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1. Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines

Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines | CADTH.ca Find the information you need Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Last updated: August 8, 2019 Project Number: RB1371-000

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

2. 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

3. Lack of focus on nutrition and documentation in nursing homes, home care- and home nursing: the self-perceived views of the primary care workforce. (PubMed)

Lack of focus on nutrition and documentation in nursing homes, home care- and home nursing: the self-perceived views of the primary care workforce. Malnutrition is a comprehensive challenge for the nursing home, home care- and home nursing sector. Nutritional care and the subsequent documentation are a common and multifaceted healthcare practice that requires that the healthcare professionals possess complex combinations of competencies in order to deliver high-quality care and treatment (...) , optimal clinical decision making among the healthcare professionals are compromised by imprecise and unclear language and terminology in the patients' healthcare records and also a lack of clinical guidelines and standards for collaboration between different healthcare professionals working in nursing homes, home care or home nursing. The findings of this study are beneficial to support organizations within these settings with strategies focusing on increasing nutritional care and documentation

2019 BMC health services research

4. 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

5. 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

6. 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.

7. 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

8. 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

9. Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries. (PubMed)

Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries. To provide high-quality palliative care to nursing home residents, staff need to understand the basic principles of palliative care.To evaluate the extent of agreement with the basic principles of palliative care of nurses and care assistants working in nursing homes in five European countries and to identify correlates.This is a cross (...) palliative care training scored higher (0.21; 95% CI: 0.08-0.34, P = 0.002).The level of agreement of nursing home staff with basic principles of palliative care was only moderate and differed between countries. Efforts to improve the understanding of basic palliative care are needed.Copyright © 2019 The Authors. Published by Elsevier Inc. All rights reserved.

2019 Journal of Pain and Symptom Management

10. 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

11. 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

12. 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

13. Innovation to enhance health in care homes and evaluation of tools for measuring outcomes of care: rapid evidence synthesis

Innovation to enhance health in care homes and evaluation of tools for measuring outcomes of care: rapid evidence synthesis Innovation to enhance health in care homes and evaluation of tools for measuring outcomes of care: rapid evidence synthesis 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 (...) University, Newcastle upon Tyne, UK 2 Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK 3 School of Healthcare, University of Leeds, Leeds, UK 4 Northumbria School of Design, Northumbria University, Newcastle upon Tyne, UK 5 Alliance Manchester Business School, University of Manchester, Manchester, UK 6 National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (NIHR CLAHRC) Greater Manchester, University

2019 NIHR HTA programme

14. Effect of person-centred care on antipsychotic drug use in nursing homes (EPCentCare): a cluster-randomised controlled trial

Effect of person-centred care on antipsychotic drug use in nursing homes (EPCentCare): a cluster-randomised controlled trial antipsychotic drugs are regularly prescribed as first-line treatment for neuropsychiatric symptoms in persons with dementia although guidelines clearly prioritise non-pharmacological interventions.we investigated a person-centred care approach, which has been successfully evaluated in nursing homes in the UK, and adapted it to German conditions.a 2-armed 12-month cluster (...) -randomised controlled trial.nursing homes in East, North and West Germany.all prescribing physicians from both study arms received medication reviews for individual patients and were offered access to 2 h of continuing medical education. Nursing homes in the intervention group received educational interventions on person-centred care and a continuous supervision programme. Primary outcome: proportion of residents receiving at least one antipsychotic prescription after 12 months of follow-up. Secondary

2019 EvidenceUpdates

15. Nursing interventions to support family caregivers in end-of-life care at home: A systematic narrative review

Nursing interventions to support family caregivers in end-of-life care at home: A systematic narrative review Family caregivers are crucial in end-of-life care. However, family caregiving may involve a significant burden with various negative health consequences. Although nurses are in a unique position to support family caregivers at home, little is known about which nursing interventions are effective in this context. Therefore, this study aims to provide insight into nursing interventions (...) currently available to support family caregivers in end-of-life care at home and to describe their effects.A systematic search was conducted in Embase, Medline Ovid, Web of Science, Cochrane Central, CINAHL and Google Scholar. This review included quantitative studies published from January 2003 until December 2018 reporting on nursing interventions to support adult family caregivers in end-of-life care at home. Data were extracted on intervention modalities, intervention components, and family

2019 EvidenceUpdates

16. 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

17. 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

18. Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes. (PubMed)

Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes. To examine the relationship between registered nurse (RN) burnout, job dissatisfaction, and missed care in nursing homes.Cross-sectional secondary analysis of linked data from the 2015 RN4CAST-US nurse survey and LTCfocus.A total of 540 Medicare- and Medicaid-certified nursing homes in California, Florida, New Jersey, and Pennsylvania.A total of 687 direct care RNs.Emotional Exhaustion subscale of the Maslach (...) Burnout Inventory, job dissatisfaction, and missed care.Across all RNs, 30% exhibited high levels of burnout, 31% were dissatisfied with their job, and 72% reported missing one or more necessary care tasks on their last shift due to lack of time or resources. One in five RNs reported frequently being unable to complete necessary patient care. Controlling for RN and nursing home characteristics, RNs with burnout were five times more likely to leave necessary care undone (odds ratio [OR] = 4.97; 95

2019 Journal of the American Geriatrics Society

19. 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

20. 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

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