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Nursing Home Care

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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. Oral care measures for preventing nursing home-acquired pneumonia. Full Text available with Trip Pro

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

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 Full Text available with Trip Pro

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

2018 Nursing open

4. The care of dying people in nursing homes and intensive care units: a qualitative mixed-methods study Full Text available with Trip Pro

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

2016 NIHR HTA programme

5. Lack of focus on nutrition and documentation in nursing homes, home care- and home nursing: the self-perceived views of the primary care workforce. Full Text available with Trip Pro

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

6. Social media ratings of nursing homes associated with experience of care and "Nursing Home Compare" quality measures. Full Text available with Trip Pro

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

2019 BMC health services research

7. Association Between Clinician Specialization in Nursing Home Care and Nursing Home Clinical Quality Scores. (Abstract)

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

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

9. 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

10. Evaluation of a Palliative Care Program for Nursing Homes in 7 Countries: The PACE Cluster-Randomized Clinical Trial (Abstract)

Evaluation of a Palliative Care Program for Nursing Homes in 7 Countries: The PACE Cluster-Randomized Clinical Trial High-quality evidence on how to improve palliative care in nursing homes is lacking.To investigate the effect of the Palliative Care for Older People (PACE) Steps to Success Program on resident and staff outcomes.A cluster-randomized clinical trial (2015-2017) in 78 nursing homes in 7 countries comparing PACE Steps to Success Program (intervention) with usual care (control (...) ). Randomization was stratified by country and median number of beds in each country in a 1:1 ratio.The PACE Steps to Success Program is a multicomponent intervention to integrate basic nonspecialist palliative care in nursing homes. Using a train-the-trainer approach, an external trainer supports staff in nursing homes to introduce a palliative care approach over the course of 1 year following a 6-steps program. The steps are (1) advance care planning with residents and family, (2) assessment, care planning

2019 EvidenceUpdates

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

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

12. Effect of person-centred care on antipsychotic drug use in nursing homes (EPCentCare): a cluster-randomised controlled trial Full Text available with Trip Pro

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

13. 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.

14. Agreement of Nursing Home Staff With Palliative Care Principles: A PACE Cross-sectional Study Among Nurses and Care Assistants in Five European Countries. Full Text available with Trip Pro

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

15. A registry study of nursing assessments, interventions and evaluations according to nutrition for persons living in municipal residential care homes Full Text available with Trip Pro

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

2018 Nursing open

16. A Cyclic Model Describing the Process of Sustaining Meaningfulness in Practice: How Nurses Continue Working at One Home Care Agency Full Text available with Trip Pro

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

2018 Global qualitative nursing research

17. Exploration of nurses’ perception about professionalism in home care nursing in Iran: a qualitative study Full Text available with Trip Pro

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

2018 Electronic physician

18. Risk Factors and Interventions to Prevent or Delay Long-term Nursing Home Placement for Adults with Impairments

Nursing Home Placement for Adults with Impairments Health Services Research & Development Management eBrief no. 156 » Issue 156 July 2019 The report is a product of the VA/HSR&D Evidence Synthesis Program. Evidence Review: Risk Factors and Interventions to Prevent or Delay Long-term Nursing Home Placement for Adults with Impairments In fiscal year 2020, VA is projected to spend $9.8 billion on long-term care services for eligible Veterans. Recent legislation also has created and expanded VA programs (...) of care provided by non-VA community agencies and organizations. This is especially true for long-term care services, in which the majority of Veterans receiving VA-paid HCBS and nursing home care are served by non-VA providers. It seems unlikely that VA can change the landscape of local resources (and availability of new models of care), unless it strategically partners with organizations that determine the majority of financial incentives (and regulations) for long-term care service providers

2019 Veterans Affairs - R&D

19. Cost analysis of improving emergency care for aged care residents under a Hospital in the Nursing Home program in Australia. Full Text available with Trip Pro

Cost analysis of improving emergency care for aged care residents under a Hospital in the Nursing Home program in Australia. This study aims to examine the costs associated with a Hospital in the Nursing Home (HiNH) program in Queensland Australia directed at patients from residential aged care facilities (RACFs) with emergency care needs.A cost analysis was undertaken comparing the costs under the HiNH program and the current practice, in parallel with a pre-post controlled study design (...) . The study was conducted in two Queensland public hospitals: the Royal Brisbane and Women's Hospital (intervention hospital) and the Logan Hospital (control hospital). Main outcome measures were the associated incremental costs or savings concerning the HiNH program provision and the acute hospital care utilisation over one year after intervention.The initial deterministic analysis calculated the total induced mean costs associated with providing the HiNH program over one year as AU$488,116

2018 PLoS ONE

20. 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 Full Text available with Trip Pro

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

2018 Patient preference and adherence

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