scholarly journals Notification and Communication Technology: An Observational Study of Call Light Systems in Nursing Homes

2019 ◽  
Author(s):  
Haneen Ali ◽  
Huiyang Li
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Observational Study ◽  
Standard Procedure ◽  
The Elderly ◽  
Nursing Home Staff ◽  
Before And After ◽  
Long Time ◽  
To Come

Abstract Background and Objectives: The call light system is one of the major communication technologies that links the nursing home staff to the needs of the residents. By providing residents with the ability to request assistance, the system becomes an indispensable resource for patient-focused healthcare. However, there is little known about how the call light systems are being used in nursing homes and how the system contributes to the safety and the quality of care for seniors. Therefore, the aims of this study are to understand the nursing home staff experience while using the call light systems and to uncover the usability issues associated with the implemented systems. Method: A mix of 150 hours of hypothetic-deductive (unstructured) and 90 hours of standard-procedure (structured) observational study were conducted in four different nursing homes. The data collected includes insights into the nursing homes work system and the process of locating and responding to call lights. Results: The data shows that the highest alarm rate is before and after meal times. The nursing staff exceeded the allotted time set by administration 50% of the time. Additionally, the staff canceled 10% of the call lights and did not immediately assist residents due to high workloads. Further, the staff forgot to come back to assist residents over 3% of the time. Usability issues such as broken parts, lack of feedback, lack of prioritization, and low/no discriminability are contributing to the long response time. More than 8% of the time, residents notified the staff about call lights after they waited for a long time, as these residents were left unattended. Conclusion: Nursing homes that are still using old call light systems risk the continuation of usability issues that can affect performance of the staff and contribute to a decline in staff and resident outcomes. While the healthcare industry has been at the forefront of technological advancements and implementation, it is important to recognize the influence of technology in the quality of service delivery for the elderly population in nursing homes and to the nursing homes staff working conditions.

scholarly journals Use of Notification and Communication Technology (Call Light Systems) in Nursing Homes: Observational Study

10.2196/16252 ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. e16252
Author(s):  
Haneen Ali ◽  
Huiyang Li
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Nursing Homes ◽  
Task Analysis ◽  
Standard Procedure ◽  
Care Process ◽  
Nursing Home Staff ◽  
Light System ◽  
Before And After

Background The call light system is one of the major communication technologies that link nursing home staff to the needs of residents. By providing residents the ability to request assistance, the system becomes an indispensable resource for patient-focused health care. However, little is known about how call light systems are being used in nursing homes and how the system contributes to safety and quality of care for seniors. Objective This study aimed to understand the experiences of nursing home staff who use call light systems and to uncover usability issues and challenges associated with the implemented systems. Methods A mix of 150 hours of hypothetico-deductive (unstructured) task analysis and 90 hours of standard procedure (structured) task analysis was conducted in 4 different nursing homes. The data collected included insights into the nursing home’s work system and the process of locating and responding to call lights. Results The data showed that the highest alarm rate is before and after mealtimes. The staff exceeded the administration’s expectations of time to respond 50% of the time. In addition, the staff canceled 10.0% (20/201) of call lights and did not immediately assist residents because of high workload. Furthermore, the staff forgot to come back to assist residents over 3% of the time. Usability issues such as broken parts, lack of feedback, lack of prioritization, and low or no discriminability also contributed to the long response time. More than 8% of the time, residents notified the staff about call lights after they waited for a long time, and eventually, these residents were left unattended. Conclusions Nursing homes that are still using old call light systems risk the continuation of usability issues that can affect the performance of the staff and contribute to declining staff and resident outcomes. By incorporating feedback from nurses, nursing home management will better understand the influence that the perceptions and usability of technology have on the quality of health care for their residents. In this study, it has been observed that the call light system is perceived to be an important factor affecting the outcomes of the care process and satisfaction of both residents and staff as well as the staff’s performance. It is important to recognize that communication and notification technology contributes to the challenges the staff faced during their work, making their working conditions more difficult and challenging.

scholarly journals Use of Notification and Communication Technology (Call Light Systems) in Nursing Homes: Observational Study (Preprint)

2019 ◽  
Author(s):  
Haneen Ali ◽  
Huiyang Li
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Nursing Homes ◽  
Task Analysis ◽  
Standard Procedure ◽  
Care Process ◽  
Nursing Home Staff ◽  
Light System ◽  
Before And After

BACKGROUND The call light system is one of the major communication technologies that link nursing home staff to the needs of residents. By providing residents the ability to request assistance, the system becomes an indispensable resource for patient-focused health care. However, little is known about how call light systems are being used in nursing homes and how the system contributes to safety and quality of care for seniors. OBJECTIVE This study aimed to understand the experiences of nursing home staff who use call light systems and to uncover usability issues and challenges associated with the implemented systems. METHODS A mix of 150 hours of hypothetico-deductive (unstructured) task analysis and 90 hours of standard procedure (structured) task analysis was conducted in 4 different nursing homes. The data collected included insights into the nursing home’s work system and the process of locating and responding to call lights. RESULTS The data showed that the highest alarm rate is before and after mealtimes. The staff exceeded the administration’s expectations of time to respond 50% of the time. In addition, the staff canceled 10.0% (20/201) of call lights and did not immediately assist residents because of high workload. Furthermore, the staff forgot to come back to assist residents over 3% of the time. Usability issues such as broken parts, lack of feedback, lack of prioritization, and low or no discriminability also contributed to the long response time. More than 8% of the time, residents notified the staff about call lights after they waited for a long time, and eventually, these residents were left unattended. CONCLUSIONS Nursing homes that are still using old call light systems risk the continuation of usability issues that can affect the performance of the staff and contribute to declining staff and resident outcomes. By incorporating feedback from nurses, nursing home management will better understand the influence that the perceptions and usability of technology have on the quality of health care for their residents. In this study, it has been observed that the call light system is perceived to be an important factor affecting the outcomes of the care process and satisfaction of both residents and staff as well as the staff’s performance. It is important to recognize that communication and notification technology contributes to the challenges the staff faced during their work, making their working conditions more difficult and challenging.

scholarly journals Program Kemitraan Masyarakat (PKM) Pengasuh Lansia Panti Jompo Sabai-Nan-Aluih Sumatera Barat

2020 ◽  
Vol 5 (1) ◽  
pp. 38
Author(s):  
Erdanela Setiawati ◽  
Betty Fitriyasti ◽  
Yulia Rahmad
Keyword(s):  
Blood Pressure ◽  
Nursing Home ◽  
Nursing Homes ◽  
The Elderly ◽  
Assistance Program ◽  
Measure Blood Pressure ◽  
Before And After ◽  
Service Training ◽  
And Training

<p><em>The Community Partnership Program (PKM) is a Kemenristekdikti assistance program in the implementation of community service in universities. Elderly caregivers of nursing home are people who their profession not nurses, but do nursing tasks and assist the elderly in meeting their daily needs. The Sabai-Nan-Aluih nursing home with a capacity of 110 elderly has 14 caregivers, while the Jasa-Ibu nursing home with a capacity of 25 elderly has 4 caregivers. The role of caregivers in nursing homes is very complex. This role can be performed optimally if the caregiver's knowledge and skills are adequate. Problem: many caregivers in both institutions have never received senior service training. Findings facts: 1) There are 10 elderly suffering strokes in Sabai-Nan-Aluih nursing home and 4 elderly in the Jasa-Ibu nursing home, caregivers rarely provide motivation and counseling, 2) One way to prevent stroke with blood pressure measurements, while caregivers have never got the training. PKM Goals: Optimizing the role of caregivers in nursing homes. Solution: to caregivers 1) Provide counseling about early detection of stroke and prevention (aspect-education). 2) Give lectures of caregiver duties and ways to provide counseling and motivation (aspect-management). 3) Provide training / workshops on how to measure blood pressure with digital tensimeter. (technology-health aspect). Method of implementation: with lectures, discussions and training / workshops. Evaluation: measuring knowledge before and after counseling and training. Results: all expected PKM outcomes have been met.</em></p><p><em> </em></p><p><em>Program Kemitraan Masyarakat (PKM) adalah program bantuan Kemenristekdikti dalam pelaksanaan pengabdian kepada masyarakat di perguruan tinggi. Pengasuh lansia panti jompo adalah orang yang profesinya bukan perawat, tapi melakukan tugas-tugas  keperawatan dan mendampingi lansia dalam pemenuhan kebutuhannya sehari-hari. Panti jompo Sabai-Nan-Aluih yang berdaya tampung 110 lansia mempunyai 14 pengasuh sedangkan panti Jasa-Ibu yang berdaya tampung 25 lansia memiliki 4 pengasuh. Peran pengasuh di panti jompo sangat kompleks. Peran ini dapat dilakukan dengan optimal bila pengetahuan dan keterampilan pengasuh, memadai. Masalah: banyak pengasuh dikedua panti belum pernah mendapatkan pelatihan pelayanan lansia. Fakta temuan: 1) Ada 10 lansia menderita stroke di panti Sabai-Nan-Aluih dan 4 lansia di panti Jasa-Ibu, pengasuh jarang memberikan motivasi dan penyuluhan, 2)Salah satu cara pencegahan penyakit stroke dengan pengukuran tekanan darah, sedangkan pengasuh belum pernah mendapat pelatihannya. Tujuan PKM: Mengoptimalkan peran pengasuh di panti jompo. Solusi: kepada pengasuh 1)Berikan penyuluhan tentang deteksi dini penyakit stroke dan pencegahannya (aspek-pendidikan). 2)Berikan kuliah/ceramah tentang tugas-tugas pengasuh dan cara memberi penyuluhan dan motivasi (aspek-manajemen). 3)Berikan pelatihan/workshop tentang cara mengukur tekanan darah dengan tensimeter digital. (aspek-teknologi-kesehatan). Metode pelaksanaan: dengan ceramah, diskusi dan pelatihan/workshop. Evaluasi: mengukur pengetahuan sebelum dan sesudah penyuluhan dan pelatihan. Hasil: semua luaran PKM yang diharapkan sudah terpenuhi.</em></p><p> </p>

Effect of Nursing Home Staff Training on Quality of Patient Survival

1989 ◽  
Vol 28 (4) ◽  
pp. 305-315 ◽  
Author(s):  
Margaret W. Linn ◽  
Bernard S. Linn ◽  
Shayna Stein ◽  
Elliott M. Stein
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Nursing Homes ◽  
Staff Training ◽  
Self Esteem ◽  
Satisfaction With Care ◽  
Nursing Home Staff ◽  
Dying Patients ◽  
Experimental Training

This study tests the effects of nursing home staff training in care for the dying on the quality of life of terminally ill patients. Ten matched community nursing homes were assigned randomly to experimental (training) or control (no training) conditions. Patients ( N = 306) admitted to the homes were assessed at admission, one month, and three months concerning quality of life as measured by depression, alienation, self-esteem, and locus of control. Satisfaction with care was also measured at one and three months. Patients in trained homes had less depression and greater satisfaction with care than patients in control homes at one and three months. Training effects were similar in all of the five homes. The study shows that a favorable impact on patient care can be achieved when staff in nursing homes are trained to work with dying patients.

Diagnosing and Treating Depressions in Nursing Home Residents: Challenges for GPs

2006 ◽  
Vol 12 (3) ◽  
pp. 104 ◽  
Author(s):  
Stella Koritsas ◽  
Sandra Davidson ◽  
David Clarke ◽  
Daniel O'Connor
Keyword(s):  
General Practice ◽  
Nursing Home ◽  
Nursing Homes ◽  
Elderly People ◽  
General Practitioners ◽  
Continuity Of Care ◽  
Nursing Home Residents ◽  
The Elderly ◽  
Medical Services ◽  
Nursing Home Staff

Depression is more common in elderly people residing in nursing homes than it is in people of the same age residing in the community. In Australia, general practitioners (GPs) are the primary providers of medical services to the elderly in nursing homes; however, they often under-diagnose and/or inadequately treat depression in this population. The difficulties experienced by GPs are confounded by the breakdown in the continuity of care that is evident when a patient is admitted into a nursing home, by inadequate communication between GPs and nursing home staff, and systems within the nursing home that are not conducive to general practice. This paper discusses the challenges GPs face in diagnosing and treating depression in nursing home residents, and provides suggestions for strategies that may overcome these challenges.

Observational Study of Quality of Life in NHS Nursing Homes and a Long-stay Ward for the Elderly

1989 ◽  
Vol 9 (2) ◽  
pp. 123-148 ◽  
Author(s):  
Patricia Clark ◽  
Ann Bowling
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Observational Study ◽  
Institutional Care ◽  
The Elderly ◽  
Evaluation Study ◽  
Hospital Ward ◽  
Hospital Patients ◽  
Formed Part

ABSTRACTAn observational study was carried out in order to measure the quality of life of elderly people in two different types of long-stay care (two NHS nursing homes and a hospital ward). This formed part of a wider evaluation study of these two forms of institutional care. Qualitative techniques provided insights into the behaviours, moods, interactions and atmospheres in the settings, which were difficult to measure using traditional survey approaches. The observational study showed that it is.essential not to rely solely on interview material, and assessments of mental and physical functioning, when evaluating long-stay care. Characteristics of ‘total institutions’ clearly emerged from the analyses of the hospital ward, although the inclusion of the hospital patients' Club in the study revealed that these need not be inevitable, and that both the ward and the homes could be improved if modelled on the more autonomous and flexible philosophy of the Club.

scholarly journals Nursing Home Implementation of Health Information Technology: Review of the Literature Finds Inadequate Investment in Preparation, Infrastructure, and Training

2018 ◽  
Vol 55 ◽  
pp. 004695801877890 ◽  
Author(s):  
Michelle Ko ◽  
Laura Wagner ◽  
Joanne Spetz
Keyword(s):  
Information Technology ◽  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Literature Review ◽  
Health Information Technology ◽  
Health Information ◽  
Nursing Home Staff ◽  
And Training

Health information technology (HIT) is increasingly adopted by nursing homes to improve safety, quality of care, and staff productivity. We examined processes of HIT implementation in nursing homes, impact on the nursing home workforce, and related evidence on quality of care. We conducted a literature review that yielded 46 research articles on nursing homes’ implementation of HIT. To provide additional contemporary context to our findings from the literature review, we also conducted semistructured interviews and small focus groups of nursing home staff (n = 15) in the United States. We found that nursing homes often do not employ a systematic process for HIT implementation, lack necessary technology support and infrastructure such as wireless connectivity, and underinvest in staff training, both for current and new hires. We found mixed evidence on whether HIT affects staff productivity and no evidence that HIT increases staff turnover. We found modest evidence that HIT may foster teamwork and communication. We found no evidence that the impact of HIT on staff or workflows improves quality of care or resident health outcomes. Without initial investment in implementation and training of their workforce, nursing homes are unlikely to realize potential HIT-related gains in productivity and quality of care. Policy makers should consider creating greater incentives for preparation, infrastructure, and training, with greater engagement of nursing home staff in design and implementation.

scholarly journals Use of the Barthel Index to Assess Activities of Daily Living before and after SARS-COVID 19 Infection of Institutionalized Nursing Home Patients

2021 ◽  
Vol 18 (14) ◽  
pp. 7258
Author(s):  
Bibiana Trevissón-Redondo ◽  
Daniel López-López ◽  
Eduardo Pérez-Boal ◽  
Pilar Marqués-Sánchez ◽  
Cristina Liébana-Presa ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Activities Of Daily Living ◽  
Barthel Index ◽  
Daily Living ◽  
Elderly Population ◽  
The Elderly ◽  
Elderly Subjects ◽  
Nursing Home Patients ◽  
Before And After

The objective of the present study was to evaluate the activities of daily living (ADLs) using the Barthel Index before and after infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and also to determine whether or not the results varied according to gender. The ADLs of 68 cohabiting geriatric patients, 34 men and 34 women, in two nursing homes were measured before and after SARS-CoV-2 (Coronavirus 2019 (COVID-19)) infection. COVID-19 infection was found to affect the performance of ADLs in institutionalized elderly in nursing homes, especially in the more elderly subjects, regardless of sex. The COVID-19 pandemic, in addition to having claimed many victims, especially in the elderly population, has led to a reduction in the abilities of these people to perform their ADLs and caused considerable worsening of their quality of life even after recovering from the disease.

Communicative Technologies in Nursing Homes: A Framework for Evaluation (Preprint)

2019 ◽  
Author(s):  
Haneen Ali ◽  
Abdulaziz Ahmed
Keyword(s):  
New York ◽  
Nursing Home ◽  
Nursing Homes ◽  
Observational Study ◽  
Noise Level ◽  
Nursing Home Staff ◽  
Job Level ◽  
Work System ◽  
Upstate New York ◽  
Light System

BACKGROUND The call light technology continues to develop and improve its functionality, however, there is a gap between what nursing homes staff needs and how the call light is designed. The study finds that the available call light systems are unsatisfactory in addressing nursing homes staff needs. These concerns stem from gaps caused by a lack of user feedback in the design and acquisition process. OBJECTIVE A framework was developed to investigate nursing home staff experiences in using call light technology to determine its effect on elements in the work system. The main goal of this framework is to analyze and understand the effects of call light technology on the work system elements, and to obtain the perceptions of staff (user) and uncover the challenges they face while using the system. METHODS An observational study with over 100 hours of direct observations was conducted at 4 different nursing homes in Upstate New York. Using the insights from the observational study, a survey instrument was designed to quantify the measures in the framework. The survey was developed for testing and evaluation the effectiveness of a call light system in two local nursing homes as an application of the framework, and to study the effect of the call light systems on other elements in the work system, on processes, and on outcomes. RESULTS The research results showed a significant correlation between the type of call light system used and the perceived task-level workload and job-level workload. More than 74% of the staff think that the call light system is disruptive in the environment and source for constant noise making, and the type of system significantly contributes to the noise level in the unit. More than 76% of the staff thinks it is difficult to locate call lights due to the unit layout, and more than 64% of the staff thinks that residents do not use it for urgent needs. CONCLUSIONS It was found that the usability challenges in the use of the call light system often impeded the performance of nursing home staff in responding to residents. Further, the study found that the type of call light system used affected task and unit-level workload, and the perceptions of staff about the easiness of being notified and locate alarms, the noise level is differing with shift and unit type. The insights from the results of this study could be used in the selection of a new call light system to avoid usability issues and challenges that were identified by the staff. This will not only improve their workload, but also their perceptions about the- system and the quality of their shifts and overall satisfaction.

Sign in / Sign up

Export Citation Format

Share Document