The journal of nursing home research sciences最新文献

{"title":"QUANTITY OF STAFF AND QUALITY OF CARE IN DUTCH NURSING HOMES: A CROSS-SECTIONAL STUDY","authors":"Ramona Backhaus, E. Rossum, H. Verbeek, R. Halfens, F. Tan, E. Capezuti, J. Hamers","doi":"10.14283/jnhrs.2016.13","DOIUrl":"https://doi.org/10.14283/jnhrs.2016.13","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79276444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NURSING HOME PROFESSIONALS OPINIONS ON DETERMINANTS OF MALNUTRITION – A QUALITATIVE STUDY","authors":"R. Roller, A. Morgner, D. Eglseer, G. Wirnsberger","doi":"10.14283/jnhrs.2016.4","DOIUrl":"https://doi.org/10.14283/jnhrs.2016.4","url":null,"abstract":"Objectives: To assess the attitudes and knowledge of health care professionals, who work with long term nursing home residents, with respect to key factors that influence malnutrition. Methods: Based on the results of a comprehensive literature research, a qualitative study was carried out by conducting problem-centered and structured interviews with healthcare professionals (N=25) from different professions. Each individual qualitative interview consisted of 10 open and problem-centered questions. Specific areas of interest were problems experienced by nursing home residents, useful measures that could be taken in cases of malnutrition and the prevalence of malnutrition in the nursing homes. 80 items were extrapolated from the interviews, transferred to a 5-point Likert-like scale questionnaire and included in an electronic survey, which was sent out to the 25 experts who had already been interviewed. Raters were first asked to rate the items according to their professional opinion and, second, according to the current state of nursing homes in Austria. Results: 77% of the 80 factors that may influence the treatment of malnutrition were identified as important, having an arithmetic mean (Ø a.m.) = 4.15. The top five determinants were: two factors related to kitchen food (i.e., “age-adapted texture and portion size” and “quality, freshness, taste, appearance and smell”), further education of nursing staff, interdisciplinary cooperation and education of dietitians. The evaluation of the 80 factors in terms of their status quo resulted in an Ø a.m. of 2.94. No factor was rated higher than Ø a.m. 3.74 in terms of its status quo (i.e., according to guidelines). The status quo quality was evaluated critically especially with regard to financial support and education. Conclusion: A gap exists between the attitudes of health care professionals and the status quo (what is being done) in Austrian nursing homes.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"22 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82574233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"UNDERDIAGNOSIS AND UNDERTREATMENT OF NURSING HOME RESIDENTS AT HIGH RISK FOR FRAGILITY FRACTURES","authors":"C. Ruggiero, M. Baroni, Elisa Zengarini, G. Dell’Aquila, A. Cherubini, V. Boccardi, F. Lattanzio, P. Mecocci","doi":"10.14283/jnhrs.2016.8","DOIUrl":"https://doi.org/10.14283/jnhrs.2016.8","url":null,"abstract":"Background: Identifying older individual at risk for fragility fractures is a priority among healthcare providers. However, the prevalence of osteoporosis, fragility fractures and the prescription of antifracture drugs among Nursing Home (NH) residents is almost ignored. The aim of this study is to describe the prevalence of osteoporosis and fragility fractures, and the main correlates of antifracture drug prescriptions among NH residents. Design: Observational multicentre prospective study. Setting: Nursing homes and assisted living facilities. Participants: 1995 NH residents aged 60 and older participating to the U.LI.S.S.E. (Un Link Informatico sui Servizi Sanitari Esistenti per l’Anziano) project were evaluated using a standardized comprehensive geriatric assessment instrument (Resident Assessment Instrument Minimum Data Set RAIMDS). Results: 256 (13%) persons (age 84.5±7.62 years) have diagnosis of osteoporosis without any fracture; 355 (17%) had previous fragility hip fracture with one out of three reporting a diagnosis of osteoporosis. An antifracture treatment is prescribed to 5.5% (n:111) of eligible persons: 18% of osteoporotic and 11% of hip fracture residents, respectively. Independent of age, gender, BMI and disability, subjects affected by osteoporosis are more likely to receive antifracture drugs (β=0.17, SE: 0.04; p: <0.0001),but not those with previous hip fracture. The probability to receive treatments decreases when dementia co-occurs (β=-0.07, SE: 0.03; p:0.05). Residents managed according with RAI-MDS show higher probability to receive appropriate antifracture treatment (β= 0.07, SE: 0.03; p: 0.01). Conclusion: NH residents at high risk for fragility fractures receive suboptimal care. Residents with a history of hip fracture or dementia are less likely to be treated, while those managed according to the geriatric comprehensive approach are more likely to receive adequate care.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90372573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ENTANGLED PRACTICES, ENTANGLED EPIDEMICS: ANTIBIOTIC PRACTICES AND HEALTHCARE ASSOCIATED INFECTIONS IN NURSING HOMES AND HOSPITALS","authors":"K. Lapane, C. Dube, A. Pakyz","doi":"10.14283/jnhrs.2016.3","DOIUrl":"https://doi.org/10.14283/jnhrs.2016.3","url":null,"abstract":"Each year ~388,000 deaths occur due to infections in nursing homes. The U.S. Department of Health and Human Services 2013 National Action Plan to Prevent Healthcare-Associated Infections ranked long-term care as the next priority setting in which to reduce healthcare-associated infections. The changing nature of U.S. nursing homes to increasingly post-acute, skilled nursing facilities has created a “revolving door” between hospitals and nursing homes which increases the potential for spread of healthcare-associated infections. We provide a review of what is known about antibiotic use and infections in both hospital and nursing home settings. A review of the extent of healthcare-associated infections in hospitals and nursing homes underscores the importance of the problem. Taken together, the information provided in this article highlights an acute and growing need for practical, foundational knowledge about transitions among healthcare settings across institutions within networks sharing care for vulnerable older adults. The interconnectedness of nursing homes and hospitals must be considered when devising sustainable strategies to reduce healthcare-associated infections in both settings.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90971074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HOW DO WORK HIERARCHIES AND STRICT DIVISIONS OF LABOUR IMPACT CARE WORKERS' EXPERIENCES OF HEALTH AND SAFETY? CASE STUDIESOF LONG TERM CARE IN TORONTO.","authors":"I Syed, T Daly, P Armstrong, R Lowndes, M Chadoin, V Naidoo","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>According to the Canadian Health Care Association (1), there are 2,577 long-term care (\"LTC\") facilities across Canada, with the largest proportion (33.4%) located in Ontario. Most studies focus on residents' health, with less attention paid to the health and safety experiences of staff. Given that the work performed in Ontario LTC facilities is very gendered, increasingly racialized, task-oriented, and with strict divisions of labour, this paper explores in what ways some of these factors impact workers' experiences of health and safety.</p><p><strong>Objectives: </strong>The study objectives included the following research question: How are work hierarchies and task orientation experienced by staff?</p><p><strong>Design and setting: </strong>This paper draws on data from rapid team-based ethnographies of the shifting division of labour in LTC due to use of informal carers in six non-profit LTC facilities located in Toronto, Ontario.</p><p><strong>Methods: </strong>Our method involved conducting observations and key informant interviews (N=167) with registered nurses, registered practical nurses, personal support workers, dietary aides, recreation therapists, families, privately paid companions, students, and volunteers. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed. For observations, researchers were paired and covered shifts between 7 a.m. and 11 p.m., as well as into the late night over six days, at each of the six sites. Detailed ethnographic field notes were written during and immediately following observational fieldwork.</p><p><strong>Results: </strong>Our results indicate that employee stress is linked to the experiences of care work hierarchies, task orientation, and strict divisions of labour between and among various staff designations.</p><p><strong>Conclusion: </strong>Findings from this project confirm and extend current research that demonstrates there are challenging working conditions in LTC, which can result in occupational health and safety problems, as well as stress for individual workers.</p>","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"2 1","pages":"41-49"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5218838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140112419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CARDIOVASCULAR SECONDARY PREVENTION BY STATIN IN SOUTHERN FRENCH NURSING HOME","authors":"E. Gremeaux, M. Grino, C. Molines, C. Oliver, F. Retornaz","doi":"10.14283/jnhrs.2016.1","DOIUrl":"https://doi.org/10.14283/jnhrs.2016.1","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79494654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HOW DO WORK HIERARCHIES AND STRICT DIVISIONS OF LABOUR IMPACT CARE WORKERS' EXPERIENCES OF HEALTH AND SAFETY? CASE STUDIESOF LONG TERM CARE IN TORONTO.","authors":"I. Syed, T. Daly, P. Armstrong, R. Lowndes, M. Chadoin, V. Naidoo","doi":"10.14283/jnhrs.2016.6","DOIUrl":"https://doi.org/10.14283/jnhrs.2016.6","url":null,"abstract":"BACKGROUND According to the Canadian Health Care Association (1), there are 2,577 long-term care (\"LTC\") facilities across Canada, with the largest proportion (33.4%) located in Ontario. Most studies focus on residents' health, with less attention paid to the health and safety experiences of staff. Given that the work performed in Ontario LTC facilities is very gendered, increasingly racialized, task-oriented, and with strict divisions of labour, this paper explores in what ways some of these factors impact workers' experiences of health and safety. OBJECTIVES The study objectives included the following research question: How are work hierarchies and task orientation experienced by staff? DESIGN AND SETTING This paper draws on data from rapid team-based ethnographies of the shifting division of labour in LTC due to use of informal carers in six non-profit LTC facilities located in Toronto, Ontario. METHODS Our method involved conducting observations and key informant interviews (N=167) with registered nurses, registered practical nurses, personal support workers, dietary aides, recreation therapists, families, privately paid companions, students, and volunteers. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed. For observations, researchers were paired and covered shifts between 7 a.m. and 11 p.m., as well as into the late night over six days, at each of the six sites. Detailed ethnographic field notes were written during and immediately following observational fieldwork. RESULTS Our results indicate that employee stress is linked to the experiences of care work hierarchies, task orientation, and strict divisions of labour between and among various staff designations. CONCLUSION Findings from this project confirm and extend current research that demonstrates there are challenging working conditions in LTC, which can result in occupational health and safety problems, as well as stress for individual workers.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"493 1","pages":"41-49"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80000086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DAILY PHYSIOTHERAPEUTIC EXERCISE FOR NURSING HOME RESIDENTS WITH ACTUAL FALL RISK; FEASIBILITY AND EFFECT ON FALL FREQUENCY AND ENDURANCE. A MULTICENTER BEFORE-AFTER DESIGN","authors":"R. Veenhuizen, Terry Hoogeveen, LW van Buul, E. Wattel, C. Hertogh","doi":"10.14283/jnhrs.2016.14","DOIUrl":"https://doi.org/10.14283/jnhrs.2016.14","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"89 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88064890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RELATION OF STOP AND WATCH TOOL USE IN A SKILLED NURSING FACILITY TO 30-DAY HOSPITAL TRANSFER RATES","authors":"C. Lee, V. Gruss, M. Stuercke, C. Ryan","doi":"10.14283/jnhrs.2016.16","DOIUrl":"https://doi.org/10.14283/jnhrs.2016.16","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"115 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75011283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FALLS AND FEAR OF FALLING IN NURSING HOME RESIDENTS WITH HUNTINGTON’S DISEASE","authors":"K. Kalkers, J. Neyens, R. Wolterbeek, R. Halfens, J. Schols, R. Roos","doi":"10.14283/jnhrs.2016.12","DOIUrl":"https://doi.org/10.14283/jnhrs.2016.12","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73780951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}