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At least 19 recordsLinked to original sources
PubMed1992

Risk factors for admission to a nursing home. A study of elderly people receiving home nursing.

Risk factors for permanent admission to a nursing home were studied in a prospective study of persons 70 years and over who received home nursing. Demographic data and use of psychotropic drugs were registered, and mental capacity, behaviour, and performance of activities of daily living (ADL-function) estimated. 214 patients received home nursing. 166 patients were available for the follow-up study after 16 months, of whom 31 had been admitted to a nursing home. Senile dementia and stroke were the most frequent diagnoses of admitted patients. Mental impairment, age, and amount of home nursing were associated with permanent admission to a nursing home. The odds for being admitted were 10.2 (C.I. 2.3-44.4) times higher in moderately and severely mentally impaired persons than in not mentally impaired persons. The odds for admittance for those 85 years and over, compared with those younger than 80, were 5.0 higher (C.I. 1.6-15.6); and those receiving home nursing three times weekly or more had 3.8 (C.I. 1.4-9.8) times higher odds than those with less help.

Activities of Daily Living↗
PubMed1984

The effects of a short-term death training program on nursing home nursing staff.

This study examines the effects on nursing home nurses of a two-day training program concerned with nurses and their response to the dying patient. Utilizing the Solomon four-group design, the study investigates whether exposure to information on death and dying (a) results in the acquisition of greater knowledge about death and dying, (b) is accompanied by a more positive attitude toward the elderly, and (c) is accompanied by a change in anxiety about death. Based on t tests and one-way analyses of covariance, the results point up the mixed nature of short-term training programs. It was found that there was a significant increase in the nurses' knowledge about death and dying, there was no change in their attitudes toward the elderly, and there was a significant increase among the nurses in the death anxiety experienced. This is not to suggest that training programs of this sort should not be conducted with nursing home staff. On the one hand such programs provide information useful for job performance. On the other hand they create some sensitization to death, which at the very least could give nurses greater insights into the concerns of the patients and perhaps stimulate empathetic responses.

Analysis of Variance↗
PubMedDate not supplied

Comparing nutrition knowledge exam scores with reported nutrition topics of interest among nursing home nurses.

Nursing home nurses (licensed practice nurses and registered nurses) were assessed to determine nutrition training issues that have a potential impact or influence on protein-calorie malnutrition of residents. The results of a 50-item nutrition knowledge exam are reported and compared with what nurses report they are interested in knowing about nutrition. Nurses in nursing homes were found to lack sufficient nutrition knowledge to meet dietary needs of elderly residents.

Aged↗
PubMed2002

Predictors of nursing home placement and home nursing services utilization by elderly patients after hospital discharge in Taiwan.

BACKGROUND: Providing appropriate follow-up health/long-term care services after hospital discharge for elderly persons is important to enhance health and quality of life. Therefore, identifying factors that affect follow-up service utilization has become an important concern. Most studies of predictors of follow-up service utilization for elderly persons after discharge were conducted in the United States of America (USA). Taiwan differs substantially from the USA in health care system, clinical practice, case-mix, culture, and social organization; thus the findings from the USA need to be validated in Taiwan to ensure appropriate discharge referrals. AIM: To investigate pre-discharge predictors of follow-up care including home nursing services and nursing home placement for elderly patients, discharged from hospitals in Taiwan. METHODS: A prospective study with a case-control design was used. FINDINGS: The strongest predictors of institutionalization in a nursing home at 1, 3 and 6 months after discharge were the elderly person's pre-admission institutionalization (0.33 to 0.48) and the caregiver's preference for institutional displacement (0.23 to 0.85). The strongest predictors of use of home nursing services were the elder's self-care ability (0.69 to 0.76), conscious level (0.51 to 0.73), and tubes remaining before discharge (0.58 to 0.79). These predictors were stable at 1, 3 and 6 months after discharge and could correctly classify 60-89% of sample. CONCLUSIONS: When taking nursing home and home nursing utilization into considerations at the same time, the elderly person's pre-admission institutionalization and the caregiver's preference for institutional displacement strongly predicted nursing home utilization after hospital discharge. The elder's self-care ability, conscious level, and tubes remaining before discharge strongly predicted the use of home nursing services after discharge.

Aftercare↗
PubMedDate not supplied

Nursing home nurses need support to update skills.

More than 10% registered nurses now work within the nursing home sector. This study investigated the level of employer support received by 41 nursing home nurses attending a seminar and the difficulties they faced in continuing their professional development. Nurses in the study stated that patient dependency and workload had increased and their training needs had risen. Almost two-thirds of the nurses attending received no employer support; the same proportion found it difficult to access professional education that was related to the needs of nurses working within nurse-led units. Almost two-thirds anticipated difficulties in meeting PREP requirements. The report discusses the implications of those difficulties on recruitment, retention and quality of care and concludes by recommending further research; government action to encourage links between universities and nursing homes and funding of PREP.

Aged↗
PubMedDate not supplied

Nursing home nurses' attitudes, empathy, and ideologic orientation.

The purpose of the present research was to assess the empirical relationship of the psychosocial variables of empathy, attitudes, and ideological orientation toward treatment (custodial versus therapeutic). The sample consisted of 363 volunteers representing all levels of nursing personnel in seven different nursing homes. The data analysis indicated that a low level of empathy, negative attitudes toward the elderly, and a custodial orientation toward treatment were significantly positively correlated. Positive attitudes were not significantly correlated with empathy, orientation toward treatment, or negative attitudes. There were significant differences in empathy, negative attitudes, and custodial orientation toward treatment among the staff levels and nursing homes. However, positive attitudes varied significantly only among nursing homes. These data suggest directions for enhancing the ability of nursing personnel to interact therapeutically with elderly persons in nursing homes.

Attitude↗
PubMed2000

The nursing care of stroke patients in nursing homes. Nurses' descriptions and experiences relating to cognition and mood.

Registered nurses working in nursing homes often care for stroke patients with impaired cognition and mood disorders. Understanding the behaviour of these patients often puts great demands on nurses. This study illuminates registered nurses' descriptions and experiences of stroke patients and the nursing care given in nursing homes, with a focus on cognition and mood. Registered nurses responsible for the care of stroke patients in nursing homes were asked to describe the individual patient's state of health and the nursing care given. Patients' cognition and mood have been selected for this article. A qualitative content analysis was used to group the text into categories. Registered nurses' descriptions showed great complexity and variation in patients' disabilities, as well as uncertainty about understanding these patients and the appropriate nursing care. Registered nurses described the need for further education in stroke care, and adequate resources for patient activity training, as well as meeting patients' psychosocial and communicative needs.

Adult↗
PubMedDate not supplied

Attracting RNs to nursing homes: nurses' work experience and perceived importance of organization and job attributes.

Applicant attraction theories stipulate that employment inducements be customized to meet the desires and specific characteristics of potential applicants. This study examined the relationship between nurses' level of work experience and perceived importance of organization and job attributes in attracting them to nursing home jobs. Importance ratings of recruitment factors varied significantly by nurses' level of work experience. Unique variation was attributed to education opportunities, potential for career advancement, compensation issues, benefits, and work flexibility.

Analysis of Variance↗
PubMed2001

Comparisons of the cost-effectiveness among hospital chronic care, nursing home placement, home nursing care and family care for severe stroke patients.

AIM: This study compared the cost and effectiveness of long-term institutional care and home care for stroke patients with severe physical disabilities. BACKGROUND: Whether home care is more economical or effective than institutional care for patients with chronic illnesses remains controversial when the cost of family labour is considered. Thus, decisions concerning the appropriate type of care setting for patients with severe chronic illness remain difficult. METHODS: From November 1995 to March 1996, 313 hospitalized stroke patients with severe physical disabilities treated at one of five hospitals in the Taipei metropolitan area were followed from the day of hospital discharge until the third month after discharge. These 313 patients were divided into four groups as follows: (1) 106 who were admitted to a chronic care unit in a hospital, (2) 60 who were admitted to nursing homes, (3) 60 who received professional home nursing care and (4) 87 who returned home without receiving professional care. The change of physical functional status in the patient was examined as the difference between activities of daily living (ADL) scores measured at discharge and at the end of the third month after discharge. RESULTS: Information on family costs for caregiving, including pay for long-term services utilized, labour costs for caregiving and out-of-pocket expenditures for miscellaneous materials was obtained during a weekly telephone interview. The results indicated that caring for patients in their own homes was not only more expensive but was also less effective in improving ADL scores than caring for patients in nursing homes and in chronic care units of hospitals. CONCLUSIONS: The results suggest that caring for patients with severe physical disabilities in institutions is more appropriate than caring of them at home.

Activities of Daily Living↗