The journal of nursing home research sciences最新文献

{"title":"THE MEANING OF THE DEATH AND DYING OF TAIWANESE NURSING HOME RESIDENTS: THE NURSING STAFF’S VIEW","authors":"S. Tsai, J. Stocker, C. Tsai, S. Yeh","doi":"10.14283/jnhrs.2019.1","DOIUrl":"https://doi.org/10.14283/jnhrs.2019.1","url":null,"abstract":"Background: The number of people living in long-term care (LTC) facilities has been rising in many parts of the world, and most current residents will end their lives in LTC facilities. The perceptions of residential care and practices in most current research of nursing homes (NHs) in Taiwan are based on evidence from an ego-centric rather than socio-cultural-centric model. Objectives: This study was designed to address the overlooked cultural aspect in NHs research and thereby advance understanding of how the NH staff in an East Asian setting perceive NH resident death and dying. Design: A qualitative study was designed in line with the hermeneutic phenomenological method. Data were collected via in-depth semi-structured interviews. Setting: The research was conducted in five hospital affiliated nursing homes and seven independent nursing homes in central and southern Taiwan. Participants: Through purposive sampling, twenty-five participants were recruited for interview, twelve registered nurses (RNs) and thirteen nursing aides (NAs). Measurements: An interview guide was used to produce the digitally-recorded contents, which was then transcribed verbatim and translated. The hermeneutic phenomenological analysis was conducted such that authors went back and forth through every interview text (parts) and the research questions (whole) until they reached a comprehensive understanding of the subject matter in terms of reduced, emerging themes. Results: Four themes were identified in the data analysis. They were ‘impact of a resident’s death,’ ‘reflections on entangled feelings,’ ‘insufficiencies.’ and ‘tremendous pressure of informing death.’ Conclusion: This qualitative study confirmed previous findings of non-Asian studies about the significance of ‘assessment of dying’ and ‘family communication’ in quality NH care. In addition, NH nurses were in need of palliative training in dying care. The nurses’ felt pressure due to family requests to send residents home for their ‘last breath,’ which was both the nurses’ most challenging work of care and the most culturally grounded aspect of it.","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"140 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77074527","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":"Depression, Anxiety, and Pain among Newly Admitted Nursing Home Residents.","authors":"Christine M Ulbricht, Jacob N Hunnicutt, Anne L Hume, Kate L Lapane","doi":"10.14283/jnhrs.2019.8","DOIUrl":"10.14283/jnhrs.2019.8","url":null,"abstract":"<p><strong>Background: </strong>Depression, anxiety, and pain are commonly experienced by older adults living in nursing homes.</p><p><strong>Objectives: </strong>To describe the prevalence of depression, anxiety disorders, and pain among newly admitted nursing home residents in the United States and to describe the treatment of these disorders.</p><p><strong>Design: </strong>Cross-sectional study of newly admitted residents.</p><p><strong>Setting: </strong>Residents able to complete a pain assessment (n=783,826) living in Medicare- and Medicaid-certified nursing homes in the United States in 2011-2012.</p><p><strong>Measures: </strong>Measures of sociodemographic, mood and behavior, pain, diagnoses, and functioning items from the Minimum Data Set (MDS) version 3.0.</p><p><strong>Results: </strong>Approximately 36% of residents had a diagnosis of depression (other than bipolar disorder) and/or an anxiety disorder (n = 272,311). Of these residents, 25.2% had both depression and an anxiety disorder (95% CI = 25.0-25.4%), 54.3% (95% CI = 54.1-54.5%) had depression without an anxiety disorder, and 20.5% had an anxiety disorder without depression (95% CI = 20.3-20.6%). Fifteen percent had the triad of depression, anxiety, and pain at admission (95% CI = 9.3-23.3%). Depressive symptoms were more commonly reported by residents with pain than by those without pain. Receipt of psychological therapy (range: 0.9%-2.0%) or any psychiatric medication was lacking (range: 35.3%-48.5%), regardless of pain status. Participants reporting pain received a combination of scheduled, <i>pro re nata (</i>PRN)/as-needed, and non-medication pain interventions (range: 59.8% depression without anxiety to 62.9% depression and anxiety disorder).</p><p><strong>Conclusion: </strong>Residents often suffer from combinations of depression, anxiety and pain at admission to nursing home. While treatment of pain is more common than treatment of psychiatric treatments, both psychiatric treatment and pain management may be suboptimal in nursing homes.</p>","PeriodicalId":75093,"journal":{"name":"The journal of nursing home research sciences","volume":"5 ","pages":"40-48"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7978416/pdf/nihms-1591649.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25503846","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":"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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}

{"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}