Towards equitable representation in long-term residential care: widening the circle to ensure “essential voices” in research teams

Abstract The COVID-19 pandemic exposed long-standing inequities in Canada’s long-term residential care (LTRC) sector with life-threatening consequences. People from marginalized groups are overrepresented among those who live in, and work in LTRC facilities, yet their voices are generally silenced i...

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Main Authors: Mary Jean Hande, Prince Owusu, Katie Aubrecht, Denise Cloutier, Carole Estabrooks, Janice Keefe
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Research Involvement and Engagement
Subjects:
Online Access:https://doi.org/10.1186/s40900-024-00562-6
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author Mary Jean Hande
Prince Owusu
Katie Aubrecht
Denise Cloutier
Carole Estabrooks
Janice Keefe
author_facet Mary Jean Hande
Prince Owusu
Katie Aubrecht
Denise Cloutier
Carole Estabrooks
Janice Keefe
author_sort Mary Jean Hande
collection DOAJ
description Abstract The COVID-19 pandemic exposed long-standing inequities in Canada’s long-term residential care (LTRC) sector with life-threatening consequences. People from marginalized groups are overrepresented among those who live in, and work in LTRC facilities, yet their voices are generally silenced in LTRC research. Concerns about these silenced voices have sparked debate around ways to change LTRC policy to better address long-standing inequities and enhance the conditions that foster dignity for those who live and work in LTRC. Weaving an analysis of historical and cultural attitudes about LTRC, and promising strategies for engaging people with lived experience, we argue that the voices of people with lived experience of life and work (paid and unpaid) in LTRC are essential for ethically and effectively shifting long-standing inequities. Lessons from a 4-year, national, multi-disciplinary research study, known as the Seniors Adding Life to Years (SALTY) project, suggest that resident-determined quality of life can be prioritized by centring the perspectives of residents, their family/friends, direct care workers, volunteers, and people living with dementia in the research process. Accordingly, we highlight strategies to include these voices so that meaningful and impactful system change can be realized.
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spelling doaj.art-803e3c74188942749b5cc40ee5e2f3302024-03-31T11:38:08ZengBMCResearch Involvement and Engagement2056-75292024-03-0110111010.1186/s40900-024-00562-6Towards equitable representation in long-term residential care: widening the circle to ensure “essential voices” in research teamsMary Jean Hande0Prince Owusu1Katie Aubrecht2Denise Cloutier3Carole Estabrooks4Janice Keefe5Trent UniversityCarleton UniversitySt. Francis Xavier UniversityUniversity of VictoriaUniversity of AlbertaMount Saint Vincent UniversityAbstract The COVID-19 pandemic exposed long-standing inequities in Canada’s long-term residential care (LTRC) sector with life-threatening consequences. People from marginalized groups are overrepresented among those who live in, and work in LTRC facilities, yet their voices are generally silenced in LTRC research. Concerns about these silenced voices have sparked debate around ways to change LTRC policy to better address long-standing inequities and enhance the conditions that foster dignity for those who live and work in LTRC. Weaving an analysis of historical and cultural attitudes about LTRC, and promising strategies for engaging people with lived experience, we argue that the voices of people with lived experience of life and work (paid and unpaid) in LTRC are essential for ethically and effectively shifting long-standing inequities. Lessons from a 4-year, national, multi-disciplinary research study, known as the Seniors Adding Life to Years (SALTY) project, suggest that resident-determined quality of life can be prioritized by centring the perspectives of residents, their family/friends, direct care workers, volunteers, and people living with dementia in the research process. Accordingly, we highlight strategies to include these voices so that meaningful and impactful system change can be realized.https://doi.org/10.1186/s40900-024-00562-6Long-term residential careCOVID-19EquityRepresentationQuality of lifeLived experience
spellingShingle Mary Jean Hande
Prince Owusu
Katie Aubrecht
Denise Cloutier
Carole Estabrooks
Janice Keefe
Towards equitable representation in long-term residential care: widening the circle to ensure “essential voices” in research teams
Research Involvement and Engagement
Long-term residential care
COVID-19
Equity
Representation
Quality of life
Lived experience
title Towards equitable representation in long-term residential care: widening the circle to ensure “essential voices” in research teams
title_full Towards equitable representation in long-term residential care: widening the circle to ensure “essential voices” in research teams
title_fullStr Towards equitable representation in long-term residential care: widening the circle to ensure “essential voices” in research teams
title_full_unstemmed Towards equitable representation in long-term residential care: widening the circle to ensure “essential voices” in research teams
title_short Towards equitable representation in long-term residential care: widening the circle to ensure “essential voices” in research teams
title_sort towards equitable representation in long term residential care widening the circle to ensure essential voices in research teams
topic Long-term residential care
COVID-19
Equity
Representation
Quality of life
Lived experience
url https://doi.org/10.1186/s40900-024-00562-6
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