Examined changes in resident acuity and registered nurse staffing in all nursing homes in Pennsylvania before and after introduction of Medicare Prospective Payment System (PPS) in 1983. Found that acuity of nursing home residents increased significantly since introduction of PPS, full-time registered nurse staffing remained unchanged, and…

According to data from 2,000 registered nurses, (1) those employed in nonprofit nursing homes earned more than private home nurses; (2) quality differences in care may account for wage differences; and (3) an explanation for quality differences may be that nonprofits exist because of market failure to provide high quality care, and therefore they…

Survey data from 70 hospitals and 75 long-term care facilities compared policies and practices of support for the educational development of nursing staff. Significant differences were found, suggesting that nursing homes lag behind hospitals in the development of their staffs. (JOW)

Despite persistent allegations of widespread abuse of nursing home residents, the topic has received only limited research attention. This study involved telephone interviews with a random sample of 577 nurses and nursing aides working in long-term care facilities. Subjects reported on actions they had observed other staff commit and on actions…

Although elder abuse has received much attention in recent years, little is known about long-term care staff perceptions of active and passive abuse. Health care professionals (N=72) responsible for direct care of patients within a 275-bed skilled nursing facility completed questionnaires on elder abuse. Responses were from physicians (N=6),…

Woburn Nursing Center (WNC), a private nursing home owned and operated by Salter Healthcare Services (SHS), developed an integrated, comprehensive staff development program and handbook. A literature review focused on staff needs, responsible agent, and handbook development. The following activities were undertaken: a review of ERIC documents,…

This guide is intended for staff development instructors responsible for inservice education on the topic of fostering humane care for dying persons in long-term care. The introduction discusses the guide's development based on input from administrators, staff, and families of residents in long-term care facilities and focus group interviews in…