{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T20:34:19Z","timestamp":1791837259046,"version":"4.3.4"},"reference-count":44,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Interior Universities Research Coalition of British Columbia"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>During the COVID-19 pandemic, governments across the world implemented processes and policies to limit the spread of COVID-19, especially in long-term care (LTC) homes. This led to changes in technology use for persons living in LTC homes, their families and friends, as well as the paid workforce dedicated to caring for them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The study describes the role of technology and its impact on the experiences of LTC staff working in northern and rural areas in Western Canada during COVID-19.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A secondary analysis of semi-structured interviews with 52 LTC staff was conducted. Qualitative data was analysed thematically using Braun and Clarke's thematic analysis approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Analysis of the study data revealed that new and innovative uses of technology emerged in the LTC setting during COVID-19, including technologies to support communication and collaboration with medical and health care professionals external to the LTC homes. Video-conferencing technology were rapidly implemented to facilitate virtual visits for LTC residents to connect to their families, further new streaming services were introduced to support recreational activities, including live music and spiritual services. LTC residents required significant support from staff to participate in virtual activities. Inadequate Internet infrastructure and scheduling difficulties in the context of severe staff shortages created challenges in technology adoption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This research provides insight into how technology can support LTC teams in northern and rural communities, as well as supports needed for LTC residents and staff to integrate technology effectively. The study informs actionable insights for those working in rural LTC settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076241303195","type":"journal-article","created":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T02:48:35Z","timestamp":1734662915000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Technology use in long-term care during the COVID-19 pandemic: A qualitative study of paid employees\u2019 experiences in Western Canada"],"prefix":"10.1177","volume":"10","author":[{"given":"Hui-Jun","family":"Chew","sequence":"first","affiliation":[{"name":"Centre for Technology Adoption for Aging in the North, University of Northern British Columbia, Prince George, BC, Canada"},{"name":"School of Health Sciences, University of Northern British Columbia, Prince George, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8129-6696","authenticated-orcid":false,"given":"Shannon","family":"Freeman","sequence":"additional","affiliation":[{"name":"Centre for Technology Adoption for Aging in the North, University of Northern British Columbia, Prince George, BC, Canada"},{"name":"School of Nursing, University of Northern British Columbia, Prince George, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piper","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Computing Science, Thompson Rivers University, Kamloops, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn","family":"Hemingway","sequence":"additional","affiliation":[{"name":"School of Social Work, University of Northern British Columbia, Prince George, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tammy","family":"Klassen-Ross","sequence":"additional","affiliation":[{"name":"School of Health Sciences, University of Northern British Columbia, Prince George, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Martin-Khan","sequence":"additional","affiliation":[{"name":"Exeter Medical School, Faculty of Health and Life Sciences, University of Exeter, Exeter, Devon, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davina","family":"Banner","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Northern British Columbia, Prince George, BC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,19]]},"reference":[{"key":"bibr1-20552076241303195","unstructured":"Canadian Institute for Health Information. Long-term care homes in Canada: How many and who owns them? | Ottawa, ON: CIHI; 2022. Available from: https:\/\/www.cihi.ca\/en\/long-term-care-homes-in-canada-how-many-and-who-owns-them, accessed 2 March 2022."},{"key":"bibr2-20552076241303195","unstructured":"Gibbard R. Sizing up the challenge. Meeting the demand for long-term care in Canada. The Conference Board of Canada. 2017."},{"key":"bibr3-20552076241303195","unstructured":"MacCourt P, Amdam L, Clarke L,Improving quality of life in long term care \u2012 A way forward. | Prepared for Action for Reform of Residential Care (ARRC); 2020. Available from: https:\/\/www.arrcbc.ca\/Improving%20LTC%20-%20A%20Way%20Forward.pdf"},{"key":"bibr4-20552076241303195","unstructured":"MacDonald BJ, Wolfson M, Hirdes JP. The Future Co$t of Long-Term Care in Canada. National Institute on Ageing, Ryerson University | Toronto, ON; 2019"},{"key":"bibr5-20552076241303195","volume-title":"Evidence Brief: Identifying and Harnessing the Potential of Technology in Long-Term Care Settings in Canada","author":"Gauvin FP","year":"2021"},{"key":"bibr6-20552076241303195","doi-asserted-by":"publisher","DOI":"10.1080\/08959420.2021.1927620"},{"key":"bibr7-20552076241303195","unstructured":"Government of Canada, Canadian Radio-television and Telecommunications Commission (CRTC). Broadband Fund: Closing the Digital Divide in Canada. 2016. Available from: https:\/\/crtc.gc.ca\/eng\/internet\/internet.htm (Accessed 5 March 2022)."},{"key":"bibr8-20552076241303195","unstructured":"Canadian Internet Registration Authority (CIRA). Canada\u2019s Internet Equity Gap. 2021. Available from: https:\/\/www.cira.ca\/node\/10176 (Accessed 5 March 2022)"},{"key":"bibr9-20552076241303195","unstructured":"Office of the Auditor General of Canada. Reports of the Auditor General of Canada to the Parliament of Canada - Connectivity in Rural and Remote Area. 2023. Available from: https:\/\/www.oag-bvg.gc.ca\/internet\/English\/parl_oag_202303_02_e_44205.html (Accessed 23 Januray 2024)."},{"key":"bibr10-20552076241303195","unstructured":"Government of Canada. Long-Term Care and COVID-19 \u2012 Science.gc.ca. 2020. 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