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Nursing Home Care

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1. The care of dying people in nursing homes and intensive care units: a qualitative mixed-methods study

The care of dying people in nursing homes and intensive care units: a qualitative mixed-methods study The care of dying people in nursing homes and intensive care units: a qualitative mixed-methods study Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need (...) . >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} {{author}} {{($index , , , , , , , , & . Elizabeth Perkins 1 , Maureen Gambles 2 , Rachel Houten 3 , Sheila Harper 2 , Alan Haycox 3 , Terri O’Brien 2 , Sarah Richards 3 , Hong Chen 2 , Kate Nolan 2 , John E Ellershaw 2, * 1 Health and Community Care Research Unit, Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK 2 Marie Curie Palliative Care Institute Liverpool, Institute

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2016 NIHR HTA programme

2. Oral care measures for preventing nursing home-acquired pneumonia. (PubMed)

Oral care measures for preventing nursing home-acquired pneumonia. Pneumonia occurring in residents of long-term care facilities and nursing homes can be termed 'nursing home-acquired pneumonia' (NHAP). NHAP is the leading cause of mortality among residents. NHAP may be caused by aspiration of oropharyngeal flora into the lung, and by failure of the individual's defence mechanisms to eliminate the aspirated bacteria. Oral care measures to remove or disrupt oral plaque might be effective (...) in reducing the risk of NHAP.To assess effects of oral care measures for preventing nursing home-acquired pneumonia in residents of nursing homes and other long-term care facilities.Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 15 November 2017), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library, 2017, Issue 10), MEDLINE Ovid (1946 to 15 November 2017), and Embase Ovid (1980 to 15 November 2017

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2018 Cochrane

3. Nurses' experience with relatives of patients receiving end‐of‐life care in nursing homes and at home: A questionnaire‐based cross‐sectional study (PubMed)

Nurses' experience with relatives of patients receiving end‐of‐life care in nursing homes and at home: A questionnaire‐based cross‐sectional study The aim of this study was to explore any differences between nurses working in nursing home and home-based care in their experiences regarding relatives' ability to accept the imminence of death and relatives' ability to reach agreement when deciding on behalf of patients unable to consent.An electronic questionnaire-based cross-sectional (...) study.An electronically distributed survey to 884 nurses in long-term care in Norway in May 2014. A total of 399 nurses responded (45%), of which 197 worked in nursing homes and 202 in home-based care.Nurses in home-based care, more often than their colleagues in nursing homes, experienced that relatives had difficulties in accepting that patients were dying. Nurses who often felt insecure about whether life extension was in consistency with patients' wishes and nurses who talked most about life

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2018 Nursing open

4. The care of dying people in nursing homes and intensive care units: a qualitative mixed-methods study

The care of dying people in nursing homes and intensive care units: a qualitative mixed-methods study The care of dying people in nursing homes and intensive care units: a qualitative mixed-methods study The care of dying people in nursing homes and intensive care units: a qualitative mixed-methods study Perkins E, Gambles M, Houten R, Harper S, Haycox A, O'Brien T, Richards S, Chen H, Nolan K, Ellershaw JE Record Status This is a bibliographic record of a published health technology assessment (...) from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Perkins E, Gambles M, Houten R, Harper S, Haycox A, O'Brien T, Richards S, Chen H, Nolan K, Ellershaw JE. The care of dying people in nursing homes and intensive care units: a qualitative mixed-methods study. Health Services and Delivery Research 2016; 4(20) Authors' objectives In England and Wales the two most likely places of death are hospitals (52%) and nursing homes (22

2016 Health Technology Assessment (HTA) Database.

5. Association Between Clinician Specialization in Nursing Home Care and Nursing Home Clinical Quality Scores. (PubMed)

Association Between Clinician Specialization in Nursing Home Care and Nursing Home Clinical Quality Scores. While the number of prescribing clinicians (physicians and nurse practitioners) who provide any nursing home care remained stable over the past decade, the number of clinicians who focus their practice exclusively on nursing home care has increased by over 30%.To measure the association between regional trends in clinician specialization in nursing home care and nursing home (...) quality.Retrospective cross-sectional study.Patients treated in 15,636 nursing homes in 305 US hospital referral regions between 2013 and 2016.Clinician specialization in nursing home care for 2012-2015 was measured using Medicare fee-for-service billings. Nursing home specialists were defined as generalist physicians (internal medicine, family medicine, geriatrics, and general practice) or advanced practitioners (nurse practitioners and physician assistants) with at least 90% of their billings for care in nursing

2019 Journal of the American Medical Directors Association

6. Social media ratings of nursing homes associated with experience of care and "Nursing Home Compare" quality measures. (PubMed)

Social media ratings of nursing homes associated with experience of care and "Nursing Home Compare" quality measures. Social media platforms offer unique opportunities for patients and families to provide real-time feedback on their healthcare experiences. Consumer-generated social media ratings of hospitals tend to reflect the more subjective aspects of inpatient care experiences; however, evidence on nursing home care is extremely limited.We collected consumer-reported 5-star ratings (...) of Maryland nursing homes posted from July 2015 to July 2017 on 4 popular social media or online review sites (Facebook, Yelp, Google Consumer Reviews, and Caring.com). We determined if the average score of social media ratings was associated with experience-of-care ratings derived from survey of family members or other responsible parties of nursing home residents, and with "Nursing Home Compare" (NHC) 5-star ratings and individual quality measures.One hundred ninety-six out of 206 nursing homes

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2019 BMC health services research

7. Quality of Hospital Communication and Patient Preparation for Home Health Care: Results From a Statewide Survey of Home Health Care Nurses and Staff. (PubMed)

Quality of Hospital Communication and Patient Preparation for Home Health Care: Results From a Statewide Survey of Home Health Care Nurses and Staff. To evaluate the quality of communication between hospitals and home health care (HHC) clinicians and patient preparedness to receive HHC in a statewide sample of HHC nurses and staff.A web-based 48-question cross-sectional survey of HHC nurses and staff in Colorado to describe the quality of communication after hospital discharge and patient (...) preparedness to receive HHC from the perspective of HHC nurses and staff. Questions were on a Likert scale, with optional free-text questions.Between January and June 2017, we sent a web-based survey to individuals from the 56 HHC agencies in the Home Care Association of Colorado that indicated willingness to participate.We received responses from 50 of 122 individuals (41% individual response rate) representing 14 of 56 HHC agencies (25% agency response rate). Half of the respondents were HHC nurses

2019 Journal of the American Medical Directors Association

8. Cross-sectional study: Nursing home residents prefer fewer interventions and the nursing home instead of hospital for place of death

username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Nursing home residents prefer fewer interventions and the nursing home instead of hospital for place of death Article Text Care of the older person Cross (...) -sectional study Nursing home residents prefer fewer interventions and the nursing home instead of hospital for place of death Julie Watson Statistics from Altmetric.com Commentary on : Ng CW , Cheong SK , Govinda Raj A , et al . End-of-life care preferences of nursing home residents: results of a cross-sectional study . Implications for practice and research End-of-life care preferences of residents in nursing homes confirm the importance of developing practice to ensure high-quality end-of-life

2017 Evidence-Based Nursing

9. Home or foster home care versus institutional long-term care for functionally dependent older people. (PubMed)

limitations, so readers should interpret results with caution.It is uncertain whether long-term home care compared to nursing home care decreases mortality risk (2 studies, N = 314, very-low certainty evidence). Estimates ranged from a nearly three-fold increased risk of mortality in the homecare group (risk ratio (RR) 2.89, 95% confidence interval (CI) 1.57 to 5.32) to a 62% relative reduction (RR 0.38, 95% CI 0.17 to 0.61). We did not pool data due to the high degree of heterogeneity (I2 = 94 (...) %).It is uncertain whether the intervention has a beneficial effect on physical function, as the certainty of evidence is very low (5 studies, N = 1295). Two studies reported that participants who received long-term home care had improved activities of daily living compared to those in a nursing home, whereas a third study reported that all participants performed equally on physical function.It is uncertain whether long-term home care improves happiness compared to nursing home care (RR 1.97, 95% CI 1.27 to 3.04

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2017 Cochrane

10. The palliative care knowledge of nursing home staff: The EU FP7 PACE cross-sectional survey in 322 nursing homes in six European countries. (PubMed)

The palliative care knowledge of nursing home staff: The EU FP7 PACE cross-sectional survey in 322 nursing homes in six European countries. The provision of high-quality palliative care in nursing homes (NHs) is a major challenge and places demands on the knowledge and skills of the staff.This study assesses the palliative care knowledge of staff in NHs in Europe.Cross-sectional study using structured survey Setting/participants: Nurses and care assistants working in 322 representative samples (...) contribute to pain ranged between 0.81 in Poland (95% CI 0.79; 0.84) and 0.91 in the Netherlands (95% CI 0.89; 0.93), and knowledge of psychological reasons that can contribute to pain ranged between 0.56 in England (95% CI 0.50; 0.62) and 0.87 in Finland (95% CI 0.83; 0.90). Factors associated with knowledge were country, professional role and having undertaken formal training in palliative care.Knowledge of nurses and care assistants concerning basic palliative care issues appears to be suboptimal

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2018 Palliative medicine

11. Adherence rates and health care costs in Crohn’s disease patients receiving certolizumab pegol with and without home health nurse assistance: results from a retrospective analysis of patient claims and home health nurse data (PubMed)

Adherence rates and health care costs in Crohn’s disease patients receiving certolizumab pegol with and without home health nurse assistance: results from a retrospective analysis of patient claims and home health nurse data Patient support programs have a positive effect on adherence to therapy. Certolizumab pegol (CZP) is a tumor necrosis factor antagonist for the treatment of Crohn's disease.To assess, using real-world claims data, whether home health nurse assistance had an effect (...) on patients' adherence to CZP and to measure its impact on health care use and costs.A retrospective analysis of medical and pharmacy claims data from the IQVIA Real-World Data Adjudicated Claims Database was conducted using data from January 1, 2007 through September 30, 2015. CZP patients with Crohn's disease were eligible to receive self-administration instructions from a nurse or nurse-administered CZP injections, or both. These services were provided by CIMplicity®, a home health nurse program

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2018 Patient preference and adherence

12. Drug use differs by care level. A cross-sectional comparison between older people living at home or in a nursing home in Oslo, Norway. (PubMed)

Drug use differs by care level. A cross-sectional comparison between older people living at home or in a nursing home in Oslo, Norway. Drug consumption increases with age, but there are few comparisons of drug use between old people living at home or in a nursing home. To identify areas of concern as well as in need for quality improvement in the two settings, we compared drug use among people aged ≥70 years living at home or in a nursing home.Cross-sectional observational study from Oslo (...)  = 0.3), osteoporosis drugs (RR = 0.3), thiazide diuretics (RR = 0.4), calcium channel blockers (RR = 0.5) or renin-angiotensin inhibitors (RR = 0.5). Each of the populations had only minor differences in drug use by gender and a trend towards less drug use with increasing age (p <  0.01).Drug use by older people differs according to care level, and so do areas probably in need for quality improvement and further research. In nursing home residents, this relates to a probable overuse of psychotropic

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2019 BMC Geriatrics

13. Patient Outcomes After Hospital Discharge to Home With Home Health Care vs to a Skilled Nursing Facility. (PubMed)

Patient Outcomes After Hospital Discharge to Home With Home Health Care vs to a Skilled Nursing Facility. Use of postacute care is common and costly in the United States, but there is significant uncertainty about whether the choice of postacute care setting matters. Understanding these tradeoffs is particularly important as new alternative payment models push patients toward lower-cost settings for care.To investigate the association of patient outcomes and Medicare costs of discharge to home (...) with home health care vs discharge to a skilled nursing facility.A retrospective cohort study used Medicare claims data from short-term acute-care hospitals in the United States and skilled nursing facility and home health assessment data from January 1, 2010, to December 31, 2016, on Medicare beneficiaries who were discharged from the hospital to home with home health care or to a skilled nursing facility. To address the endogeneity of treatment choice, an instrumental variables approach used

2019 JAMA Internal Medicine

14. Integration of an in-home monitoring system into home care nurses' workflow: A case study. (PubMed)

Integration of an in-home monitoring system into home care nurses' workflow: A case study. The healthcare system faces a major challenge in caring for an increasingly ageing population as this task requires more resources than are currently available. Adopting monitoring technologies could enable more efficient care practices and support ageing in place.To investigate how the use of an in-home motion monitoring system can be integrated into home care nurses' workflows and to uncover the factors (...) with the system and to integrate its use into daily practice. System reliability and accuracy issues influenced nurses' trust in the sensory data.The findings suggests that in a home care setting, focusing on motion pattern monitoring for older adults with memory disorders can provide significant benefits and therefore also facilitate system adoption among nurses. Involving nurses in the design of the technology and providing opportunities to trial the system in real practice also appear to be important

2019 International journal of medical informatics

15. Effect of nursing care given at home on the quality of life of patients with stomach cancer and their family caregivers' nursing care. (PubMed)

Effect of nursing care given at home on the quality of life of patients with stomach cancer and their family caregivers' nursing care. In Turkey, the high incidences of stomach and oesophageal cancers in East and high incidence of stomach cancer in Northeast regions are remarkable. This study was conducted to identify homecare needs of patients with stomach cancer and their caregivers and the effect of family supportive nursing care on the quality of life of patients and families. The patient (...) and his/her caregiver were assessed with respect to their daily life activities and NANDA was used for the identified nursing diagnoses, NIC for the appropriate interventions and NOC for assessment of the results. This study was conducted in a pre-test, post-test, controlled trial model to identify. The sample of the investigation consisted of 72 patients and 72 caregivers. As a data-collecting instrument, the Quality of Life Scale and Caregiver Quality of Life Index-Cancer were used. The overall

2018 European journal of cancer care

16. Nurse-led Care Models in Swiss Nursing Homes: Improving Interprofessional Care for Better Resident Outcomes (INTERCARE)

Nurse-led Care Models in Swiss Nursing Homes: Improving Interprofessional Care for Better Resident Outcomes (INTERCARE) Nurse-led Care Models in Swiss Nursing Homes: Improving Interprofessional Care for Better Resident Outcomes (INTERCARE) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. Nurse-led Care Models in Swiss Nursing Homes: Improving Interprofessional Care for Better Resident Outcomes (INTERCARE) (INTERCARE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our

2018 Clinical Trials

17. Experiences and challenges of home care nurses and general practitioners in home-based palliative care - a qualitative study. (PubMed)

Experiences and challenges of home care nurses and general practitioners in home-based palliative care - a qualitative study. Norway has one of the lowest home death rates in Europe. However, it is the health authorities´ ambition to increase this by facilitating palliative care at home. The aim of this study was to achieve more insight, through home care nurses and general practitioners, of conditions that facilitate or hamper more time at home and more home deaths for patients with terminal (...) disease and short life expectancy.We used a qualitative research design with four focus groups with a total of 19 participants, of either home care nurses or general practitioners, using semi-structured question guides. The data were processed by systematic text condensation and encompassed thematic analysis of meaning and content of data across cases, which included four steps of analysis.Three main themes were identified: 1) The importance of a good start for the patient and family with five sub

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2018 BMC Palliative Care

18. A Cyclic Model Describing the Process of Sustaining Meaningfulness in Practice: How Nurses Continue Working at One Home Care Agency (PubMed)

A Cyclic Model Describing the Process of Sustaining Meaningfulness in Practice: How Nurses Continue Working at One Home Care Agency This study aimed to elucidate the experiences of home care nurses who had continued working a single agency, to gain insight into the prevention of premature turnover. We adopted a grounded theory approach to qualitative exploration of the experiences of 26 Japanese nurses working in a home care agency, using semistructured interviews and participant observation (...) . Nurses' experience progressed through three phases: "encountering difficulty," "enjoying the fruitfulness," and "becoming dissatisfied." Nurses' cognitive rounding involving these phases was conceptualized as "cycle of sustaining meaningfulness." To move from encountering difficulty to enjoying the fruitfulness, nurses needed to discover the meaningfulness of practice, and to move from becoming dissatisfied to encountering difficulty, they needed to requestion their practice. During their time

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2018 Global qualitative nursing research

19. A registry study of nursing assessments, interventions and evaluations according to nutrition for persons living in municipal residential care homes (PubMed)

A registry study of nursing assessments, interventions and evaluations according to nutrition for persons living in municipal residential care homes The aim was to explore planned nursing interventions and evaluations of such interventions, in older people at risk for malnutrition living in municipal residential care homes.A registry study.The study was conducted using data from the Swedish national quality registry Senior Alert. Data on all persons assessed and registered in Senior Alert (...) living in municipal residential care homes in a mid-sized town between January and December 2014 were subjected to statistical analysis.In total, 677 nutritional risk assessments were performed among the participants (N = 587), who were between 65-109 years. A larger proportion of women were estimated as being at risk for malnutrition compared with men. The three most common prescribed nursing interventions were nutritional treatment, dietary support and weight control; however, interventions were

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2018 Nursing open

20. Exploration of nurses’ perception about professionalism in home care nursing in Iran: a qualitative study (PubMed)

Exploration of nurses’ perception about professionalism in home care nursing in Iran: a qualitative study Professionalism is one of the basic concepts of home care nursing, as a growing model of community-based nursing. This phenomenon results from the nurse-patient interaction in home and community environments with multiple dimensions.The purpose of this study was to explore the professional experiences of home care nurses in Iran.In this study, the qualitative content analysis method (...) was used based on the 2004 Graneheim & Lundman approach. The study was conducted between September 2016 and September 2017 in Khorasan Razavi province, Iran. Participants were selected by Purposeful Sampling. The main method of data collection was semi-structured interviews with 21 nurses who had home-based care experience. Eventually, after reaching saturation, the data were analyzed in-depth.In total, 3 main categories and 11 subcategories were extracted. Generally, nurses considered the concept

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2018 Electronic physician

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