keyword
https://read.qxmd.com/read/37992653/the-relationship-between-nursing-home-staffing-and-resident-safety-outcomes-a-systematic-review-of-reviews
#21
REVIEW
Catherine Blatter, Magdalena Osińska, Michael Simon, Franziska Zúñiga
BACKGROUND: Resident safety is an important topic for nursing home practice with up to 33 % of residents subjected to an adverse event. In spite of a large evidence base examining the relationship between nursing home staffing and resident outcomes, the findings of several systematic reviews remain inconclusive and contradicting, possibly due to methodological shortcomings. OBJECTIVE: The main aim of this review was to provide a comprehensive overview of the literature on nursing home staffing and its relationship with resident safety outcomes...
November 10, 2023: International Journal of Nursing Studies
https://read.qxmd.com/read/37970711/whs-guidelines-for-the-treatment-of-pressure-ulcers-2023-update
#22
JOURNAL ARTICLE
Lisa J Gould, Jenny Alderden, Rummana Aslam, Adrian Barbul, Kath M Bogie, Mohamed El Masry, Letitia Y Graves, E Foy White-Chu, Amany Ahmed, KerriAnn Boanca, Jessica Brash, Katie R Brooks, Wendy Cockron, Susan M Kennerly, Aaron K Livingston, Jeni Page, Catherine Stephens, Velena West, Tracey L Yap
The major populations at risk for developing pressure ulcers are older adults who have multiple risk factors that increase their vulnerability, people who are critically ill and those with spinal cord injury/disease. The reported prevalence of pressure ulcers in the United States is 2.5 million. However, this estimate is derived from acute care facilities and does not include people who are living at home or in nursing facilities. Despite the implementation of hospital and facility-based preventive measures, the incidence of pressure ulcers has not decreased in decades...
November 16, 2023: Wound Repair and Regeneration
https://read.qxmd.com/read/37962765/an-orthogeriatric-service-can-reduce-prolonged-hospital-length-of-stay-in-hospital-for-older-adults-admitted-with-hip-fractures-a-monocentric-study
#23
JOURNAL ARTICLE
Radcliffe Lisk, Keefai Yeong, David Fluck, Jonathan Robin, Christopher Henry Fry, Thang Sieu Han
BACKGROUND: The Blue Book (2005), recommended guidelines for patients care with fragility fractures. Together with introduction of a National Hip Fracture Database Audit and Best Practice Tariff model to financially incentivise hospitals by payment of a supplement for patients whose care satisfied six clinical standards), have improved hip fracture after-care. However, there is a lack of data-driven evidence to support its effectiveness. We aimed to verify the impact of an orthogeriatric service on hospital length of stay (LOS)-duration from admission to discharge...
November 14, 2023: Aging Clinical and Experimental Research
https://read.qxmd.com/read/37956524/enhancing-skin-health-and-safety-in-aged-care-skincare-trial-a-cluster-randomised-pragmatic-trial
#24
RANDOMIZED CONTROLLED TRIAL
Bettina Völzer, Monira El Genedy-Kalyoncu, Alexandra Fastner, Tsenka Tomova-Simitchieva, Konrad Neumann, Kathrin Hillmann, Ulrike Blume-Peytavi, Elisabeth Hahnel, Janna Sill, Katrin Balzer, Jan Kottner
BACKGROUND: Older nursing home residents are prone to develop different skin conditions at the same time, including xerosis cutis, skin tears, pressure ulcers, incontinence-associated dermatitis or intertrigo. Guidelines and recommendations mainly address these skin conditions separately. The overall aim of this study was to measure the effects of the implementation of a skincare and prevention package. TRIAL DESIGN: A two-arm cluster-randomised controlled trial was conducted...
January 2024: International Journal of Nursing Studies
https://read.qxmd.com/read/37909183/estimating-the-value-of-repositioning-timing-to-streamline-pressure-injury-prevention-efforts-in-nursing-homes-a-cost-effectiveness-analysis-of-the-team-up-clinical-trial
#25
JOURNAL ARTICLE
William V Padula, Samuel A Crawford, Susan M Kennerly, Tracey L Yap
Pressure injury (PrI) prevention guidelines recommend 2-h repositioning intervals in healthcare settings, requiring significant nursing time investment. We analysed the cost-effectiveness of PrI prevention protocols with 2-, 3- and 4-h repositioning intervals in US nursing homes according to 'Turn Everyone and Move for Ulcer Prevention' (TEAM-UP) randomized controlled trial findings. Markov modelling compared 2-, 3- and 4-h repositioning intervals, controlling for other practice guidelines, to prevent PrIs in nursing home residents from a US health sector perspective over one year using TEAM-UP trial data for model structure, sampling and parameterization...
November 1, 2023: International Wound Journal
https://read.qxmd.com/read/37803376/nursing-sensitive-quality-indicators-for-quality-improvement-in-norwegian-nursing-homes-a-modified-delphi-study
#26
JOURNAL ARTICLE
Kjerstin Tevik, Anne-Sofie Helvik, Geir-Tore Stensvik, Marion S Nordberg, Sigrid Nakrem
BACKGROUND: Use of nursing-sensitive quality indicators (QIs) is one way to monitor the quality of care in nursing homes (NHs). The aim of this study was to develop a consensus list of nursing-sensitive QIs for Norwegian NHs. METHODS: A narrative literature review followed by a non-in-person, two-round, six-step modified Delphi survey was conducted. A five-member project group was established to draw up a list of nursing-sensitive QIs from a preliminary list of 24 QIs selected from Minimum Data Set (2...
October 6, 2023: BMC Health Services Research
https://read.qxmd.com/read/37801939/prevalence-and-incidence-of-pressure-injuries-among-older-people-living-in-nursing-homes-a-systematic-review-and-meta-analysis
#27
REVIEW
R D Udeshika Priyadarshani Sugathapala, Sharon Latimer, Aindralal Balasuriya, Wendy Chaboyer, Lukman Thalib, Brigid M Gillespie
BACKGROUND: Pressure injuries are a fundamental safety concern in older people living in nursing homes. Recent studies report a disparate body of evidence on pressure injury prevalence and incidence in this population. OBJECTIVES: To systematically quantify the prevalence and incidence of pressure injuries among older people living in nursing homes, and to identify the most frequently occurring PI stage(s) and anatomical location(s). DESIGN: Systematic review and meta-analysis...
September 14, 2023: International Journal of Nursing Studies
https://read.qxmd.com/read/37757614/risk-factors-for-inpatient-facility-admission-among-home-health-care-patients-with-diabetes
#28
JOURNAL ARTICLE
Katelyn E Webster-Dekker, Eileen Hacker, Susan M Perkins, Pei-Shiun Chang, Jennifer Ellis, Rebecca Winton, Laurie Otis, Maria Gates, Yvonne Lu
BACKGROUND: Home health care (HHC) patients with diabetes are at high risk for inpatient admissions. PURPOSE: To identify variables associated with inpatient admissions among adults age ≥50 with diabetes receiving HHC in the community and in assisted living (AL). METHODS: Retrospective HHC data (collected October 2021 to March 2022 in the Southern United States) from the Outcome and Assessment Information Set D were analyzed with logistic regression (n = 5,308 patients)...
2023: Nursing Outlook
https://read.qxmd.com/read/37713351/evaluation-of-quality-of-life-and-self-reported-complications-in-patients-with-clean-intermittent-catheterization-an-observational-study
#29
JOURNAL ARTICLE
Rocío Santos-Pérez de la Blanca, José Medina-Polo, Daniel González-Padilla, María Mercedes Cano-Galán, Ana Arrébola-Pajares, Mario Hernández-Arroyo, Alfredo Rodríguez-Antolín
PURPOSE: This study sought to determine health-related quality of life and self-reported complications associated with clean intermittent catheterization (CIC). DESIGN: Observational, cross-sectional study. SUBJECTS AND SETTING: The target population was patients cared for by the urology department at Hospital 12 de Octubre in Madrid, Spain, undergoing CIC for chronic urinary retention of any etiology (neurogenic bladder dysfunction, neobladder, and other)...
September 2023: Journal of Wound, Ostomy, and Continence Nursing
https://read.qxmd.com/read/37582496/development-of-items-for-transitional-care-service-and-outcome-indicators-of-discharged-patients-for-improvement-in-quality-of-care
#30
JOURNAL ARTICLE
Su Kyoung Kim, Yu Seong Hwang, Minsu Ock, Heui Sug Jo
BACKGROUND: In this study, with the aim of improving the quality of transitional care service for discharged patients, the Health Care Quality and Outcomes Indicators of the Organization for Economic Co-operation and Development and National Health Service Outcomes Framework of the UK were applied to derive service items for provision and develop evaluation indicators under categories of effectiveness, safety, and patient-centeredness. METHOD: A scoping review was conducted to derive core concepts and evidence materials/data for transitional care service...
August 14, 2023: Journal of Korean Medical Science
https://read.qxmd.com/read/37562934/the-stair-of-knowledge-a-codesigned-intervention-to-prevent-pressure-ulcers-malnutrition-poor-oral-health-and-falls-among-older-persons-in-nursing-homes-in-sweden-development-of-a-complex-intervention
#31
JOURNAL ARTICLE
Merita Neziraj, Malin Axelsson, Christine Kumlien, Peter Hellman, Magdalena Andersson
OBJECTIVES: To describe the development of a codesigned complex intervention intended to prevent the risks of pressure ulcers, malnutrition, poor oral health and falls among older persons in nursing homes. DESIGN: A complex intervention development study. The development of the intervention was conducted in three phases. We established contact with stakeholders in the municipality, updated us of current status of the literature in this area and conducted studies in the local context (1)...
August 10, 2023: BMJ Open
https://read.qxmd.com/read/37428008/comparing-quality-of-care-outcomes-between-assisted-living-and-nursing-homes-before-and-during-the-covid-19-pandemic
#32
JOURNAL ARTICLE
Matthias Hoben, David B Hogan, Jeffrey W Poss, Andrea Gruneir, Kim McGrail, Lauren E Griffith, Stephanie A Chamberlain, Carole A Estabrooks, Colleen J Maxwell
BACKGROUND: While assisted living (AL) and nursing home (NHs) residents in share vulnerabilities, AL provides fewer staffing resources and services. Research has largely neglected AL, especially during the COVID-19 pandemic. Our study compared trends of practice-sensitive, risk-adjusted quality indicators between AL and NHs, and changes in these trends after the start of the pandemic. METHODS: This repeated cross-sectional study used population-based resident data in Alberta, Canada...
July 10, 2023: Journal of the American Geriatrics Society
https://read.qxmd.com/read/37427246/pressure-sore-at-an-unusual-site-the-bilateral-knee-a-case-report
#33
JOURNAL ARTICLE
Pawan Acharya, Bipin Poudel, Shubham Shrestha, Bunu Maharjan
UNLABELLED: A pressure ulcer is a skin and soft tissue injury that commonly occur on bony prominences like the ischium, sacrum, heel, malleolus, and occiput but the knee is not the usual site for pressure ulcers. Here, the authors present a case of a pressure ulcer over an unusual site, the knee. CASE PRESENTATION: The authors reported a case of a 66-year-old male, last seen 5 days ago by his son, who was found on the floor (with the knee on the ground) and was brought to the hospital...
July 2023: Annals of Medicine and Surgery
https://read.qxmd.com/read/37372869/the-relationship-between-nursing-practice-environment-and-pressure-ulcer-care-quality-in-portugal-s-long-term-care-units
#34
JOURNAL ARTICLE
Katia Furtado, Jaco Voorham, Paulo Infante, Anabela Afonso, Clara Morais, Pedro Lucas, Manuel Lopes
BACKGROUND: The morbidity associated with ageing has contributed to an increase in the prevalence of Pressure Ulcers (PUs) in all care settings. The impact of these on people's quality of life and the extent of the associated economic and social burden constitutes today, by their importance, a serious public health problem. This study aims to describe the nursing work environment in Portuguese long-term care (LTC) units and to assess how this environment relates to the quality of PU care...
June 14, 2023: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/37367099/predictors-of-nursing-home-entry-within-36-months-after-hospitalization-via-the-emergency-department-among-persons-aged-75-years-or-older
#35
JOURNAL ARTICLE
Moustapha Dramé, Alison Volberg, Lukshe Kanagaratnam, Claire Coutureau, Lidvine Godaert
OBJECTIVE: We aimed to identify risk factors for nursing home (NH) entry 36 months after hospitalization via the emergency department (ED) in a population of patients aged 75 years or older. METHODS: This was a prospective multicentre cohort. Patients were recruited from the emergency departments (EDs) of nine hospitals. Subjects had been hospitalised in a medical ward in the same hospital as the ED to which they were initially admitted. Subjects who experienced NH entry prior to ED admission were excluded...
June 15, 2023: Geriatrics
https://read.qxmd.com/read/37263319/longitudinal-associations-of-staff-shortages-and-staff-levels-with-health-outcomes-in-nursing-homes
#36
JOURNAL ARTICLE
Ming Chen, James S Goodwin, James E Bailey, John R Bowblis, Shuang Li, Huiwen Xu
OBJECTIVES: To examine whether facility-reported staff shortages and total staff levels were independently associated with changes in nursing home (NH) outcomes in 2020. DESIGN: Longitudinal cohort study. SETTING AND PARTICIPANTS: A total of 8466 NHs with staffing and outcome data. METHODS: This study used NH COVID-19 Public File (2020), Nursing Home Compare (2019-2020), and Payroll-Based Journal data (2019-2020)...
May 29, 2023: Journal of the American Medical Directors Association
https://read.qxmd.com/read/37262096/pressure-ulcer-prevention-in-practice
#37
JOURNAL ARTICLE
Catherine Hayes, Ann Fox, Jeanette Scott-Thomas, Yitka Graham
Pressure ulcer avoidance in the context of care has the potential to improve the quality and longevity of lives for those living in residential and non-residential care home settings. This paper reports on an educational intervention in the North East of England, which focused on the initial benchmarking of self-reported knowledge levels of healthcare workers, who regularly work with people living within this context. Using a longitudinal study design, a series of three questionnaires were used to collate data from research participants...
June 1, 2023: British Journal of Community Nursing
https://read.qxmd.com/read/37247823/new-dimensions-of-staffing-patterns-and-nursing-home-quality-comparing-staffing-instability-to-staffing-turnover
#38
JOURNAL ARTICLE
Soham Sinha, Dana B Mukamel, Debra Saliba, Heather Ladd, R Tamara Konetzka
OBJECTIVE: This study examines how measures of staffing-turnover and instability-are associated with one another and how they independently contribute to quality of care in nursing homes. DESIGN: Cross-sectional analysis of 2021-2022 administrative data. Data included the Payroll Based Journal for daily staffing information, merged with Nursing Home Care Compare (NHCC) data for nursing home characteristics, total staffing turnover, and nursing home quality. SETTING AND PARTICIPANTS: A total of 11,840 nursing homes nationally reporting data on daily staffing and staffing turnover...
May 26, 2023: Journal of the American Medical Directors Association
https://read.qxmd.com/read/37222406/the-challenge-of-risk-prevention-in-home-healthcare-an-interview-study-with-nurses-in-municipal-care
#39
JOURNAL ARTICLE
Jonatan Lekman, Erik Lindén, Mirjam Ekstedt
BACKGROUND: Safety in home healthcare has garnered increased attention as more people are receiving care for complex conditions at home. The prerequisites for providing safe care at home differ from those in hospitals. Malnutrition, falls, pressure ulcers and inappropriate medication commonly follow poor risk assessments, causing unnecessary suffering and costs. Therefore, risk prevention in home healthcare needs to be prioritised and studied more closely. AIM: To describe nurses' experiences of performing risk prevention in municipal home healthcare...
May 24, 2023: Scandinavian Journal of Caring Sciences
https://read.qxmd.com/read/37219904/underreporting-of-quality-measures-and-associated-facility-characteristics-and-racial-disparities-in-us-nursing-home-ratings
#40
JOURNAL ARTICLE
Prachi Sanghavi, Zihan Chen
IMPORTANCE: The US government rates nursing homes and reports the underlying quality measures on the Nursing Home Care Compare (NHCC) website. These measures are derived from facility-reported data, which research indicates to be substantially underreported. OBJECTIVE: To assess the association between nursing home characteristics and reporting of major injury falls and pressure ulcers, which are 2 of 3 specific clinical outcomes reported by the NHCC website. DESIGN, SETTING, AND PARTICIPANTS: This quality improvement study used hospitalization data for all Medicare fee-for-service beneficiaries between January 1, 2011, and December 31, 2017...
May 1, 2023: JAMA Network Open
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