Hospice in the Nursing Home: Perspectives of Front Line Nursing Home Staff

Hospice use among nursing home patients.

OBJECTIVES Among hospice patients who lived in nursing homes, we sought to: (1) report trends in hospice use over time, (2) describe factors associated with very long hospice stays (>6 months), and (3) describe hospice utilization patterns. DESIGN, SETTING, AND PARTICIPANTS We conducted a retrospective study from an urban, Midwest cohort of hospice patients, aged ≥ 65 years, who lived in nurs...

Coordinating the roles of nursing home staff and families of elderly nursing home residents.

This study examines families' and nurses' perceptions of the functions that should be performed by families of elderly nursing home residents and whether there is congruency between nursing staff and families' perceptions. This was a quasi-experimental study and was based on questionnaires distributed among 85 nurses and 68 families of nursing home residents. The findings indicated that the sta...

Factors associated with nursing home staff turnover.

This study examines whether, while controlling for local economic conditions, job design and other organizational factors affect facility aide turnover rates in a sample of 250 nursing homes from 10 states. Facility characteristics were largely based on administrator and director of nursing interviews conducted in 1993 as part of the Health Care Financing Administration's evaluation of the Resi...

Nursing Home

Timing in the communication of pain among nursing home residents, nursing staff, and clinicians.

BACKGROUND The management of nursing home (NH) residents' pain requires adequate nursing assessment and clinician knowledge of pain therapies. However, the timely communication of pain from residents to nurses and from nurses to clinicians is equally necessary. Using a 4-step model (nursing assessment of pain, notification of clinicians regarding pain assessment, clinicians' assessment of pain ...