A Mixed Methods Study to Implement the Synergy Tool and Evaluate Its Impact on Long-Term Care Residents

Author:

Havaei Farinaz1ORCID,Kobekyaa Francis1ORCID,Ma Andy1,MacPhee Maura1ORCID,Zhang Wei23,Kaulius Megan1,Ahmadi Bahar1,Boamah Sheila4ORCID,Easterbrook Adam35,Salmon Amy35

Affiliation:

1. School of Nursing, The University of British Columbia, Vancouver, BC V6T 2B5, Canada

2. Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC V6T 1Z3, Canada

3. Centre for Health Evaluation & Outcome Sciences, Vancouver, BC V6Z 1Y6, Canada

4. School of Nursing, McMaster University, Hamilton, ON L8S 4K1, Canada

5. Faculty of Medicine, The University of British Columbia, Vancouver, BC V6T 1Z3, Canada

Abstract

Background: There are ongoing workforce challenges with the delivery of long-term care (LTC), such as staffing decisions based on arbitrary standards. The Synergy tool, a resident-centered approach to staffing, provides objective, real-time acuity and dependency scores (Synergy scores) for residents. The purpose of this study was to implement and evaluate the impact of the Synergy tool on LTC delivery. Methods: A longitudinal mixed methods study took place within two publicly funded LTC homes in British Columbia, Canada. Quantitative data included weekly Synergy scores for residents (24 weeks), monthly aggregated resident falls data (18 months) and a six-month economic evaluation. Qualitative data were gathered from family caregivers and thematically analyzed. Results: Quantitative findings from Synergy scores revealed considerable variability for resident acuity/dependency needs within and across units; and falls decreased during implementation. The six-month economic evaluation demonstrated some cost savings by comparing Synergy tool training and implementation costs with savings from resident fall rate reductions. Qualitative analyses yielded three positive impact themes (improved care delivery, better communication, and improved resident-family-staff relationships), and two negative structural themes (language barrier and staff shortages). Conclusions: The Synergy tool provides useful data for enhancing a ‘fit’ between resident needs and available staff.

Funder

CIHR Catalyst Award

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

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