Healthcare providers caring for people living with dementia may experience moral distress when faced with ethically challenging situations, such as the inability to provide care that is consistent with their values. The COVID-19 pandemic produced conditions in long-term care homes (hereafter referred to as ‘care homes’) that could potentially contribute to moral distress. We conducted an online survey to examine changes in moral distress during the pandemic, its contributing factors and correlates, and its impact...

CARD (comfort, ask, relax, distract) is a vaccine delivery framework that includes interventions to improve the patient’s experience. CARD has not been previously implemented in long-term care (LTC) settings. This study evaluated drivers to implementation for COVID-19 vaccinations in an LTC facility. Postimplementation interpretive evaluation including qualitative interviews and quantitative surveys with eight participants. The Consolidated Framework for Implementation Research (CFIR) was used for analysis. Adverse reactions to vaccinations and CARD interventions, including local reactogenicity...

CARD (comfort, ask, relax, distract) is a vaccine delivery framework that includes interventions to improve the patient’s experience. CARD has not been previously implemented in long-term care (LTC) settings. This study evaluated drivers to implementation for COVID-19 vaccinations in an LTC facility. Postimplementation interpretive evaluation including qualitative interviews and quantitative surveys with eight participants. The Consolidated Framework for Implementation Research (CFIR) was used for analysis. Adverse reactions to vaccinations and CARD interventions, including local reactogenicity...

Additional file 2. Registry Search Strategies, Results and the Dates the Registries were Last Searched.

Wearable devices for hospitalized patients could help improve care. The purpose of this study was to highlight key barriers and facilitators involved in adopting wearable technology in acute care settings using patient and clinician feedback. Hospitalized patients, 18 years or older, were recruited at the General Medicine inpatient units in Toronto, Ontario to wear the Fitbit® Charge 2 or Charge 3. Fifty General Medicine adult inpatients were recruited. Patients and nurses provided feedback on structured...

Supplemental Material for Prevalence, causes, and consequences of moral distress in healthcare providers caring for people living with dementia in long-term care during a pandemic by Lynn Haslam-Larmer, Alisa Grigorovich, Hannah Quirt, Katia Engel, Steven Stewart, Pia Kontos, Arlene Astell, Josephine McMurray, AnneMarie Levy, Kathleen S. Bingham, Kevin Rodrigues, Alastair J. Flint, Colleen Maxwell, Andrea Iaboni in Dementia

Abstract Background Brain computer interface-triggered functional electrical stimulation therapy (BCI-FEST) has shown promise as a therapy to improve upper extremity function for individuals who have had a stroke or spinal cord injury. The next step is to determine whether BCI-FEST could be used clinically as part of broader therapy practice. To do this, we need to understand therapists’ opinions on using the BCI-FEST and what limitations potentially exist. Therefore, we conducted a qualitative exploratory study...

Additional file 1. Semi-structured interview guide based on the COM-B model of behaviour change self-evaluation questionnaire described in ‘The Behaviour Change Wheel: a guide to designing interventions’ by Michie, Atkins and West (2014).

Additional file 1. Full Database Search Strategies and Search Results.

Abstract Background Older adults with cognitive impairment are frequently hospitalized and discharged to facility-based transitional care programs (TCPs). However, it is unknown whether TCPs are effective in improving their functional status and promoting discharge home rather than to long-term care. The aims of this systematic review were to examine the effectiveness of facility-based TCPs on functional status, patient and health services outcomes for older adults (≥ 65 years) with cognitive impairment and to determine what...

Additional file 4. Extracted Data.

Additional file 1. Semi-structured interview guide based on the COM-B model of behaviour change self-evaluation questionnaire described in ‘The Behaviour Change Wheel: a guide to designing interventions’ by Michie, Atkins and West (2014).

Supplemental Material for Prevalence, causes, and consequences of moral distress in healthcare providers caring for people living with dementia in long-term care during a pandemic by Lynn Haslam-Larmer, Alisa Grigorovich, Hannah Quirt, Katia Engel, Steven Stewart, Pia Kontos, Arlene Astell, Josephine McMurray, AnneMarie Levy, Kathleen S. Bingham, Kevin Rodrigues, Alastair J. Flint, Colleen Maxwell, Andrea Iaboni in Dementia

Healthcare providers caring for people living with dementia may experience moral distress when faced with ethically challenging situations, such as the inability to provide care that is consistent with their values. The COVID-19 pandemic produced conditions in long-term care homes (hereafter referred to as ‘care homes’) that could potentially contribute to moral distress. We conducted an online survey to examine changes in moral distress during the pandemic, its contributing factors and correlates, and its impact...

Additional file 2. Registry Search Strategies, Results and the Dates the Registries were Last Searched.

Additional file 3: Table S1. Risk of Bias Assessment for Cohort Studies; Table S2. Risk of Bias Assessment for Cross-Sectional Studies; Table S3. Characteristics of Included Studies; Table S4. Patient Outcomes; Table S5. Health Services Outcomes.

Wearable devices for hospitalized patients could help improve care. The purpose of this study was to highlight key barriers and facilitators involved in adopting wearable technology in acute care settings using patient and clinician feedback. Hospitalized patients, 18 years or older, were recruited at the General Medicine inpatient units in Toronto, Ontario to wear the Fitbit® Charge 2 or Charge 3. Fifty General Medicine adult inpatients were recruited. Patients and nurses provided feedback on structured...

Additional file 2. COREQ (COnsolidated criteria for REporting Qualitative research) Checklist. Checklist that describes the inclusion and location of items considered part of research for studies involving interviews or focus groups.

Additional file 1. Full Database Search Strategies and Search Results.

Abstract Background Older adults with cognitive impairment are frequently hospitalized and discharged to facility-based transitional care programs (TCPs). However, it is unknown whether TCPs are effective in improving their functional status and promoting discharge home rather than to long-term care. The aims of this systematic review were to examine the effectiveness of facility-based TCPs on functional status, patient and health services outcomes for older adults (≥ 65 years) with cognitive impairment and to determine what...

Additional file 3: Table S1. Risk of Bias Assessment for Cohort Studies; Table S2. Risk of Bias Assessment for Cross-Sectional Studies; Table S3. Characteristics of Included Studies; Table S4. Patient Outcomes; Table S5. Health Services Outcomes.

Additional file 4. Extracted Data.

CARD (comfort, ask, relax, distract) is a vaccine delivery framework that includes interventions to improve the patient’s experience. CARD has not been previously implemented in long-term care (LTC) settings. This study evaluated drivers to implementation for COVID-19 vaccinations in an LTC facility. Postimplementation interpretive evaluation including qualitative interviews and quantitative surveys with eight participants. The Consolidated Framework for Implementation Research (CFIR) was used for analysis. Adverse reactions to vaccinations and CARD interventions, including local reactogenicity...

Additional file 2. COREQ (COnsolidated criteria for REporting Qualitative research) Checklist. Checklist that describes the inclusion and location of items considered part of research for studies involving interviews or focus groups.

Abstract Background Brain computer interface-triggered functional electrical stimulation therapy (BCI-FEST) has shown promise as a therapy to improve upper extremity function for individuals who have had a stroke or spinal cord injury. The next step is to determine whether BCI-FEST could be used clinically as part of broader therapy practice. To do this, we need to understand therapists’ opinions on using the BCI-FEST and what limitations potentially exist. Therefore, we conducted a qualitative exploratory study...