OBJECTIVES The aim of this study was to investigate antimicrobial prescribing in nursing homes in countries across Europe. METHODS Point prevalence studies were completed in April and November 2009 in 85 nursing homes in 15 European countries and two UK administrations. RESULTS A total of 10,388 and 9430 residents participated in April and November 2009, respectively. The mean prevalence of...

OBJECTIVES To determine whether a distance coaching course on improving nursing home incontinence care could be replicated and brought to scale with a larger group of nursing homes without sacrificing outcomes. DESIGN The study collected descriptive and comparative data. SETTING Fourteen nursing homes in the original course and 34 in the replication course. PARTICIPANTS Participants in th...

This article focuses on the function of Norwegian nursing homes. A brief history of institutionalisation of older people in Norway is presented. An expressed task for Norwegian nursing homes is active treatment, and even though the “Guarantee of dignity” was implemented from January 2011, there are proofs that the rights of the residents are constantly violated. Another task for Norwegian nursi...

OBJECTIVES High turnover rates among nursing assistants (NAs) in nursing homes have costly implications for facility operation and quality, and low rates of NA profession retention can deplete the stock of experienced staff. This study assessed the extent to which the same factors are associated with NAs' intent to leave a particular job versus the NA profession. METHODS We used data for 2,32...

For the past decade, policymakers have used public reporting of quality measures as a strategy to improve quality in nursing homes. In theory, public reporting might improve overall quality in two ways: first, if consumers choose nursing homes with better performance, and second, if public reporting encourages nursing homes to improve their performance. Has public reporting had its intended eff...

BACKGROUND Nursing home (NH) administrators need tools to measure the effectiveness of care delivered at the end of life so that they have objective data on which to evaluate current practices, and identify areas of resident care in need of improvement. METHODS A three-phase mixed methods study was used to develop and test an empirically derived chart audit tool aimed at assessing the care de...

oiR,'?lour corespondent K. JL. H. inquires why hospital routine, oft;n galling in the extreme, must be " slavishly imitated" by the authorities of nursing homes. I should be glad to know why another great fault of our hospitals is repeated in nursing homes. I refer to the underfeeding of the nursing staff. It is, I believe, a generally accepted fact that few, if any, nurses have sufficient to e...

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The relationship between cost and quality of care in nursing homes was examined using quality indicator measures of resident outcomes. While each individual quality measure makes only small contributions to costs, when considered across the facility, quality could have a substantial financial impact on the operations of the home.

Since 1989, the Medicare hospice benefit has been available to terminally ill individuals residing in nursing homes. We first describe the evolution and nature of hospice care for nursing home residents. We then utilize recent On-line Survey and Certification of Automated Records data on a national sample of Medicare/Medicaid certified nursing homes, merged with hospice Provider of Service and ...