Associated factors of falls in nursing home residents in Hong Kong and the role of restraints: a cross-sectional survey using the ResidentAssessment Instrument (RAI) 2.0

2008 ◽  
Vol 20 (5) ◽  
pp. 447-453 ◽  
Author(s):  
Jenny S. W. Lee ◽  
Elsie Hui ◽  
Felix Chan ◽  
Iris Chi ◽  
Jean Woo
Keyword(s):  
Hong Kong ◽  
Nursing Home ◽  
Associated Factors ◽  
Nursing Home Residents ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Stress and Nursing Home Adjustment: Mediation by Resourcefulness and Self-Efficacy

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 184-184
Author(s):  
Huimin Xiao ◽  
Binbin Yong
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Psychological Adjustment ◽  
Self Efficacy ◽  
Nursing Home Residents ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Relationship Of ◽  
The Relationship ◽  
General Self Efficacy

Abstract Relocation to a nursing home is often assumed to be associated with stress for older adults. This study aimed to explore how stress affect psychological adjustment of nursing home residents. A cross-sectional survey was conducted. A sample of 386 nursing home residents was recruited from 11 nursing homes in Fujian Province, Southeast China. The Nursing Home Adjustment Scale, Perceived Stress Scale, Resourceful Scale, and General Self-Efficacy Scale were adopted to collect data. The path analysis was used to analyze the relationship of stress, nursing home adjustment, resourcefulness, and self-efficacy. The results indicated that stress directly caused poor nursing home adjustment. It also indirectly affected nursing home adjustment through the mediators of resourcefulness and self-efficacy, respectively. Furthermore, chained mediation was found from stress to nursing home adjustment through resourcefulness, and then through self-efficacy to cope with the negative affect. The current study contributes to the understanding of the mechanism of stress on nursing home adjustment in older adults. To improve their psychological adjustment, additional focus should be placed on enhancing resourcefulness and self-efficacy in nursing home residents.

scholarly journals Associations of Delay in Doctor Consultation With COVID-19 Related Fear, Attention to Information, and Fact-Checking

2021 ◽  
Vol 9 ◽  
Author(s):  
Agnes Yuen-Kwan Lai ◽  
Shirley Man-Man Sit ◽  
Socrates Yong-Da Wu ◽  
Man-Ping Wang ◽  
Bonny Yee-Man Wong ◽  
...  
Keyword(s):  
Hong Kong ◽  
Population Based ◽  
Sociodemographic Characteristics ◽  
Chinese Adults ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Public ◽  
Related Information ◽  
Fact Checking

Background: Delaying doctor consultation is harmful. Fear of COVID-19 leads to delays in seeking medical care at a time when pandemic information overflows. However, little is known about the role of COVID-19 related fear, attention to information, and fact-checking in such delay.Objective: Under the Hong Kong Jockey Club SMART Family-Link Project, we examined the associations of delay in doctor consultation amidst the pandemic with sociodemographic characteristics, COVID-19 related fear, attention to information, and fact-checking.Methods: We conducted a population-based online cross-sectional survey in May 2020 on Hong Kong Chinese adults. Respondents reported whether the pandemic caused any delay in doctor consultation (yes/no), level of COVID-19 related fear, attention to information and fact-checking (all on a scale of 0 to 10 and recoded into tertiles of low, moderate, high). Regression analyses were used to examine the associations of delay and fear with sociodemographic characteristics, attention and fact-checking, adjusting for covariates. Data were weighted by sex, age and education level of the population.Results: Of 4,551 respondents (46.5% male, 59.7% aged over 45 years), 10.1% reported delay in doctor consultation. The mean score was 6.4 for fear, 8.0 for attention and 7.4 for fact-checking. Delay was more common in males and increased with age and fear. High vs. low level of fear was associated with delay [adjusted odd ratios (AOR) 2.68, 95% confidence interval (CI) 2.08, 3.47]. Moderate level of fact-checking was negatively associated with delay (AOR 1.28, 95% CI 0.98, 1.67). Females reported greater fear and fear decreased with age. Fear increased with attention to information and decreased with fact-checking. Fear substantially mediated the association of delay with attention (96%) and fact-checking (30%).Conclusions: We have first shown that delay in doctor consultation increased with fear of COVID-19 and decreased with fact-checking amidst the pandemic. Fear also increased with attention to COVID-19 related information and decreased with fact-checking. Understanding these associations can help policymakers develop targeted communication and support to the public to reduce delayed doctor consultations and the associated COVID-19-related or unrelated morbidity and mortality in the community.

Malnutrition and associated factors in nursing home residents: A cross-sectional, multi-centre study

2013 ◽  
Vol 32 (3) ◽  
pp. 438-443 ◽  
Author(s):  
Mathieu Verbrugghe ◽  
Dimitri Beeckman ◽  
Ann Van Hecke ◽  
Katrien Vanderwee ◽  
Koen Van Herck ◽  
...  
Keyword(s):  
Nursing Home ◽  
Associated Factors ◽  
Nursing Home Residents ◽  
Cross Sectional ◽  
Multi Centre Study ◽  
Centre Study

scholarly journals Interpreting COVID-19 deaths among nursing home residents in the US: The changing role of facility quality over time

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0256767
Author(s):  
Debasree Das Gupta ◽  
Uma Kelekar ◽  
Sidney C. Turner ◽  
Anupam A. Sule ◽  
Taya G. Jerman
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Critical Role ◽  
Secondary Analysis ◽  
Nursing Home Residents ◽  
Cross Sectional ◽  
The Us ◽  
Prior Literature ◽  
Over Time

A report published last year by the Centers for Medicare & Medicaid Services (CMS) highlighted that COVID-19 case counts are more likely to be high in lower quality nursing homes than in higher quality ones. Since then, multiple studies have examined this association with a handful also exploring the role of facility quality in explaining resident deaths from the virus. Despite this wide interest, no previous study has investigated how the relation between quality and COVID-19 mortality among nursing home residents may have changed, if at all, over the progression of the pandemic. This understanding is indeed lacking given that prior studies are either cross-sectional or are analyses limited to one specific state or region of the country. To address this gap, we analyzed changes in nursing home resident deaths across the US between June 1, 2020 and January 31, 2021 (n = 12,415 nursing homes X 8 months) using both descriptive and multivariable statistics. We merged publicly available data from multiple federal agencies with mortality rate (per 100,000 residents) as the outcome and CMS 5-star quality rating as the primary explanatory variable of interest. Covariates, based on the prior literature, consisted of both facility- and community-level characteristics. Findings from our secondary analysis provide robust evidence of the association between nursing home quality and resident deaths due to the virus diminishing over time. In connection, we discuss plausible reasons, especially duration of staff shortages, that over time might have played a critical role in driving the quality-mortality convergence across nursing homes in the US.

A new look at nursing home residents’ depressive symptoms: the role of basic versus expanded everyday competence

2016 ◽  
Vol 29 (1) ◽  
pp. 165-175 ◽  
Author(s):  
Mona Diegelmann ◽  
Hans-Werner Wahl ◽  
Oliver K. Schilling ◽  
Carl-Philipp Jansen ◽  
Katrin Classen ◽  
...  
Keyword(s):  
Nursing Home ◽  
Depressive Symptoms ◽  
Perceived Control ◽  
Structural Equation ◽  
Depression Scale ◽  
Nursing Home Residents ◽  
Equation Modeling ◽  
Future Research ◽  
Cross Sectional

ABSTRACTBackground:Depressive symptoms are highly prevalent in nursing home (NH) residents. The relationship between depressive symptoms and everyday competence in terms of basic (BaCo) and expanded everyday competence (ExCo; see Baltes et al., 2001) in the NH setting is, however, not clear. Applying Lewinsohn's depression model, we examined how residents’ BaCo and ExCo relate to their depressive symptoms. Furthermore, we investigated the mediating role of perceived control.Methods:Cross-sectional data from 196 residents (Mage = 83.7 years, SD = 9.4 years) of two German NHs were analyzed. Study variables were assessed by the Geriatric Depression Scale-Residential (GDS-12R), maximal gait speed (BaCo), proxy ratings of residents’ in-home activity participation, and self-initiated social contact done by staff (ExCo). Structural equation modeling (SEM) was used and a simulation study was included to determine power and potential estimation bias.Results:At the descriptive level, one quarter of the residents showed symptoms of depression according to the GDS-12R cut-off criterion. Residents’ BaCo and ExCo were independently and equally strongly associated with their depressive symptoms in the SEM analysis. These findings were affected neither by cognitive impairment, sex, nor age. Perceived control mediated between BaCo but not ExCo and depressive symptoms.Conclusion:Future research needs to follow the connection between residents’ everyday competence and their depressive symptoms longitudinally to better understand the underlying mechanisms.

scholarly journals Evaluating Perspectives of Relatives of Nursing Home Residents on the Nursing Home Visiting Restrictions During the COVID-19 Crisis: A Dutch Cross-Sectional Survey Study

2020 ◽  
Vol 21 (12) ◽  
pp. 1746-1750.e3
Author(s):  
Joost D. Wammes ◽  
Daisy Kolk, MSc ◽  
Judith H. van den Besselaar, MD ◽  
Janet L. MacNeil-Vroomen, PhD ◽  
Bianca M. Buurman-van Es, RN ◽  
...  
Keyword(s):  
Nursing Home ◽  
Home Visiting ◽  
Nursing Home Residents ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Prevalence and associated factors of intertrigo in aged nursing home residents: a multi-center cross-sectional prevalence study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sabrina Gabriel ◽  
Elisabeth Hahnel ◽  
Ulrike Blume-Peytavi ◽  
Jan Kottner
Keyword(s):  
Nursing Home ◽  
Associated Factors ◽  
Nursing Home Residents ◽  
Prevalence Study ◽  
Cross Sectional

scholarly journals Outbreaks of COVID-19 in Nursing Homes: A Cross-Sectional Survey of 74 Nursing Homes in a French Area

2021 ◽  
Vol 10 (18) ◽  
pp. 4280
Author(s):  
Emilie Piet ◽  
Alexis Maillard ◽  
Franck Olivier Mallaval ◽  
Jean Yves Dusseau ◽  
Murielle Galas-Haddad ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Bivariate Analysis ◽  
Strong Positive Correlation ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Staff Members ◽  
The Relationship ◽  
Univariate Analyses

In this multi-centric cross-sectional survey conducted in nursing homes of the French Alps, from 1 March to 31 May 2020, we analyze the relationship between the occurrence of an outbreak of COVID 19 among residents and staff members. Out of 225 eligible nursing homes, 74 (32.8%) completed the survey. Among 5891 residents, the incidence of confirmed or probable COVID-19 was 8.2% (95CI, 7.5% to 8.9%), and 22 (29.7%) facilities had an outbreak with at least 3 cases. Among the 4652 staff members, the incidence of confirmed or probable COVID-19 was 6.3% (95CI, 5.6% to 7.1%). A strong positive correlation existed between residents and staff members for both numbers of cases (r2 = 0.77, p < 0.001) and the incidence (r2 = 0.76, p < 0.001). In univariate analyses, cases among the staff were the only factor associated with the occurrence of an outbreak among residents (OR = 11.2 (95CI, 2.25 to 53.6)). In bivariate analysis, this relationship was not influenced by any nursing home characteristics, nor the action they implemented to mitigate the COVID-19 crisis. Staff members were, therefore, likely to be a source of contamination and spread of COVID-19 among nursing home residents during the first wave of the pandemic.

scholarly journals Do nursing staff encourage functional activity among nursing home residents? A cross-sectional study of nursing staff perceived behaviors and associated factors

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Nienke O. Kuk ◽  
Mirre den Ouden ◽  
G. A. Rixt Zijlstra ◽  
Jan P. H. Hamers ◽  
Gertrudis I. J. M. Kempen ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Staff ◽  
Functional Activity ◽  
Associated Factors ◽  
Nursing Home Residents ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Testing the Strain Theory of Suicide – The Moderating Role of Social Support

Crisis ◽  
2020 ◽  
Vol 41 (2) ◽  
pp. 82-88 ◽  
Author(s):  
Bob Lew ◽  
Ksenia Chistopolskaya ◽  
Yanzheng Liu ◽  
Mansor Abu Talib ◽  
Olga Mitina ◽  
...  
Keyword(s):  
Social Support ◽  
Suicidal Behavior ◽  
Online Survey ◽  
Perceived Social Support ◽  
Strain Theory ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Psychological Strains ◽  
Moderating Role

Abstract. Background: According to the strain theory of suicide, strains, resulting from conflicting and competing pressures in an individual's life, are hypothesized to precede suicide. But social support is an important factor that can mitigate strains and lessen their input in suicidal behavior. Aims: This study was designed to assess the moderating role of social support in the relation between strain and suicidality. Methods: A sample of 1,051 employees were recruited in Beijing, the capital of China, through an online survey. Moderation analysis was performed using SPSS PROCESS Macro. Social support was measured with the Multidimensional Scale of Perceived Social Support, and strains were assessed with the Psychological Strains Scale. Results: Psychological strains are a good predictor of suicidality, and social support, a basic need for each human being, moderates and decreases the effects of psychological strains on suicidality. Limitations: The cross-sectional survey limited the extent to which conclusions about causal relationships can be drawn. Furthermore, the results may not be generalized to the whole of China because of its diversity. Conclusion: Social support has a tendency to mitigate the effects of psychological strains on suicidality.

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