Implementation of a Mental Health Guideline in a Long-Term Care Home: A Participatory Action Approach

Authors

  • Maria Huijbregts Department of Quality, Safety and Best Practice, Baycrest, Toronto, Ontario; Kunin-Lunenfeld Applied Research Unit – Baycrest, Toronto; Department of Physical Therapy, University of Toronto, Toronto, Ontario
  • Lisa Guttman Sokoloff Department of Quality, Safety and Best Practice, Baycrest, Toronto, Ontario; Department of Speech Pathology, Faculty of Medicine, University of Toronto, Toronto, Ontario
  • Sid Feldman Department of Family and Community Medicine, Baycrest, Toronto, Ontario; Care of the Elderly Program, Department of Family and Community Medicine, University of Toronto
  • David K. Conn Dept. of Psychiatry, Baycrest and Faculty of Medicine, University of Toronto
  • Kelsey Simons Kunin-Lunenfeld Applied Research Unit – Baycrest, Toronto; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario
  • Leenah Walsh
  • Lynda Dunal Department of Quality, Safety and Best Practice, Baycrest, Toronto, Ontario; Department of Occupational Science and Occupational Therapy, Faculty of Medicine University of Toronto
  • Ruth Goodman Social Work, Baycrest, Toronto, Ontario; School of Social Work, York University, Toronto; Faculty of Social Work, University of Toronto.
  • Nasreen Khatri Mood and Related Disorders Clinic/ Cognitive Behaviour Therapy, Cross-appointed to Cognitive and Behavioural Health Program, Baycrest, Toronto, Ontario

DOI:

https://doi.org/10.22230/jripe.2012v2n2a71

Keywords:

Long-term care, Mental health, Guideline implementation, Participatory action research, Knowledge translation

Abstract

Abstract
Background: The goal of this pilot study was to implement a Canadian mental health guideline in a long-term care residence in order to improve interprofessional care of clients with mood and behavioural issues.
Methods: Using a participatory action approach, this pilot study engaged staff/physicians, residents, and families in identifying key priorities for action related to the goal of improving interprofessional care. This resulted in the implementation of educational interventions, a mandate for non-registered nursing staff to attend interprofessional rounds, and enhanced interprofessional collaboration through unit-based huddles. A staff satisfaction survey and focus groups were conducted to assess perceptions of change.
Findings: The staff satisfaction survey revealed statistically significant improvements in perceived job satisfaction, leadership, and workplace resources. Focus group findings indicated improved interprofessional collaboration, teamwork, support, and communication. Staff noted a stronger perception of being valued and increased confidence in their own contributions.
Conclusions: Both qualitative and quantitative improvements were noted in staff
job satisfaction. Despite some limitations, these findings suggest that further dissemination of this initiative with rigorous evaluation is warranted.

Author Biographies

Maria Huijbregts, Department of Quality, Safety and Best Practice, Baycrest, Toronto, Ontario; Kunin-Lunenfeld Applied Research Unit – Baycrest, Toronto; Department of Physical Therapy, University of Toronto, Toronto, Ontario

All listed authors contributed to dissemination via posters and/or presentations.

Lisa Guttman Sokoloff, Department of Quality, Safety and Best Practice, Baycrest, Toronto, Ontario; Department of Speech Pathology, Faculty of Medicine, University of Toronto, Toronto, Ontario

All listed authors contributed to dissemination via posters and/or presentations.

Sid Feldman, Department of Family and Community Medicine, Baycrest, Toronto, Ontario; Care of the Elderly Program, Department of Family and Community Medicine, University of Toronto

All listed authors contributed to dissemination via posters and/or presentations.

David K. Conn, Dept. of Psychiatry, Baycrest and Faculty of Medicine, University of Toronto

All listed authors contributed to dissemination via posters and/or presentations.

Kelsey Simons, Kunin-Lunenfeld Applied Research Unit – Baycrest, Toronto; Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario

All listed authors contributed to dissemination via posters and/or presentations.

Leenah Walsh

All listed authors contributed to dissemination via posters and/or presentations.

Lynda Dunal, Department of Quality, Safety and Best Practice, Baycrest, Toronto, Ontario; Department of Occupational Science and Occupational Therapy, Faculty of Medicine University of Toronto

All listed authors contributed to dissemination via posters and/or presentations.

Ruth Goodman, Social Work, Baycrest, Toronto, Ontario; School of Social Work, York University, Toronto; Faculty of Social Work, University of Toronto.

All listed authors contributed to dissemination via posters and/or presentations.

Nasreen Khatri, Mood and Related Disorders Clinic/ Cognitive Behaviour Therapy, Cross-appointed to Cognitive and Behavioural Health Program, Baycrest, Toronto, Ontario

All listed authors contributed to dissemination via posters and/or presentations.

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Published

2012-02-10

Issue

Vol. 2 No. 2 (2012)

Section

Articles: Empirical Research

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