An Outcome Evaluation of an In-Service Training Program for Nursing Home Aides

1988 ◽  
Vol 7 (1) ◽  
pp. 48-57
Author(s):  
Rodney R. Skinkle ◽  
Peter R. Grant
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Training Program ◽  
Urban Areas ◽  
The Elderly ◽  
Primary Care Providers ◽  
Outcome Evaluation ◽  
Care Providers ◽  
Term Care ◽  
Service Training

ABSTRACTNursing home aides are the primary care providers for the institutionalized elderly but, until recently, aides have received very little formal training. Recognizing this, some community colleges have implemented in-service training programs. This paper presents the results of an impact assessment of the Saskatchewan program offered by Kelsey Institute of Applied Arts and Science. The sample included 86 aides from 16 nursing homes selected at random from both rural and urban areas. Results from this study show that program graduates knew significantly more about simple nursing skills, the aging process, and the philosophy of long term care in comparison to aides from nursing homes that did not offer this in-service training (non-participants). Program graduates were also significantly more likely to describe their health care team as functioning effectively. However, attitudes of program graduates toward the elderly were not significantly different from non-participants. The vast majority of the aides, whether trained or untrained, held positive attitudes toward the elderly. Implications and limitations of these results are discussed in conjunction with information from interviews with three Directors of Care who have experience implementing and supervising this in-service training program.

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

scholarly journals Program Kemitraan Masyarakat (PKM) Pengasuh Lansia Panti Jompo Sabai-Nan-Aluih Sumatera Barat

2020 ◽  
Vol 5 (1) ◽  
pp. 38
Author(s):  
Erdanela Setiawati ◽  
Betty Fitriyasti ◽  
Yulia Rahmad
Keyword(s):  
Blood Pressure ◽  
Nursing Home ◽  
Nursing Homes ◽  
The Elderly ◽  
Assistance Program ◽  
Measure Blood Pressure ◽  
Before And After ◽  
Service Training ◽  
And Training

<p><em>The Community Partnership Program (PKM) is a Kemenristekdikti assistance program in the implementation of community service in universities. Elderly caregivers of nursing home are people who their profession not nurses, but do nursing tasks and assist the elderly in meeting their daily needs. The Sabai-Nan-Aluih nursing home with a capacity of 110 elderly has 14 caregivers, while the Jasa-Ibu nursing home with a capacity of 25 elderly has 4 caregivers. The role of caregivers in nursing homes is very complex. This role can be performed optimally if the caregiver's knowledge and skills are adequate. Problem: many caregivers in both institutions have never received senior service training. Findings facts: 1) There are 10 elderly suffering strokes in Sabai-Nan-Aluih nursing home and 4 elderly in the Jasa-Ibu nursing home, caregivers rarely provide motivation and counseling, 2) One way to prevent stroke with blood pressure measurements, while caregivers have never got the training. PKM Goals: Optimizing the role of caregivers in nursing homes. Solution: to caregivers 1) Provide counseling about early detection of stroke and prevention (aspect-education). 2) Give lectures of caregiver duties and ways to provide counseling and motivation (aspect-management). 3) Provide training / workshops on how to measure blood pressure with digital tensimeter. (technology-health aspect). Method of implementation: with lectures, discussions and training / workshops. Evaluation: measuring knowledge before and after counseling and training. Results: all expected PKM outcomes have been met.</em></p><p><em> </em></p><p><em>Program Kemitraan Masyarakat (PKM) adalah program bantuan Kemenristekdikti dalam pelaksanaan pengabdian kepada masyarakat di perguruan tinggi. Pengasuh lansia panti jompo adalah orang yang profesinya bukan perawat, tapi melakukan tugas-tugas  keperawatan dan mendampingi lansia dalam pemenuhan kebutuhannya sehari-hari. Panti jompo Sabai-Nan-Aluih yang berdaya tampung 110 lansia mempunyai 14 pengasuh sedangkan panti Jasa-Ibu yang berdaya tampung 25 lansia memiliki 4 pengasuh. Peran pengasuh di panti jompo sangat kompleks. Peran ini dapat dilakukan dengan optimal bila pengetahuan dan keterampilan pengasuh, memadai. Masalah: banyak pengasuh dikedua panti belum pernah mendapatkan pelatihan pelayanan lansia. Fakta temuan: 1) Ada 10 lansia menderita stroke di panti Sabai-Nan-Aluih dan 4 lansia di panti Jasa-Ibu, pengasuh jarang memberikan motivasi dan penyuluhan, 2)Salah satu cara pencegahan penyakit stroke dengan pengukuran tekanan darah, sedangkan pengasuh belum pernah mendapat pelatihannya. Tujuan PKM: Mengoptimalkan peran pengasuh di panti jompo. Solusi: kepada pengasuh 1)Berikan penyuluhan tentang deteksi dini penyakit stroke dan pencegahannya (aspek-pendidikan). 2)Berikan kuliah/ceramah tentang tugas-tugas pengasuh dan cara memberi penyuluhan dan motivasi (aspek-manajemen). 3)Berikan pelatihan/workshop tentang cara mengukur tekanan darah dengan tensimeter digital. (aspek-teknologi-kesehatan). Metode pelaksanaan: dengan ceramah, diskusi dan pelatihan/workshop. Evaluasi: mengukur pengetahuan sebelum dan sesudah penyuluhan dan pelatihan. Hasil: semua luaran PKM yang diharapkan sudah terpenuhi.</em></p><p> </p>

scholarly journals When Is a Nursing Home Complaint Really a Complaint? Making Sense Out of Increased Complaints in U.S. Nursing Homes

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 852-853
Author(s):  
Xiao Qiu ◽  
Jane Straker ◽  
Katherine Abbott
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Urban Areas ◽  
Family Satisfaction ◽  
Term Care ◽  
Making Sense ◽  
Nurse Aide ◽  
Nursing Home Quality ◽  
Director Of Nursing ◽  
Occupancy Rates

Abstract Official complaints are one tool for addressing nursing home quality concerns in a timely manner. Similar to trends nationwide, the Ohio Department of Health (ODH) has noticed a trend in increasing nursing home complaints and has partnered with the Scripps Gerontology Center to learn more about facilities that receive complaints. Greater understanding may lead to proactive approaches to addressing and preventing issues. This study relies on two years of statewide Ohio nursing home complaint data. Between 2018 and 2019, the average complaint rate per 100 residents went from 6.59 to 7.06, with more than 70% of complaints unsubstantiated. Complaint information from 629 Ohio nursing homes in 2018 was linked with Centers for Medicare and Medicaid Services Nursing Home Compare data, the Ohio Biennial Survey of Long-Term Care Facilities, and Ohio Nursing Home Resident and Family Satisfaction Surveys. Using ordered logistic regression analyses, we investigated nursing home providers' characteristics using different levels of complaints and substantiated complaints. Findings suggest that providers with higher complaint rates are located in urban areas, had administrator and/or director of nursing (DON) turnover in the previous 3 years, experienced decreased occupancy rates, had reduced nurse aide retention, and received lower family satisfaction scores. Additionally, providers with administrator and/or DON turnover, and low family satisfaction scores are more likely to have substantiated complaints. Because increasing numbers of complaints are accompanied by relatively low substantiation rates, policy interventions targeted to specific types of providers may improve the cost-effectiveness of complaint resolution, as well as the quality of care.

Dementia Syndromes in Nursing Home Patients

1992 ◽  
Vol 4 (2) ◽  
pp. 241-252 ◽  
Author(s):  
M. Andersson ◽  
C. G. Gottfries
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Depressed Mood ◽  
Long Term Care ◽  
Psychiatric Symptoms ◽  
The Elderly ◽  
Minor Importance ◽  
Term Care ◽  
Nursing Home Patients

Patients (n = 191) living in four comparable somaic nursing homes (NH) (nursing homes for physical illness) were studied in order to evaluate dementia syndromes. Dementia and symptoms of depressed mood occurred frequently (72% and 63%, respectively). Dementia was often undiagnosed at admittance. Neither the length of time spent in institutions, nor marital status, age, or sex seemed to be of more than minor importance to the prevalence of dementia syndromes. Concerning functional impairment, convergence of findings across the societies studied indicates that psychiatric symptoms and psychopathology are intrinsic parts of long-term care of the elderly.

scholarly journals Blockchain-IoT-Driven Nursing Workforce Planning for Effective Long-Term Care Management in Nursing Homes

2021 ◽  
Vol 2021 ◽  
pp. 1-19
Author(s):  
Y. P. Tsang ◽  
C. H. Wu ◽  
Polly P. L. Leung ◽  
W. H. Ip ◽  
W. K. Ching
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Long Term Care ◽  
Care Service ◽  
Workforce Planning ◽  
The Elderly ◽  
Term Care ◽  
Care Services ◽  
Nursing Staffing

Due to the global ageing population, the increasing demand for long-term care services for the elderly has directed considerable attention towards the renovation of nursing homes. Although nursing homes play an essential role within residential elderly care, professional shortages have created serious pressure on the elderly service sector. Effective workforce planning is vital for improving the efficacy and workload balance of existing nursing staff in today’s complex and volatile long-term care service market. Currently, there is lack of an integrated solution to monitor care services and determine the optimal nursing staffing strategy in nursing homes. This study addresses the above challenge through the formulation of nursing staffing optimisation under the blockchain-internet of things (BIoT) environment. Embedding a blockchain into IoT establishes the long-term care platform for the elderly and care workers, thereby decentralising long-term care information in the nursing home network to achieve effective care service monitoring. Moreover, such information is further utilised to optimise nursing staffing by using a genetic algorithm. A case study of a Hong Kong nursing home was conducted to illustrate the effectiveness of the proposed system. We found that the total monthly staffing cost after using the proposed model was significantly lower than the existing practice with a change of −13.48%, which considers the use of heterogeneous workforce and temporary staff. Besides, the care monitoring and staffing flexibility are further enhanced, in which the concept of skill substitution is integrated in nursing staffing optimisation.

The Unusual Cruelty of Nursing Homes Behind Bars

2020 ◽  
Vol 32 (5) ◽  
pp. 264-271
Author(s):  
Rachel E. López
Keyword(s):  
Nursing Homes ◽  
Human Dignity ◽  
Prison Population ◽  
Financial Burden ◽  
The Elderly ◽  
The United States ◽  
Term Care ◽  
Trained Staff ◽  
State Prisons ◽  
The Cost

The elderly prison population continues to rise along with higher rates of dementia behind bars. To maintain the detention of this elderly population, federal and state prisons are creating long-term care units, which in turn carry a heavy financial burden. Prisons are thus gearing up to become nursing homes, but without the proper trained staff and adequate financial support. The costs both to taxpayers and to human dignity are only now becoming clear. This article squarely addresses the second dimension of this carceral practice, that is the cost to human dignity. Namely, it sets out why indefinitely incarcerating someone with dementia or other neurocognitive disorders violates the Eighth Amendment of the United States Constitution’s prohibition on cruel and unusual punishment. This conclusion derives from the confluence of two lines of U.S. Supreme Court precedent. First, in Madison v. Alabama, the Court recently held that executing someone (in Madison’s case someone with dementia) who cannot rationally understand their sentence amounts to cruel and unusual punishment. Second, in line with Miller v. Alabama, which puts life without parole (LWOP) sentences in the same class as death sentences due to their irrevocability, this holding should be extended to LWOP sentences. Put another way, this article explains why being condemned to life is equivalent to death for someone whose neurodegenerative disease is so severe that they cannot rationally understand their punishment.

Uitbraak COVID-19 in de verpleeghuiszorg

2020 ◽  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Long Term Care ◽  
Informal Caregivers ◽  
Rapid Review ◽  
Daily Routine ◽  
Term Care ◽  
Care Facilities

Long-term care for older adults is highly affect by the COVID-19 outbreak. The objective of this rapid review is to understand what we can learn from previous crises or disasters worldwide to optimize the care for older adults in long term care facilities during the outbreak of COVID-19. We searched five electronic databases to identify potentially relevant articles. In total, 23 articles were included in this study. Based on the articles, it appeared that nursing homes benefit from preparing for the situation as best as they can. For instance, by having proper protocols and clear division of tasks and collaboration within the organization. In addition, it is helpful for nursing homes to collaborate closely with other healthcare organizations, general practitioners, informal caregivers and local authorities. It is recommended that nursing homes pay attention to capacity and employability of staff and that they support or relieve staff where possible. With regard to care for the older adults, it is important that staff tries to find a new daily routine in the care for residents as soon as possible. Some practical tips were found on how to communicate with people who have dementia. Furthermore, behavior of people with dementia may change during a crisis. We found tips for staff how to respond and act upon behavior change. After the COVID-19 outbreak, aftercare for staff, residents, and informal caregivers is essential to timely detect psychosocial problems. The consideration between, on the one hand, acute safety and risk reduction (e.g. by closing residential care facilities and isolating residents), and on the other hand, the psychosocial consequences for residents and staff, were discussed in case of other disasters. Furthermore, the search of how to provide good (palliative) care and to maintain quality of life for older adults who suffer from COVID-19 is also of concern to nursing home organizations. In the included articles, the perspective of older adults, informal caregivers and staff is often lacking. Especially the experiences of older adults, informal caregivers, and nursing home staff with the care for older adults in the current situation, are important in formulating lessons about how to act before, during and after the coronacrisis. This may further enhance person-centered care, even in times of crisis. Therefore, we recommend to study these experiences in future research.

scholarly journals Facilitators and barriers to implement nurse-led interventions in long-term dementia care: a qualitative interview study with Swiss nursing experts and managers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Julian Hirt ◽  
Melanie Karrer ◽  
Laura Adlbrecht ◽  
Susi Saxer ◽  
Adelheid Zeller
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Public Perception ◽  
Dementia Care ◽  
Term Care ◽  
Face To Face ◽  
People With Dementia ◽  
Qualitative Interview Study ◽  
Facilitators And Barriers

Abstract Background To support the implementation of nurse-led interventions in long-term dementia care, in-depth knowledge of specific supporting factors and barriers is required. Conditions and structures of caring for people with dementia differ widely, depending on the country and the care context. Our study aimed to describe the experiences and opinions of nursing experts and managers with regard to facilitators and barriers to the implementation of nurse-led interventions in long-term dementia care. Methods We conducted a qualitative descriptive study using individual interviews based on qualitative vignettes as a useful stimulus to generate narrations allowing to study peoples’ perceptions and beliefs. The study took place in nursing homes in the German-speaking part of Switzerland and in the Principality of Liechtenstein using purposive sampling. We intended to conduct the interviews face-to-face in a quiet room according to the participant’s choice. However, due to the lockdown of nursing homes during the COVID-19 pandemic in spring 2020, we performed interviews face-to-face and by video. We analysed data thematically following Braun and Clarke to achieve a detailed, nuanced description. To verify our interpretation and to ensure congruence with participants’ perspectives, we conducted member checks. The Standards for Reporting Qualitative Research (SRQR) served to structure our manuscript. Results Six dyads of nursing home managers and nursing experts from six nursing homes took part in our study (n = 12). Our thematic analysis yielded seven themes reflecting facilitators and barriers to implementing nurse-led interventions in long-term dementia care: «A common attitude and cohesion within the organization», «Commitment on several levels», «A needs-oriented implementation», «The effect and the public perception of the intervention», «A structured and guided implementation process», «Supporting knowledge and competencies», as well as «Resources for implementing the intervention». Conclusions To support the implementation of nurse-led interventions in long-term dementia care, active commitment-building seems essential. It is necessary that the value of the intervention is perceptible.Commitment-building is the precondition to reach the persons involved, such as nursing home managers, nursing staff, residents and relatives. Furthermore, nurses should precisely inform about the intervention. It is necessary that the value of the intervention is perceptible. In addition, nurses should adjust the interventions to the situational needs of people with dementia, thus. Therefore, it is important to support dementia-specific competencies in long-term care. Findings indicate that the barrier is determined by the intervention and its implementation – and not by the behaviour of the person with dementia.

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