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Implementation of virtual P.I.E.C.E.S™ for resident care planning with family to build and sustain team collaboration and resilience for the workforce in LTC during COVID-19 and future outbreaks

Project status
Ongoing
Contact
Denise Connelly
Institution web page
https://www.uwo.ca/fhs/pt/about/faculty/connelly_d.html
Host institution
Western University
Team members
Denise Connelly, Lilian Hung, Anna Garnett, Shannon Snelgrove, Lori Schindel Martin, Heather Martin, Nancy Snobelen, Samantha Salatino, Marie-Lee Yous, Kenneth Le Clair, Robert Maunder, Michael Nicin
Funding information (if funded)
This project was funded by the Canadian Institutes of Health Research.
Project Summary

In this project, residents and families, Registered Practical Nurses (RPNs) and other health professionals, and managers will implement virtual P.I.E.C.E.S.™for person-centred team-based care planning for residents of LTC. This explanatory mixed method study will gather information from these people using online surveys, focus groups, and individual interviews, including RPNs, family care partners and cognitively-able residents. Working together in partnership, researchers at Western University and UBC, Copper Terrace and Vision’74 LTC homes in SW Ontario, the Registered Practical Nurses Association of Ontario (WeRPN), PIECES Canada, Canadian Gerontological Nurses Association and SPOR-OSSU aim: to improve family and resident experience as essential care partners; build resilience in RPNs as team leaders to support the workforce in LTC; improve LTC staff and leader preparedness to mitigate impacts of future COVID-19 outbreak; accelerate available high-quality, real-time, actionable research evidence; and develop a plan to adapt, sustain, and scale the proposed intervention across LTC homes.  

Outputs / Expected Outputs
  • Improvement in resident health outcomes – effective PIECES-guided team-based care planning will target more effective non-pharmacological and pharmacological solutions for managing responsive behaviours exacerbated by social isolation and COVID-19 protocols.   
  • Improvement in family experience as essential care partners – effective solutions and improved communication between the LTC home and family during future COVID- 19/flu outbreak restrictions. 
  • Invaluable insights and compelling evidence about enablers and challenges to implementation and sustainability of the virtual PIECES intervention – data inherent for scaling up with other LTC home partners.  
  • Patient engagement and team building knowledge and skills – to solidify shared goals of trusting relationships and meaningful engagement of families and residents team collaboration and better resident health outcomes
  • Building resilience in RPNs as team leaders to support the workforce in LTC – recognizing RPN knowledge and skills and supporting RPNs as team leaders to champion virtual integrated care planning to mobilize the whole team including residents and family care partners. Staff RPNs will feel empowered, supported through team collaboration, more competent and confident in person-centered care, enhanced knowledge and skills to manage work responsibilities in crises, and heightened personal, professional and workplace resilience. 
  • Improved efficiency and effectiveness of team based care coordination, communication, and shared values. PIECES is an effective tool for fostering positive continuous improvement by focusing on strengths, enhanced team collaboration, and sustaining care practices for LTC residents 
  • Improving LTC staff and leader preparedness to mitigate impacts of future COVID-19 outbreak.  Virtual PIECES huddles will provide valued engagement of families, residents, and staff in a structure to withstand future outbreak restrictions and mitigate isolation for residents.  
  • Acceleration of available high-quality, real-time, actionable research evidence. The collaborative partnerships among residents, families, frontline staff, decisionmakers, academics, research trainees, and professional leaders will build research capacityshare lessons learned, package data for knowledge dissemination, fine-tune the new virtual huddle interventioninform practice and knowledge dissemination strategy, during and beyond the pandemic to develop a rapid learning health system.  
  • Plan for adapting, sustaining, and scaling the proposed intervention On-site project champions from each partner LTC home will lead, inform and provide ongoing coaching for implementation of the virtual integrated care planning intervention in their LTC home. The LTC homes, will share about the utility and effectiveness of virtual PIECES. with relevant knowledge users within and external to their corporations.  Positive partnerships and stakeholder engagement will build research capacity within the LTC homes and facilitate interdisciplinary collaborations among this research team and LTC homes in LTC+.  
  • Effective implementation of new evidence-informed practices – guided by the Consolidated Framework for Implementation Research (CFIR) and Practical, Robust, Implementation, and Sustainability Model (PRISM), an extension of the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) frameworks, the LTC homes will build capacity for effective implementation, sustainability and spread of new knowledge, skills and judgment that will positively impact the care of their residents and families.  
Project website
https://www.cfhi-fcass.ca/what-we-do/enhance-capacity-and-capability/ltc-acting-on-pandemic-learning-together/implementation-science-teams;%20https://pieceslearning.com/;%20https://www.werpn.com/

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Implementation of virtual P.I.E.C.E.S™ for resident care planning with family to build and sustain team collaboration and resilience for the workforce in LTC during COVID-19 and future outbreaks