While the demand for continuing care services in Canada grows, the quality of such services has come under increasing scrutiny. Consideration has been given to the use of public reporting of quality data as a mechanism to stimulate quality improvement and promote public accountability for and transparency in service quality. The recent adoption of the Resident Assessment Instrument (RAI) throug...

The functional and health characteristics of nursing home residents in New York State using a multivariate classification procedure are examined in this article. This analysis suggested that these characteristics could be explained in terms of six dimensions. The association of these six dimensions with two existing sets of nursing home case-mix groups was analyzed in order to determine how gro...

PURPOSE Flexibility is an essential ingredient of person-centered care. We illustrate the potential impact of flexibility by portraying a nursing home that uses flexibility in its approach to residents and staff members. DESIGNS AND METHODS The paper describes the management strategies, principles, and environmental features used by the Adards nursing home in Australia. RESULTS Adards' flex...

OBJECTIVE To demonstrate the value of shrinkage estimators when calculating a composite quality measure as the weighted average of a set of individual quality indicators. DATA SOURCES Rates of 28 quality indicators (QIs) calculated from the minimum dataset from residents of 112 Veterans Health Administration nursing homes in fiscal years 2005-2008. STUDY DESIGN We compared composite scores ...

PURPOSE Most health care organizations, including nursing homes, report having teams. However, little is known about everyday practice teams among staff providing direct resident care. We assess the prevalence of such teams in nursing homes as reported by direct care staff and administrators, and examine characteristics of facilities that foster these teams. DESIGN AND METHODS The analytical ...

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...

Some people may be laughing when looking at you reading in your spare time. Some may be admired of you. And some may want be like you who have reading hobby. What about your own feel? Have you felt right? Reading is a need and a hobby at once. This condition is the on that will make you feel that you must read. If you know are looking for the book enPDFd navigating conflict a model for nursing ...

Results of the fifth quinquennial survey of the patients of Glenside Hospital, Bristol, when compared with five yearly surveys over the past 20 years, show that the "run-down" of the hospital continues. There is still an accumulation of long-stay patients, mainly for non-medical reasons. They remain in hospital because of the failure to provide community facilities adequate to their needs. It i...

In the year 2000, the Maryland State Legislature approved a package of legislation related to nursing homes. Among other things, the legislation mandated the Maryland Office of Health Care Quality (OHCQ) to create requirements for attending physicians and medical directors in Maryland nursing homes. Based on this mandate, the OHCQ drafted and then implemented in August 2001 an unprecedented set...