Nursing homes and social services facilities with nursing care in Slovakia: why do we need both?

2021 ◽  
Vol 23 (12) ◽  
pp. 1-5
Author(s):  
Zuzana Fabianová ◽  
Alena Mochnáčová ◽  
Andrea Bratová
Keyword(s):  
Nursing Homes ◽  
Social Services ◽  
Nursing Care

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.

Serious Mental Illness in Nursing Homes: Roles and Perceived Competence of Social Services Directors

2021 ◽  
pp. 1-19
Author(s):  
Denise Gammonley ◽  
Xiaochuan Wang ◽  
Kelsey Simons ◽  
Kevin M. Smith ◽  
Mercedes Bern-Klug
Keyword(s):  
Mental Illness ◽  
Nursing Homes ◽  
Social Services ◽  
Serious Mental Illness ◽  
Perceived Competence

scholarly journals Adaptation, modification, and psychometric assessment of a Norwegian version of the Basel extent of rationing of nursing care for nursing homes instrument (BERNCA-NH)

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rebecka Maria Norman ◽  
Ingeborg Strømseng Sjetne
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Psychometric Properties ◽  
Factor Structure ◽  
Internal Consistency ◽  
Nursing Care ◽  
Home Setting ◽  
Norwegian Version ◽  
Care Workers ◽  
Global Ratings

Abstract Background To our knowledge, no instrument has been developed and tested for measuring unfinished care in Norwegian nursing home settings. The Basel Extent of Rationing of Nursing Care for Nursing Homes instrument (BERNCA-NH) was developed and validated in Switzerland to measure the extent of implicit rationing of nursing care in nursing homes. The BERNCA-NH comprises a list of nursing care activities in which a care worker reports the frequency to which activities were left unfinished over the last 7 working days as a result of lack of time. The aim of this study was to adapt and modify a Norwegian version of the BERNCA-NH intended for all care workers, and assess the instruments’ psychometric properties in a Norwegian nursing home setting. Methods The BERNCA-NH was translated into Norwegian and modified to fit the Norwegian setting with inputs from individual cognitive interviews with informants from the target population. The instrument was then tested in a web-based survey with a final sample of 931 care workers in 162 nursing home units in different parts of Norway. The psychometric evaluation included score distribution, response completeness and confirmatory factor analysis (CFA) of a hypothesised factor structure and evaluation of internal consistency. Hypothesised relation to other variables was assessed through correlations between the subscale scores and three global ratings. Results The Norwegian version of BERNCA-NH comprised four subscales labelled: routine care, ‘when required’ care, documentation and psychosocial care. All subscales demonstrated good internal consistency. The CFA supported the four-factor structure with fit statistics indicating a robust model. There were moderate to strong bivariate associations between the BERNCA-NH subscales and the three global ratings. Three items which were not relevant for all care workers were not included in the subscales and treated as single items. Conclusions This study found good psychometric properties of the Norwegian version BERNCA-NH, assessed in a sample of care workers in Norwegian nursing homes. The results indicate that the instrument can be used to measure unfinished care in similar settings.

scholarly journals Enabling At-Homeness for Older People With Life-Limiting Conditions: A Participant Observation Study From Nursing Homes

2019 ◽  
Vol 6 ◽  
pp. 233339361988163
Author(s):  
Lotta Saarnio ◽  
Anne-Marie Boström ◽  
Ragnhild Hedman ◽  
Petter Gustavsson ◽  
Joakim Öhlén
Keyword(s):  
Decision Making ◽  
Nursing Homes ◽  
Nursing Care ◽  
Nursing Staff ◽  
Participant Observation ◽  
Well Being ◽  
Interpretive Description ◽  
Observation Study ◽  
Palliative Approach ◽  
Using Data

At-homeness, as an aspect of well-being, can be experienced despite living with life-limiting conditions and needs for a palliative approach to care. In nursing homes, older residents with life-limiting conditions face losses and changes which could influence their experience of at-homeness. The aim of this study was to explore how nursing staff enable at-homeness for residents with life-limiting conditions. Interpretive description was employed as the design using data from participant observations and formal and informal interviews related to nursing care situations. The strategies found to be used to enable at-homeness comprising nursing staff presenting themselves as reliable, respecting the resident’s integrity, being responsive to the resident’s needs, collaborating with the resident in decision-making, and through nurturing comforting relationships. The result on how to enable at-homeness could be used as strategies for a person-centered palliative approach in the care for residents in nursing homes.

scholarly journals A path analysis on the direct and indirect effects of the unit environment on eating dependence among cognitively impaired nursing home residents

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Alvisa Palese ◽  
Luca Grassetti ◽  
Valentina Bressan ◽  
Alessandro Decaro ◽  
Tea Kasa ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Care ◽  
Indirect Effects ◽  
Functional Dependence ◽  
Cognitively Impaired ◽  
Direct And Indirect Effects ◽  
Care Level ◽  
Individual Level ◽  
The Individual

Abstract Background This study aims to estimate the direct and indirect effects of the unit environment alongside individual and nursing care variables on eating dependence among residents who are cognitively impaired and living in a nursing home. Method A multicentre observational study was carried out in 2017: 13 Italian nursing homes were involved in data collection. Included residents were aged > 65 at baseline, living in the considered facility for the last 6 months and during the entire study period and having received at least one comprehensive assessment. Data were collected (a) at the individual level: eating dependence using the Edinburgh Feeding Evaluation in Dementia Scale and other clinical variables; (b) at the nursing care level with daily interventions to maintain eating independence assessed with a checklist; and (c) at the nursing home level, using the Therapeutic Environment Screening Survey for Nursing Homes. Results One thousand twenty-seven residents were included with an average age of 85.32 years old (95% CI: 84.74–85.89), mainly female (781; 76%). The path analysis explained the 57.7% variance in eating dependence. Factors preventing eating dependence were: (a) at the individual level, increased functional dependence measured with the Barthel Index (β − 2.374); eating in the dining room surrounded by residents (β − 1.802) as compared to eating alone in bed; and having a close relationship with family relatives (β − 0.854), (b) at the nursing care level, the increased number of interventions aimed at promoting independence (β − 0.524); and (c) at the NH level, high scores in ‘Space setting’ (β − 4.446), ‘Safety’ (β − 3.053), ‘Lighting’ (β − 2.848) and ‘Outdoor access’ (β − 1.225). However, environmental factors at the unit level were found to have also indirect effects by influencing the degree of functional dependence, the occurrence of night restlessness and the number of daily interventions performed by the nursing staff. Conclusion Eating dependence is a complex phenomenon requiring interventions targeting individual, nursing care, and environmental levels. The NH environment had the largest direct and indirect effect on residents’ eating dependence, thus suggesting that at this level appropriate interventions should be designed and implemented.

Nursing Care in Nursing Homes

1975 ◽  
Vol 75 (10) ◽  
pp. 1812
Author(s):  
Marilyn Schwab
Keyword(s):  
Nursing Homes ◽  
Nursing Care

“It's Not for Amateurs!”—Registered Nurses' Experiences of Their Clinical Competence When Caring for Elderly Patients

2020 ◽  
Vol 24 (3) ◽  
pp. 184-195
Author(s):  
Elisabeth Finnbakk ◽  
Kirsti Skovdahl ◽  
Sigrid Wangensteen ◽  
Lisbeth Fagerström
Keyword(s):  
Nursing Homes ◽  
Elderly Patients ◽  
Registered Nurses ◽  
Nursing Care ◽  
Clinical Competence ◽  
Moral Distress ◽  
Health Needs ◽  
Focus Group Interviews ◽  
High Quality ◽  
Group Interviews

Nurses' clinical competence is crucial to ensure that elderly, frail patients in nursing homes are met with high-quality nursing care. Thus, this study aimed to disclose the essential meaning of registered nurses' experiences as related to their clinical competence when caring for elderly patients with complex health needs in nursing homes. Focus group interviews and a phenomenological hermeneutical analysis were conducted revealing that the nurses balanced between being and striving to be competent. The utterance “It's not for amateurs!” symbolized that if nurses are not clinically competent or hindered from acting competently, they may be at risk for moral distress.

Variations in residential accommodation for adults with intellectual disabilities: the example of Northern Ireland

2006 ◽  
Vol 23 (2) ◽  
pp. 68-73 ◽  
Author(s):  
Roy McConkey
Keyword(s):  
Northern Ireland ◽  
Nursing Homes ◽  
Intellectual Disabilities ◽  
Social Services ◽  
Living Arrangements ◽  
Independent Living ◽  
Housing Associations ◽  
Residential Placement ◽  
Residential Homes ◽  
Village Communities

AbstractObjectives: Over the past three decades, major changes have taken place internationally in the type of residential accommodation provided for people with intellectual disabilities but these appear to be less evident in Northern Ireland.Method: A census was undertaken of all persons in any form of residential placement using a range of existing databases to identify the population, with a short questionnaire completed for each resident.Results: Around 440 persons lived in hospitals and 1,970 in some other form of provision but mostly in large congregated settings such as residential care homes and nursing homes. This was more marked in certain Health and Social Service Boards than in others. Most places are provided by the private sector although voluntary organisations and housing associations now manage around one-third of places. People living in hospitals reportedly had different characteristics to those in all other settings while those in nursing homes tended to require greater personal care. However the characteristics of people living in residential homes, supported living arrangements and village communities were broadly comparable. Around one in 10 persons were deemed to benefit from a move; mostly from residential homes to more independent living arrangements.Conclusions: Compared to Britain and the Republic of Ireland there is an under-provision of residential placements in Northern Ireland. To date, funding from outside of health and social services has been the main driver for the type of accommodation provided. The implications for future policy and provision are discussed.

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