Although computer-based learning is increasingly popular in continuing education settings, currently there are no empirical studies into the personalization principle.
In Canada, complex continuing care settings shift the focus of priorities of patients from life and death to a focus on function and quality of life [ 26].
When allocating specialised workforce resources across acute, rehabilitation and continuing care settings, there is a complex decision about what is a sufficiently good outcome to justify ongoing investment.
There is an increasing focus on promoting person-centred systems across continuing care settings, emphasizing the need to enhance the quality of life of older adults.
Like many other countries in the World, Ireland has a rising older population and this demographic shift has meant that older people are seeking placement in a variety of continuing care settings, such as nursing homes or community hospitals.
Hewitt (2000) has advocated the construction and reconstruction of a life story as a critical part in the development of self and may assist in transition to continuing care settings.
The Armstrong and Full Frailty Indices (and the CHESS scale) were constructed using data available on the interRAI-AL instrument, one of a suite of similar instruments being implemented across continuing care settings in Canada.
In clinical practice, health care professionals tend to focus on physical needs when people are admitted to continuing care settings, and files and nursing care plans do not capture characteristics of resident's values and culture (Coker 1998).
Internationally, there has been increased emphasis on improving the quality of care in continuing care settings (that is, home care, supportive living, and facility-based long-term care) [ 1- 3].
Our findings may not be applicable to, for example, Ontario's complex continuing care settings that typically have higher acuity levels or to US nursing homes where funding structures are different and there may be greater overlap between acute and long-term care.
