In response to the needs of older adults at the end-of-life and other patients needing shift nursing care in urban and remote rural settings, and challenges in having sufficient nursing capacity in all locations to provide overnight homecare, the South West Community Care Access Center developed, a new and innovative model of home care called eShift. The eShift model connects unregulated care providers (eShift technicians) providing home care to a remotely-situated Directing Registered Nurse (DRN), through a smart phone application using real-time communication and documentation technology. The DRN monitors and directs appropriate, safe, and effective care provided in collaboration with the technician in real-time. This increases the capacity of the DRN to support many families each shift rather than just one, enhancing quality of care delivery for older adults and their family caregivers, and supporting patients to die at home with fewer ER visits and hospitalizations which saves health system costs.
Our study findings suggest that the eShift model of care supported patients to die in their place of choice, reduced caregiver stress and burden, and cost the healthcare system significantly less than dying in hospital. Healthcare providers working in the eShift model, reported high job satisfaction, high interprofessional collaboration, and believed they were providing high quality care to patients and families. Overall, decision-makers, healthcare providers, and family/friend caregivers viewed the eShift model of palliative home care as an innovative and important approach to the delivery of high quality, patient/family-centered palliative home care.
This project is supported by a team of researchers & led by co-principal investigators:
Lorie Donelle, RN, PhD, Associate Professor, Arthur Labatt Family School of Nursing and School of Health Studies, Western University. firstname.lastname@example.org
Sandra Regan, RN, PhD, Associate Professor, Arthur Labatt Family School of Nursing, Western University. email@example.com
Donelle, L., Regan, S. (2017, May). E-shift, an innovative home care model: A 3-Year Study - Summary Review of Research Activities