Browsing by Author "Virk, Navjot"

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    Exploring the Barriers and Facilitators of Nurse Engagement in Comfort Rounds
    (2015-01-28) Virk, Navjot; White, Deborah
    Background. Nurses have an opportunity to improve services and enhance patient care. The purpose of this research is to highlight the missing voice of the frontline nurses and their experience in implementing a quality improvement (QI) initiative called comfort rounds. Comfort rounds are an Elder-Friendly QI initiative that involves purposive rounding conducted at regular intervals on patient care units. Objectives. 1) To understand the experiences of nurses that participated in comfort rounds. 2) To describe the facilitators and barriers to the participation of nurses in the introduction of comfort rounds. Methods. A single case study design, using multiple data sources, was used to explore and collect detailed descriptions of comfort round implementation on an acute medical unit. Findings. Frontline staff can help identify barriers and facilitators for comfort rounds. Engaging frontline nurses throughout the entire QI initiative process (i.e. from planning stages to sustainability) is essential for implementing practice change.
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    Multi-disciplinary supportive end of life care in long-term care: an integrative approach to improving end of life
    (2021-05-22) Harasym, Patricia M.; Afzaal, Misha; Brisbin, Sarah; Sinnarajah, Aynharan; Venturato, Lorraine; Quail, Patrick; Kaasalainen, Sharon; Straus, Sharon; Sussman, Tamara; Virk, Navjot; Holroyd-Leduc, Jayna M.
    Abstract Background Optimal supportive end of life care for frail, older adults in long term care (LTC) homes involves symptom management, family participation, advance care plans, and organizational support. This 2-phase study aimed to combine multi-disciplinary opinions, build group consensus, and identify the top interventions needed to develop a supportive end of life care strategy for LTC. Methods A consensus-building approach was undertaken in 2 Phases. The first phase deployed modified Delphi questionnaires to address and transform diverse opinions into group consensus. The second phase explored and prioritized the interventions needed to develop a supportive end of life care strategy for LTC. Development of the Delphi questionnaire was based on findings from published results of physician perspectives of barriers and facilitators to optimal supportive end of life care in LTC, a literature search of palliative care models in LTC, and published results of patient, family and nursing perspectives of supportive end of life care in long term care. The second phase involved World Café Style workshop discussions. A multi-disciplinary purposive sample of individuals inclusive of physicians; staff, administrators, residents, family members, and content experts in palliative care, and researchers in geriatrics and gerontology participated in round one of the modified Delphi questionnaire. A second purposive sample derived from round one participants completed the second round of the modified Delphi questionnaire. A third purposive sample (including participants from the Delphi panel) then convened to identify the top priorities needed to develop a supportive end-of-life care strategy for LTC. Results 19 participants rated 75 statements on a 9-point Likert scale during the first round of the modified Delphi questionnaire. 11 participants (participation rate 58 %) completed the second round of the modified Delphi questionnaire and reached consensus on the inclusion of 71candidate statements. 35 multidisciplinary participants discussed the 71 statements remaining and prioritized the top clinical practice, communication, and policy interventions needed to develop a supportive end of life strategy for LTC. Conclusions Multi-disciplinary stakeholders identified and prioritized the top interventions needed to develop a 5-point supportive end of life care strategy for LTC.