Yuting Song

Qingdao University · School of Nursing

The original Promoting Action on Research Implementation in Health Services (PARiHS) and i-PARiHS frameworks contend that the successful implementation of evidence-based practices is a function of the core elements evidence, context, facilitation, and the capacity of intended recipients to apply research to practice. While applied widely, a number...

This quantitative cross-sectional sub project investigated the effects of organizational context and individual characteristics on psychological empowerment of care aides working in nursing homes. We analyzed data collected from 3765 care aides from 91 nursing homes across Western Canada between 09/2019 and 03/2020. From the random-intercept mixed...

This cross-sectional quantitative sub-project assessed the association of organizational context (modifiable elements of work environments) with quality indicators (QIs) at the clinical microsystem (care unit) level. We used TREC data collected 09/2019-03/2020. The sample included 285 care units within 91 Western Canadian nursing homes. Outcomes in...

Background The number of research publications reporting the use of the Promoting Action on Research Implementation in Health Services (PARIHS) framework and the integrated PARIHS (i-PARIHS) framework has grown steadily. We asked how the last decade of implementation research, predicated on the (i-)PARIHS framework (referring to the PARIHS or i-PAR...

Objective: To evaluate changes in mental health and well-being (eg, quality of work life, health, intention to leave) among nursing home managers from a February 2020 prepandemic baseline to December 2021 in Alberta, Canada. Design: Repeated cross-sectional survey. Setting and participants: A random sample of nursing homes (n = 35) in urban ar...

Background Caring for the well-being of older adults is one of the greatest challenges in modern societies. Improving the quality of care and life for older adults and the work lives of their care providers calls for effective knowledge translation of evidence-based best practices. Objective This study’s purpose is to contribute to knowledge trans...

Background: The increased complexity of residents and increased needs for care in long term care (LTC) have not been met with increased staffing. There remains a need to improve the quality of care. Care aides, providers of the bulk of direct care, are well placed to contribute to quality improvement efforts but are often excluded from so doing. Th...

Background Complex interventions are increasingly applied to healthcare problems. Understanding of post-implementation sustainment, sustainability, and spread of interventions is limited. We examine these phenomena for a complex quality improvement initiative led by care aides in 7 care homes (long-term care homes) in Manitoba, Canada. We report on...

Background and Objectives When staff experience responsive behaviors from residents, this can lead to decreased quality of work-life and lower quality of care in long-term care homes. We synthesised research on factors associated with resident responsive behaviours directed towards care staff and characteristics of interventions to reduce the behav...

Understanding of intervention sustainability processes is limited. Failure to sustain evidence-based innovations means that intended improvements are short-lived, scale-up and spread are unlikely, and real losses are incurred on research investments. We explored the sustainability of a health care aide (HCA)-led quality improvement (QI) initiative,...

Our understanding of the post-implementation sustainment, sustainability, and spread (SSS) of complex quality improvement interventions is limited. We explored factors that influenced the SSS of a care aide-led quality improvement initiative (Safer Care for Older Persons (in residential) Environments [SCOPE]) implemented in 6 Manitoba long-term car...

When staff experience various types of resident responsive behaviors, this can lead to decreased quality of work-life and lower quality of care. We synthesized empirical quantitative and qualitative evidence on factors associated with resident responsive behaviors directed towards staff in nursing homes. We searched 12 bibliographic databases and "...

Objectives Residents with cognitive impairment favor “slow care,” so rushed care may cause additional responsive behaviors (eg, verbal threats, hitting) among residents. We assessed the association of rushed care (physical and social) by care aides with their experiences of responsive behaviors from residents. Design Cross-sectional analysis of su...

This cross-sectional study describes care aides’ characteristics and quality of work life in Western Canadian nursing homes.

Importance In Canada, approximately 81% of residents of nursing homes live with mild to severe cognitive impairment. Care needs of this population are increasingly complex, but resources, such as staffing, for nursing homes continue to be limited. Staff risk missing or rushing care tasks and interfering with quality of care and life. Objective To...

Background: Implementation scientists and practitioners, alike, recognize the importance of sustaining practice change, however post-implementation studies of interventions are rare. This is a protocol for the Sustainment, Sustainability and Spread Study (SSaSSy). The purpose of this study is to contribute to knowledge on the sustainment (sustaine...

Aims and objectives: To explore nursing home residents' perspectives on their relationships with other residents, family members, and staff. Background: The cultivation of social relationships is central to promoting well-being in nursing homes, as these relationships allow residents, family members, and staff to be valued as unique persons and...

Introduction In the last decade, increasing research interest has been expressed in responsive behaviours of older adults living in long-term care (LTC) homes, including nursing homes and assisted living facilities. Responsive behaviours are not only a sign of underlying unmet needs, but when directed against (towards) paid staff can lead to decrea...

Abstract Background and Objectives Pain and functional limitations can severely impede older adults’ quality of life. In Chinese residential care facilities, limited research suggests that residents potentially have significant unmet care needs with pain and related functional limitations. Therefore, we aimed to explore residents’ challenges and se...

Empowering individuals to direct their own care is central to person-centered care and health care policy. However, there is limited knowledge of how “person-directed care planning” (PDCP) can be achieved in particular settings. This study identifies key structures and processes for operationalizing and implementing PDCP in nursing homes. Using par...

Nursing home (NH) residents leading their own care planning is a key feature of the emerging person-directed culture of long-term care. The U.S.—like some European, Scandinavian, and Pacific Rim nations—supports NH residents to direct their own care through policy, specifically identifying residents “as the locus of control” in care planning and de...

Pain is prevalent and has tremendous effects on residents’ daily life, yet is under-recognized and undertreated in long-term care (LTC) facilities globally (Rice, Smith, & Blyth, 2015). In the context of rapid growth of LTC facilities in China, empirical knowledge of resident-level experiences with pain is limited and quality of care is concerning...

Person-centered care in nursing homes requires that care teams know each resident as an individual, with attention to their life history, current experiences of health and illness, and preferences for care. This personal knowledge can be understood as an evolving “narrative” – rather than a static, pre-given set of facts – which both reflects and d...

Measurement of person-centered assessment and care planning (PCACP) that bridges individualized narrative with outcomes indicators, is a critical methodological challenge to advancing PCACP (Harding, Wait, & Scrutton 2015). Simultaneously, we have made considerable advances in modeling person-level trajectories over time (Henly, Wyman & Findorff 20...

The cultivation of interpersonal relationships is central to promoting quality of life in nursing homes (NHs), as it is through these relationships that residents, family members and staff come to be valued as unique persons and are empowered as partners in care (Owen & Meyer, 2012). Beyond the care provider-recipient relationship, little research...

As traditional family-based care in China declines, the demand for residential care increases. Knowledge of residents' experiences with long-term care (LTC) facilities is essential to improving quality of care. This pilot study aimed to describe residents' experiences in LTC facilities, particularly as it related to physical function. Semi-structur...

Background: Little is known about the sustainability of behavioral change interventions in long-term care (LTC). Following a cluster randomized trial of an intervention to improve staff communication (CONNECT), we conducted focus groups of direct care staff and managers to elicit their perceptions of factors that enhance or reduce sustainability i...

The need for institutional long-term care (LTC) services, including nursing homes (NHs), is increasing in Mainland China in part due to the aging population and changing family structures. In developing NH staff training programs, a review is needed to synthesize knowledge about staff and resident characteristics, and care provided in NHs. This sys...