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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
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Long-Term Residential Care and Racism: A Scoping Review.

Austin Harding1, Elaine Moody2, Tasnim Nashnoush3

  • 1Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

Journal of the American Medical Directors Association
|April 22, 2026
PubMed
Summary
This summary is machine-generated.

Racism is prevalent among staff in long-term residential care (LTRC) settings, manifesting at interpersonal, institutional, and structural levels. Addressing this requires understanding these complex dynamics for inclusive environments.

Keywords:
Racismdiscriminationlong-term carenursing

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Area of Science:

  • Healthcare Disparities
  • Workplace Equity
  • Social Determinants of Health

Background:

  • Long-term residential care (LTRC) settings are critical for vulnerable populations.
  • Staff in LTRC settings experience unique workplace stressors.
  • Understanding racism's impact on LTRC staff is vital for quality care.

Purpose of the Study:

  • To systematically map and synthesize existing literature on racism experienced by staff in LTRC settings.
  • To identify the prevalence and forms of racism within LTRC environments.
  • To inform strategies for creating more equitable workplaces.

Main Methods:

  • A comprehensive scoping review was conducted following Joanna Briggs Institute methodology.
  • Searches included 7 electronic databases and gray literature, identifying peer-reviewed studies on LTRC staff racism.
  • Findings were narratively synthesized using a framework of interpersonal, institutional, and structural racism.

Main Results:

  • Twenty-eight studies published between 1989-2025, primarily in the United States, were included.
  • Interpersonal racism included microaggressions and overt acts; institutional racism involved policy and response inconsistencies.
  • Structural racism manifested as wage gaps and limited career mobility, particularly for staff with intersecting identities.

Conclusions:

  • Racism is a pervasive issue in LTRC, impacting staff at multiple levels.
  • Effective interventions must address multilevel dynamics beyond individual resilience.
  • Further research is needed to develop strategies for safe and inclusive LTRC environments.