Clinical / Research

eShift® International Research Collaborative

Today, with an aging population, a global burden of chronic disease and complex conditions, and global financial constraints, health systems have heavy pressure to develop innovative models of care, reforms in work force patterns, and enhanced self-management paradigms. Utilizing a technology-enabled platform that works to resolve these challenges, eShift® can keep more patients at home, support early discharge, prevent readmission and increases the capacity of existing health care professionals. With that said, we would not be able to do this without the independent collaborative of researchers that have published work on these measures and to evaluate the models of care we work to deliver.

Mission

The International Research Collaborative (IRC) designed to undertake independent, high quality mixed-methods research to explore the impact on quality, safety and cost-effectiveness of new service models.

The eShift® IRC is designed to enable the sharing of tools and opportunities between its independent members and includes outcomes research in specific patient populations and practice-based evidence research, where ‘best practices’ can be identified, adopted and further evaluated within the scope of eShift®. The goal is to utilize these findings to implement care delivery models that promote effectiveness, efficiency, equity, safety, patient-centeredness and timeliness.

Strategic Aims

- Identifying relevant areas of research and key research questions from different stakeholders’ perspectives;
- Generating data on differences in the clinical practice across varying settings and variability of outcomes;
- Conduct of population-based comparative effectiveness research and practice-based evidence research for identifying best practices;
- Adoption of identifying best practices to demonstrate improved outcomes through longitudinal follow-up and evaluation;

Collaborators

Dr. Steven Ariss
Dr. Rod Borillo
Dr. Lorie Donelle
Dr. Sam Kyeremateng
Prof. Sue Mawson (chair)
Deborah Fitzsimmons PhD MHSc BA(Hons) CMIIA
Dr. Sandra Regan
Mr. Daniel Wolstenholme
Mrs. Donna Ladouceur

 

Canada / Ontario

Western University

Informal Caregivers' Experience of Caring for a Family Member who Received Palliative Care at Home

Amidst concerns about the capacity to meet the care needs of community dwelling clients, the South West Community Care Access Centre in London, Ontario piloted a new model of home care delivery to palliative care clients. The purpose of this interpretive description study was to describe the experiences of informal caregivers who have lived with and cared for a family member who received palliative care as part of the eShift® model of home care.

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Research Brief - Physicians March 2016

Both general practice and palliative care specialist physicians were interviewed (n = 6). Physicians described eShift as a model of care that supported their ability to meet patient need for in-home palliative care and prevented unnecessary hospital admissions.

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Research Brief - Nurse Practitioners April 2016

Nurse practitioners providing home-based palliative care were interviewed (n= 4) early in the study and six months later. When commenting on those patients who receiving care through the eShift model, nurse practitioners described their patients as receiving consistent team-based care that the patient’s condition was well monitored, and they had good symptom management. They also believed that patients were able to rest better knowing that their families were receiving some respite care.

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Research Brief - Directing Registered Nurses March 2016

Directing Registered Nurses described eShift as a model of care that allowed them to meet the needs of the patients and their family caregivers, augmented communication and collaboration among the healthcare team and in turn, enhance quality of care delivery. In addition, enhanced workplace satisfaction was reported by the DRNs working within the eShift model of care.

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Research Brief - Technicians March 2016

Technicians described eShift as a model of care that enhanced their role on the interprofessional healthcare team and they believed their contribution was valued. The technicians received enhanced education in palliative care and applied their education to meet the needs of and build a relationship with the patients and family caregivers and the directing registered nurses.

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Research Brief for Patients and Family Caregivers December 2015

Healthcare providers, care coordinators, and family caregivers indicated that:
Families were reluctant to give up the burden of care, feeling responsible for the care of their palliating relative. Patients in turn sometimes expressed the desire to only be cared for by family members, limiting the extent of care provided by nursing and technicians staff. Families were often apprehensive about an influx of new health care workers with each increase in the level of care. The desire for privacy contributed to families’ reluctance to accept care, especially overnight; an intimate time for families. This impacted families’ acceptance of eShift.

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Research Brief for Care Coordinators December 9 2015

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 palliating patients and their informal caregivers along with shift nursing and unregulated providers (technicians) services.

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United Kingdom

EnComPaSS: Moving towards an enhanced community palliative support service

Impact of using mobile technology to support delivery of community palliative care.

Dr Paul Taylor, Dr Steven Ariss, Dr Sam Kyeremateng, Prof. Sue Mawson

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NIHR CLAHRC YH Industry Engagement Strategy

The NIHR CLAHRC YH Industry Engagement Strategy sets out the strategy for the National Institute for Health Research, Collaboration for Leadership in Applied Research and care Yorkshire and Humber (NIHR CLAHRC YH) to engage with industry building on the established relationship we have with a number of industrial collaborators. 

It identifies our processes and mechanisms by which we wish to work with NIHR Office for Clinical Research Infrastructure (NOCRI) who help us identify potential partners and ensure access to our expertise is simplified for industrial partners who are unfamiliar to us and with the NIHR infrastructure.

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NIHR CLAHRC YH launches Industry Briefing

This briefing showcases not only our ways of working with industry partners but also how we are having an impact locally and nationally. 

The CLAHRC Vision is to understand health care and health service needs and how they can be addressed and transformed by digital technologies as we strive to achieve the three key aims of the NHS safety, quality and cost effective care.

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