As the Canadian population ages, there is a need to improve long-term care (LTC) services. An increased understanding of the positive work experiences of LTC staff may help attract more human health resources to LTC.
To describe the perceptions of the roles and work of nurses and care assistants in LTC from interprofessional perspectives.
This study used qualitative data collected from a larger mixed-methods study, Care by Design. The qualitative phase explored the lived experience of LTC staff from the perspectives of key stakeholders via focus groups and individual interviews.
One central theme that emerged from the study was that of LTC staff going "above and beyond" their clinical duties to care for residents. This above and beyond theme was categorized into subthemes including: 1. familial bonds between residents and staff; 2. staff spending additional time with residents; 3. the ability to provide comfort to family members; and 4. staff dedication during end-of-life care.
The findings show that staff develop a kinship with residents, demonstrate respect towards residents' families and provide comfort at the end-of-life. In emphasizing these themes of positive and fulfilling work, the present study provides insight into why staff work in LTC.
Using a cross-sectional survey of managers, we examined the role of nurse practitioners (NPs) in long-term care (LTC) facilities in Newfoundland and Labrador. We compared facilities with no regular primary care provider, with only family physicians (FPs) and with both FPs and NPs. A total of 91 of 127 (71.0%) facilities completed the survey; 19 (21.3%) facilities had no primary care provider, 42 (47.2%) had FPs only and 28 (31.5%) had both FPs and NPs. NPs and FPs provide a similar range of services in LTC. On a five-point Likert scale, facilities with no primary care provider were more likely to rate continuity of care lower (2.59; p
