Transitions into personal care homes: policy, practice, and lived experience
Bibliographic record
Abstract
Family caregivers play a crucial part in assisting older adults as they transition into long-term care facilities, or Personal Care Homes (PCHs) as they are known in Manitoba. However, there is limited research on experiences family caregivers have with the health care system throughout this process. This study, through thematic analysis of secondary qualitative data, explored the experiences of 22 family caregivers as they transitioned an older adult across the continuum of care in Winnipeg, Manitoba. Particular attention was paid to the way in which caregivers were accorded choice and control within their interactions with the health care system. Caregiver experiences were juxtaposed with thematic and discourse analysis of secondary qualitative data including 9 service provider perspectives of navigating experiences, and public presentations of how the system is portrayed through governmental and regional health websites. The findings of this study are organized into three phases (pre-panel, panel, and post-placement) with associated sub-themes describing different aspects of structural burden throughout the transition process. Care responsibilities and requirements performed by family caregivers transcend typical assumptions of care provision, beyond social and medical care to often extensive and invisible administrative and information work. This thesis highlights the structural burden that accompanies providing care for older adults in the community, and in particular how this burden can further influence the need to initiate the transition process.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.012 | 0.011 |
| Scholarly communication | 0.005 | 0.003 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".