Personalised Education Starts with Relationship: Theoretical and Research Insights into the Teacher-Student Dynamic

Workplace relationship is a key determinant of performance by members of staff in an organisation. The existence of workplace relationship stressors (conditions and situations) could result in employees developing stress-related complications, which would ultimately affect productivity. Members of university academic staff are not immune to workplace relationship stressors as long as there exists a mechanism to address them if they occur or prevent their occurrence. This paper presents the results of a survey of 10 Kenyan public universities with respect to how work relationship stressors have affected the job performance of the members of academic faculty. Data was collected using a questionnaire, and analysis was presented using frequencies and percentages. Research has shown that work relationship stressors affect most members of academic staff in the private universities studied. Specifically, it was established that there are poor working relations between university management and academic staff members, incidents of employees’ misunderstandings are high, almost half of the academic members of staff are demotivated, and incidents of bullying and harassment have been adversely being mentioned to occur. These work relationship stressors have been found to affect the productivity of members of academic staff. The paper recommends that there is a need for private university to strengthen their human resource policies, which promote employee relations by speaking against bullying, have clear procedures for dispute and set up grievance and complaints reference systems and disciplinary approaches to be followed in addressing perpetrators of stressors in the workplace.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/soc/0421/a.php" alt="Hit counter" /></p>

Background: The application of artificial intelligence (AI) in the field of healthcare has paved the way for improved diagnostic accuracy, personalized treatment regimens, and overall enhancement in patient outcomes. The AI-related technologies are increasingly being applied in the healthcare sector, with the potential to bring about significant transformations in patient care and routine administrative operations, linking patients, providers, and society at large. Objectives: The current article seeks to explore the perceptions of Indian doctors and nurses regarding the implementation of AI in their respective work areas. Methods: Focused group discussions (FGDs) and individual in-depth interviews (IDIs) were conducted separately with the target respondents (doctors: FGD: n = 13, IDI: n = 9; nurses: FGD: n = 25, IDI: n = 16) to identify their perspectives and real-time experiences regarding AI integration in everyday workplace practices. The study design is qualitative in nature, with open-ended questions asked to the target respondents. Purposive sampling was used to recruit participants for the study. Results: Two main themes and seven subthemes were identified. The findings suggest that while AI certainly demonstrates potential for enhancing healthcare services, it is important to carefully consider its possible impact on healthcare workforce motivation, patient care, perceptions of patients, and the need to redesign existing healthcare practices. Conclusions: Artificial intelligence has significant scope and application in the healthcare industry. Indian healthcare professionals, including doctors and nurses, perceive that intelligent automation can effectively enhance the management of repetitive workflows. However, a section of respondents also expressed concern about potential job losses due to AI integration.

Kindergarten is an early education institution that provides exposure to children aged four to six years old. Early education in kindergarten is the main platform for improving children's development to allow them to explore, understand, and get to know the world by application of learning through play. The factors of the learning environment in outdoor classrooms with conducive from the aspects of function, landscape, and interactive game system also contribute to the psychomotor development of children. However, the implementation of teaching and facilitating (PdPc) in the outdoor classroom is less implemented by kindergarten teachers due to safety factors, lack of facilities, and the problems of landscape design of the outdoor classroom environment. Therefore, this study was conducted to identify factors of the learning environment in outdoor classrooms in influencing the psychomotor development of children in kindergarten. To achieve the objectives of the study, a qualitative method using a case study approach was implemented to explore the environmental landscape elements that are suitable for influencing the psychomotor development of children at NCDRC, UPSI, Tanjong Malim, Perak. A total of 13 informants consisting of representatives of NCDRC kindergarten teachers, landscape architecture officers, early childhood education lecturers, and NCDRC kindergarten children were involved in this study through focus group discussions (FGD) and individual in-depth interviews. Additional data was obtained from participant observation, document analysis, and audio-visual materials. The thematic analysis approach was used in analyzing the research data. This study contributes significantly to the body of knowledge. It improves conceptual understanding in the use of landscape outside the classroom as well as the use of landscape features as the core of creating an environment that stimulates and supports children's holistic development. The results of the study prove that the role of landscape outdoor classrooms is very important to the development of kindergarten children. The influence spirit place on the landscape of the environment at outdoor classroom can have a positive impact on the physical, cognitive, emotional, and social development of children. Through a comprehensive and stimulating outdoor landscape in kindergarten, children will have fun and meaningful learning experiences. Therefore, this study is expected to give a better understanding, especially to the kindergarten organization and the Ministry of Education about the importance of this landscape design in indirectly helping the education and learning process in schools.

BackgroundThe HIV epidemiology in South Africa reveals stark age and gender disparities, with young women being the most vulnerable to HIV acquisition in 2017. Evaluation of HIV exposure is a challenge in HIV prevention research. Intermittent in-clinic interviewer-administered risk behaviour assessments are utilised but may be limited by social desirability and recall biases. We piloted a mobile phone application for daily self-report of sexual risk behaviour in fifty 18–25 year old women at risk of HIV infection enrolled in HIV Vaccine Trials Network 915 (HVTN 915) in Soweto, South Africa. Through a mixed-methods investigation, we explored barriers and facilitators to completing daily mobile phone surveys among HVTN 915 study participants and staff.MethodsWe analysed quantitative data on barriers and facilitators to mobile phone study completion collected during the larger HVTN 915 study as well as two post-study focus group discussions (FGDs) with fifteen former participants with a median age of 24 years (IQR 23–25) and six individual in-depth interviews (IDIs) with HVTN 915 staff. FGDs and IDIs utilised semi-structured interview guides, were audio-recorded, transcribed verbatim and translated to English. After coding, thematic analysis was performed.ResultsThe main facilitator for daily mobile phone survey completion assessed across 336 follow-up visits for 49 participants was the daily short message system (SMS) reminders (93%, 312/336). Across 336 visits, 31/49 (63%) retained participants reported barriers to completion of daily mobile phone surveys: forgetting (20%, 12/49), being too busy (19%, 11/49) and the survey being an inconvenience (15%, 9/49). Five main themes were identified during the coding of IDIs and FGDs: (1) facilitators of mobile phone survey completion, such as daily SMS reminders and follow up calls for non-completers; (2) barriers to mobile phone survey completion, including partner, time-related and technical barriers; (3) power of incentives; (4) response bias in providing sensitive information, and (5) recommendations for future mobile phone based interventions.ConclusionDespite our enthusiasm to use innovation to optimise sexual risk assessments, technical and practical solutions are required to improve implementation. We recommend further engagement with participants to optimise this approach and to further understand social desirability bias and study incentives in sexual risk reporting.

Public mental health authorities are faced with the responsibility of containing costs, improving quality, and providing greater accountability. In response, a number of states began developing mechanisms to assess consumer outcomes and provider performance. In the late 1990s Virginia took a proactive stance by pilot testing the Performance and Outcome Measurement System (POMS), which was based on the ConsumerOriented Report Card of the Mental Health Statistics Improvement Program (MHSIP). The Virginia Department of Mental Health, Mental Retardation, and Substance Abuse Services implemented the pilot project at eight sites. Implementing POMS statewide was intended to serve two major purposes: it would continuously improve the quality of services, and it would increase accountability for taxpayer dollars. POMS was designed by a committee that included major stakeholder groups: consumers, family members, and providers. This committee also oversaw the implementation of the pilot project and obtained input from a wider array of stakeholders throughout the implementation process. In early 1997 six community mental health centers and two state hospitals were selected to participate in the pilot project. Two sites each were selected to represent adult mental health, child and adolescent mental health, adult substance abuse, and inpatient services. A total of 46 different indicators were tested across the four populations. The goals of the pilot project were to determine which of these indicators provided the most useful information at the lowest cost and to develop recommendations for improving POMS and for implementing the program statewide. The pilot project took place from 1997 to 1999.

IntroductionIn low- and-middle-income-countries (LMICs) like Ghana, universal access to quality healthcare remains a mirage and this undermines achievement of sustainable development goal (SDG) 3. The SafeCare Quality Improvement (QI) programme is an initiative of PharmAccess Foundation, a Netherlands-based non-governmental organisation (NGO). In 2009 SafeCare QI programme was launched in Ghana to help address gaps in healthcare quality standards, leveraging existing local resources. Over 600 private and public healthcare facilities are currently enrolled in the programme and is being adopted for nation-wide rollout by government of Ghana and implementing partners.ObjectiveThis paper explored views and experiences of frontline health staff and policy makers on the SafeCare quality improvement programme in Ghana and how local resources were leveraged in its implementation.MethodologyDesign/setting: The evaluation was conducted in 53 private and public healthcare facilities from seven administrative regions of Ghana across the coastal, middle, and northern geopolitical belts. The regions are Ashanti (n = 12), Bono East (n = 8), Bono (n = 3), Greater Accra (n = 12), Oti (n = 4), Savannah (n = 8) and Western (n = 9).Sampling: Quota and purposive sampling techniques were used to sample the healthcare facilities in accordance with the study eligibility criteria. Total of 45 focus group discussions (FGDs) and 47 individual in-depth interviews (IDIs) were conducted among frontline staff and policy makers from government and private local partner institutions.Analysis: Group and individual interviews were audio recorded, transcribed verbatim and thematic content analysis done using Nvivo (version 12.0) software.FindingsOverall, participants perceived the relevance and benefits of the SafeCare programme to be "very satisfactory" while the programme impact, rollout process and success were perceived to be "satisfactory". Quality healthcare standards were perceived to have improved in beneficiary health facilities due to participation in the SafeCare programme. Patient satisfaction, service utilisation and revenue generation in healthcare facilities were also attributed to the SafeCare programme. Proposals were made for harmonisation of existing QI assessment tools to mitigate duplications. Agreed data sharing protocols and interoperability with existing national database were also recommended to promote sustainability. Finally, low staff motivation, high workload, lack of financial and material resources were cited as potential impediments to full compliance with the SafeCare QI standards by healthcare facilities enrolled in the programme.ConclusionsSafeCare QI programme has contributed to QI and adherence to patient safety standards in Ghana. Sustainability is however dependent on continuous government commitment as the programme gets adopted as a national QI programme. Overlaps in content of QI assessment tools ought to be addressed to promote efficiency without compromising quality standards. The SafeCare programme demonstrates that health systems in LMICs have the potential to attain acceptable quality healthcare standards when they take advantage of existing local resources, including private-public partnership (PPP) and peer-learning opportunities.

PurposeWaste management is a critical element of the campus sustainability movement in which Nigerian universities are yet to actively participate. The purpose of this study was to investigate prevalent waste management practices and the disposition of undergraduate students in a Nigerian University.Design/methodology/approachData collection involved the use of a questionnaire, focus group discussion and participative observation. Respondents consisted of 840 students drawn from four academic faculties of the university. Descriptive and inferential statistics were used to address the research questions raised to guide the investigation.FindingsIndiscriminate littering, open dumping of waste, weedy and overgrown lawns, proliferation of power generating sets, uncollected refuse sites and defaced walls with postings were the major observed environmental challenges. Open burning of refuse was found to be the single most prevalent way of managing large volumes of waste generated on the university campus. Although the problems were widespread, only 40.5 per cent of the students expressed serious concern for the solid waste practices. Also, while the students were positively disposed to innovative ways of addressing the challenge of waste management in the university, there were significant differences in students’ awareness and disposition according to sex, age, academic level and faculties.Research limitations/implicationsThe implications of the findings for campus-based sustainability education are discussed.Originality/valueThis study is an original research article which interrogated the students’ attitudes to solid waste management in a Nigerian University. It used a combination of both qualitative and quantitative techniques, such as questionnaire, focus group discussion and participative observation.

Studies on the organisation of care and the power dynamic between providers and patients with HIV in sub-Saharan Africa are rare. This study aims to describe the patient-provider relationship and explore the challenges to optimal and patient-centred care for HIV patients. This was a qualitative exploratory descriptive study using in-depth individual interviews and focus group discussions. In total, 17 individual interviews and 5 focus group discussions were conducted. This was conducted in four urban health facilities in Conakry, the capital of Guinea. Three group of participants were included in this study namely patients with HIV; health providers including facilities and services managers; and psychosocial counsellors. Psychosocial counsellors provide emotional and psychosocial support to HIV patients. Their role in the organization care in Guinea is new and they contribute to strengthening adherence of patients with HIV to ARV treatment. Patients with HIV, health providers, and psychosocial counsellors have a positive perception of the patient-provider relationship. This relationship was characterized essentially by maintaining confidentiality of HIV status disclosure, caring attitudes towards patients (being available, adjusting locations for accessing ART, based on patients' preferences), and participating in HIV patient's social life. However, scolding and miscommunication about the interpretation of viral load tests were reported. The shortage of human resources, low salaries of health staff, poor infrastructure, and the financial burden borne by patients with HIV impede the implementation of optimal patient-centred care. Integrating psychosocial counsellors in HIV care organization, improving access to ARV, infrastructure, increasing human resources, and removing the financial burden for HIV patients are needed to optimal patient-centred care in Guinea.

Objective: The objective of this review was to explore the experiences of mothers with the practice of kangaroo mother care for preterm neonates at home in sub-Saharan Africa. Introduction: Newborn deaths globally have remained high despite the significant reductions in deaths among under-fives over the past few decades. More than 7000 deaths occur daily around the globe, but mostly in sub-Saharan Africa. Of these deaths, 60% to 80% are due to preterm birth and low birth weight. Kangaroo mother care is known to offer a cheap and effective way to care for low birth weight, preterm neonates; however, its practice is still low. There is limited evidence on the factors that hinder or facilitate the practice of kangaroo mother care at the community level. Inclusion criteria: The review considered studies conducted in sub-Saharan Africa on the perceptions and experiences of mothers who had given birth to preterm babies and had practiced kangaroo mother care wholly or in part at home. Qualitative studies in English and French conducted from January 1979 to March 2019 were considered for inclusion if they exclusively used qualitative research methods including, but not limited to, phenomenology, grounded theory, ethnography, action research, or feminist research. Methods: PubMed, Embase, Web of Science, Scopus, African Index Medicus (AIM), Academic Search Complete, CINAHL Complete, Education Source, and Health Source: Nursing/Academic Edition were searched in March 2019. Eligible studies were critically appraised using the standardized JBI tool. Findings were pooled using the meta-aggregative approach, and confidence was assessed according to the ConQual approach. Results: Following the systematic search and critical appraisal process, six studies were included in the review for data extraction and synthesis of findings. Three of the six studies were based on in-depth individual interviews, while two employed both individual interviews and focus group discussions, and one study used only focus group discussions. Twenty-six primary findings were generated from the review process that were aggregated into 10 categories, which generated four meta-synthesized findings: Conclusions: There is a link between the perceptions and experiences of kangaroo mother care that influences its practice in sub-Saharan Africa. The health care systems have failed to create awareness among communities before the birth of a preterm neonate. The traditional practices make kangaroo mother care stigmatizing at the community level, and the practice is perceived to be difficult and cumbersome, requiring substantial social support. Strategies to make the practice less cumbersome need to be devised, focusing on the comfort of mothers. Further qualitative studies are needed to explore community-level experiences of kangaroo mother care in sub-Saharan Africa.

This paper introduces nine steps that are recommended in conducting focus group discussions in rural communities and gives an example of how they can appropriately and fruitfully be employed in adolescent health behavioural research. The paper also reviewed issues related to methods of data collection, data analysis, reliability and validity in qualitative research. Focus group discussions took place in classrooms in three schools in Mankweng, Limpopo Province of South Africa. Three groups (boys only, girls only and mixed) took part in each school. Participants were selected from the pool of standard seven (grade 9) students from the chosen schools. The nine steps that were involved in using focus group discussions as a research method and the Mankweng experience is discussed. These steps include: (1) conducting a social influence analysis; (2) identifying the specific information to collect; (3) designing focus group discussion guide; (4) choosing the participants for the focus group discussion; (5) selecting focus group discussion moderators; (6) training focus group discussion moderators; (7) conducting the focus group discussion; (8) analysing the data collected; (9) formulating study conclusions and policy recommendations. Little adolescent health research in South Africa has been based upon methods that can capture the complexity of the role of significant others in adolescent health and development and the powerlessness of rural communities in dealing with the 'new morbidity' of adolescent risk behaviours. Understanding what sort of power relations, for example, that are involved in being relatively disadvantaged and how the power of such social groups can be increased is common concern of development managers and other individuals and institutions engaged in policy changes and implementation and deserve to be an essential component of child and adolescent health research. Well-collected and well-analysed qualitative data is needed in order to clearly understand some of the underlying predisposing, enabling and reinforcing factors that could account for adolescent risk behaviours in rural communities. Qualitative research method is important in that they capture the complexity of life, rather than trying to 'reduce' this complexity, and the potential for gaining an understanding of what is going on in the situation with the phenomenon is greater. Focus group discussions, a qualitative research methodology, can yield valuable data.

The purpose of the study was to assess the safety culture of the National Railways of Zimbabwe (NRZ). A qualitative research methodology was adopted for the study. Purposive sampling was used to select the study participants and the data was collected through focus group discussions and individual interviews. Twenty three unstructured individual interviews and eight focus group discussions were conducted. The interviews and discussions were guided by five safety culture indicators namely, leadership; two-way communication; employee involvement; learning culture; and attitude towards blame. The findings revealed that NRZ was relatively strong with respect to employee involvement but was very weak in the other four safety culture indicators. The study thus concluded that on the whole NRZ had a weak safety culture.

Background: Despite efforts to improve access to family planning, contraceptive prevalence remains relatively low among adolescents and youth in Guinea. The objective of this study was to understand the barriers to the use of modern contraceptive methods among urban adolescents and youth (15–24 years) in Conakry, Guinea.Methods: This was a qualitative study using an exploratory design. It was conducted in the capital city of Guinea, Conakry in 2019. Respondents included adolescents and youth aged 15–24 years, health care providers, and parents of adolescents and youth. In-depth individual interviews (IDIs) and focus group discussions (FGDs) were used to collect the data. Sixty IDIs and ten FGDs were planned in Conakry. These data were recorded and transcribed, when applicable, from the local languages into French in an anonymous manner. The data were analyzed using a mixed (inductive and deductive) thematic approach following the elements of the socio-ecological model.Results: Overall, 56 IDIs and 10 FGDs were conducted with 136 participants and included in this analysis. Respondents were adolescents (16%), youth (30%), and key informants (54%) who were health care providers (public and private), decision-makers, parents of adolescents and youth, and neighbors. Among adolescent respondents, 75% were female, and of the youth, 61% were female. Our analysis indicates various and interrelated barriers that limit the access and use of contraceptives by adolescents and youth. These included the individual (fear of side effects, cost, and rumor-related misinformation), interpersonal or family (spouse perception and sexuality taboo and perception of sexual activity before marriage), sociocultural (religious prohibitions and ethnicity), and health care system (breakdown of contraceptive methods in public health facilities, perception of service delivery, provider attitudes, visiting hours, geographic proximity of services, and quality of training received by health care providers) barriers.Conclusion: In our context, the use of modern contraceptive methods by adolescents and youth is influenced by an interaction of various barriers, including individual, interpersonal, sociocultural, and health care system factors. Strengthening contraceptive uptake interventions by involving different stakeholders, including adolescents, parents, religious, and community leaders, and improving the quality of sexual and reproductive health services would help in reducing barriers to contraceptive use among adolescents and youth.

BackgroundPerennial malaria chemoprevention (PMC) aims to protect children at risk from severe malaria by the administration of anti-malarial drugs to children of defined ages throughout the year. Sulfadoxine-pyrimethamine (SP) has been widely used for chemoprevention in Africa and a child-friendly dispersible tablet formulation has recently become available.MethodsThis qualitative non-interventional observational study was conducted in Benin, Côte d’Ivoire, and Mozambique between February and June 2022. Prototype blister packs, dispensing boxes and job aids designed to support dispersible SP deployment for PMC were evaluated using focus group discussions (FGD) and semi-structured in-depth individual interviews (IDI) with health authorities, health personnel, community health workers (CHWs) and caregivers. The aim was to evaluate knowledge and perceptions of malaria and chemoprevention, test understanding of the tools and identify gaps in understanding, satisfaction, user-friendliness and acceptability, and assess the potential role of CHWs in PMC implementation. Interviews were transcribed and imported to ATLAS.ti for encoding and categorization. Thematic content analysis used deductive and inductive coding with cross-referencing of findings between countries and participants to enrich data interpretation. Continuous comparison across the IDI and FGD permitted iterative, collaborative development of materials.ResultsOverall, 106 participants completed IDIs and 70 contributed to FGDs. Malaria was widely recognised as the most common disease affecting children, and PMC was viewed as a positive intervention to support child health. The role of CHWs was perceived differently by the target groups, with caregivers appreciating their trusted status in the community, whereas health authorities preferred clinic-based deployment of PMC by health professionals. Empirical testing of the prototype blister packs, dispensing boxes and job aids highlighted the context-specific expectations of respondents, such as familiar situations and equipment, and identified areas of confusion or low acceptance. A key finding was the need for a clear product identity reflecting malaria.ConclusionSimple modifications profoundly affected the perception of PMC and influenced acceptability. Iterative quantitative investigation resulted in PMC-specific materials suited to the local context and socio-cultural norms of the target population with the aim of increasing access to chemoprevention in children most at risk of severe malaria.

The Systems Analysis and Improvement Approach (SAIA) is an evidence-based package of systems engineering tools originally designed to improve patient flow through the prevention of Mother-to-Child transmission of HIV (PMTCT) cascade. SAIA is a potentially scalable model for maximizing the benefits of universal antiretroviral therapy (ART) for mothers and their babies. SAIA-SCALE was a stepped wedge trial implemented in Manica Province, Mozambique, to evaluate SAIA's effectiveness when led by district health managers, rather than by study nurses. We present the results of a qualitative assessment of implementation determinants of the SAIA-SCALE strategy during two intensive and one maintenance phases. We used an extended case study design that embedded the Consolidated Framework for Implementation Research (CFIR) to guide data collection, analysis, and interpretation. From March 2019 to April 2020, we conducted in-depth individual interviews (IDIs) and focus group discussions (FGDs) with district managers, health facility maternal and child health (MCH) managers, and frontline nurses at 21 health facilities and seven districts of Manica Province (Chimoio, Báruè, Gondola, Macate, Manica, Sussundenga, and Vanduzi). We included 85 participants: 50 through IDIs and 35 from three FGDs. Most study participants were women (98%), frontline nurses (49.4%), and MCH health facility managers (32.5%). An identified facilitator of successful intervention implementation (regardless of intervention phase) was related to SAIA's compatibility with organizational structures, processes, and priorities of Mozambique's health system at the district and health facility levels. Identified barriers to successful implementation included (a) inadequate health facility and road infrastructure preventing mothers from accessing MCH/PMTCT services at study health facilities and preventing nurses from dedicating time to improving service provision, and (b) challenges in managing intervention funds. The SAIA-SCALE qualitative evaluation suggests that the scalability of SAIA for PMTCT is enhanced by its fit within organizational structures, processes, and priorities at the primary level of healthcare delivery and health system management in Mozambique. Barriers to implementation that impact the scalability of SAIA include district-level financial management capabilities and lack of infrastructure at the health facility level. SAIA cannot be successfully scaled up to adequately address PMTCT needs without leveraging central-level resources and priorities. ClinicalTrials.gov, NCT03425136 . Registered on 02/06/2018.

BackgroundWorldwide, the COVID-19 pandemic has resulted in profound loss of life among older adults living in long-term care (LTC) homes. As a pandemic response, LTC homes enforced infection control processes, including isolating older adults in their rooms, canceling therapeutic programs, and restricting family member visits. Social isolation negatively impacts older adults in LTC, which may result in increased rates of anxiety, depression, physical and cognitive decline, disorientation, fear, apathy, and premature death. Isolation of older adults can also cause an increase in responsive behaviors (eg, yelling, hitting, calling out) to express frustration, fear, restricted movement, and boredom. To respond to the challenges in LTC and support frontline staff, older adults, and family members, a novel registered practical nurse (RPN)-led delivery of the PIECES approach for addressing responsive behaviors among older adults with dementia using virtual training/mentoring was implemented in Canadian LTC homes. PIECES employs a person- and family/care partner–centered collaborative team-based approach to provide education and capacity-building for nurses; engages families as active participants in care; and embeds evidence-informed practices to provide person- and family-centered care to older adults with complex needs, including dementia.ObjectiveThe aim of this study was to describe the experiences of LTC staff, family/care partners, and older adult research partners with implementation of a novel RPN-led virtual adaptation of the PIECES care-planning approach for responsive behaviors in two Canadian LTC homes during the COVID-19 pandemic.MethodsUsing a qualitative descriptive design, two focus groups were held with three to four staff members (eg, RPNs, managers) per LTC home in Ontario. A third focus group was held with three PIECES mentors. Individual semistructured interviews were conducted with RPN champions, family/care partners, and older adult research partners. Research team meeting notes provided an additional source of data. Content analysis was performed.ResultsA total of 22 participants took part in a focus group (n=11) or an in-depth individual interview (n=11). Participant experiences suggest that implementation of RPN-led virtual PIECES fostered individualized care, included family as partners in care, increased interdisciplinary collaboration, and improved staff practices. However, virtual PIECES, as delivered, lacked opportunities for family member feedback on older adult outcomes. Implementation facilitators included the provision of mentorship and leadership at all levels of implementation and suitable technological infrastructure. Barriers were related to availability and use of virtual communication technology (family members) and older adults became upset due to lack of comprehension during virtual care conferences.ConclusionsThese findings offer promising support to adopting virtual PIECES, a team approach to gather valuable family input and engagement to address residents’ unmet needs and responsive behaviors in LTC. Future research should investigate a hybridized communication format to foster sustainable person- and family-centered care-planning practices to include active collaboration of families in individualized care plans.