Grant: Catalyst Grant: Quadruple Aim and Equity

Health care workers want to support older adults in their wish to continue living in their homes even when changes to their health puts them at risk of injury or worsening health. Health care workers also want to prioritize safety over these potential negative outcomes to protect older adults from injury. This way of practicing sometimes leads health care workers to recommend that an older adult relocates from their home to a safer and more supportive living environment. The Living with Risk: Decision Support Approach (LwR:DSA) is an approach to care that can help health care workers better address the negative outcomes associated with living at home for older adults and suggest ways to avoid injury rather than relocation. The use of the LwR:DSA in day-to-day practice aims to enhance clinical thinking skills for health care workers, decrease their stress around senior safety concerns, improve communication between health care workers, caregivers and seniors and provide a safe space to discuss uncertainties about safety recommendations in order to improve the care experience for seniors. The purpose of this study is to understand what factors influence the use of the LwR:DSA in everyday practice so that we can effectively increase the widespread use of the LwR:DSA by health care workers in both the community and hospital health settings.