scholarly journals Undergirding CNAs in LTC: The Experience of Collaborative LN-CNA Caregiving Pairs

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 244-244
Author(s):  
Cynthia Beynon ◽  
Katherine Supiano ◽  
Elena Siegel ◽  
Linda Edelman ◽  
Connie Madden ◽  
...  
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Study Design ◽  
Emotional Support ◽  
Structured Interviews ◽  
High Quality ◽  
Resident Care ◽  
Nurse Aide ◽  
Additional Support

Abstract This research explores support provided by licensed nurses (LNs) to certified nurse aide (CNA) coworkers in the nursing home (NH). Using purposive sampling, we interviewed 12 LN and 12 CNA participants individually and as part of an LN/CNA caregiving pair. Semi-structured interviews were recorded, transcribed verbatim, and coded for meaning using NVivo software. LN and CNA participants described anticipated and unanticipated holistic support for CNAs. We applied the term undergirding to this phenomenon , and we present descriptions and examples of undergirding in nine categories: listen and respond, show respect, help with resident care and answer call lights, protect the CNA, support physical needs, and provide emotional support. Undergirding promotes work success for the CNA and the LN, as the LN job includes oversight of CNA responsibilities. Most notably, participants report undergirding facilitates high-quality resident care. These findings may be helpful for educators and administrators, but perhaps are most important for policymakers. CNAs need additional support to decrease turnover, improve retention, and elevate NH residents' quality of care. The study design identified and explored optimal collaboration as it is possible in the current NH setting. It does not represent all LN/CNA caregiving pairs.

scholarly journals Race, Class, and the Nursing Home Workforce: Experiences of Staff of Color in High-Minority-Proportion Nursing Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 689-689
Author(s):  
Odichinma Akosionu ◽  
Janette Dill ◽  
Manka Nkimbeng ◽  
Tricia Skarphol ◽  
Tetyana Shippee
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Quality Care ◽  
Structured Interviews ◽  
Culturally Sensitive Care ◽  
Services And Supports ◽  
Staff Wellbeing ◽  
The Impact

Abstract The long-term services and supports workforce is an important part of delivering quality care for nursing home (NH) residents – and increasingly includes staff who are from diverse communities. Our study captured staff (n=61) perspectives on resident quality of care and quality of life through semi-structured interviews, using thematic analysis in six Minnesota high proportion minority NHs. Findings show that although staff of color are valued for the diversity they contribute to the workforce, and the culturally sensitive care they provide, they are also exposed to discriminatory events. In addition, tensions exist between U.S. and non-U.S. born staff of color in NHs. Overall, staff of color who are lower ranked may feel less empowered. Research is needed to explore the impact of negative and discriminatory exposures on staff wellbeing and related outcomes in addition to the direct and indirect impact on the quality of care delivered to NH residents.

scholarly journals Age Matters: Building Blocks Needed to Inform Nurse Staffing Hours Requirements in Residential Care for Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 87-87
Author(s):  
Heng Wu ◽  
Christopher Kelly ◽  
Lyn Holley
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nurse Staffing ◽  
Building Blocks ◽  
Technical Note ◽  
Future Research ◽  
Additional Increase ◽  
Nurse Aide ◽  
The Impact

Abstract This study addresses the need for more complete information about the impact of nurse staffing hours (NSH) on nursing home quality of care. We used national data to examine the relationship between three types (Registered Nurse, Licensed Practical Nurse, and Nurse Aide) of hours, and long-stay quality of care measures over time, taking into account the possible confounding influence of regional differences. Data analyzed were from U.S. Nursing Home Compare datasets which reflect quarterly reports, July 1, 2018 - June 30, 2019 (14,768 facilities). The hours for each staff type in each facility were compared with the facility’s four-quarter quality average scores for each of the 12 measures. Results showed only one strong and statistically significant relationship (Beta= .548; p< .001) between Nurse Aide hours and the quality measure used in data sets to exemplify facilities that serve “lower-risk” residents. Analyzes using multiple R (.517) indicate that the linear combination of the three NSH types strongly and significantly (p< .001) predicted the four-quarter average scores and explained 27% of the variance in the scores. Holding the other two NSH types constant, the scores for that measure increased by 63 for each additional increase in the Nurse Aide nurse staffing hours per resident per day. There was no multicollinearity among the three types of staffing hours. This research adds information to the foundation needed for future research about process indicators to assess their efficacy as measures of actual quality of care, and will be submitted as a Technical Note to journals.

scholarly journals Quality of care is what we make of it: a qualitative study of managers’ perspectives on quality of care in high-performing nursing homes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Brigitte Lalude Asante ◽  
Franziska Zúñiga ◽  
Lauriane Favez
Keyword(s):  
Quality Of Care ◽  
Nursing Homes ◽  
Working Conditions ◽  
Vital Role ◽  
Care Quality ◽  
Quality Development ◽  
Structured Interviews ◽  
High Quality ◽  
High Performing

Abstract Background Leadership has a vital role regarding quality of care in nursing homes. However, few studies have explored upper-level managers’ views on how to assure that residents receive high quality of care. Therefore, this study’s aim was to examine how managers of top-quality nursing homes define, develop and maintain high-quality of care. Method We used interpretive description, an inductive, qualitative approach. Our research included 13 semi-structured interviews with 19 managers. We analyzed their input using reflexive thematic analysis, which is an iterative approach. Results Quality development and maintenance are cyclic processes. Managers in high-performing nursing homes lead with high commitment towards a person-centred quality of care, creating appropriate working conditions and continuously co-creating a vision and the realization of quality of care together with employees. Conclusions This study confirms that, in high-performing nursing homes, a person-centered approach—one where both residents and employees are at the center—is essential for quality development and maintenance. The most effective managers exemplify “person centeredness”: they lead by example and promote quality-focused working conditions. Such strategies motivate employees to provide person-centered care. As this means focusing on residents’ needs, it results in high care quality.

Quality of Care for Florida Nursing Home Residents With Serious Mental Illness

2006 ◽  
Author(s):  
Kathy Hyer ◽  
Christopher Johnson ◽  
Victor A. Molinari ◽  
Marion Becker
Keyword(s):  
Mental Illness ◽  
Nursing Home ◽  
Quality Of Care ◽  
Serious Mental Illness ◽  
Nursing Home Residents

scholarly journals Care-seeking and managing diabetes in rural Bangladesh: a mixed methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hannah Maria Jennings ◽  
Joanna Morrison ◽  
Kohenour Akter ◽  
Hassan Haghparast-Bidgoli ◽  
Carina King ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Care Providers ◽  
Low Income ◽  
Diabetes Management ◽  
Local Health ◽  
Care Seeking ◽  
Care Providers ◽  
Structured Interviews ◽  
Rural Bangladesh

Abstract Background Type 2 diabetes mellitus poses a major health challenge worldwide and in low-income countries such as Bangladesh, however little is known about the care-seeking of people with diabetes. We sought to understand the factors that affect care-seeking and diabetes management in rural Bangladesh in order to make recommendations as to how care could be better delivered. Methods Survey data from a community-based random sample of 12,047 adults aged 30 years and above identified 292 individuals with a self-reported prior diagnosis of diabetes. Data on health seeking practices regarding testing, medical advice, medication and use of non-allopathic medicine were gathered from these 292 individuals. Qualitative semi-structured interviews and focus group discussions with people with diabetes and semi-structured interviews with health workers explored care-seeking behaviour, management of diabetes and perceptions on quality of care. We explore quality of care using the WHO model with the following domains: safe, effective, patient-centred, timely, equitable and efficient. Results People with diabetes who are aware of their diabetic status do seek care but access, particularly to specialist diabetes services, is hindered by costs, time, crowded conditions and distance. Locally available services, while more accessible, lack infrastructure and expertise. Women are less likely to be diagnosed with diabetes and attend specialist services. Furthermore costs of care and dissatisfaction with health care providers affect medication adherence. Conclusion People with diabetes often make a trade-off between seeking locally available accessible care and specialised care which is more difficult to access. It is vital that health services respond to the needs of patients by building the capacity of local health providers and consider practical ways of supporting diabetes care. Trial registration ISRCTN41083256. Registered on 30/03/2016.

scholarly journals Analyzing Nursing Home Complaints: From Substantiated Allegation to Deficiency Citations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 82-83
Author(s):  
Kallol Kumar Bhattacharyya ◽  
Lindsay Peterson ◽  
John Bowblis ◽  
Kathryn Hyer
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Staff Training ◽  
Policy And Practice ◽  
Abuse And Neglect ◽  
The Relationship ◽  
Investigation Process

Abstract Complaints provide important information to consumers about nursing homes (NHs). Complaints that are substantiated often lead to an investigation and potentially a deficiency citation. The purpose of this study is to understand the relationship between substantiated complaints and deficiency citations. Because a complaint may contain multiple allegations, and the data do not identify which allegation(s) lead to a complaint’s substantiation, we identified all substantiated single allegation complaints for NHs in 2017. Our data were drawn from federally collected NH complaint and inspection records. Among the 369 substantiated single-allegation complaints, we found most were categorized as quality of care (31.7%), resident abuse (17.3%), or resident neglect (14.1%). Of the deficiency citations resulting from complaints in our sample, 27.9% were categorized as quality of care and 19.5% were in the category of resident behavior and facility practices, which includes abuse and neglect. While two-thirds (N=239) of the substantiated complaints generated from 1 to 19 deficiency citations, nearly one third had no citations. Surprisingly, 28% of substantiated abuse and neglect allegations resulted in no deficiency citations. More surprisingly, a fifth of complaints that were categorized as “immediate jeopardy” at intake did not result in any deficiency citations. We also found a number of asymmetries in the allegation categories suggesting different processes by Centers for Medicare and Medicaid Services (CMS) region. These results suggest that the compliant investigation process warrants further investigation. Other policy and practice implications, including the need for better and more uniform investigation processes and staff training, will be discussed.

scholarly journals IMPACT OF SURVEY READINESS TRAINING ON NURSING HOME QUALITY OF CARE

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 723-723
Author(s):  
L Phillips ◽  
C Oyewusi ◽  
N Martin ◽  
L Youse ◽  
M Rantz
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Home Quality

scholarly journals A Development of MALL Materials to Quality Education and Support English Oral Communicative Learning of Thai Airport Immigration Police Officers

2021 ◽  
Vol 295 ◽  
pp. 05029
Author(s):  
Yujiao Zhang
Keyword(s):  
Language Learning ◽  
Police Officers ◽  
Quality Education ◽  
Needs Analysis ◽  
Structured Interviews ◽  
High Quality ◽  
Mobile Assisted Language Learning ◽  
Rational Organization ◽  
Addie Model

Mobile-assisted language learning (MALL) creates more opportunities for learners to access learning resources more easily and selfdirectly without time and place limitation. Thus, this study aimed at developing MALL materials to support the English oral communicative learning of Thai airport immigration police officers based on needs analysis and exploring the quality of MALL materials to support English oral communicative learning of Thai Airport Immigration police officers.The instruments of this study were the semi-structured interviews with the officers in order to conduct needs analysis, and the IOC (Item-Objective Congruence) form for experts to validate the materials developed, and the questionnaire to assess the officers’ opinions after using the materials to explore the quality. ADDIE model was applied to guide the overall process of developing the materials. The findings indicated that the self-instructional MALL materials laded in WeChat public platform that consisted of two units, Arrival and Departure, and ten lessons that were under each unit, both of which were accordance with the airport immigration officers’ needs. Moreover, the evaluation based on the officers’ opinions revealed that the MALL materials had high quality of content, rational organization, pleasant presentation and convenient functions of the platform.

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