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PROFIT MAXIMIZATION AND NURSE STAFFING STANDARDS/LEVELS IN FOR-PROFIT AND NOT-FOR-PROFIT NURSING HOMES 营利性和非营利性养老院的利润最大化和护士人员配备标准/水平
The journal of nursing home research sciences Pub Date : 2019-01-01 DOI: 10.14283/jnhrs.2019.4
O. Omotowa, L. Hussey
{"title":"PROFIT MAXIMIZATION AND NURSE STAFFING STANDARDS/LEVELS IN FOR-PROFIT AND NOT-FOR-PROFIT NURSING HOMES","authors":"O. Omotowa, L. Hussey","doi":"10.14283/jnhrs.2019.4","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.4","url":null,"abstract":"Profit maximization is a significant factor affecting adherence to adequate staffing standards and actual staffing levels of nursing staff in many nursing homes in the United States. Studies have shown that inadequate nurse staffing is worse in the for-profit than not-for-profit nursing homes and, is adversely affecting resident care outcomes. The purpose of this report is to examine the literature and establish the impact of profit maximization on nurse staffing with a focus on the differences between for-profit, not-for-profit, and religiousbased nursing homes in the United States. Databases such as CINAHL Plus, Business Source Complete, Medline Complete, Academic Search Complete, ProQuest Nursing, Allied Health Source, and Google Scholar were used as sources for information collection. Compared to other types of nursing homes, findings showed that forprofit nursing homes are doing better financially but worse on care outcomes. It is important that nursing homes regulators enforce strict adherence to staffing standards for optimal quality of care outcomes.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88618563","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}
引用次数: 0
Predicting 30-day mortality and 30-day re-hospitalization risks in Medicare patients with heart failure discharged to skilled nursing facilities: development and validation of models using administrative data. 预测医疗保险心衰患者30天死亡率和30天再住院风险:利用行政数据开发和验证模型
The journal of nursing home research sciences Pub Date : 2019-01-01
Lin Li, Jonggyu Baek, Bill M Jesdale, Anne L Hume, Giovanni Gambassi, Robert J Goldberg, Kate L Lapane
{"title":"Predicting 30-day mortality and 30-day re-hospitalization risks in Medicare patients with heart failure discharged to skilled nursing facilities: development and validation of models using administrative data.","authors":"Lin Li,&nbsp;Jonggyu Baek,&nbsp;Bill M Jesdale,&nbsp;Anne L Hume,&nbsp;Giovanni Gambassi,&nbsp;Robert J Goldberg,&nbsp;Kate L Lapane","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Despite the growing importance of skilled nursing facility care for Medicare patients hospitalized with heart failure, no risk prediction models for these patients exist.</p><p><strong>Objectives: </strong>To develop and validate separate predictive models for 30-day all-cause mortality and 30-day all-cause re-hospitalization.</p><p><strong>Design: </strong>Retrospective cohort study using a nationwide Medicare claims data cross-linked with Minimum Data Set 3.0.</p><p><strong>Setting: </strong>11,529 skilled nursing facilities in the United States (2011-2013).</p><p><strong>Participants: </strong>77,670 hospitalized heart failure patients discharged to skilled nursing facilities (randomly split into development (2/3) and validation (1/3) cohorts).</p><p><strong>Measurements: </strong>Using data on patient sociodemographic and clinical characteristics, health service use, functional status, and facility-level factors, we developed separate prediction models for 30-day mortality and 30-day re-hospitalization using logistic regression models in the development cohort.</p><p><strong>Results: </strong>Within 30 days, 6.8% died and 24.2% were re-hospitalized. Thirteen patient-level factors remained in the final model for 30-day mortality and 10 patient-level factors for re-hospitalization with good calibration. The area under receiver operating characteristic curves were 0.71 for 30-day mortality and 0.63 for re-hospitalization in the validation cohort.</p><p><strong>Conclusions: </strong>Among Medicare patients with heart failure discharged to skilled nursing facilities, predicting 30-day mortality and re-hospitalization using administrative data is challenging. Further work identifying factors for re-hospitalization remains needed.</p>","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"5 ","pages":"60-67"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280783/pdf/nihms-1589373.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38027491","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}
引用次数: 0
Predicting 30-day mortality and 30-day re-hospitalization risks in Medicare patients with heart failure discharged to skilled nursing facilities: development and validation of models using administrative data. 预测医疗保险心衰患者30天死亡率和30天再住院风险:利用行政数据开发和验证模型
The journal of nursing home research sciences Pub Date : 2019-01-01 DOI: 10.14283/jnhrs.2019.11
Lin Li, Jonggyu Baek, B. Jesdale, A. Hume, G. Gambassi, R. Goldberg, K. Lapane
{"title":"Predicting 30-day mortality and 30-day re-hospitalization risks in Medicare patients with heart failure discharged to skilled nursing facilities: development and validation of models using administrative data.","authors":"Lin Li, Jonggyu Baek, B. Jesdale, A. Hume, G. Gambassi, R. Goldberg, K. Lapane","doi":"10.14283/jnhrs.2019.11","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.11","url":null,"abstract":"Background Despite the growing importance of skilled nursing facility care for Medicare patients hospitalized with heart failure, no risk prediction models for these patients exist. Objectives To develop and validate separate predictive models for 30-day all-cause mortality and 30-day all-cause re-hospitalization. Design Retrospective cohort study using a nationwide Medicare claims data cross-linked with Minimum Data Set 3.0. Setting 11,529 skilled nursing facilities in the United States (2011-2013). Participants 77,670 hospitalized heart failure patients discharged to skilled nursing facilities (randomly split into development (2/3) and validation (1/3) cohorts). Measurements Using data on patient sociodemographic and clinical characteristics, health service use, functional status, and facility-level factors, we developed separate prediction models for 30-day mortality and 30-day re-hospitalization using logistic regression models in the development cohort. Results Within 30 days, 6.8% died and 24.2% were re-hospitalized. Thirteen patient-level factors remained in the final model for 30-day mortality and 10 patient-level factors for re-hospitalization with good calibration. The area under receiver operating characteristic curves were 0.71 for 30-day mortality and 0.63 for re-hospitalization in the validation cohort. Conclusions Among Medicare patients with heart failure discharged to skilled nursing facilities, predicting 30-day mortality and re-hospitalization using administrative data is challenging. Further work identifying factors for re-hospitalization remains needed.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"18 1","pages":"60-67"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85084268","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}
引用次数: 3
INTAKE RATE SURVEY AND COOKING METHODS OF A NOVEL TEXTURE-MODIFIED CHICKEN DESIGNED FOR A SOFT DIET 一种新型软质改性鸡的摄取率调查及烹饪方法
The journal of nursing home research sciences Pub Date : 2018-03-01 DOI: 10.14283/jnhrs.2018.3
Emi Watanabe, M. Maeno, M. Kamon, J. Kayashita, Ken-ichi Miyamoto, M. Kogirima
{"title":"INTAKE RATE SURVEY AND COOKING METHODS OF A NOVEL TEXTURE-MODIFIED CHICKEN DESIGNED FOR A SOFT DIET","authors":"Emi Watanabe, M. Maeno, M. Kamon, J. Kayashita, Ken-ichi Miyamoto, M. Kogirima","doi":"10.14283/jnhrs.2018.3","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.3","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88048296","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}
引用次数: 2
USING ENVIRONMENTAL LIGHT THERAPY TO IMPROVE SLEEP AND NEUROPSYCHIATRIC SYMPTOMS IN ALZHEIMER SPECIAL CARE UNIT 使用环境光疗法改善阿尔茨海默病特殊护理病房的睡眠和神经精神症状
The journal of nursing home research sciences Pub Date : 2018-03-01 DOI: 10.14283/jnhrs.2018.1
S. Gonfrier, S. A. Rifai, L. Benattar, S. Bernabé, O. Guerin
{"title":"USING ENVIRONMENTAL LIGHT THERAPY TO IMPROVE SLEEP AND NEUROPSYCHIATRIC SYMPTOMS IN ALZHEIMER SPECIAL CARE UNIT","authors":"S. Gonfrier, S. A. Rifai, L. Benattar, S. Bernabé, O. Guerin","doi":"10.14283/jnhrs.2018.1","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.1","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73579617","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}
引用次数: 0
NURSING HOME RESEARCH INTERNATIONAL WORKING GROUP, 13-14 SEPTEMBER, 2018 •ROME, ITALY 养老院研究国际工作组，2018年9月13日至14日，意大利罗马
The journal of nursing home research sciences Pub Date : 2018-03-01 DOI: 10.14283/jnhrs.2018.7
Abstracts.
{"title":"NURSING HOME RESEARCH INTERNATIONAL WORKING GROUP, 13-14 SEPTEMBER, 2018 •ROME, ITALY","authors":"Abstracts.","doi":"10.14283/jnhrs.2018.7","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.7","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"338 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85446269","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}
引用次数: 0
NURSING HOMES CHARACTERISTICS ACCORDING TO THE RATE OF EMERGENCY DEPARTMENT TRANSFER: A RETROSPECTIVE STUDY 疗养院特点根据急诊科转诊率:回顾性研究
The journal of nursing home research sciences Pub Date : 2018-03-01 DOI: 10.14283/jnhrs.2018.2
K. E. Haddad, X. Dubusc, C. Cool, F. Nourhashemi, P. Barreto, Y. Rolland
{"title":"NURSING HOMES CHARACTERISTICS ACCORDING TO THE RATE OF EMERGENCY DEPARTMENT TRANSFER: A RETROSPECTIVE STUDY","authors":"K. E. Haddad, X. Dubusc, C. Cool, F. Nourhashemi, P. Barreto, Y. Rolland","doi":"10.14283/jnhrs.2018.2","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.2","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83512747","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}
引用次数: 0
THE CAPACITY OF FOOD SERVICE PROVIDERS AS NUTRITION CHANGE AGENTS IN NURSING HOMES 食品服务提供者作为养老院营养变化推动者的能力
The journal of nursing home research sciences Pub Date : 2018-03-01 DOI: 10.14283/jnhrs.2018.5
L. Matwiejczyk, O. Farrer, J. Hamilton, Michelle Miller
{"title":"THE CAPACITY OF FOOD SERVICE PROVIDERS AS NUTRITION CHANGE AGENTS IN NURSING HOMES","authors":"L. Matwiejczyk, O. Farrer, J. Hamilton, Michelle Miller","doi":"10.14283/jnhrs.2018.5","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.5","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82770798","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}
引用次数: 0
IS MALNUTRITION A RISK FACTOR FOR INCIDENT URINARY TRACT INFECTION AMONG OLDER PEOPLE IN RESIDENTIAL CARE FACILITIES? 营养不良是住院老年人尿路感染的危险因素吗?
The journal of nursing home research sciences Pub Date : 2018-01-01 DOI: 10.14283/jnhrs.2018.10
M. Burman, C. Hörnsten, M. Carlsson, E. Rosendahl, P. Nordström, B. Olofsson, Y. Gustafson
{"title":"IS MALNUTRITION A RISK FACTOR FOR INCIDENT URINARY TRACT INFECTION AMONG OLDER PEOPLE IN RESIDENTIAL CARE FACILITIES?","authors":"M. Burman, C. Hörnsten, M. Carlsson, E. Rosendahl, P. Nordström, B. Olofsson, Y. Gustafson","doi":"10.14283/jnhrs.2018.10","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.10","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"508 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77348409","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}
引用次数: 0
FOOD SERVICES IN LONG-TERM CARE HOMES ARE ASSOCIATED WITH RESIDENTS’ FOOD INTAKE 长期护理院的食品服务与居民的食物摄入量有关
The journal of nursing home research sciences Pub Date : 2018-01-01 DOI: 10.14283/jnhrs.2018.11
C. Lagacé, N. Carrier, L. Villalon, C. Lengyel, S. Slaughter, J. Morrison, H. Keller
{"title":"FOOD SERVICES IN LONG-TERM CARE HOMES ARE ASSOCIATED WITH RESIDENTS’ FOOD INTAKE","authors":"C. Lagacé, N. Carrier, L. Villalon, C. Lengyel, S. Slaughter, J. Morrison, H. Keller","doi":"10.14283/jnhrs.2018.11","DOIUrl":"https://doi.org/10.14283/jnhrs.2018.11","url":null,"abstract":"","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80703963","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}
引用次数: 0
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