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Direct linkWelch, Lisa C.; Miller, Susan C.; Martin, Edward W.; Nanda, Aman – Gerontologist, 2008
Purpose: Given concerns about end-of-life care for many nursing home (NH) residents, this study sought to understand factors influencing hospice referral or nonreferral as well as timing of referral. Design and Methods: We conducted semistructured interviews with personnel from seven participating NHs and two hospices. We interviewed NH directors…
Descriptors: Nurses, Nursing Homes, Referral, Hospices (Terminal Care)
Temkin-Greener, Helena; Zheng, Nan; Norton, Sally A.; Quill, Timothy; Ladwig, Susan; Veazie, Peter – Gerontologist, 2009
Purpose: The objectives of this study were to develop measures of end-of-life (EOL) care processes in nursing homes and to validate the instrument for measuring them. Design and Methods: A survey of directors of nursing was conducted in 608 eligible nursing homes in New York State. Responses were obtained from 313 (51.5% response rate) facilities.…
Descriptors: Nurses, Construct Validity, Nursing, Quality Control
Siegel, Elena O.; Young, Heather M.; Mitchell, Pamela H.; Shannon, Sarah E. – Gerontologist, 2008
Purpose: Nursing supervision of the routine daily care (e.g., grooming, feeding, and toileting) that is delegated to unlicensed assistive personnel (UAP) is critical to nursing home service delivery. The conditions under which the supervisory role is organized and operationalized at the work-unit level, taking into account workloads, registered…
Descriptors: Nurses, Supervision, Nursing Homes, Content Analysis
Simmons, Sandra F.; Bertrand, Rosanna; Shier, Victoria; Sweetland, Rebecca; Moore, Therese J.; Hurd, Donna T.; Schnelle, John F. – Gerontologist, 2007
Purpose: The Centers for Medicare and Medicaid Services and the Agency for Healthcare Research and Quality sponsored a nationwide study to evaluate the federal paid feeding assistant (PFA) regulation that allows nursing homes to hire single-task workers to provide feeding assistance to nursing home residents. Organizers designed the PFA regulation…
Descriptors: Program Effectiveness, Program Implementation, Nurses, Nursing Homes
Peer reviewedCaston, Richard J. – Educational Gerontology, 1983
Surveyed 35 nursing home staff members and found that nurses generally are not knowledgeable about psychiatric symptoms and do not seek out psychiatric intervention for their patients. Suggests that the organizational character of health care delivery in nursing homes makes adequate nursing response to mental illnesses impossible. (JAC)
Descriptors: Delivery Systems, Gerontology, Medical Services, Mental Disorders
Wood, Stacey; Cummings, Jeffrey L.; Schnelle, Betha; Stephens, Mary – Gerontologist, 2002
Purpose: This article reviews the effectiveness of a new training program for improving nursing staffs' detection of depression within long-term care facilities. The course was designed to increase recognition of the Minimal Data Set (MDS) Mood Trigger items, to be brief, and to rely on images rather than didactics. Design and Methods: This study…
Descriptors: Health Services, Intervention, Nurses, Patients
