Used medico-social analytic model to compare five long-term care programs: Skilled Nursing Facility-Intermediate Care Facility (SNF-ICF) homes, ICF homes, foster homes, day hospitals, and home care. Identified similarities and differences among programs. Preliminary findings suggest that model is useful in the evaluation and design of long-term…

Surveys of 169 nursing students before and after a practicum in a nursing home showed that two-thirds enjoyed the practicum, 30% would really like working with the elderly, and the proportions changed little because of the practicum. Direction of change on five descriptors of the elderly was negative and on two descriptors was positive. (SK)

Assessed impact of relocation on health and well-being of 196 nursing home residents who relocated to new facility. Relocated residents participated in program to enhance sense of control and predictability over move. Analyses of medical records, nurses' ratings, and interviews strongly suggest that move had no negative effect on residents as…

Describes political and social action group of cognitively intact nursing home residents, organized in response to residents' desire to work on social issues and coordinated by recreational therapist who expected participation to maximize residents' autonomy and sense of control. Benefits mentioned by participants included opportunity to…

Nursing home social workers (n=152) and administrators (n=231) rated relative importance of resident and family psychosocial needs and frequency of function performed or expected to be performed by social workers. Both groups rated as very important needs of support during transition to nursing home, help in dealing with loss, and help with…

Examined three-way relationships among patient characteristics, type of care (admission to nursing home or community setting), and 6-month outcomes of 352 long-term care patients. Found that patient characteristics influenced type of care received and that substantial portions of variance in outcomes were attributable to initial differences among…

Fifty-two nursing home residents received either a life review or a friendly visit and took part in repeated testings to determine lasting effects of the life review. Results showed a trend toward continued and by year three significant improvement over time in those who received the life review on measures of depression, life satisfaction, and…

College students (n=131) interviewed residents of 96 long-term care facilities. Students perceived nursing homes more negatively than other facilities. Residential care was viewed more positively by those with personal experience of elder care and those whose interviewees were satisfied with their lives or mentally alert. (SK)

Purpose: The purpose of this study was to compare a variety of resident and staff outcomes across two types of staffing patterns, permanent and rotating assignment, and work shift. Although studies have examined these staffing patterns as part of multicomponent intervention packages, few studies have examined the isolated effects of staffing…

Restorative care attempts to break the cycle of dependency and functional decline in nursing homes by addressing individual resident needs. The Restorative Care Education and Training (RCET) Program consists of a five-week workshop and resource manual for both supervisory and direct care staff. This paper describes the RCET approach and presents…

For all the baby boomers who've embraced and adopted healthier lifestyles, including proper diet and exercise, there may be an even more compelling reason. If you get sick or become hospitalized, you may not have the critically needed services of a well-trained nurse. It's been widely reported that there is a nursing shortage in the United States,…

Purpose: We developed and tested theoretically derived procedures to observe physical environments experienced by nursing home residents at three nested levels: their rooms, the nursing unit, and the overall facility. Illustrating with selected descriptive results, in this article we discuss the development of the approach. Design and Methods: On…

In the current study, nursing home staff were taught to administer functional analyses to determine the variables maintaining aggression by an elder with dementia. The results indicated that aggression was evoked during bathroom routines and that escape maintained aggression. Staff then reduced aggression to near-zero levels with noncontingent…

This document describes a volunteer work project designed for nursing home and day-care center persons with minimal physical skills. Potential users of the project are cautioned to plan carefully for the host location where the project will be conducted, as the location must be easily accessible to older adults who may be handicapped and who may…

This paper explains how commonality analysis (CA) can be conducted using a specific Statistical Analysis System (SAS) procedure and some simple computations. CA is used in educational and social science research to partition the variance of a dependent variable into its constituent predicted parts. CA determines the proportion of explained…