadership empowerment.||Adapting measures that are compatible with nurse training may ensure a successful implementation of quality improvement programs that are conducive to the effective improvement of service quality.||The article supports the proposed EBP practice project proposal by highlighting the need for training to improve the capacity of medical personnel to provide adequate care.|
|Liu, Q., Luo, D., Haase, J. E., Guo, Q., Wang, X. Q., Liu, S., Xia, L., Liu, Z., Yang, J., & Yang, B. X. The Lancet, https://doi.org/10.1016/S2214-109X(20)30204-7||The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study, 2020.||The aim of the study was to describe the experiences of medical personnel during the early stages of Covid-19 outbreak.||Qualitative design, empirical phenomenological approach.||9 nurses and 4 physicians in 5 Covid-19 designated hospitals in Hubei Province, China.||Semi-structured, in-depth interviews by telephone.||Thematic analysis using Haase’s adaptation of Colaizzi’s phenomenological method.||Three themes: resilience amid challenges, challenges of working on Covid-19 wards, and the duty of being fully responsible for the wellbeing of patients.||Regular and intensive training for all health-care providers is necessary to promote preparedness and efficacy in crisis management.||The article supports the proposed EBP practice project proposal by highlighting the need for routine training to prepare medical personnel to meet existing and emerging needs.|
|Fulmer, T., Reuben, D. B., Aurbach, J., Fick, D. M., Galambos, C., & Johnson, K. S. Health Affairs, https://doi.org/10.1377/hlthaff.2020.01470||Actualizing Better Health And Health Care For Older Adults, 2021. NUR 550 RS5 Literature Evaluation Table||The aim of the study was to explore that approaches that can be applied to improve the quality of life and care of elderly persons.||Qualitative design NUR 550 RS5 Literature Evaluation Table.||Systematic review.||Searched for literature relevant to the research topic.||Synthesis of the secondary literature.||Six vital directions to improve the quality of life and care of elderly persons: create an adequately prepared workforce; strengthen the role of public health; remediate disparities and inequities; develop, evaluate, and implement new approaches to care delivery; allocate resources to achieve patient-centered care and outcomes, including palliative and end-of-life care; and redesign the structure and financing of long-term services and supports.||Medical staff must be well prepared to meet the care needs of older Americans. In addition, they must be allocated resources.||The article supports the proposed EBP practice project proposal by indicating that medical personnel should be prepared and allocated resources, and routine training helps to keep them prepared even as it allocated the resources they need.|
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