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Related Concept Videos

Documentation in Long-Term and Home Healthcare Setting01:29

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Related Experiment Video

Updated: Dec 23, 2025

Multi-Modal Home Sleep Monitoring in Older Adults
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Pilot implementation of elder-friendly care practices in acute care setting: a mixed methods study.

Mubashir Aslam Arain1, Laura Graham2, Armghan Ahmad2

  • 1Alberta Health Services, Health Systems Evaluation and Evidence, Provincial Clinical Excellence, 10301 Southport Lane SW, Calgary, AB, T2W 1S7, Canada. mubashiraslam.arain@ahs.ca.

BMC Health Services Research
|April 26, 2020
PubMed
Summary

The Elder-Friendly Care (EFC) program effectively improved care for frail older adults, with staff appreciating its resources and reporting positive practice changes. This initiative shows promise for reducing hospital complications in elderly patients.

Keywords:
Acute careElder-friendly careEvaluationMixed methodologyQuality of careSenior programs

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Area of Science:

  • Geriatric Medicine
  • Healthcare Quality Improvement
  • Patient Care Management

Background:

  • Frail older adults are susceptible to functional decline during hospitalization.
  • The Elder-Friendly Care (EFC) program was developed to enhance care and outcomes for this population.
  • The EFC project supported 8 Early Adoption Sites (EAS) with resources and education.

Purpose of the Study:

  • To evaluate the usefulness of EFC educational materials and resources.
  • To assess staff practice changes and perceptions in pilot sites.
  • To determine the readiness for scaling and spreading the EFC program.

Main Methods:

  • A mixed-methods approach using the Kirkpatrick Model of Training/Evaluation (May 2017-June 2018).
  • A survey of 76 Direct Care Staff assessing awareness, satisfaction, and utilization of EFC principles.
  • 12 semi-structured interviews with staff involved in EFC implementation.

Main Results:

  • 86% of participants were aware of the EFC program, and 85% reported implementing EFC practices.
  • Key practice changes included reduced use of restraints and enhanced patient/family care planning.
  • Staff attending all 3 EFC Learning Workshops were significantly more likely to recommend the EFC Toolkit.

Conclusions:

  • EFC educational materials and resources are valued by Direct Care Staff.
  • The EFC intervention is perceived as effective in driving practice change and reducing complications in older patients.
  • Future research will explore EFC's impact on system-level outcomes in acute care settings.