title: Sustained transfer of knowledge to practice in long-term care: facilitators and barriers of a mental health learning initiative.
abstract: This article explores facilitators and barriers to the impact and sustainability of a learning initiative to increase capacity of long-term care (LTC) homes to manage the mental health needs of older persons, through development of in-house Psychogeriatric Resource Persons (PRPs). Twenty interviews were conducted with LTC staff. Management support, particularly designation of time for PRP activities, development of PRP teams, and supportive learning strategies were significant factors affecting sustained knowledge transfer. Continuing education that is provided and evaluated on an ongoing basis, secures management commitment, is integrated within a broader system strategy, and provides on-the-job support has the greatest potential to affect care.
authors.affiliation: Department of Health Studies and Gerontology, University of Waterloo, Waterloo, Ontario, Canada. stolee@uwaterloo.ca
authors.forename: Paul
authors.initials: P
authors.lastname: Stolee
authors.forename: Carrie A
authors.initials: CA
authors.lastname: McAiney
authors.forename: Loretta M
authors.initials: LM
authors.lastname: Hillier
authors.forename: Diane
authors.initials: D
authors.lastname: Harris
authors.forename: Pam
authors.initials: P
authors.lastname: Hamilton
authors.forename: Linda
authors.initials: L
authors.lastname: Kessler
authors.forename: Victoria
authors.initials: V
authors.lastname: Madsen
authors.forename: J Kenneth
authors.initials: JK
authors.lastname: Le Clair
mesh_terms: D000368:Aged; D003258:Consumer Behavior; D004059:Diffusion of Innovation; D004496:Education, Continuing / Q000458:organization & administration; D006302:Health Services Research; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D007858:Learning; D008134:Long-Term Care / Q000458:organization & administration*; D008603:Mental Health; D009735:Nursing Homes / Q000458:organization & administration*; D011787:Quality of Health Care / Q000458:organization & administration; D011788:Quality of Life; D013192:Staff Development / Q000458:organization & administration