| Date post: | 15-Nov-2014 |
| Category: |
Healthcare |
| Upload: | saskatchewan-health-care-quality-summit |
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Initial Findings from the Development & Operationalization of a Mealtime Enhancement Training Video for LTC Staff
Sabrina Bovee, RD; Allison Cammer, MSc, RD; Roseann Nasser, MSc, RDRegina Qu’Appelle Health Region and University of Saskatchewan
www.qualitysummit.ca
#QS14
Faculty/Presenter DisclosureFaculty: Sabrina Bovee, Allison Cammer, Roseann Nasser
Relationships with commercial interest: •No relationships to disclose
Disclosure of Commercial Support• This program has received financial support from RQHR to produce the video
• This program has received in-kind support from RQHR and University of Saskatchewan in the form of employee time
Potential for Conflict(s) of Interest: •No potential conflicts of interest to disclose
Outline
• Background• Hands-on Exercise• Video Development • Video Clip• Initial Feedback• Initial Research• Future Plans • Discussion
Nutrition and Eating in Long-term Care
• LTC residents are at an increased risk for malnutrition• Mealtimes serve multiple
roles• Food and eating are
integral to quality of life
Dysphagia SimulatorWhat might it feel like to have a difficult time eating?
“Smores” Exercise!!
1) Hold 1-2 marshmallows under your tongue2) Eat 1-2 crackers3) Think about the sensory experience of eating
Mealtime Enhancement Training Video
Inspiration for this video -No standard for mealtime education-Residents eating without dignity, high rates of malnutrition, dysphagia…-Can’t be in 8 places at once!
Background
Budget: $0.00
Passion + creativity + partners = Video ?
Strong Teams in the Region
Outside Partnerships:
Edge Acting Agency
Local Makeup studioWintergreeneFriends and Family
Making the Video• Content research• Logistics (consents, scheduling, etc)• Draft Script, expert review, revise script, review,
revise, review, revise…• Filming• Draft Video, expert review, revise, review, revise,
review, revise…• More filming, revising, voice-overs, polishing• Final video
Having fun!
Video Clip
Film Premiere
Initial Responses
•Family members•LTC Staff: care-staff, recreation, nursing, RDs, house-keeping, home-care, FSS, F&N staff, client rep, nurse educators, admin/leadership•Other: Alzheimer's society, SIAST, CEO’s of LTC homes outside RQHR•High amount of demand…
Maintenance worker, Extendicare LTC
“ This video provides a thorough overview of the key aspects of dining in long term care, a very important moment in time for our residents. Dining, when delivered as this video represents, provides the opportunity for our residents to make choices and socialize with dignity and respect - what better way to enhance the quality of life of our elders?”
“ I learned a lot! Helpful for ALL staff to watch”
Cheryl George , Education Leader
Lani Antoine, R.N Home Care
“Nutrition is the base for a foundation of health. This video is a reminder for caregivers and support staff how to provide a safe and enjoyable meal time experience to our clients. The empathy we display directly impacts the client's quality of care and healthcare experience as a whole. By using a multidisciplinary approach and encouraging independence; we can make a difference! Thank you for the education and insightful tips to assist us in providing care that we can feel proud of!”
“Relevant, concise, and informative; a great tool for those already working in and starting in LTC” “Relevant, concise, and informative; a great tool for those already working in and starting in LTC”
Sara Brunner, LTC RD
Family member
“Very comprehensive! I think new and existing staff should all watch this video. I have seen staff “shovel” food into my mother. Staff should re-watch this regularly, even every 3 months. I worked on a safety team and just like CPR you forget things over time. This could be a great refresher. This video could work with peer assessments too. Where staff are paired up, maybe with a mentor, and ask themselves: are my colleagues doing things like in the video? Could give them positive feedback!”
“What we love about the video is that it is not just about nutrition but stresses the importance of mealtimes being person directed. Eating is one of the great pleasures of life, an important part of a full and abundant life.”
Suellen Beatty, CEO Sherbrooke Community Center, Saskatoon
Initial Evaluation
Pre-test Questionnaire Question: What is the knowledge of staff working in LTC regarding mealtime management principles and practices before and after watching the educational video?
7 Demographic5 True/False 5 True/False1 Multiple Choice 1 Multiple Choice4 Open-Ended 4 Open-Ended
Initial Evaluation
Female Over 50 years old In their current role for 5+ years CCAs
Participants (n=30)
Results
Open-Ended Questions•How can staff help residents
maintain their independence and dignity at mealtimes?
•What are the reasons staff should sit when helping residents eat at mealtimes?
•What can you do to help residents at mealtimes?
•Pre-test - What are some things you would like to learn from the Mealtime Management video?
•Post-test - After watching the video, if you knew it was easy to change, what would you do differently in your care home?
“It’s our responsibility to take care and watch
them any time, especially if they’re in
the mealtime, because they might choke”
“It’s our responsibility to take care and watch
them any time, especially if they’re in
the mealtime, because they might choke”
Pre-test
Post-test themes showed an increase in awareness of the importance of:
CommunicationBuilding relationshipsAllowing adequate time for residents to enjoy their mealsShowing respect and dignity for residents
“All staff is responsible for
assisting in any way they can”
“Mealtimes are EVERYONE’s
job ”
“Engage residents
in the experience”
ResultsThemes
Post-test
Future Plans• National Evaluation• 40 LTC homes recruited through Dietitians of Canada Gerontology network• Validated evaluation scale
• In-depth examination of the video in relation to dementia care• Widespread use
Key components
• Critical area of need• Expertise available and
motivated• Supportive leadership• Teamwork and partnerships• Investment in evaluation• Passion project
