Validation of the MEDSAIL Tool to Screen for Capacity to Live Safely and Independently in Nursing Home Residents

Abstract Capacity for safe and independent living (SAIL) refers to an individual’s ability to solve problems associated with everyday life and perform activities necessary to live independently. Little guidance exists on the assessment of capacity for SAIL among nursing home residents. As a result, capacity for SAIL is not fully considered in the development of discharge plans to ensure safety and independence in the community. The Making and Executing Decisions for Safe and Independent Living (MEDSAIL) tool was developed to screen for capacity for SAIL among community-dwelling older adults. In this cross sectional pilot study, we tested the validity of MEDSAIL for use with nursing home residents. Participants were twenty-four residents of a Veterans Health Affairs nursing home. Exclusion criteria were cognitive impairment too severe to complete the protocol, diagnosis of serious mental illness or developmental disability, inability to hear, and inability to communicate verbally. Participants completed two assessments: the MEDSAIL interview administered by a research assistant and the criterion standard capacity interview administered by a geriatric psychiatrist. We examined internal consistency, convergent validity, divergent validity, and criterion-based validity. Five of seven MEDSAIL scenarios approximated acceptable levels of internal consistency (α>0.70). MEDSAIL scores were positively correlated with the criterion standard (0.88, p=0.001), and the Wilcoxon Rank Sum Test statistic was also statistically significant (p=0.001). MEDSAIL has promise as a user-friendly brief screening tool in nursing homes to understand resident capacity for SAIL and to inform development of discharge plans to keep the resident safe and independent in the community.

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Comparison of Nutritional Status Between Nursing Home Residents and Community Dwelling Older Adults: a Cross-Sectional Study from Bosnia and Herzegovina

Materia Socio Medica ◽

10.5455/msm.2019.31.19-24 ◽

2019 ◽

Vol 31 (1) ◽

pp. 19 ◽

Cited By ~ 2

Author(s):

Jelena Pavlovic ◽

Maja Racic ◽

Nedeljka Ivkovic ◽

Zaim Jatic

Keyword(s):

Older Adults ◽

Nursing Home ◽

Nutritional Status ◽

Bosnia And Herzegovina ◽

Nursing Home Residents ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Cross Sectional ◽

Community Dwelling Older Adults

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Assessing the well-being of residents in nursing facilities

German Journal of Exercise and Sport Research ◽

10.1007/s12662-021-00776-w ◽

2021 ◽

Author(s):

Nadja Schott ◽

Bettina Johnen ◽

Thomas Jürgen Klotzbier

Keyword(s):

Nursing Home ◽

Convergent Validity ◽

Assessment Tool ◽

Nursing Home Residents ◽

Reliability And Validity ◽

Well Being ◽

Nursing Home Population ◽

Cross Sectional ◽

Language Version ◽

Cultural Adaption

Abstract Purpose Well-adapted and validated well-being (WB) instruments for the nursing home population are scarce. To our knowledge, the Laurens Well-Being Inventory for Gerontopsychiatry (LWIG) is a practical and reliable well-being assessment tool that has never been validated for German nursing home populations. Therefore, the purpose of our study was to (1) translate and cross-culturally adapt the LWIG to a German context and (2) test the reliability and validity of the German LWIG in a group of older nursing home residents using the Rasch model. Methods This study has a cross-sectional, descriptive study design. Cross-cultural adaption of the LWIG-GER from English to German was performed according to a standardized method. The data obtained from 104 long-term nursing home residents (57 women, 47 men) aged 60–99 years (mean 79.5, standard deviation ±9.11) were analyzed for psychometric testing (exploratory and confirmatory factor analysis, item fit, McDonald’s ω, convergent validity, and known-group validity, Rasch). Results The final LWIG-GER consists of 19 items with three subscales, including “psychological WB”, “social WB”, and “physical WB”. The LWIG-GER showed good overall reliability with McDonald’s ω of 0.83; the LWIG-GER dimensions’ scores were significantly correlated with depression, functional performance, activities, fear of falling, and education. Conclusions Our findings suggest that the German language version of the LWIG is a reliable and valid tool for measuring WB in nursing home residents. Furthermore, we propose that the LWIG-GER questionnaire can broaden and deepen our understanding of residents’ perception of quality of care and their environment.

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Development of a Worry Questionnaire for Nursing Home Residents

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.1353/cja.2005.0021 ◽

2004 ◽

Vol 23 (4) ◽

pp. 359-366

Author(s):

Emerenciana A. Hertzsprung ◽

Candace Konnert ◽

Jaylene Brinker

Keyword(s):

Nursing Home ◽

Cognitive Functioning ◽

Internal Consistency ◽

Convergent Validity ◽

Discriminant Validity ◽

Nursing Home Residents ◽

Psychometric Evaluation ◽

Reliability Coefficient ◽

Test Reliability ◽

Total Correlation

ABSTRACTThis paper describes a new measure, the Worry Questionnaire for Nursing Home Residents (WQNHR), designed to assess the frequency of specific worries. It was administered to 67 residents. Psychometric evaluation showed an average item-to-total correlation of 0.20 (range = 0.15 to 0.58), an internal consistency estimate of 0.79, and a test-re-test reliability coefficient of 0.80. The WQNHR showed good convergent validity with other measures of worry obtained from residents, good discriminant validity with measures of health, but poor discriminant validity with self-ratings of depression. Psychometric results also indicated that the WQNHR performed better for residents with higher cognitive functioning. In addition, a collateral form (WQNHR-C) was administered to family or friends; however, it was not significantly correlated with the WQNHR. Overall, the WQNHR is a promising screening instrument for assessing worry in nursing home residents.

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Drug therapy problems identified among older adults placed in a nursing home: the Croatian experience

Journal of International Medical Research ◽

10.1177/0300060520928791 ◽

2020 ◽

Vol 48 (6) ◽

pp. 030006052092879

Author(s):

Katarina Fehir Šola ◽

Iva Mucalo ◽

Andrea Brajković ◽

Ivona Jukić ◽

Donatella Verbanac ◽

...

Keyword(s):

Nursing Home ◽

Drug Therapy ◽

Medication Management ◽

Institutional Care ◽

Nursing Home Residents ◽

Median Number ◽

Cross Sectional ◽

High Prevalence ◽

Care Facilities ◽

Drug Therapy Problems

Objective The aim of this study was to determine the frequency and type of drug therapy problems (DTPs) in older institutionalized adults. Method We conducted a cross-sectional observational study from February to June 2016 at a 150-bed public nursing home in Croatia, where comprehensive medication management (CMM) services were provided. A rational decision-making process, referred to as the Pharmacotherapy Workup method, was used to classify DTPs. Results Data were prospectively collected from 73 residents, among which 71% were age 75 years or older. The median number of prescribed medications per patient was 7 (2–16) and polypharmacy (> 4) was recorded for 54 (74.0%) patients. A total 313 DTPs were identified, with an average of 4.3 ± 2 DTPs per patient. The most frequent DTP was needing additional drug therapy (n = 118; 37.7%), followed by adverse drug reaction (n = 55; 17.6%). Lactulose (14.4%), tramadol (6.7%), and potassium (6.4%) were the medications most frequently related to DTPs. Conclusion The high prevalence of DTPs identified among older institutionalized adults strongly suggests the need to incorporate new pharmacist-led CMM services within existing institutional care facilities, to improve the care provided to nursing home residents.

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Between Social Inclusion and Exclusion: Integration of Daycare Guests in the Nursing Home Setting

The Gerontologist ◽

10.1093/geront/gnaa157 ◽

2020 ◽

Author(s):

Kerstin Hämel ◽

Gundula Röhnsch

Keyword(s):

Nursing Home ◽

Social Inclusion ◽

Nursing Home Residents ◽

Community Dwelling ◽

Cognitive Capacity ◽

Home Setting ◽

Residential Care Facilities ◽

Care Approach ◽

Nursing Home Setting ◽

Close Relatives

Abstract Background and Objectives In integrated daycare, community-dwelling older people in need of care join existing groups in residential care facilities during the day. This study focuses on how nursing home residents experience the integrative care approach, exploring opportunities for social inclusion and mechanisms of exclusion. Research Design and Methods A purposive sample of residents differing in cognitive capacity and level of (non)conflictual interaction with daycare guests was selected. Episodic interviews with residents (N = 10) and close relatives (N = 2) were conducted in 3 pilot facilities in Germany and analyzed using thematic coding. Results The analysis revealed different orientation patterns towards the presence of daycare guests: respondents (a) demonstrated indifference to the daycare guests, (b) saw bonding with guests as a means to connect to the outside world, and (c) perceived incompatibility between in-group and out-group. Criticisms included disruption of daily routines and loss of privacy. Most interviewees came to terms with the care situation using rational and moral arguments. Discussion and Implications The study reveals the importance of residents’ participation when integrating daycare guests. Institutional procedures are required to prevent exclusion of daycare guests and avoid overtaxing residents.

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