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Nursing home AND models of care AND mental health

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https://www.readbyqxmd.com/read/29741750/longitudinal-effects-of-activities-social-environment-and-psychotropic-medication-use-on-behavioral-symptoms-of-individuals-with-alzheimer-s-disease-in-nursing-homes
#1
Ben R Inventor, Carol J Farran, Olimpia Paun, Fawn Cothran, Kumar Rajan, Sandra S Swantek, Judith J McCann
A secondary data analysis of 25,560 minutes of structured clinical observations from a longitudinal study examined the impact of time-varying background factors, social environment, and psychotropic medication use on behavioral symptoms of nursing home residents with Alzheimer's disease (AD). Data were collected at baseline (N = 177), 12 months (N = 138), and 24 months (N = 111). Mixed-effects regression modeling showed that at 24 months: (a) higher cognitive and physical function and having a private bedroom/bathroom had the most positive influence on resident positive behaviors; (b) use of antipsychotic medications and solitary activities had the most negative influence on resident positive behaviors; (c) higher cognitive function significantly decreased negative behaviors; and (d) care-related activities and total number of psychotropic medications significantly increased negative behaviors...
May 8, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29730623/what-is-usual-care-for-teenagers-expecting-their-first-child-in-england-a-process-evaluation-using-key-informant-mapping-and-participant-survey-as-part-of-the-building-blocks-randomised-controlled-trial-of-specialist-home-visiting
#2
Michael Robling, Rebecca Cannings-John, Sue Channon, Kerenza Hood, Gwen Moody, Ria Poole, Julia Sanders
OBJECTIVES: We compared the US-derived Family Nurse Partnership (FNP) home visiting programme when added to usually provided health and social care for first-time teenage mothers, to usual care alone. We aimed to: establish the nature of usual care, measure service usage and assess performance bias in core usual care services. DESIGN: Within trial process evaluation. Local professionals completed a survey mapping local health and social care services in seven domains...
May 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29706102/a-narrative-review-of-mental-health-support-for-people-during-transition-from-incarceration-to-community-the-grass-can-be-greener-on-the-other-side-of-the-fence
#3
Jennifer Smith-Merry, Damian Mellifont, Kirsty McKenzie, Paul Clenaghan
BACKGROUND: Despite significant need for mental health services targeting the requirements of inmates transitioning into the community there is little research about successful recovery-oriented or person-centred transition programs. AIMS: This systematic narrative review brings together existing evidence to inform policymakers and practitioners about current practice in transition support, and barriers and facilitators of effective practice. METHOD: We carried out a systematic narrative review of recovery-oriented or person-centred mental health support programs supporting transition from incarceration to the community...
April 28, 2018: Journal of Mental Health
https://www.readbyqxmd.com/read/29683204/oral-status-cognitive-function-and-dependency-among-new-zealand-nursing-home-residents
#4
William M Thomson, Moira B Smith, Catherine Anna Ferguson, Ngaire M Kerse, Kathryn Peri, Barry Gribben
OBJECTIVES: To investigate clinical oral disease and its association with cognitive function and dependency among older New Zealanders in residential aged care. MATERIAL AND METHODS: National survey of oral health in aged residential care throughout New Zealand. We classified residents into 1 of 3 levels of care: "low dependency care (or assisted living)"; "high dependency care"; or "specialist dementia care/psychogeriatric care." The Abbreviated Mental Test characterised cognitive function as "unimpaired" (scores of 7-10), "moderately impaired" (4-6) or "severely impaired" (0-3)...
April 23, 2018: Gerodontology
https://www.readbyqxmd.com/read/29564858/-a-correlational-study-of-the-recovery-process-in-patients-with-mental-illness
#5
Yao-Hui Huang, Yao-Yu Lin, Shih-Kai Lee, Ming-Feng Lee, Ching-Lan Esther Lin
BACKGROUND: The ideology of recovery addresses the autonomy of patients with mental illness and their ability to reconstruct a normal life. Empirical knowledge of this process of recovery and related factors remains unclear. PURPOSE: To assess the process of recovery and related factors in patients with mental illness. METHODS: This cross-sectional, correlational study was conducted on a convenience sample in a psychiatric hospital. Two-hundred and fifty patients with mental illness were recruited and were assessed using 3 instruments: Questionnaire about the Process of Recovery (QPR), Perceived Psychiatric Stigma Scale (PPSS), and Personal and Social Performance Scale (PSP)...
April 2018: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/29226119/substitution-of-formal-and-informal-home-care-service-use-and-nursing-home-service-use-health-outcomes-decision-making-preferences-and-implications-for-a-public-health-policy
#6
Chia-Ching Chen, Tetsuji Yamada, Taeko Nakashima, I-Ming Chiu
Objectives: The purposes of this study are: (1) to empirically identify decision-making preferences of long-term health-care use, especially informal and formal home care (FHC) service use; (2) to evaluate outcomes vs. costs based on substitutability of informal and FHC service use; and (3) to investigate health outcome disparity based on substitutability. Methodology and data: The methods of ordinary least squares, a logit model, and a bivariate probit model are used by controlling for socioeconomic, demographic, and physical/mental health factors to investigate outcomes and costs based substitutability of informal and formal health-care use...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/29162609/health-of-health-care-workers-in-canadian-nursing-homes-and-pediatric-hospitals-a-cross-sectional-study
#7
Matthias Hoben, Jennifer A Knopp-Sihota, Maryam Nesari, Stephanie A Chamberlain, Janet E Squires, Peter G Norton, Greta G Cummings, Bonnie J Stevens, Carole A Estabrooks
BACKGROUND: Poor health of health care workers affects quality of care, but research and health data for health care workers are scarce. Our aim was to compare physical/mental health among health care worker groups 1) within nursing homes and pediatric hospitals, 2) between the 2 settings and 3) with the physical/mental health of the Canadian population. METHODS: Using cross-sectional data collected as part of the Translating Research in Elder Care program and the Translating Research on Pain in Children program, we examined the health of health care workers...
November 21, 2017: CMAJ Open
https://www.readbyqxmd.com/read/29129450/resident-choice-a-nursing-home-staff-perspective-on-tensions-and-resolutions
#8
Jennifer A Palmer, Victoria A Parker, Dan Berlowitz, A Lynn Snow, Christine W Hartmann
A central component of person-centered care, resident choice in daily life, has received little research attention in the U.S. CONTEXT: This study investigated nursing home staff experiences in realizing resident choice. Twenty-six qualitative staff interviews were conducted in an opportunistic sample from two Veterans Health Administration (VHA) Community Living Centers (CLCs, i.e., nursing homes) implementing the Green House Model. Thematic content analysis surfaced several key tensions at the intra-personal, inter-personal, and organizational levels...
November 9, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28901005/delivery-arrangements-for-health-systems-in-low-income-countries-an-overview-of-systematic-reviews
#9
REVIEW
Agustín Ciapponi, Simon Lewin, Cristian A Herrera, Newton Opiyo, Tomas Pantoja, Elizabeth Paulsen, Gabriel Rada, Charles S Wiysonge, Gabriel Bastías, Lilian Dudley, Signe Flottorp, Marie-Pierre Gagnon, Sebastian Garcia Marti, Claire Glenton, Charles I Okwundu, Blanca Peñaloza, Fatima Suleman, Andrew D Oxman
BACKGROUND: Delivery arrangements include changes in who receives care and when, who provides care, the working conditions of those who provide care, coordination of care amongst different providers, where care is provided, the use of information and communication technology to deliver care, and quality and safety systems. How services are delivered can have impacts on the effectiveness, efficiency and equity of health systems. This broad overview of the findings of systematic reviews can help policymakers and other stakeholders identify strategies for addressing problems and improve the delivery of services...
September 13, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28856592/is-compromised-oral-health-associated-with-a-greater-risk-of-mortality-among-nursing-home-residents-a-controlled-clinical-study
#10
Anna-Luisa Klotz, Alexander Jochen Hassel, Johannes Schröder, Peter Rammelsberg, Andreas Zenthöfer
AIM: The objective of this controlled clinical study was to evaluate the association between oral health and 1-year mortality among nursing home residents with or without oral health intervention. METHODS: This research was part of a multidisciplinary intervention study (EVI-P) performed in 14 nursing homes in Germany. Two-hundred and nineteen nursing home residents were included in the study and assigned to an intervention group, for which dental health education was offered and ultrasonic baths were used for denture cleaning (n = 144), or to a control group (n = 75)...
June 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28805416/identifying-barriers-to-culture-change-a-qualitative-analysis-of-the-obstacles-to-delivering-resident-centered-care
#11
Ryann L Engle, Denise A Tyler, Katelyn E Gormley, Melissa K Afable, Kimberly Curyto, Omonyêlé L Adjognon, Victoria A Parker, Jennifer L Sullivan
A growing number of healthcare organizations have moved from traditional, institutional nursing home models to ones that emphasize culture change, or resident-centered care (RCC). In 2006, the Department of Veterans Affairs (VA) began implementing a number of changes to VA nursing homes, now called Community Living Centers (CLCs), to provide veterans with a more resident-centered and homelike environment. This study aimed to understand the barriers CLC staff face when delivering RCC. Ten CLCs were included on the basis of their performance levels on RCC and quality of care...
August 2017: Psychological Services
https://www.readbyqxmd.com/read/28646495/nursing-philosophy-of-community-mental-health-nurses-in-japan-a-qualitative-descriptive-study
#12
Koji Tanaka, Masami Hasegawa, Yutaka Nagayama, Masato Oe
The present study reports the findings of a qualitative, descriptive study that sought to clarify nursing philosophy for community mental health nurses (CMHN) working at independent psychiatric home-visit nursing agencies in Japan. We carried out participant observation and semistructured interviews with 13 CMHN in rural and urban areas. We identified eight subthemes and three higher-order themes based on these subthemes. CMHN embraced a nursing philosophy in which they: (i) have respect for consumers' ways of life and their self-realization; (ii) find harmony between view of life and work; and (iii) build communities where residents support each other beyond their roles...
June 23, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28601691/effects-of-a-nurse-led-transitional-care-program-on-clinical-outcomes-health-related-knowledge-physical-and-mental-health-status-among-chinese-patients-with-coronary-artery-disease-a-randomized-controlled-trial
#13
Pan Zhang, Yu-Ding Hu, Feng-Mei Xing, Chang-Zai Li, Wang-Feng Lan, Xiao-Li Zhang
BACKGROUND: Coronary artery disease is a major cause of morbidity and mortality among adults worldwide, including China. After a hospital stay, transitional care could help to ensure improved patient care and outcomes, and reduce Medicare costs. Nevertheless, the results of the existing transitional care are not always satisfactory and our knowledge of how to perform effective transitional care for patients with coronary artery disease is limited in mainland China. OBJECTIVES: To examine the effectiveness of a nurse-led transitional care program on clinical outcomes, health-related knowledge, and physical and mental health status among Chinese patients with coronary artery disease...
April 14, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28540343/psychosocial-well-being-associated-with-activity-of-daily-living-stages-among-community-dwelling-older-adults
#14
Ling Na, Joel E Streim
Objectives: Activity of daily living (ADL) stages demonstrated ordered associations with risk of chronic conditions, hospitalization, nursing home use, and mortality among community-living elderly. This article explores the association of stages with psychosocial well-being. We hypothesized that higher ADL stages (greater ADL limitation) are associated with more restricted social networks, less perceived social support, greater social isolation, and poorer mental health. Methods: Cross-sectional data from the National Social Life, Health, and Aging Project (N = 3,002) were analyzed in regression models and latent factor models...
January 2017: Gerontology & Geriatric Medicine
https://www.readbyqxmd.com/read/28400222/self-reported-health-and-safety-awareness-improves-prediction%C3%A2-of-level-of-care-needs-in-veterans-discharged-from-a-postacute-unit
#15
Julija Stelmokas, Linas A Bieliauskas, Katherine A Kitchen Andren, Robert Hogikyan, Neil B Alexander
OBJECTIVES: To evaluate the differential value of a self-reported health and safety awareness measure relative to other medical, psychosocial, and cognitive factors in predicting level of care (LOC) needs after hospital discharge. DESIGN: Retrospective medical record review. SETTING: Community living center postacute care (CLC-PAC) unit at a Veterans Affairs hospital. PARTICIPANTS: A total of 175 veterans admitted to the Veterans Affairs hospital or directly to the CLC-PAC from home...
April 9, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28182472/integrating-health-care-for-high-need-medicaid-beneficiaries-with-serious-mental-illness-and-chronic-physical-health-conditions-at-managed-care-provider-and-consumer-levels
#16
Jung Y Kim, Tricia Collins Higgins, Dominick Esposito, Allison Hamblin
OBJECTIVE: Policies supporting value-based care and alternative payment models, notably in the Affordable Care Act and the Medicare Access & CHIP Reauthorization Act of 2015, offer hope to advance care integration for individuals with behavioral and chronic physical health conditions. The potential for integration to improve quality while managing costs for individuals with high needs, coupled with the remaining financial, operational, and policy challenges, underscores a need for continued discussion of integration programs' preliminary outcomes and lessons...
June 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28075067/national-implementation-of-a-mental-health-service-model-a-survey-of-crisis-resolution-teams-in-england
#17
Brynmor Lloyd-Evans, Bethan Paterson, Steve Onyett, Ellie Brown, Hannah Istead, Richard Gray, Claire Henderson, Sonia Johnson
In response to pressures on mental health inpatient beds and a perceived 'crisis in acute care', Crisis Resolution Teams (CRTs), acute home treatment services, were implemented nationally in England following the NHS Plan in the year 2000: an unprecedentedly prescriptive policy mandate for three new types of functional community mental health team. We examined the effects of this mandate on implementation of the CRT service model. Two hundred and eighteen CRTs were mapped in England, including services in all 65 mental health administrative regions...
February 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27974000/characteristics-of-hospital-emergency-room-visits-for-mental-and-substance-use-disorders
#18
Toluwalope Ayangbayi, Albert Okunade, Mustafa Karakus, Thierry Nianogo
OBJECTIVE: This study compared characteristics of visits to emergency rooms (ERs) for mental and substance use disorders and for physical health conditions to establish a baseline against which to measure changes after full implementation of the Affordable Care Act (ACA) and parity legislation. METHODS: The retrospective, cross-sectional analysis fit a logistic regression model to pooled data comprising 193,526 observations from National Hospital Ambulatory Medical Care Survey (NHAMCS) data from 2005 to 2011...
April 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27968836/effects-of-a-peer-assisted-tai-chi-qigong-programme-on-social-isolation-and-psychological-wellbeing-in-chinese-hidden-elders-a-pilot-randomised-controlled-trial
#19
Aileen W K Chan, Doris S F Yu, K C Choi, Helen Y L Chan, Eliza M L Wong
BACKGROUND: The term hidden elder is used in Chinese society to describe older adults who are socially isolated and refuse social participation. Substantial evidence has indicated the important role of social isolation in increasing psychiatric morbidity and mortality risks in later life. Innovative service is promptly needed to address the social and psychological health needs of hidden elders. We aimed to test the feasibility and the preliminary effectiveness of a peer-assisted tai-chi-qigong programme in strengthening social networks and enhancing psychosocial wellbeing of Chinese hidden elders...
October 2016: Lancet
https://www.readbyqxmd.com/read/27928825/patient-involvement-in-own-rehabilitation-after-early-discharge
#20
Britta Hørdam, Merete Watt Boolsen
BACKGROUND: A European Union Commission report in 2015 concluded that the concept of patient involvement refers specially to the right of patients to have a central position in the healthcare process (EU Commission 2012, http://ec.europa.eu/public_opinion/archives/quali/ql_5937_patient_en.pdf). Recent research suggests that patient involvement after hip replacement is a very effective strategy in older adults with regard to improving walking ability and reducing pain and thereby lessening loss of physical, mental and social aspects of the quality of life...
December 2017: Scandinavian Journal of Caring Sciences
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