In response to needs of older adults at the end-of-life and challenges in the recruitment and retention of healthcare providers (HCPs) in home care in the South West Community Care Access Center, a new and innovative model of home care, eShift, has been developed. eShift links unregulated providers (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, enhancing quality of care delivery for older adults and their informal caregivers.
Care coordinators described eShift as a model of care that complimented and augmented their delivery of care. Care coordinators were able to provide timely, quality, efficient and patient-centered care to palliative patients and their informal caregivers along with shift nursing and unregulated providers (technicians) services. Care coordinators also discussed the emotional impact of trying to ensure the care needs are met for palliative patients and their informal caregivers in difficult circumstances with a limited resource capacity. eShift was described as enabling care coordinators to support patients and families through the palliating process. Overall, care coordinators were positive about the eShift as a model of care that fulfills the needs of palliating patients and their families.
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. (2015, December). E-shift, an innovative home care model: Perceptions of care coordinators. Arthur Labatt Family School of Nursing.