Nursing Staff Time Allocation in Long-Term Care

1997 ◽  
Vol 27 (2) ◽  
pp. 28-36 ◽  
Author(s):  
Providencia Cardona ◽  
Ruth M. Tappen ◽  
Mildred Terrill ◽  
Mildred Acosta ◽  
Maria I. Eusebe
Keyword(s):  
Nursing Staff ◽  
Time Allocation ◽  
Long Term Care ◽  
Staff Time ◽  
Term Care

OP48 Nursing Requirements In Long-Term Care: A Health Technology Assessment

2019 ◽  
Vol 35 (S1) ◽  
pp. 11-12
Author(s):  
Paula Corabian ◽  
Charles Yan ◽  
Susan Armijo-Olivo ◽  
Bing Guo
Keyword(s):  
Nursing Care ◽  
Nursing Staff ◽  
Real World ◽  
Research Evidence ◽  
Long Term Care ◽  
Staff Time ◽  
Term Care ◽  
Policy Makers ◽  
The Relationship

IntroductionThe objectives of this study were to systematically review published research on the relationship between nursing staff coverage, care hours, and quality of care (QoC) in long-term care (LTC) facilities; and to conduct a real world evidence (RWE) analysis using Alberta real world data (RWD) to inform policy makers on whether any amendments could be made to current regulations.MethodsA systematic review (SR) of research evidence published between January 2000 and May 2018 on the relationship between nursing staff coverage, care hours, and QoC in LTC facilities was conducted. Panel data regressions using available RWD from Alberta, Canada, were performed to assess associations between nursing care hours and LTC outcomes. Outcomes of interest included quality indicators related to resident outcomes, hospital admissions, emergency room visits and family satisfaction. Nursing care hours considered in SR and RWE analysis included those provided by registered nurses (RNs) and licensed practical nurses (LPNs).ResultsThe SR found inconsistent and poor quality evidence relevant to the questions of interest, indicating a great uncertainty about the association between nursing staff time and type of coverage and QoC. Although some positive indications were suggested, major weaknesses of reviewed studies limited interpretation of SR results. RWE analysis found that impact of care hours on LTC outcomes was heterogeneous, dependent on outcome measurements. There was evidence that total staff, RN, and LPN hours had positive effects on some resident outcomes and magnitude of effect differed for different nursing staff.ConclusionsNo definitive conclusion could be drawn on whether changing nursing staff time or nursing staff coverage models would affect residents’ outcomes based on the research evidence gathered in the SR. RWE analysis helped to fill a gap in the available published literature and allowed policy makers to better understand the impact of revising current regulations based on actual outcomes.

Nursing Staff Time and Care Quality in Long-Term Care Facilities: A Systematic Review

2019 ◽  
Vol 60 (3) ◽  
pp. e200-e217 ◽  
Author(s):  
Susan Armijo-Olivo ◽  
Rodger Craig ◽  
Paula Corabian ◽  
Bing Guo ◽  
Sepideh Souri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quality Of Care ◽  
Nursing Staff ◽  
Long Term Care ◽  
Staff Time ◽  
Term Care ◽  
Resident Care ◽  
Coverage Models

Abstract Background and Objectives In long-term care (LTC) facilities, nursing staff are important contributors to resident care and well-being. Despite this, the relationships between nursing staff coverage, care hours, and quality of resident care in LTC facilities are not well understood and have implications for policy-makers. This systematic review summarizes current evidence on the relationship between nursing staff coverage, care hours, and quality of resident care in LTC facilities. Research Design and Methods A structured literature search was conducted using four bibliographic databases and gray literature sources. Abstracts were screened by two independent reviewers using Covidence software. Data from the included studies were summarized using a pretested extraction form. The studies were critically appraised, and their results were synthesized narratively. Results The systematic searched yielded 15,842 citations, of which 54 studies (all observational) were included for synthesis. Most studies (n = 53, 98%) investigated the effect of nursing staff time on resident care. Eleven studies addressed minimum care hours and quality of care. One study examined the association between different nursing staff coverage models and resident outcomes. Overall, the quality of the included studies was poor. Discussion and Implications Because the evidence was inconsistent and of low quality, there is uncertainty about the direction and magnitude of the association between nursing staff time and type of coverage on quality of care. More rigorously designed studies are needed to test the effects of different cutoffs of care hours and different nursing coverage models on the quality of resident care in LTC facilities.

scholarly journals Hearing Screening for Residents in Long-Term Care Homes Who Live with Dementia: A Scoping Review

2021 ◽  
pp. 1-24
Author(s):  
Fiona Höbler ◽  
Katherine S. McGilton ◽  
Walter Wittich ◽  
Kate Dupuis ◽  
Marilyn Reed ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Nursing Staff ◽  
Scoping Review ◽  
Pure Tone ◽  
Long Term Care ◽  
Pure Tone Audiometry ◽  
Care Homes ◽  
Term Care

Background: Hearing loss is highly prevalent in older adults, particularly among those living with dementia and residing in long-term care homes (LTCHs). Sensory declines can have deleterious effects on functioning and contribute to frailty, but the hearing needs of residents are often unrecognized or unaddressed. Objective: To identify valid and reliable screening measures that are effective for the identification of hearing loss and are suitable for use by nursing staff providing care to residents with dementia in LTCHs. Methods: Electronic databases (Embase, Medline, PsycINFO, CENTRAL, and CINAHL) were searched using comprehensive search strategies, and a stepwise approach based on Arksey & O’Malley’s scoping review and appraisal process was followed. Results: There were 193 scientific papers included in the review. Pure-tone audiometry was the most frequently reported measure to test hearing in older adults living with dementia. However, measures including self- or other-reports and questionnaires, review of medical records, otoscopy, and the whisper test were found to be most suitable for use by nurses working with older adults living with dementia in LTCHs. Conclusion: Although frequently used, the suitability of pure-tone audiometry for use by nursing staff in LTCHs is limited, as standardized audiometry presents challenges for many residents, and specific training is needed to successfully adapt test administration procedures and interpret results. The whisper test was considered to be more suitable for use by staff in LTCH; however, it yields a limited characterization of hearing loss. There remains an urgent need to develop new approaches to screen hearing in LTCHs.

scholarly journals Team inclusion and empowerment among nursing staff in long-term care

2019 ◽  
Vol 40 (5) ◽  
pp. 487-493 ◽  
Author(s):  
Theresa “Teta” Barry ◽  
Margaret Longacre ◽  
Kelly O'Shea Carney ◽  
Shannon Patterson
Keyword(s):  
Nursing Staff ◽  
Long Term Care ◽  
Term Care

Moving the needle on nursing staff influenza vaccination in long-term care: Results of an evidence-based intervention

Vaccine ◽  
2017 ◽  
Vol 35 (18) ◽  
pp. 2390-2395 ◽  
Author(s):  
Cori L. Ofstead ◽  
Miriam R. Amelang ◽  
Harry P. Wetzler ◽  
Litjen Tan
Keyword(s):  
Influenza Vaccination ◽  
Nursing Staff ◽  
Long Term Care ◽  
Evidence Based ◽  
Term Care

Falls Communication Patterns Among Nursing Staff Working in Long-Term Care Settings

2010 ◽  
Vol 19 (3) ◽  
pp. 311-326 ◽  
Author(s):  
Laura M. Wagner ◽  
Thecla Damianakis ◽  
Nina Mafrici ◽  
Krista Robinson-Holt
Keyword(s):  
Nursing Staff ◽  
Long Term Care ◽  
Communication Patterns ◽  
Term Care

scholarly journals Converting threats from COVID-19 in long term care into opportunities for improvement

2022 ◽  
Vol 9 (2) ◽  
pp. 36
Author(s):  
Leona Konieczny
Keyword(s):  
Older Adults ◽  
Policy Implementation ◽  
Nursing Staff ◽  
Policy Development ◽  
Shared Governance ◽  
Long Term Care ◽  
Models Of Care ◽  
Term Care ◽  
Nursing Advocacy

The effects of the COVID-19 pandemic on long term care (LTC) have been published in the literature and experienced by residents, their support persons and nursing staff. The morbidity and mortality, as well as the threats of isolation and psychosocial distress continue. Both LTC residents and staff experience physiological and psychological impacts. Nurses can use the current threats produced by the pandemic to advocate for alternate models of care and reduced isolation for residents. The pandemic is an opportunity for nursing advocacy in LTC for shared governance and empowerment, involvement in policy development, and oversight in policy implementation. Nurses are presented with the opportunities for advocacy related to resources and reshaping the paradigm of residential care for older adults.

Nurses’ Perceptions around Providing Palliative Care for Long-Term Care Residents with Dementia

2007 ◽  
Vol 23 (3) ◽  
pp. 173-180 ◽  
Author(s):  
Sharon Kaasalainen ◽  
Kevin Brazil ◽  
Jenny Ploeg ◽  
Lori Schindel Martin
Keyword(s):  
Palliative Care ◽  
Nursing Staff ◽  
Long Term Care ◽  
Design Data ◽  
Term Care ◽  
Educational Preparation ◽  
Verbal Abilities ◽  
Qualitative Descriptive ◽  
Nurses Perceptions

Providing palliative care for residents with dementia in long-term care (LTC) settings is problematic due to their declining verbal abilities and related challenges. The goal of this study was to explore nurses’ perceptions around providing palliative care for such residents. Using a qualitative descriptive design, data were gathered from focus groups at three LTC facilities. Participants represented all levels of nursing staff. Concepts that emerged from the data were labelled, categorized, and coded in an iterative manner. Nurses appraise residents’ general deterioration as a main factor in deciding that a resident is palliative. Nurses often employ creative strategies using limited resources to facilitate care, but are challenged by environmental restrictions and insufficient educational preparation. However, nurses said they do not wish for residents to be transferred to a hospice setting, as they wish to grieve with residents and their family members. Nurses aim to facilitate a “good death” for residents with dementia, while trying to manage multiple demands and deal with environmental issues. Supportive and educational initiatives are needed for nursing staff and families of dying residents.

Sign in / Sign up

Export Citation Format

Share Document