Table 3 Aspects of the goal-oriented approach perceived to be facilitating and inhibiting continuity
From: Continuity of care for older adults in a Canadian long-term care setting: a qualitative study
| Â | Facilitators | Inhibitors |
|---|---|---|
Informational Continuity | • Goals of care discussions ensured resident, care team, and family were on the same page • Care conferences created awareness for residents of their care options • Consistency in where SeeMe assessment information is stored | • Residents lacked awareness of SeeMe program • Care conference agenda caused confusion |
Relational Continuity | • Incorporating a resident’s values and preferences formed a holistic understanding of a resident • Staff increased awareness of the program for families • Integrating the family’s perspective into a resident’s care | • Relying on family involvement when family was not available |
Management Continuity | • SeeMe program discussions facilitated informed care preference decisions • SeeMe assessments acted as reference tool in case of acute health event • Goals of care discussions empowered residents and family members to talk to external healthcare providers • Structure of the SeeMe program facilitated consistency in care being provided | • Wait time until residents attended their first care conference was too long • Family members faced difficulties making decisions |