Kidney Transplantation in Individuals Living in Long-Term Care Settings: A National Survey of Professionals On Best Practices.

ABSTRACTObjectives:To explore the extent to which staff members in long-term care facilities (LTCF) have experienced situations of sexual harassment, how they commonly and ideally manage the situation, and how their work position influences their responses.Design:Cross-sectional quantitative study, using the vignette technique.Method:A total of 2,196 staff-members who were currently working in Spanish LTCF participated in the study. Data were collected using a self-administered questionnaire. Questions regarding sexual harassment were analysed by a vignette that described a case of sexual harassment. Participants had to choose common and best practices for dealing with the case, and report the frequency with which they had experienced similar situations.Results:The results indicate that 29.9% of participants had experienced an episode of sexual harassment in a LTCF similar to the one presented in the vignette. Responses to the situation were diverse and there were significant differences between common and perceived best practices. Differences were also found depending on the work position of the participant (manager, technical staff or nursing assistant).Conclusions:There is a need for a fuller recognition of the sexual needs of older people. However, the presence of inappropriate sexual behavior must also be acknowledged. The right of staff to work in an environment free of harassment must be respected. The need for explicit institutional guidelines and training opportunities is discussed.

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Utilization of Nurse Practitioners in Long-Term Care: Findings and Implications of a National Survey

Journal of the American Medical Directors Association ◽

10.1016/s1525-8610(04)70038-9 ◽

2004 ◽

Vol 5 (1) ◽

pp. 9-15 ◽

Cited By ~ 33

Author(s):

Peri Rosenfeld ◽

Mia Kobayashi ◽

Patricia Barber ◽

Mathy Mezey

Keyword(s):

Nurse Practitioners ◽

National Survey ◽

Long Term Care ◽

Term Care

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Swallowing Evaluation and Ventilator Dependency—Considerations and Contemporary Approaches

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd20.1.18 ◽

2011 ◽

Vol 20 (1) ◽

pp. 18-22 ◽

Cited By ~ 2

Author(s):

Lori M. Burkhead

Keyword(s):

Intensive Care Unit ◽

Best Practices ◽

Long Term Care ◽

Term Care ◽

The Past ◽

Life Saving ◽

Number Of Patients ◽

Care Facilities ◽

Swallowing Evaluation

With the advent of advanced life-saving practices, speech-language pathologists will continue to see a surge in the number of patients dependent on ventilators in both the acute and chronic phases of the health care continuum. Today, there are more individuals requiring ventilators, whether in the intensive care unit (ICU), in long-term care facilities, or in the community. In the past, it has been common to delay rehabilitation efforts in the ICU patient who requires a ventilator, based on the rationale that patients are too sick. This excuse no longer fits with contemporary knowledge regarding best practices in the ICU. Additionally, this argument is moot with regard to patients with diagnoses that will mandate long-term ventilator use. Our profession must understand and be able to address the unique concerns and needs regarding swallowing in those with either transient or chronic ventilator dependency.

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