BACKGROUND Most people with advanced dementia die in nursing homes where families may have to make decisions as death approaches. Discussions about end-of-life care between families and nursing home staff are uncommon, despite a range of potential benefits. In this study we aimed to examine practices relating to end-of-life discussions with family members of people with advanced dementia residi...

BACKGROUND Clinical guidance and support of nursing students in rural hospitals is a challenge for novice nurses, who rotate amongst accredited hospitals throughout the province for clinical exposure, and find themselves in an unfamiliar environment. Theory learned at the training college is integrated with clinical exposure at hospitals and supplemented through teaching by hospital staff. Nurs...

We report on five years' experience of staff injuries from patient attack in a large state hospital. In 1984 to 1988, with a total of 6,225 staff person-years of exposure, 209 employees suffered 236 injuries from patient attack. Ward nursing staff sustained 185 of the injuries (5.7 injuries per hundred person-years), professional staff 17 (rate = 2.3), psychiatric technician trainees 27 (rate =...

PURPOSE OF THE STUDY We examined how organizational culture in nursing homes affects staff turnover, because culture is a first step to creating satisfactory work environments. DESIGN AND METHODS Nursing home administrators were asked in 2009 to report on facility culture and staff turnover. We received responses from 419 of 1,056 administrators contacted. Respondents reported the strength of...

BACKGROUND Many nursing home fall injuries are believed to be preventable. Little is known about the fall prevention activities nursing homes are using. METHODS We conducted a census of all nursing homes in 6 Wisconsin counties by mailing a needs assessment to administrators and directors of nursing. Later we mailed a report of the results, an information intervention (an annotated list of fa...

BACKGROUND Surgical site marking is one important cornerstone for the principles of safe surgery suggested by the WHO. Generally it is recommended that the attending surgeon performs the surgical site marking. Particularly in the case of same day surgery, this recommendation is almost not feasible. Therefore we systematically monitored, whether surgical site marking can be performed by trained ...

OBJECTIVES To identify perceived barriers to communication between hospital and nursing home at the time of patient transfer and examine associations between perceived barriers and hospital and nursing home characteristics. DESIGN Mailed survey. SETTING Medicare- or Medicaid-certified nursing homes in New York State. PARTICIPANTS Nursing home administrators, with input from other nursing ...

BACKGROUND The mental health of nursing staff members influences the work process outcomes. OBJECTIVE Identify the work related factors that harms the nursing team's mental health. METHODS Databases PubMed, Scopus, CINAHL and MEDLINE, by mating between the indexed descriptors in MeSH terms "mental health" and "occupational health nursing". 783 articles were rescued to give a final sample of...

background & aim: undoubtedly, the knowledge and skills of the employees lead to the survival of the organization. the purpose of this study is to investigate the important issues in designation and implementation of staff in-service training models to determine a framework for designing the efficient nursing continuing education models. methods & materials: this study is a structured review ba...