An observational study of antipsychotic medication use among long-stay nursing home residents without qualifying diagnoses

Published On: 07-19-2018

Introduction: Antipsychotic use in nursing homes varies widely across the United States; inadequate staffing, skill mix, and geropsychiatric training impede sustained improvement. Aim: This study identified risk factors of antipsychotic use in long-stay residents lacking qualifying or potentially qualifying...

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The relationship of community-based nurse care coordination to costs in the Medicare and Medicaid programs

Published On: 04-21-2010

The purpose of this evaluation was to study the relationship of nurse care coordination (NCC) to the costs of Medicare and Medicaid in a community-based care program called Missouri Care Options (MCO). A retrospective cohort design was used comparing...

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Improving care in nursing homes using quality measures/indicators and complexity science

Published On: 01-01-2010

The authors report on a NIH multilevel intervention study (n=58; 29 intervention, 29 control) performed in a Midwestern state over a 2 year time frame. Complexity science was the theoretical model used to analyze the observations made by research...

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Nursing home staff’s views on quality improvement interventions: A follow-up study

Published On: 01-01-2007

Ongoing problems with nursing home care mandates understanding nursing home staff’s perspectives on innovative quality improvement programs. This follow-up study used focus groups to examine the experiences of staff who participated in a clinical trial that involved Quality Indicator...

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Preparation of nurse leaders in the 21st century workplace

Published On: 08-01-2005

Creating work environments in which health care is delivered in a safe manner requires a new type of nursing leader, one who can transform the environment and the culture of a health care organization. This is the concept identified...

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Evidence-based assessment and treatment of persistent pain in the community-dwelling elderly receiving home health hervices: A Pathway

Published On: 06-01-2005

Persistent pain is a problem for a significant portion of the community-dwelling elderly. Many elderly are reluctant to admit to pain because of fears related to areas such as loss of independence and possible addiction. Cognitively impaired elders may...

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Prevalence and characteristics of nursing home residents needing light-care

Published On: 06-01-2005

Rising nursing home (NH) costs and the poor quality of NH care make it important to recognize elders for whom NH care may be inappropriate. As a first step in developing a method to identify these elders, we examined...

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Clinical outcomes of aging in place

Published On: 05-01-2005

Programs such as Medicaid Home and Community-based Services (HCBS) have provided an alternative to institutionalization through community-based, long-term care services; however, there are limited studies on the clinical outcomes of participants in these programs as compared to nursing home...

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Back to the fundamentals of care: A road map to improve nursing home care quality

Published On: 04-01-2004

Rantz, M.J., & Zwygart-Stauffacher, M. (2004). Back to the fundamentals of care: A road map to improve nursing home care quality. Journal of Nursing Care Quality, 19(2), 92-94.

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Nursing home quality and pressure ulcer prevention and management strategies

Published On: 04-01-2004

OBJECTIVES: To measure pressure ulcer quality indicator (QI) scores and to describe the self-reported skin integrity assessment, pressure ulcer risk assessment, and pressure ulcer prevention and treatment practices in long-term care facilities (LTCFs). DESIGN: Retrospective analysis of a large data set...

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