Nursing homes in Illinois Quality Incentive Program receive separate bonus payment per Medicaid day for achieving each of six quality standards. Of 809 participating homes (1985-88), over 90 percent of eligible facilities chose to participate annually. Success in achieving bonus payments in multiple standards increased over time, with 27 percent…

Twelve women (mean age 90) in a nursing home listened to Golden Age radio programs and answered trivia questions. Reactions to musical programs showed they encouraged reminiscence; trivia stimulated recall of historical and life events. In contrast, comedy programs evoked little response. (SK)

This article recounts the author's counseling relationship with a client who was a nursing home resident. The article describes the client's spiritual experiences and their impact on the client and the counselor. (Author)

A survey of 754 older adults serving as ombudsmen in nursing facilities found that formal education and follow-up training enhanced efficacy. Negative initial training was the most important influence on diminished efficacy. Those with higher efficacy and more positive initial training expressed less worry. (SK)

Baccalaureate-prepared registered nurses (RNs) in hospitals appear to have more differentiated roles than nurses in nursing homes or ambulatory care. If employers believe that it is more cost-effective to shift responsibilities from physicians to RNs, demand for nurses with bachelor's degrees will increase. (SK)

Interviews with staff in 46 senior residences and nursing homes identified different approaches to the use of reminiscence: formal group and individual sessions; informal, impromptu individual sessions; informal ad hoc sessions; and reminiscence-related activities. The range of staff skills required suggests a need for rethinking the values and…

Purpose: This article describes the progress of our study to examine the advantages and costs of using self-managed nurse aide teams in nursing homes, steps that are being taken to implement such teams, and management strategies being used to manage the teams. Design and Methods: A quasi-experimental design is underway where certified nurse aide…

Hospitalization is a sentinel event that leads to loss of independence for many seniors. This study of long-stay hospitalizations (more than 30 days) in seniors was undertaken to identify risk factors for not going home, to characterize patients with risk factors who did go home and to describe one year outcomes following home discharge. Using…

Purpose: Longitudinal research in dementia has acknowledged the importance of transitions during the course of family caregiving. However, long-term adaptation to institutionalization has received little attention. This study attempts to describe caregivers' adaptation (changes in stress, well-being, and psychosocial resources) to placement up to…

Purpose: Using a conceptual framework from the field of care work and the theory of boundary work, we explore the use of family metaphors by nurse's aides to describe their affective care for nursing home residents. We focus on how nurse's aides can express affective care in spite of experiencing racial abuse. Methods: Using the technique of…

This study examined the effectiveness of a new skills training program designed to increase nurse aides' knowledge of behavior management. The training program, designed as five 90-minute group learning modules, was implemented in two Western Pennsylvania nursing homes over a 5-month period. Topics covered within the training program included…

Researchers have divided nursing home residents into long-stayers and short-stayers. While long-stayers rarely return home, they do not necessarily stay long in one institution. Instead, they may transfer from nursing home to nursing home. Although many studies have examined the impact of relocation on nursing home residents, few studies have…

The Family of the nursing home patient can be a powerful treatment resource when productive involvement is maximized. This research looked at the quantity and quality of resident-family interactions before and after placement. Results indicated continued involvement of families. However, quality of visits was a major problem for many families.…

Examined the relationship between the knowledge and attitudes of nursing home caretakers toward elderly sexuality, looking at certain sociodemographic and institutional factors. The more knowledge providers possessed, the more restrictive their attitudes toward elderly sexuality. Education, religiosity, position, nursing education, time in current…

Responsibilities of residents of long term care facilities are central to their autonomy and also set limits on their autonomy. It is important to assist residents to assume responsibilities and to express autonomy. Nursing home rules affecting residents need revision to accurately reflect resident responsibilities. Recognition of responsibilities…