Initial Findings from the Development & Operationalization of a Mealtime Enhancement Training Video for LTC Staff Sabrina Bovee, RD; Allison Cammer, MSc, RD; Roseann Nasser, MSc, RD Regina Qu’Appelle Health Region and University of Saskatchewan www.qualitysummit.ca #QS14
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The Development and Operationalization of a Mealtime Enhancment Training Video for Long Term Care Homes
Food is very important to the quality of life for elders in long-term care. (Viveky et al.2013) Due to the lack of standards in mealtime management education, a Regina Qu’Appelle Health Region (RQHR) dietitian worked in partnership with Regina Lutheran Home and Medical Media to develop a mealtime management video to enhance the training and education of staff (care assistants, nursing staff, food service workers, etc.) working with adults living in long term care (LTC) homes. During each stage of development this video, dieticians and other health care-professionals working in LTC from across Canada were consulted and feedback was incorporated. The video focuses on providing a safe, nutritious, and pleasurable meal experience for all residents. This video was developed for all departments in LTC to train both new and existing staff. The video is 12 minutes in length and after initial evaluation will be accessible internationally. This video can ensure that all LTC staff receive high quality education on basic mealtime management. The purpose of this session is to provide highlights of the development of the project, show excerpts of the video, present the research findings from a student-led pilot project, and discuss future goals.
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Initial Findings from the Development & Operationalization of a Mealtime Enhancement Training Video for LTC Staff
Sabrina Bovee, RD; Allison Cammer, MSc, RD; Roseann Nasser, MSc, RDRegina Qu’Appelle Health Region and University of Saskatchewan
Relationships with commercial interest: •No relationships to disclose
Disclosure of Commercial Support• This program has received financial support from RQHR to produce the video
• This program has received in-kind support from RQHR and University of Saskatchewan in the form of employee time
Potential for Conflict(s) of Interest: •No potential conflicts of interest to disclose
Outline
• Background• Hands-on Exercise• Video Development • Video Clip• Initial Feedback• Initial Research• Future Plans • Discussion
Nutrition and Eating in Long-term Care
• LTC residents are at an increased risk for malnutrition• Mealtimes serve multiple
roles• Food and eating are
integral to quality of life
Dysphagia SimulatorWhat might it feel like to have a difficult time eating?
“Smores” Exercise!!
1) Hold 1-2 marshmallows under your tongue2) Eat 1-2 crackers3) Think about the sensory experience of eating
Mealtime Enhancement Training Video
Inspiration for this video -No standard for mealtime education-Residents eating without dignity, high rates of malnutrition, dysphagia…-Can’t be in 8 places at once!
review, revise…• More filming, revising, voice-overs, polishing• Final video
Having fun!
Video Clip
Film Premiere
Initial Responses
•Family members•LTC Staff: care-staff, recreation, nursing, RDs, house-keeping, home-care, FSS, F&N staff, client rep, nurse educators, admin/leadership•Other: Alzheimer's society, SIAST, CEO’s of LTC homes outside RQHR•High amount of demand…
Maintenance worker, Extendicare LTC
“ This video provides a thorough overview of the key aspects of dining in long term care, a very important moment in time for our residents. Dining, when delivered as this video represents, provides the opportunity for our residents to make choices and socialize with dignity and respect - what better way to enhance the quality of life of our elders?”
“ I learned a lot! Helpful for ALL staff to watch”
Cheryl George , Education Leader
Lani Antoine, R.N Home Care
“Nutrition is the base for a foundation of health. This video is a reminder for caregivers and support staff how to provide a safe and enjoyable meal time experience to our clients. The empathy we display directly impacts the client's quality of care and healthcare experience as a whole. By using a multidisciplinary approach and encouraging independence; we can make a difference! Thank you for the education and insightful tips to assist us in providing care that we can feel proud of!”
“Relevant, concise, and informative; a great tool for those already working in and starting in LTC” “Relevant, concise, and informative; a great tool for those already working in and starting in LTC”
“Very comprehensive! I think new and existing staff should all watch this video. I have seen staff “shovel” food into my mother. Staff should re-watch this regularly, even every 3 months. I worked on a safety team and just like CPR you forget things over time. This could be a great refresher. This video could work with peer assessments too. Where staff are paired up, maybe with a mentor, and ask themselves: are my colleagues doing things like in the video? Could give them positive feedback!”
“What we love about the video is that it is not just about nutrition but stresses the importance of mealtimes being person directed. Eating is one of the great pleasures of life, an important part of a full and abundant life.”
Suellen Beatty, CEO Sherbrooke Community Center, Saskatoon
Initial Evaluation
Pre-test Questionnaire Question: What is the knowledge of staff working in LTC regarding mealtime management principles and practices before and after watching the educational video?