Observational studyBMC geriatrics2022
Barriers and facilitators to person-centred infection prevention and control: results of a survey about the Dementia Isolation Toolkit.
Observational study in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05387213 (Nurse Practitioner Led Implementation of Team Huddles in Long-Term Care Homes During COVID-19), which is not on this map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Nurse Practitioner Led Implementation of Team Huddles in Long-Term Care Homes During COVID-19
Who cites it
9 citing papers in PubMed, 26 citations in OpenAlex.
- Nurse practitioner led implementation of huddles for staff in long term care homes during the COVID-19 pandemic.BMC geriatrics · 2023Trial
- Interventions to Address Moral Distress in Nurses and Other Healthcare Professionals: A Scoping Review and Evidence Gap Map.Healthcare (Basel, Switzerland) · 2026Review
- Article
- Mind the gap: knowledge, attitudes and perceptions on antimicrobial resistance, antimicrobial stewardship and infection prevention and control in long-term care facilities for people with disabilities in the Netherlands.Antimicrobial resistance and infection control · 2024Article
- Implementation of the Dementia Isolation Toolkit in long-term care improves awareness but does not reduce moral distress amongst healthcare providers.BMC health services research · 2024Article
- Enhancing primary care through integrated care pathways: a convergence of theory and practice.Frontiers in health services · 2024Article
- Article
- Technology Acceptance of a Mobile Application to Support Family Caregivers in a Long-Term Care Facility.Applied clinical informatics · 2022Article
- Staff perceptions of the consequences of COVID-19 on quality of dementia care for residents in Ontario long-term care homes.International journal of geriatric psychiatry · 2022Article
Corrections and comments
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Authors and funding
14 authors at 8 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople working in long-term care homes (LTCH) face difficult decisions balancing the risk of infection spread with the hardship imposed on residents by infection control and prevention (ICP) measures. The Dementia Isolation Toolkit (DIT) was developed to address the gap in ethical guidance on how to safely and effectively isolate people living with dementia while supporting their personhood. In this observational study, we report the results of a survey of LTCH staff on barriers and facilitators regarding isolating residents, and the impact of the DIT on staff moral distress.
methodsWe completed an online cross-sectional survey. Participants (n = 207) were staff working on-site in LTCH in Ontario, Canada since March 1, 2020, with direct or indirect experience with the isolation of residents. LTCH staff were recruited through provincial LTCH organizations, social media, and the DIT website. Survey results were summarized, and three groups compared, those: (1) unfamiliar with, (2) familiar with, and (3) users of the DIT.
results61% of respondents identified distress of LTCH staff about the harmful effects of isolation on residents as a major barrier to effective isolation. Facilitators for isolation included delivery of 1:1 activity in the resident's room (81%) and designating essential caregivers to provide support (67%). Almost all respondents (84%) reported an increase in moral distress. DIT users were less likely to report an impact of moral distress on job satisfaction (odds ratio (OR) 0.41, 95% CI 0.19-0.87) with 48% of users reporting the DIT was helpful in reducing their level of moral distress.
conclusionsIsolation as an ICP measure in LTCH environments creates moral distress among staff which is a barrier to its effectiveness. ICP guidance to LTCH would be strengthened by the inclusion of a dementia-specific ethical framework that addresses how to minimize the harms of isolation on both residents and staff.
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