Author: Emily Kuurstra

Education & Mentorship Program: Enhancing Clinical Leadership in LTC


This FREE two-day workshop is intended for RPNs and RNs who have high potential to excel in leadership and who currently work in Ontario long-term care (LTC) homes.

At the end of day one, participants will:

  • Be able to describe principles of leadership and their personal leadership style and skills.
  • Be able to discuss the importance of leadership in the workplace.
  • Be more comfortable and confident using communications skills for delegation, conflict resolution, and empowerment of colleagues in the workplace.
  • Have increased confidence to implement leadership strategies in the workplace.

At the end of day two, participants will:

  • Be able to describe the concept of mentorship and relate it to their personal professional development.
  • Identify facilitators and challenges to implementing leadership practices in their workplace, in conjunction with someone working in a leadership role within their LTC home.
  • Describe strategies to address barriers to implementing leadership practices in their workplace.
  • Develop a plan for mentorship after the workshop including identifying a leadership mentor, and approaches for initiating the mentorship relationship.
  • Identify personal objectives for moving forward to implement leadership practices in their workplace.


Day One: March 19, 2018 (8 a.m.-4 p.m.)

Day Two: March 20, 2018 (8 a.m.-4 p.m.)

Nurses are required to attend both workshop dates.  Nurses’ direct supervisors are required to attend Day Two from 12PM-4PM.


Lanark Lodge, 115 Christie Lake Road, Perth, ON, K7H 3C6


Please complete the online COURSE APPLICATION FORM to apply for this training opportunity.

Application Deadline: March 5, 2018

For more information, please contact Michelle Fleming at

Leadership Webinar Series

This three-part webinar series will deepen the knowledge and skills of participants who work and deal with staff performance, conflict, and complaint situations in long-term care. This series will be of value to those leaders or managers wishing to deepen their understanding of destructive workplace behaviours and their impacts. It will provide new thinking and applied methods that can help turn around unhealthy workplace environments so people can thrive, grow, and contribute. It’s about building a workplace culture for desired outcomes.

The workshops will be presented by Mary-Lou van der Horst, RN, MScN, MBA, Schlegel-University of Waterloo Research Institute for Aging (RIA).


November 27, 2017 (1:00 PM – 2:30 PM)

Examine workplace performance and how workplaces can promote people to do their best or erode human potential. Explore the importance of meaning in our work and understanding that people come to work not only with hands but also with hearts, minds, and spirits.


January 22, 2018 (1:00 PM – 2:30 PM)

Explore the basis of why teams become dysfunctional. Examine ways to resolve workplace conflict through positive and opportunistic actions. 


February 26, 2018 (1:00 PM – 2:30 PM)

Explore workplace complaints and why they always seem to land on your doorstep. Examine how to make each complaint be a gift for improving workplace relationships.

To register for this FREE webinar series, please contact:

Regina Dryngiewicz at or 519-748-5220 ext. 3635

Participants who attend all three webinars will receive a Conestoga College Certificate of Attendance.

Environmental Scan of Ontario’s Behavioural Support Transition Units (BSTUs)

Behavioural Supports Ontario (BSO) and brainXchange released a new report, Environmental Scan of Ontario’s Behavioural Support Transition Units (BSTUs). The report presents general information about the BSTUs for the purposes of learning, knowledge sharing, and quality improvement.

In 2016, the Ontario Centres for Learning, Research and Innovation in Long-Term Care (CLRI) joined the BSTU Collaborative, which is part of Ontario’s Best Practice Exchange. The collaborative designed and facilitated the environmental scan of Ontario’s BSTUs. Learn more about the BSTU Collaborative.

To contribute to the collaborative, the Ontario CLRI team drew on one of its past projects, Meeting Future Need Through Specialization in Long-Term Care Homes. This project focused on existing designated specialized units in Ontario’s long-term care homes. The designated units either wrap higher intensity care around residents with complex responsive behaviours, which are frequently related to dementia, or support the needs of residents who require dialysis.

To learn more about specialized units, see our resources or read the article Designated Specialized Units: How Ontario’s long-term care homes fill a gap in care, which was published in Healthcare Management Forum (October 2016).

Culture Change Exchange Videos Now Online


Videos from the March 2017 Culture Change Exchange are now online!  Sessions from this event feature internationally-renowned speakers and presenters from Ontario’s long-term care sector, sharing how they’re enhancing the culture in their long-term care home or organization by building relationships and supporting people living with dementia.


For more information, visit the Research Institute for Aging website.

Ten Innovations to Help You Transform Your Long-Term Care Home

Ontario CLRI presenters at booth.

The CLRI team with a frail aging simulation suit at the Extendicare conference.

Last month, the Ontario CLRI team engaged with a large group of Extendicare leaders from across Canada. The focus was on how tools developed through the Ontario CLRI can help long-term care homes improve care and embrace innovation.

The Ontario CLRIs were invited to present at the Extendicare National Business Conference and Trade Show, in Toronto, on April 26, 2017. Entitled, “Ten Innovations to Help You Transform Your Home,” the presentation featured a variety of CLRI-developed approaches and free web-based resources to support the transformation of long-term care homes in the areas of culture change, learning, and staff engagement. The CLRIs shared the session with Charlene Chu from AGE-WELL and the Toronto Rehabilitation Institute.

The Ontario CLRI team also hosted an interactive booth to further showcase the work of the Program.

For a copy of the presentation slides, or if you have any questions related to free, web-based resources developed by the CLRIs, please contact us at

Study: Exploring The Complexity of Care Planning in Ontario’s Long-Term Care Homes

The Ontario CLRI was proud to present their work on plan of care compliance at the recent AdvantAge Ontario Conference. We jointly delivered with Wellington Terrace, a long-term care home in Fergus, which has consistently focused on care planning as an integral part of high quality care delivery. The many questions from a packed room ensured a dynamic session and confirmed the relevance of this topic.

Since 2015, the Ontario CLRI has been working in close partnership with AdvantAge Ontario and the Ontario Long Term Care Association to better understand the facilitators and challenges related to compliance with the plan of care regulations of the Long-Term Care Homes Act. During the presentation, we shared our findings from interviewing those homes that have consistently demonstrated – through resident quality inspections – the highest degree of compliance with plan of care regulations. To guide these interviews, we conducted a literature review on the challenges and solutions to implementing optimal evidence-informed care planning for long-term care residents.

For a copy of the presentation or the literature review, please contact

Article: Clinical Nursing Leadership Education in Long-Term Care: Intervention Design and Evaluation

The Ontario CLRI at Bruyère is pleased to announce the publication of the article, “Clinical Nursing Leadership Education in Long-Term Care: Intervention Design and Evaluation,” in the Journal of Gerontological Nursing.  Click here to access a free download of the full article.


The main objective of the current case study was to investigate the perceived leadership learning needs and feasibility of delivering leadership education to registered staff involved in direct care in long-term care (LTC) homes. The study was conducted in Ontario, Canada, and participants included RNs, registered practical nurses, and nursing administrators. Phase 1 bilingual web-based survey and bilingual focus group needs assessment data supported a preference for external training along with in-house mentoring to support sustainability. An intervention designed using insights gained from Phase 1 data was delivered via a 2-day, in-person workshop. Phases 2 and 3 evaluation survey data identified aspects of leadership training for LTC that require ongoing refinement. Findings suggest that communication skills and managing day-to-day nursing demands in the context of regulatory frameworks were areas of particular interest for leadership training in the LTC setting.

Study: Level of Need, Divertibility, and Outcomes of Newly Admitted Nursing Home Residents

The Ontario CLRI at Bruyère is pleased to announce that the original article, “Level of Need, Divertibility, and Outcomes of Newly Admitted Nursing Home Residents”, is currently in Press. The article is available for free download from The Journal of The American Medical Directors Association (JAMDA) website.


Objectives: To describe the level of need and divertibility of newly admitted nursing home residents, describe the factors that drive need, and describe the outcomes of residents across different levels of need.

Design: Retrospective cohort study.

Setting: A total of 640 publicly funded nursing homes (also known as long-term care facilities) in Ontario, Canada.

Participants: All newly admitted residents between January 1, 2010 and March 1, 2012.

Measurements: We categorized residents into 36 groups based on different levels of (1) cognitive impairment, (2) difficulty in activities of daily living (ADL), (3) difficulty in instrumental ADLs, and (4) whether or not they had a caregiver at home. Residents were then categorized as having low, intermediate, or high needs; applying results from previous “Balance of Care” studies, we also captured the proportion who could have been cost-effectively diverted into the community. We then contrasted the characteristics of residents across the needs and divertible groupings, and compared 4 outcomes among these groups: hospital admissions, emergency department visits, mortality, and return to home.

Results: A population-level cohort of 64,105 incident admissions was captured. About two-thirds had great difficulty performing ADLs (65%) and had mild to severe cognitive impairment (66%); over 90% had great difficulty with instrumental ADLs. Just less than 50% of the new admissions were considered to be residents with high care needs (cognitively impaired with great ADL difficulty), while only 4.5% (2880 residents) had low care needs (cognition and ADL intact). Those with dementia (71.0%) and previous stroke (21.5%) were over-represented in the high needs group. Those that cannot be divertible to anywhere else but an institution with 24 hour nursing care comprised 41.3% (n ¼ 26,502) of residents. Only 5.4% (n ¼ 3483), based on community resources available, could potentially be cost-effectively diverted to the community. Those at higher needs experienced higher rates of mortality, higher total cost across all health sectors, and lower rates of return to home.

Conclusions: The majority of those admitted into nursing homes have high levels of need (driven largely by dementia and stroke) and could not have their needs met cost-effectively elsewhere, suggesting that the system is at capacity. Caring for the long-term care needs of the aging population should consider the balance of investments in institution and community settings.

Study: Understanding the Realities of Short-Stay Respite Care in Long-Term Care Homes

The Ontario CLRI at Bruyère recently completed a scoping review and environmental scan focused on short-stay respite care, including respite beds in long-term care homes. Respite care involves providing short-term/temporary relief to individuals who are providing care to a family member or loved one. The main objective of this work was to better understand how different models of short-stay respite care affect outcomes for caregivers, care recipients, and healthcare resource utilization (including potentially delaying admission to a long-term care home).

While the scoping review findings exposed a knowledge gap and pointed to a need for further high-quality research in this area, they also provided valuable information in terms of lessons-learned that can serve to inform future studies and trials in Ontario.  A stakeholder consultation was conducted to learn more about the long-term care home short-stay respite program in its existing state and to identify opportunities for improvement, including any areas that research can further support. Stakeholders consulted included several long-term care homes that operate short-stay respite beds, Community Care Access Centres (CCACs), Local Health Integration Networks (LHINs), select programs in the Community Support Services (CSS) sector, the Alzheimer Society, as well as clinicians, researchers, and administrators.

To receive a report on the findings of this project, please contact us at

CABHI Announces Spark Program Grant Recipients

The Centre for Aging and Brain Health Innovation (CABHI) recently announced 31 grant recipients who will receive a total of $1.4 million in funding through CABHI’s Spark Program. Projects involving the Ontario Centres for Learning, Research and Innovation in Long-Term Care (CLRI) were among those selected. The  Ontario CLRI are proud to be partnered with organizations that are committed to promoting creative solutions in the field of aging.

The Spark Program is an initiative designed to support point-of-care healthcare workers with the development of grassroots ideas to improve brain health and quality of life for older adults. Specific focus areas include: reducing emergency department visits, preventing falls, supporting aging at home, and improving cognitive fitness.

Click on the links below for more information on the Spark projects supported by/affiliated with the Ontario CLRI:


SOS! A Gamified App to Improve Early Detection of Acute Deterioration Associated with Unnecessary Emergency Hospitalization in the Frail Elderly


Intelligent mobile and web-based alerts application to help detect and prevent falls in the long-term care setting (Saint-Louis Residence)

Research Institute for Aging

GeriMedRisk, a Scalable Geriatric Pharmacology Consultation Service to Prevent Adverse Drug Events among Seniors: A Pilot Study

Visit the CABHI website for a complete list of Spark recipients:

List of 2017 Spark Program recipients

La liste des bénéficiaires subventionnés par Spark CC-ABHI 2017