Introduction
bladder and bowel incontinence, Dementia
As a greater proportion of our population survives into late life, the number of people living with chronic and co-existing medical conditions and cognitive impairment has increased [Dementia is one of the most distressing and burdensome health problems encountered by the LTC home workforce [Over recent decades, national and international reports have highlighted concerns about the quality of LTC provided to residents [The vast majority of direct care to residents in LTC homes, including personal care such as bathing, dressing, assistance with mobility and activities of daily living, and increasingly managing bladder and bowel incontinence, wound care and assessment of vital signs, is provided by care aides (also known as personal support workers, nursing aides, nursing assistants) [This study examined the effectiveness of the SCOPE (Safer Care for Older Persons in (residential) Environments) intervention. SCOPE is a facilitation and quality improvement intervention which aimed to empower and enable care aides to lead quality improvement (QI) efforts and to improve the quality of care for older residents in LTC homes. We examined whether SCOPE resulted in increased use of best practices in care and improved care aide’s quality of work life. The intervention stemmed from a proof of principle study with care aide led teams [