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Peer reviewed
Direct linkMason, Susan E.; Auerbach, Charles; LaPorte, Heidi Heft – Health & Social Work, 2009
This study addresses the factors influencing decisions to send medicine-surgical (med-surg) patients home or to nursing facilities (NFs). The sample (n = 7,852) was taken from a large, urban, teaching, med-surg unit where discharges were documented and data collected over a two-and-a-half-year period. Using logistical regression, the factors found…
Descriptors: Hospitals, Patients, Human Body, Social Work
Pillemer, Karl; Meador, Rhoda; Henderson, Charles, Jr.; Robison, Julie; Hegeman, Carol; Graham, Edwin; Schultz, Leslie – Gerontologist, 2008
Purpose: This article reports on a randomized, controlled intervention study designed to reduce employee turnover by creating a retention specialist position in nursing homes. Design and Methods: We collected data three times over a 1-year period in 30 nursing homes, sampled in stratified random manner from facilities in New York State and…
Descriptors: Allied Health Personnel, Labor Turnover, Nursing Homes, Specialists
Gessert, Charles E.; Haller, Irina V. – Journal of Rural Health, 2008
Background: Medicare beneficiaries incur 27%-30% of lifetime charges in the last year of life; most charges occur in the last quarter. Factors associated with high end-of-life Medicare charges include less advanced age, non-white race, absence of advance directive, and urban residence. Methods: We analyzed Medicare hospital charges in the last…
Descriptors: Hospitals, Rural Urban Differences, Nursing Homes, Health Facilities
Housen, Patricia; Shannon, George R.; Simon, Barbara; Edelen, Maria Orlando; Cadogan, Mary P.; Sohn, Linda; Jones, Malia; Buchanan, Joan L.; Saliba, Debra – Gerontologist, 2008
Purpose: Emphasis on consumer-centered care for frail and institutionalized older adults has increased the development and adaptation of surveys for this population. Conventional methods used to pretest survey items fail to investigate underlying sources of measurement error. However, the use of the cognitive interview (CI), a method for studying…
Descriptors: Nursing Homes, Health Facilities, Questionnaires, Cognitive Processes
Kilpinen-Loisa, P.; Arvio, M.; Ilvesmaki, V.; Makitie, O. – Journal of Intellectual Disability Research, 2009
Background: Adults with intellectual disability (ID) have several risk factors for osteoporosis. Feeding problems with consequent nutritive deficiencies, and lack of sunshine exposure may lead to vitamin D deficiency. The purpose of this study was to evaluate vitamin D status in adults with ID living in nursing homes and to compare two different…
Descriptors: Body Composition, Mental Retardation, At Risk Persons, Patients
Qadri, Syeda S.; Wang, Jia; Ruiz, Jorge G.; Roos, Bernard A. – Educational Gerontology, 2009
This study used both survey and interview questionnaires. It was designed to assess the feasibility, usability, and utility of two point-of-care tools especially prepared with information relevant for dementia care by staff nurses in a small, a medium-sized, and a large nursing home in Florida. Twenty-five LPN or RN nurses were recruited for the…
Descriptors: Needs Assessment, Symptoms (Individual Disorders), Nurses, Dementia
de Guzman, Allan B.; Coronel, Rona Denise V.; Chua, Kannerin O.; Constantino, Mariz G.; Cordova, Ericsann James C. – Educational Gerontology, 2009
Geriatric nursing is a physically and emotionally demanding job in healthcare. It is a neglected field despite the growing population of the elderly, and the experiences of geriatric nurses are one of the unrecognized aspects of this field. This qualitative study purports to explore the successes and struggles of the lived experiences of a select…
Descriptors: Health Services, Nurses, Older Adults, Geriatrics
Vondras, Dean D.; Flittner, Diane; Malcore, Sylvia A.; Pouliot, Gregory – Educational Gerontology, 2009
This research explores the workplace stress and ethical challenges reported by healthcare staff in a nursing home. A brief self-report survey was administered to 44 members of the nursing staff in a not-for-profit nursing home. The survey included items that elicited identification of specific workplace stressors and ethical challenges and global…
Descriptors: Stress Variables, Job Satisfaction, Nurses, Continuing Education
D'Souza, Jennifer C.; James, Mary L.; Szafara, Kristina L.; Fries, Brant E. – Gerontologist, 2009
Purpose: When government funding for long-term care is reduced, participant outcomes may be adversely affected. We investigated the effect of program resources on individuals enrolled in the Michigan Home- and Community-Based Services (HCBS) waiver program for elderly and disabled adults. Design and Methods: Using dates of major policy and budget…
Descriptors: Health Services, Older Adults, Disabilities, Financial Support
Resnick, Barbara; Gruber-Baldini, Ann L.; Galik, Elizabeth; Pretzer-Aboff, Ingrid; Russ, Karin; Hebel, J. Richard; Zimmerman, Sheryl – Gerontologist, 2009
Purpose: The purpose of this study was to test the effectiveness of a 12-month restorative care (Res-Care) intervention on the beliefs related to Res-Care, knowledge of Res-Care, observed performance of Res-Care with residents, and job satisfaction among nursing assistants (NAs) in nursing home (NH) settings. Design and Methods: This was a…
Descriptors: Health Services, Program Evaluation, Program Effectiveness, Intervention
Rich, Shayna E.; Williams, Christianna S.; Zimmerman, Sheryl – Gerontologist, 2010
Purpose: To identify differences in perspectives that may complicate the process of joint decision making at the end of life, this study determined the agreement of family and staff perspectives about end-of-life experiences in nursing homes and residential care/assisted living communities and whether family and staff roles, involvement in care,…
Descriptors: Residential Care, Familiarity, Death, Interaction
Berry, John N., III – Library Journal, 2007
Jackie Cornette is manager of the Western Branch of the Watauga County Library (WCL) in North Carolina. WCL is one of three county library systems that comprise the Appalachian Regional Library (ARL), headquartered in North Wilkesboro, North Carolina. According to Louise Humphrey, ARL director, Cornette has been a shining star in ARL since 1988.…
Descriptors: Play, Puppetry, Computers, Nursing Homes
King, Kathleen P. – Performance Improvement Quarterly, 2009
Based on the theory of transformative learning (Mezirow, 1980) and critical pedagogy (Freire, 1980), mixed-methods research (Tashakkori & Teddlie, 1998) of a hospital workers' union and training organization addressed the impact of a custom-designed, group-focused, results-driven professional development model with 130 participants. Employees…
Descriptors: Critical Theory, Transformative Learning, Professional Development, Participant Satisfaction
Fritsch, Thomas; Kwak, Jung; Grant, Stacey; Lang, Josh; Montgomery, Rhonda R.; Basting, Anne D. – Gerontologist, 2009
Purpose: Creative expression (CE) programs are emerging interventions to improve the quality of care and life of persons with dementia (PWDs) in long-term care settings. However, limited empirical evidence exists to support the effectiveness of these programs. Here, we report the findings from an assessment of the impact of TimeSlips (TS), a group…
Descriptors: Control Groups, Research Design, Intervention, Job Satisfaction
Bishop, Christine E.; Weinberg, Dana Beth; Leutz, Walter; Dossa, Almas; Pfefferle, Susan G.; Zincavage, Rebekah M. – Gerontologist, 2008
Purpose: The purpose of this study was to investigate (a) whether certified nursing assistants (CNAs) are more committed to nursing home jobs when they perceive their jobs as enhanced (greater autonomy, use of knowledge, teamwork), and (b) whether CNA job commitment affects resident satisfaction. Design and Methods: A qualitative exploration of…
Descriptors: Allied Health Personnel, Employee Attitudes, Persistence, Nursing Homes
