Publications by authors named "Julia Kruizinga"

Background: A Strategic Guiding Council (SGC) was created within a Family Carer Decisions Support study, to engage family carers of persons with advanced dementia as advisors to inform the design and implementation of the study. The SGC consists of an international group of family advisors from Canada, the Republic of Ireland, the United Kingdom, the Netherlands, and the Czech Republic. There are limited studies that have explored the integration of Patient and Public Involvement (PPI) in dementia research, end-of-life care and long-term care.

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Background: Patient and public involvement (PPI) is a critical priority in research, policy, academia and advocacy organizations. PPI in dementia research is gaining momentum. However, these efforts are missing in international projects aimed at those living with advanced dementia in long-term care (LTC) homes.

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Background: The consensus among Canadians with regards to end-of-life preferences is that with adequate support the majority prefer to live and die at home.

Purpose: To compare quality indicator (QI) rates for home care clients receiving palliative and end-of-life care prior to and after the onset of the COVID-19 pandemic.

Methods: A retrospective population-based cohort design was used.

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Article Synopsis
  • Long-term care homes often lack formal palliative care programs, prompting the development of the Strengthening a Palliative Approach in Long Term Care (SPA-LTC) programme by researchers to improve care for residents nearing the end of life.
  • The study will utilize a randomized control trial design across 18 LTC homes in three provinces, comparing interventions with control groups to assess the program’s effectiveness and implementation.
  • Key outcomes will include emergency department use in the last 6 months of life, resident satisfaction, family decisional conflict, and staff confidence, with data analysis employing logistic regression and intention-to-treat principles.
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Background: A disproportionate number of COVID-19-related deaths in Canada occurred in long-term care homes, affecting residents, families and staff alike. This study explored the experiences of long-term care clinicians with respect to providing palliative and end-of-life care during the COVID-19 pandemic.

Methods: We used a qualitative research approach.

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Background: Long-term care (LTC) homes have been disproportionately impacted during COVID-19.

Purpose: To explore the perspectives of stakeholders across Canada around implementing a palliative approach in LTC home during COVID-19.

Methods: Qualitative, descriptive design using one-to-one or paired semi-structured interviews.

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This study used a single-group pre-test and post-test design to evaluate an educational workshop for multidisciplinary staff working in long-term care homes on implementing a palliative approach to care and perceptions about advanced care planning conversations. Two outcomes were measured to assess the preliminary efficacy of the educational workshop at baseline and 1-month post-intervention. Knowledge regarding implementing a palliative approach to care was assessed using the End-of-Life Professional Caregivers Survey and changes in staff perception toward ACP conversations were assessed using the Staff Perceptions Survey.

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