Navigating Workforce Challenges in Long-Term Care: A Co-Design Approach to Solutions

Area of Science:

• Healthcare Management
• Occupational Health Psychology
• Long-Term Care Research

Background:

• The COVID-19 pandemic's long-term effects on the long-term care (LTC) sector require targeted interventions.
• Identifying and mitigating stressors for healthcare workers (HCWs) in LTC is essential for workforce stability.

Purpose of the Study:

• To identify key stressors experienced by HCWs in LTC settings.
• To co-develop innovative strategies to reduce stress, enhance resilience, and improve retention among LTC staff.

Main Methods:

• Qualitative co-design methodology within a mixed-methods, multi-phase study (July 2023 - October 2024).
• Phase 1 involved 11 focus groups and steering discussions with 24 HCWs (PSWs, nurses, administrators) in Ontario.
• Thematic analysis of transcribed data to identify key themes and actionable insights.

Main Results:

• Key themes identified: workload management, psychological safety, reduced bureaucracy, improved management, and sector recognition.
• Co-design sessions highlighted needs for workload solutions, mental health support, work-life integration, better management training, and psychological safety.

Conclusions:

• The study deepens understanding of LTC workplace challenges and HCW mental distress.
• A co-design approach effectively captured lived experiences of HCWs and leaders.
• Findings offer actionable guidance for LTC leaders and policymakers to create tailored interventions and engage staff in addressing stressors.