Our study employs a mixed methods approach anchored in CFIR’s 37 constructs, spanning five domains, to shape our data collection and analysis, including iterative rounds of multiple forms of data collection using means from a maximum variation sample of stakeholders. Stakeholders are from three groups: I) LTC+ workers (i.e., nurses, nurses’ aides, physical, occupational and recreation therapists, as well as food service, laundry, maintenance, housekeeping and hair salon workers along with leaders in these program areas) from two Knowledge Users (1 charitable foundation; 1 for-profit organization). Data will be collected from LTC+ workers using surveys, individual interviews, and participating in stakeholder workplace meetings. Surveys will afford workplace level data about risks for moral injury using the “Moral Distress Survey” (short form, Iaboni, 2021). Interviews will be conducted to collect detailed accounts of mental health needs and moral injury risks by asking workers to share stories of their experiences navigating COVID-19 and to obtain worker ideas for, and assessments of, mental health support/moral injury prevention toolkit ideas.  

The research will be completed by December 2021 and expected outputs are: 

• 50 semi-structured virtual interviews 
• 200 Surveys conducted 
• Attend weekly stakeholder workplace meetings as form of data collection 
• Collect “high quality, real-time, actionable” evidence that will be an inarguable demonstration of truly caring about those who hold the future of Canada’s LTC sector in their hand 
• Exam and unpack the interplay between LTC+ workers and their organizational context
• Contribute mental health support/moral injury prevention knowledge about LTC+ worker needs  
• Develop an accessible toolkit for LTC+ workers which will include: 
• Aiding in the prevention of moral injury during a pandemic 
• Strategies for promoting implementation, scale up and spread