This research analyzes the shift in Ontario's regulatory approach, the challenges of enforcement, and the move towards person-centered care models. The analysis highlights several key issues and shifts in Ontario's approach to regulation and enforcement in the long-term care (LTC) sector. Baumann, A., Smith, V., Chu, J., Antonipillai, V., Idriss-Wheeler, D., & Crea-Arsenio, M. (2025). From policy to protection: A comparative policy analysis of compliance and enforcement in Ontario's long-term care homes [Manuscript submitted for publication].
This research sought to examine reported cases of abuse in long-term care (LTC) homes in the province of Ontario, Canada, and determine the extent and nature of abuse experienced by residents between 2019 and 2022. It uncovered substantial differences between legislation intended to protect LTC residents from abuse and the abuse occurring in LTC homes. The findings suggest strategies such as establishing a climate of trust, investing in staff and leadership providing standardized education and training and implementing a quality and safety framework could improve the care and well-being of LTC residents. Baumann, A., Crea-Arsenio, M., Smith, V., & Idriss-Wheeler, D. (2024). Abuse in Canadian long-term care homes: A mixed methods study. BMJ Open Quality, 13(2), e002639. https://doi.org/10.1136/bmjoq-2023-002639
This research explores systemic vulnerabilities and lessons from the COVID-19 crisis in LTC, including workforce, leadership, regulation, and resident well-being. This work has yielded a multidimensional analysis that reveals structural weaknesses and best practices. The outcome calls for reforms to strengthen leadership, workforce stability, infection control, and resident rights, embedding resilience for future crises. Deber, R., Crea-Arsenio, M., Lavoie-Tremblay, M., & Baumann, A. (2022). Introduction – COVID-19 and long-term care: What have we learned? [Special issue]. Healthcare Policy, 17, 8–13. https://doi.org/10.12927/hcpol.2022.26858
This research explores the employment experiences of recent immigrants in a mid-sized city in Ontario, Canada to identify challenges and opportunities they face integrating into the local labour market. Crea-Arsenio, M., Newbold, Bruce K., Baumann, A. & Walton-Roberts, M. (March 2025). Employment Integration of Recent Immigrants in a Canadian Mid-Sized City: An Emerging Model, Population, Space and Place, 31(3); e70028;
This research explores the experience and perspectives of healthcare personnel from acute care hospitals, community care, the Canadian Armed Forces (CAF), and the Canadian Red Cross deployed from the hospitals and military into long‐term care (LTC) in Ontario during the pandemic. It enabled a deeper understanding of the experiences and lessons learned that will be useful to improve planning and responses to future pandemics and disasters. Oldenburger, D., Baumann, A., Crea-Arsenio, M., Deber, R. & Baba, V. (2025). Deployed in Disaster: Perspectives of Personnel Deployed in Ontario Long-Term Care During the Pandemic, International Nursing Review, 72:e70083 https://doi.org/10.1111/inr.70083
This research examines demographic and organizational factors linked to pressure ulcers and dehydration as indicators of neglect and care quality. It highlights preventable conditions requiring targeted interventions such as improved staffing, monitoring, and standardized protocols as well as policy reforms to reduce disparities and enhance resident safety. Crea-Arsenio, M., Baumann, A., Antonipillai, V., & Akhtar-Danesh, N. (2024). Factors associated with pressure ulcer and dehydration in long-term care setting in Ontario, Canada. PLOS ONE, 19(1), e0297588. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0297588
This research reviews strategies addressing nursing shortages, focusing on internationally educated nurses (IENs) and sustainability, and analyzes initiatives such as expanded education seats, bridging programs, upskilling, recruitment incentives, and credential recognition. The findings emphasize the need for coordinated long-term frameworks prioritizing retention, equitable integration, and ethical recruitment to build system resilience. Baumann A, Smith V, Crea-Arsenio M. Innovative nursing employment initiatives to strengthen and sustain the health workforce in Canada. Healthcare Manage Forum. 2024 Jul;37(4):251-257. https://doi.org/10.1177/08404704241232668. Epub 2024 Feb 19. PMID: 38373701.