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Journal articles on the topic 'Nurse aide'

Author: Grafiati

Published: 4 June 2021

Last updated: 5 February 2022

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1

Andersen, Elizabeth. "Being Below the Horizon: The Dwelling Place of the Nurse Aide." International Journal of Human Caring 12, no. 4 (June 2008): 15–20. http://dx.doi.org/10.20467/1091-5710.12.4.15.

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Nurse aides are the unregulated caregivers who perform the bulk of the physical and emotional care-giving work for residents in long-term care facilities. Hierarchies of nursing work in some long-term care institutions and the marginalization of some nurse aides in these institutions are revealed through quotes retrieved from existing literature. These quotes illustrate the ways in which these nurse aides are on earth – their ways of “dwelling.” The author calls for support and empathy from registered nurses for struggling nurse aides by integrating Martin Heidegger’s philosophies of space and dwelling with the ways in which nurse aides “dwell” in their places of work.

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2

Mesirow, Katherine Masleid, Audrey Klopp, and Linda L. Olson. "Improving Certified Nurse Aide Retention." Journal of Nursing Administration 28, no. 3 (March 1998): 56–61. http://dx.doi.org/10.1097/00005110-199803000-00011.

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3

Squires, Janet E., Matthias Hoben, Stefanie Linklater, Heather L. Carleton, Nicole Graham, and Carole A. Estabrooks. "Job Satisfaction among Care Aides in Residential Long-Term Care: A Systematic Review of Contributing Factors, Both Individual and Organizational." Nursing Research and Practice 2015 (2015): 1–24. http://dx.doi.org/10.1155/2015/157924.

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Despite an increasing literature on professional nurses’ job satisfaction, job satisfaction by nonprofessional nursing care providers and, in particular, in residential long-term care facilities, is sparsely described. The purpose of this study was to systematically review the evidence on which factors (individual and organizational) are associated with job satisfaction among care aides, nurse aides, and nursing assistants, who provide the majority of direct resident care, in residential long-term care facilities. Nine online databases were searched. Two authors independently screened, and extracted data and assessed the included publications for methodological quality. Decision rules were developed a priori to draw conclusions on which factors are important to care aide job satisfaction. Forty-two publications were included. Individual factors found to be important were empowerment and autonomy. Six additional individual factors were found to benotimportant: age, ethnicity, gender, education level, attending specialized training, and years of experience. Organizational factors found to be important were facility resources and workload. Two additional factors were found to benotimportant: satisfaction with salary/benefits and job performance. Factors important to care aide job satisfaction differ from those reported among hospital nurses, supporting the need for different strategies to improve care aide job satisfaction in residential long-term care.

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4

Winakur, Jerald. "The Nurse Aide Conundrum in LTC." Caring for the Ages 15, no. 10 (October 2014): 25. http://dx.doi.org/10.1016/j.carage.2014.09.024.

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5

Siem, Carol, and Marilyn Rantz. "Certified Nurse Aide Scope of Practice." Journal of the American Medical Directors Association 16, no. 1 (January 2015): 6. http://dx.doi.org/10.1016/j.jamda.2014.10.009.

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6

Castle, Nicholas G., Kathryn Hyer, John A. Harris, and John Engberg. "Nurse Aide Retention in Nursing Homes." Gerontologist 60, no. 5 (March 6, 2020): 885–95. http://dx.doi.org/10.1093/geront/gnz168.

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Abstract Background and Objectives The association of nurse aide retention with three quality indicators is examined. Retention is defined as the proportion of staff continuously employed in the same facility for a defined period of time. Research Design and Methods Data used in this investigation came from survey responses from 3,550 nursing facilities, Certification and Survey Provider Enhanced Reporting data, and the Area Resource File. Staffing characteristics, quality indicators, facility, and market information from these data sources were all measured in 2016. Nurse aide retention was measured at 1, 2, and 3 years of employment. The quality indicators examined were a count of all deficiency citations, quality of care deficiency citations, and J, K, L deficiency citations. Negative binomial regression analyses were used to study the associations between the three different retention measures and these three quality indicators. Results The 1-, 2-, and 3-year nurse aide retention measures were 53.2%, 41.4%, and 36.1%, respectively. The regression analyses show low levels of retention to be generally associated with poor performance on the three deficiency citation quality indicators examined. Discussion and Implications The research presented starts to provide information on nurse aide retention as an important workforce challenge and its potential impact on quality. Retention may be an additional staffing characteristic of nursing facilities with substantial policy and practice relevance.

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7

Dearborn, L. Kristina. "Successful Nurse Aide Management in Nursing Homes." Journal of Gerontological Nursing 16, no. 10 (October 1, 1990): 43. http://dx.doi.org/10.3928/0098-9134-19901001-16.

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8

Castle, Nicholas G. "Assessing Job Satisfaction of Nurse Aides in Nursing Homes: The Nursing Home Nurse Aide Job Satisfaction Questionnaire." Journal of Gerontological Nursing 33, no. 5 (May 1, 2007): 41–47. http://dx.doi.org/10.3928/00989134-20070501-07.

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9

Wu, Heng, Christopher Kelly, and Lyn Holley. "Age Matters: Building Blocks Needed to Inform Nurse Staffing Hours Requirements in Residential Care for Older Adults." Innovation in Aging 4, Supplement_1 (December 1, 2020): 87. http://dx.doi.org/10.1093/geroni/igaa057.288.

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Abstract This study addresses the need for more complete information about the impact of nurse staffing hours (NSH) on nursing home quality of care. We used national data to examine the relationship between three types (Registered Nurse, Licensed Practical Nurse, and Nurse Aide) of hours, and long-stay quality of care measures over time, taking into account the possible confounding influence of regional differences. Data analyzed were from U.S. Nursing Home Compare datasets which reflect quarterly reports, July 1, 2018 - June 30, 2019 (14,768 facilities). The hours for each staff type in each facility were compared with the facility’s four-quarter quality average scores for each of the 12 measures. Results showed only one strong and statistically significant relationship (Beta= .548; p< .001) between Nurse Aide hours and the quality measure used in data sets to exemplify facilities that serve “lower-risk” residents. Analyzes using multiple R (.517) indicate that the linear combination of the three NSH types strongly and significantly (p< .001) predicted the four-quarter average scores and explained 27% of the variance in the scores. Holding the other two NSH types constant, the scores for that measure increased by 63 for each additional increase in the Nurse Aide nurse staffing hours per resident per day. There was no multicollinearity among the three types of staffing hours. This research adds information to the foundation needed for future research about process indicators to assess their efficacy as measures of actual quality of care, and will be submitted as a Technical Note to journals.

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10

Dadich, Ann, Penny Abbott, and Hassan Hosseinzadeh. "Strategies to promote practice nurse capacity to deliver evidence-based care." Journal of Health Organization and Management 29, no. 7 (November 16, 2015): 988–1010. http://dx.doi.org/10.1108/jhom-05-2013-0089.

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Purpose – Evidence-based practice is pivotal to effective patient care. However, its translation into practice remains limited. Given the central role of primary care in many healthcare systems, it is important to identify strategies that bolster clinician-capacity to promote evidence-based care. The purpose of this paper is to identify strategies to increase Practice Nurse capacity to promote evidence-based sexual healthcare within general practice. Design/methodology/approach – A survey of 217 Practice Nurses in an Australian state and ten respondent-interviews regarding two resources to promote evidence-based sexual healthcare – namely, a clinical aide and online training. Findings – The perceived impact of both resources was determined by views on relevance and design – particularly for the clinical aide. Resource-use was influenced by role and responsibilities within the workplace, accessibility, and support from patients and colleagues. Research limitations/implications – This is the first Australian study to reveal strategies to promote evidence-based sexual healthcare among Practice Nurses. The findings provide a platform for future research on knowledge translation processes, particularly among clinicians who might be disengaged from sexual healthcare. Practical implications – Given the benefits of evidence-based practices, it is important that managers recognize their role, and the role of their services, in promoting these. Without explicit support for evidence-based care and recognition of the Practice Nurse role in such care, knowledge translation is likely to be limited. Originality/value – Knowledge translation among Practice Nurses can be facilitated by: resources-deemed informative, relevant, and user-friendly, as well as support from patients, colleagues, and their workplace.

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11

Beynon, Cynthia. "Licensed Nurse/Certified Nurse Aide Collaboration in the Care of Nursing Home Residents." Innovation in Aging 4, Supplement_1 (December 1, 2020): 902. http://dx.doi.org/10.1093/geroni/igaa057.3322.

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Abstract This mixed-method study explores how nursing team collaboration is perceived and experienced in four nursing homes (NHs) in the Western United States. Licensed nurse (LN) and certified nurse aide (CNA) participants completed two survey tools to assess their perception of collaboration and teamwork in their current work environment. The LNs and CNAs were paired and interviewed both individually and as a caregiving pair to explore the lived experience of collaboration in the care of NH residents. Quantitative survey results were analyzed using IBM® SPSS Version 25, and participants reported a collaborative working environment with equally strong ratings in the following categories: partnership, cooperation, and coordination; they agreed with statements reflective of teamwork including team structure, leadership, situation monitoring, mutual support, and communication. No significant difference was found between LN and CNA responses or between team members in any of the four participating facilities. Qualitative survey data were loaded in NVivo12 and analyzed using a thematic analysis approach. The findings revealed five primary themes, including essential elements in successful team collaboration—perspective, coworker connection, communication, and mutual support—and ways teamwork and collaboration impact resident care.

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Chen, Lin, Minzhi Ye, and Qiang Zhu. "CARING RELATIONSHIP DEVELOPMENT IN THE NURSING HOME IN SHANGHAI: A DYADIC QUALITATIVE STUDY." Innovation in Aging 3, Supplement_1 (November 2019): S703—S704. http://dx.doi.org/10.1093/geroni/igz038.2587.

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Abstract Caring relationships between older residents and nurse aides are fundamental in terms of service delivery in nursing homes. However, little is known for the nuanced dynamics of this relationship in China. The purpose of this study is to explore how caring relationships develop between older residents and nurse aides in the nursing home setting in urban China. Informed by the dyadic perspective, this study illustrates the development process and relational nuances by simultaneously eliciting residents’ and nurse aides’ perceptions. This qualitative study purposively sampled 20 matched resident-nurse aide dyads (N= 40) in a government-sponsored nursing home in Shanghai. Participants participated in semi-structured, in-depth interviews from January to June 2017. Thematic analysis was performed. The findings reveal that the caring relationship began with nursing home assignment and primarily focused on instrumental assistance. Gradually, emotional involvement grew within dyads and reciprocity emerged. Based on different dyadic perceptions, this study conceptualized four types of caring relationships: (a) parent-child alike, (b) mutually respectful, (c) solo performance, and (d) reasonably detached. The findings suggest that residents and nurse aides could have different views on caring relationships, which further influenced the relationship development. The four types of caring relationships shared some similar traits while differentiating from some of the common types of interactions found in the existing nursing evidence across the world. Chinese filial tradition also influenced the relationship dynamics.

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13

Castle, Nicholas G., and Jamie C. Ferguson-Rome. "Influence of Nurse Aide Absenteeism on Nursing Home Quality." Gerontologist 55, no. 4 (January 7, 2014): 605–15. http://dx.doi.org/10.1093/geront/gnt167.

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14

Stone, Robyn, and Natasha Bryant. "CHALLENGES AND OPPORTUNITIES FOR TRAINING AND SUPPORTING AIDES AS MEMBERS OF HOME-BASED CARE TEAMS." Innovation in Aging 3, Supplement_1 (November 2019): S216. http://dx.doi.org/10.1093/geroni/igz038.793.

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Abstract Despite home heath/home care aides being the informal “eyes and ears” of the health system, team-based home care initiatives have not incorporated this workforce into their programs. This presentation summarizes barriers to their inclusion: a basic lack of understanding on the part of clinical team members of the complex tasks these caregivers perform, inadequate investments in competency-based aide training and education, and variation in state nurse delegation laws that limit aides’ scope of practice and their ability to work effectively in teams. This is followed by a review of several programs that have successfully included aides as key members of home care teams. The presentation concludes with recommendations on how federal and state policymakers, educators and health systems and providers can support inclusion of aides in team-based care through standardization of competency-based training programs, expansion of nurse delegation nationwide, and support for piloting, evaluation, dissemination and replication of promising models.

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15

Dempsey, Susan J., and Ellen McKissick. "Implementation of Medical-Surgical Nurse Extern and Student Nurse Aide Programs in Critical Care." Critical Care Nursing Quarterly 29, no. 3 (July 2006): 182–87. http://dx.doi.org/10.1097/00002727-200607000-00002.

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16

Chaudhuri, Tanni, Dale E. Yeatts, and Cynthia M. Cready. "Nurse aide decision making in nursing homes: factors affecting empowerment." Journal of Clinical Nursing 22, no. 17-18 (March 27, 2013): 2572–85. http://dx.doi.org/10.1111/jocn.12118.

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17

Harvey, Anne, and Cindy Priddy. "Collaborative Practice: Matching Staff Skills to Patient Needs and Checking Baseline Staffing Levels." Healthcare Management Forum 24, no. 4 (December 2011): 184–87. http://dx.doi.org/10.1016/j.hcmf.2011.08.003.

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Vancouver Coastal Health uses a collaborative practice process to enable nursing units to be proactive and adapt quickly to changing patient population needs using a standardized and integrated approach. The process involves clinical directors, frontline managers, staff, and union representatives from the outset and is based on a registered nurse/licensed practical nurse/patient care aide collaborative model of practice. Results show a total return on investment in 2.4 years.

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18

Drwiega, Michael W. "Managing Long-Term Care Facilities: Three Myths About Nurse Aide Work." Journal of Gerontological Nursing 25, no. 5 (May 1, 1999): 52–55. http://dx.doi.org/10.3928/0098-9134-19990501-16.

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19

Beer, Laura E., Susan R. Hutchinson, and Kristine K. Skala-Cordes. "Communicating With Patients Who Have Advanced Dementia: Training Nurse Aide Students." Gerontology & Geriatrics Education 33, no. 4 (October 2012): 402–20. http://dx.doi.org/10.1080/02701960.2012.702165.

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20

Castle, Nicholas G., John Engberg, and Aiju Men. "Nurse Aide Agency Staffing and Quality of Care in Nursing Homes." Medical Care Research and Review 65, no. 2 (November 28, 2007): 232–52. http://dx.doi.org/10.1177/1077558707312494.

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21

Marrelli, Tina M. "Restorative care and home care: New implications for aide and nurse roles?" Geriatric Nursing 24, no. 2 (March 2003): 128–29. http://dx.doi.org/10.1067/mgn.2003.29.

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22

Brandriet, Lois M. "Changing Nurse Aide Behavior to Decrease Learned Helplessness in Nursing Home Elders." Gerontology & Geriatrics Education 16, no. 2 (March 5, 1996): 3–19. http://dx.doi.org/10.1300/j021v16n02_02.

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23

Harmuth, Susan, and Jesse S. Goodman. "Developing an Adequate and High Quality Nurse Aide Workforce in North Carolina." North Carolina Medical Journal 65, no. 2 (March 2004): 101–3. http://dx.doi.org/10.18043/ncm.65.2.101.

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24

Yeatts, D. E., C. Cready, B. Ray, A. DeWitt, and C. Queen. "Self-Managed Work Teams in Nursing Homes: Implementing and Empowering Nurse Aide Teams." Gerontologist 44, no. 2 (April 1, 2004): 256–61. http://dx.doi.org/10.1093/geront/44.2.256.

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25

Barry, Theresa “Teta”, Diane Brannon, and Vincent Mor. "Nurse Aide Empowerment Strategies and Staff Stability: Effects on Nursing Home Resident Outcomes." Gerontologist 45, no. 3 (June 2005): 309–17. http://dx.doi.org/10.1093/geront/45.3.309.

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26

Ewing, Michael, Geoffrey A. Funk, Ann Marie Warren, Nakia Rapier, Megan Reynolds, Monica Bennett, Cyndi Mastropieri, and Michael L. Foreman. "Improving National Trauma Data Bank® coding data reliability for traumatic injury using a prospective systems approach." Health Informatics Journal 22, no. 4 (July 26, 2016): 1076–82. http://dx.doi.org/10.1177/1460458215610896.

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Trauma centers manage an active Trauma Registry from which research, quality improvement, and epidemiologic information are extracted to ensure optimal care of the trauma patient. We evaluated coding procedures using the Relational Trauma Scoring System™ to determine the relative accuracy of the Relational Trauma Scoring System for coding diagnoses in comparison to the standard retrospective chart-based format. Charts from 150 patients admitted to a level I trauma service were abstracted using standard methods. These charts were then randomized and abstracted by trauma nurse clinicians with coding software aide. For charts scored pre-training, percent correct for the trauma nurse clinicians ranged from 52 to 64 percent, while the registrars scored 51 percent correct. After training, percentage correct for the trauma nurse clinicians increased to a range of 80–86 percent. Our research has demonstrated implementable changes that can significantly increase the accuracy of data from trauma centers.

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Park, Jihyun, and Suhyun Kim. "A Comparison of Home Health Care Between Finland and South Korea in Long-Term Care Services." Innovation in Aging 4, Supplement_1 (December 1, 2020): 82. http://dx.doi.org/10.1093/geroni/igaa057.269.

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Abstract Population aging is one of the significant global issues. Long-term care is emphasized as “aging in place,” and it is known that home and community-based service is a cost-effective way to achieve this. Over ten years have passed since the introduction of long-term care insurance in Korea, and it is necessary to improve home health care in long-term care. The aim of this study was to identify the measures that must be undertaken for enhancing home health care in Korea by comparing it to the home health care in Finland. The data were collected via a literature review, expert interview, and field survey in Kuopio, Eastern Finland, from March 16 to 23, 2018. Based on the comparison between Korean and Finnish home health care, some issues related to home health care in Korea that need to be resolved were identified: the complex process involved in availing home health care, low utilization rate, higher cost than home health aide services in long-term care, and undifferentiated roles in home health care between registered nurses and nurse assistants. Several strategies could be utilized to enhance home health care in Korea, such as a simplified procedure to use home health care, clarification of roles between registered nurses and nurse assistants in home care, supervision of the integration of home care services by registered nurses, and an expansion of home health care into comprehensive assessment and nursing activities for chronic illness care and health promotion.

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McMullen, Tara L., Barbara Resnick, Jennie Chin-Hansen, Jeanne M. Geiger-Brown, Nancy Miller, and Robert Rubenstein. "Certified Nurse Aide Scope of Practice: State-by-State Differences in Allowable Delegated Activities." Journal of the American Medical Directors Association 16, no. 1 (January 2015): 20–24. http://dx.doi.org/10.1016/j.jamda.2014.07.003.

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29

Black, Helen K. "Moral Imagination in Long-Term Care Workers." OMEGA - Journal of Death and Dying 49, no. 4 (December 2004): 299–320. http://dx.doi.org/10.2190/j7fv-1b8y-mcnu-amdw.

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Our study focused on the cultural construction of dying and death in long-term care facilities. This article centers on direct care workers' perspective of residents' deaths. The data on which this article is based were gathered in a multi-year, multi-site study through formal ethnographic interviews, informal conversations, and on-site observations of residents and staff members. During fieldwork, we noticed an aptitude of direct care workers to deal with residents' deaths, which we named “moral imagination.” The term is borrowed from other disciplines to describe a “way of seeing” residents. The case studies presented—that of three direct care workers: a dietary aide, a nurse aide, and an assistant activities director—are suggestive of workers in each category. Our study offers implications for future research concerning direct care workers' value to residents' quality of life. We also propose questions for long-term care facilities about standards of formal caregiving at the end of life.

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30

Boyd, Jamie Kamailani, Jesika Y. Hernandez, and Kathryn L. Braun. "Engaging Nurse Aide Students to Develop a Survey to Improve Enrollment and Retention in College." Progress in Community Health Partnerships: Research, Education, and Action 5, no. 2 (2011): 169–76. http://dx.doi.org/10.1353/cpr.2011.0015.

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31

Goller, Michael, Bianca Steffen, and Christian Harteis. "Becoming a Nurse Aide: An Investigation of an Existing Workplace Curriculum in a Nursing Home." Vocations and Learning 12, no. 1 (June 2, 2018): 67–85. http://dx.doi.org/10.1007/s12186-018-9209-z.

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32

Noe, Kelly, and Dana A. Forgione. "Charitable contributions and quality in the us hospice care setting." Journal of Public Budgeting, Accounting & Financial Management 26, no. 4 (March 1, 2014): 539–56. http://dx.doi.org/10.1108/jpbafm-26-04-2014-b001.

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This paper examines the association of charitable donations with quality of care proxies for nonprofit hospice providers in the United States (US). An estimated 1.45 million patients received hospice care in the US in 2008. Medicare hospice spending exceeded $10 billion in 2007 and is expected to more than double over the next 10 years. Using Guidestar and Medicare Hospice Cost Report data, we find donations are positively associated with proxies for nurse and social worker quality of care, but not with our home-health aide quality proxy. This research adds to our understanding of charitable contributions in hospice provider organizations.

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33

Compton, Rebekah M., Kimberly S. Bednar, Peggie E. Donowitz, and M. Norman Oliver. "Management of patients with type 2 diabetes mellitus in the Grand-Aides Program." Journal of Nursing Education and Practice 10, no. 3 (November 18, 2019): 1. http://dx.doi.org/10.5430/jnep.v10n3p1.

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Objective: To evaluate the Grand-Aides Program for patients with type 2 diabetes mellitus (T2DM) according to the variables of body weight, blood pressure, medication adherence, and hospital consultation and readmissions.Methods: Patients ages 18 years or older with a past medical history of T2DM, hypertension (HTN), and/or obesity and who were recently seen in the emergency department (ED) or recently admitted to the hospital were eligible to enroll in the Grand-Aides Program. Eligible patients were identified after hospital or ED discharge and were asked to enroll in the in-home based program from March 2016 through June 2018. In-home visit protocol was defined prior to patient enrollment with intense in-home visits during the first weeks of enrollment followed by monthly visits for the duration of enrollment in the program. In-home visit frequency was adjusted on as needed basis so that patients at higher risk for ED visits or hospitalization were seen more frequently. In-home visits were performed by trained Grand-Aide who for the purpose of this study was a certified nursing assistant (CNA). The Grand-Aide underwent eighty hours of didactic training which included visit protocols, visit schedules, and data collection. The one-on-one in-home patient with every visit were supervised by a registered nurse (RN) or nurse practitioner (NP) via video or telephone contact near the conclusion of the visit. Active patients at the University of Virginia Family Medicine clinic were eligible for enrollment. Fifty-seven patients with T2DM worked with Grand-Aides for three months and an additional forty-eight T2DM patients worked with Grand-Aides for twelve months. Emergency department visits, all 30-day hospital readmissions, as well as blood pressure readings, medication adherence, weights, and glycated hemoglobin (HbA1c) were compared with the prior twelve months.Results: Systolic (p < .001) and diastolic (p < .01) blood pressures decreased (p < .01) at 1 year. At baseline 56 percent of the patients had a systolic blood pressure of >130 mmHg despite treatment; after 12 months, 48 percent of these were < 130. In those whose baseline diastolic blood pressure was > 90 mmHg, 100 percent had diastolic blood pressure < 90 mmHg at 1 year. Medication adherence by ARMS test at 1 year was 94 percent. Despite trending downward, weight and HbA1c did not change significantly. In the preceding, 58 percent had at least one ED visit, which was reduced by 50 percent (p < .01) with Grand-Aides; 30-day all-cause readmissions reduced by 50 percent to 6.3 percent. Conclusions: The Grand-Aides program was associated with a significant change in blood pressure control, high medication adherence and reductions in ED visits and readmissions that compare favorably with published comparative data. For systems “at risk” for preventable increased health care expense burden, the Grand-Aides program can result in significant savings.

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Al Saif, Amal Nasser, Jessie M. Johnson, Sadia Munir, Kumari Ammal, and Daniel Forgrave. "Effectiveness of journal clubs in translating knowledge into practice: A literature review." Journal of Nursing Education and Practice 9, no. 5 (January 23, 2019): 87. http://dx.doi.org/10.5430/jnep.v9n5p87.

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Background and objective: Hamad Medical Corporation nurse leaders established nursing journal clubs in 2014 as an important strategy to involve nurses in translating research into practice and as an effort to provide patients with the highest possible standards of care. Since the implementation of journal clubs in Hamad Medical Corporation (HMC), evaluative research within HMC has not been conducted to examine the effectiveness of this strategy. The aim of this review was to increase decision makers’ knowledge about the effectiveness of journal clubs in translating knowledge into clinical practice and to provide a framework to guide the development of a survey tool that would aide in the evaluation of nursing journal clubs’ effectiveness at Hamad Medical Corporation. A literature search was conducted as an initial step top guide the development of this tool.Methods: A literature search was conducted yielded 13 studies that evaluated the effectiveness of journal clubs after removing all duplicates and applying the inclusion criteria. The Mixed Methods Appraisal Tool-version 2011 was used to evaluate the quality of the included articles. Data was analyzed and extracted from each study and assembled into a summary table.Results: Four themes related to journal clubs’ effectiveness that are important in translating knowledge into practice: encouraging discussion among healthcare professionals, enhancing critical appraisal skills, promoting evidence-based practice knowledge, and impacting clinical practice.Conclusions: This literature review provides information about the four main interrelated themes that contribute to journal clubs’ effectiveness in translating knowledge into practice. This information would be useful to nurse educators at Hamad Medical Corporation and further utilized as a backdrop to the development of a tool to evaluate Hamad Medical Corporation nurses’ perceptions of journal clubs’ effectiveness.

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35

RUBIN, GERALD, RENGARAJAN V. BALAJI, and ROBERT BARCIKOWSKI. "Barriers to nurse/nursing aide communication: the search for collegiality in a southeast Ohio nursing home." Journal of Nursing Management 17, no. 7 (November 2009): 822–32. http://dx.doi.org/10.1111/j.1365-2834.2008.00913.x.

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36

Hunter, Kathleen F., and Sherry Dahlke. "Nurse and Health Care Aide Knowledge of Urinary Continence Promotion and Management In Hospitalized Older People." Journal of Wound, Ostomy & Continence Nursing 48, no. 5 (September 2021): 435–39. http://dx.doi.org/10.1097/won.0000000000000794.

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37

Yoon, Jung Min, Alison Trinkoff, Carla Storr, and Elizabeth Galik. "Nurse Staffing and Nursing Home Deficiency of Care for Inappropriate Psychotropics Use in Residents With Dementia." Innovation in Aging 4, Supplement_1 (December 1, 2020): 207–8. http://dx.doi.org/10.1093/geroni/igaa057.671.

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Abstract Psychotropics use to manage behavioral and psychological symptoms of dementia (BPSD) in nursing homes (NHs) has been the focus of policy attention due to their adverse effects. We hypothesized that NHs with lower nursing staffing would have greater reliance on psychotropics use to control BPSD. A NH deficiency of care can be cited for inappropriate psychotropics use (F-tag 758). The association between the occurrence of F-758 tags and nurse staffing in residents with dementia was examined using the 2017-18 Certification and Survey Provider Enhanced Reporting data (n=14,548 NHs). Staffing measures included nursing hours per resident day (HPRD) and registered nurse (RN) skill-mix. Generalized linear mixed models that included covariates (NH location, bed size, ownership, proportion of residents with dementia/depression/psychiatric disorders and with Medicare/Medicaid) estimated the magnitude of the associations. There were 1,872 NHs with F-758 tags indicating inappropriate psychotropics use for NH residents with dementia. NHs with greater RN and certified nurse assistant (CNA) HPRD had significantly lower odds of F-758 tags (OR=0.59 54, 95% CI=0.47 44-0.73 66; OR=0.87, 95% CI=0.77-0.99, respectively) and similar findings were found in NHs with greater RN skill-mix (OR=0.14 10, 95% CI=0.05 04-0.37 25). There were no significant associations between the occurrence of F-758 tags and licensed practice nurse and unlicensed nurse aide HPRD. This study found that RN and CNA staffing had inverse associations with inappropriate psychotropic use citations among residents with dementia. NHs with higher RN staffing ratios may be better able to implement alternatives to pharmacological approaches for BPSD. It is suggested that NHs be equipped with adequate nurse staffing levels to reduce unnecessary psychotropics use.

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Carvalho, Anna-Maria, Marie-Elaine Delvin, Carolyn Rosenczweig, Sujit Sivarman, and Raghu Venugopal. "Helping at Ground Zero: the experience of four Canadian emergency medicine residents and an emergency department nurse." CJEM 4, no. 02 (March 2002): 115–18. http://dx.doi.org/10.1017/s1481803500006242.

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SOMMAIRE Le 11 septembre 2001, le monde a été témoin d’une des pires attaques terroristes de l’histoire de l’humanité dirigée contre les deux Tours du World Trade Center à New York, et contre le Pentagone à Washington, DC. En tant que contingent canadien non officiel formé de quatre résidents en médecine d’urgence et d’une infirmière d’urgence, nous nous sommes joints au personnel médical américain pour offrir notre aide au cours de la phase de sauvetage à New York. Nous présentons un compte-rendu de notre expérience en tant que bénévoles au centre principal de triage de «Ground Zero.» Nous dressons le bilan des leçons que nous avons tirées de l’expérience et discutons du rôle du résident dans une situation de désastre.

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Goodridge, Donna, John B. Bond, Cynthia Cameron, and Elizabeth McKean. "End-of-life care in a nursing home: a study of family, nurse and healthcare aide perspectives." International Journal of Palliative Nursing 11, no. 5 (May 2005): 226–32. http://dx.doi.org/10.12968/ijpn.2005.11.5.226.

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Schnelle, John F., L. Dale Schroyer, Avantika A. Saraf, and Sandra F. Simmons. "Determining Nurse Aide Staffing Requirements to Provide Care Based on Resident Workload: A Discrete Event Simulation Model." Journal of the American Medical Directors Association 17, no. 11 (November 2016): 970–77. http://dx.doi.org/10.1016/j.jamda.2016.08.006.

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Thomas, Craig. "A structured home visit program by non-licensed healthcare personnel can make a difference in the management and readmission of heart failure patients." Journal of Hospital Administration 3, no. 3 (December 16, 2013): 1. http://dx.doi.org/10.5430/jha.v3n3p1.

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The purpose of this observational study is to evaluate the effectiveness of structured home visits by non-licensed healthcare personnel (NLHP) on the patient’s adherence to a medication plan, dietary restrictions, and knowledge about when to seek care. This descriptive, qualitative study evaluates the Grand-Aide ® program that aids in the management of heart failure patients across the continuum of care using NLHP. Patients are offered enrollment in the program starting the day following hospital discharge. Visit frequency is high immediately after discharge and lessens over time as the patient’s health knowledge and condition improve. During the visits, NLHP record vital signs including weight, ask the patient protocol questions in a Yes/No format, record and report responses to the supervising Nurse Practitioner, reinforce discharge teaching, and review medications. Preliminary findings from this project provide information about issues found while providing home-visiting services to patients with heart failure. Early recognition of these issues allows for early treatment or correction, preventing further deterioration that could lead to readmission. Programs like this can be an integral part of the health care system that manages patient’s care across the continuum, with intensive focus immediately after hospital discharge.

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Cordonier, Laurent, Audrey Breton, Emmanuel Trouche, and Jean-Baptiste Van der Henst. "Does prestige affect us physiologically?" Interaction Studies 18, no. 2 (December 8, 2017): 214–33. http://dx.doi.org/10.1075/is.18.2.04cor.

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Past research dedicated to the impact of hierarchy on the autonomic nervous system has focused mainly on dominance. The current study extends this investigation by assessing the effect of social prestige, operationalized through occupational status, and examines whether people react differently when interacting with individuals of high or low occupational status. Participants’ heart rate and electrodermal activity were recorded while they interacted with a confederate who was introduced either as a neurosurgeon (high-status condition) or as a nurse aide (low-status condition). The results show that, contrary to the participants’ skin conductance level, their heart rate was modulated by the confederate’s status. In the high-status condition, participants’ heart rate increased when the “neurosurgeon” approached them, reaching a higher level than when interacting with the person in the low-status condition. We discuss our results in terms of the threats or opportunities that prestige may elicit.

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Tonkikh, Orly, Efrat Shadmi, and Anna Zisberg. "Nursing Staffing Is Associated With Mobility and Food Intake in Older Hospitalized Patients." Innovation in Aging 4, Supplement_1 (December 1, 2020): 138. http://dx.doi.org/10.1093/geroni/igaa057.453.

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Abstract Hospitalization processes related to patient mobility and food-intake significantly affect outcomes of older adults. Nurses are the front-line personnel responsible for promoting performance of these functioning-preserving processes. The degree to which nursing skill-mix is related to their performance is unclear. We investigated the association between staffing and hospitalization processes in a cohort of 836 older adults aged 70+ admitted to internal units for non-disabling conditions. Mobility and food-intake were assessed within 2 days of admission using validated questionnaires. Nurse-patient ratios and nursing skill-mix (i.e. registered nurses, nurse aides, and advanced practice nurses) were assessed using administrative and payroll/roster data. Decision-trees were developed for mobility and food-intake applying classification and regression tree analysis. The mobility decision-tree identified four characteristics that subdivided the patients into eight segments (nodes) (pre-admission functioning, sex, malnutrition risk and percent of advanced practice nurses). The food-intake decision-tree identified five characteristics (pre-admission functioning, sex, chronic morbidity, age and percent of nurse aids) that subdivided the patients into ten nodes. Percent of advanced practice nurses and the percent of nurse aids classified low functioning patients: higher percent of advanced practice nurses (>30% vs. ≤30%) was associated with higher probability of walking in corridors (20.7%) versus inside the room (4.3%), and higher percent of nurse aids (>23% vs. ≤23%) was associated with higher probability of eating more than half of the served meals (83.9%) versus others (66.3%). This study shows that staffing levels are associated with better performance of functioning-preserving processes. Future studies should investigate staffing interventions improving functioning-preserving processes.

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Zulkosky, Julie, and Ann Harms. "Evidence Based Approach to Capacity Assessment for Hospitalized Patients." CNS Spectrums 26, no. 2 (April 2021): 150. http://dx.doi.org/10.1017/s1092852920002382.

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AbstractMedical decision-making capacity (MDMC) is inherent to the legal and ethical principles of respect for autonomy and is an essential element of informed consent. Qualitative and quantitative evidence to support a final decision of capacity should be the gold standard. General hospital policies and state laws mandate that a licensed provider make the final determination of capacity, but they do not specifically mandate who is responsible for those assessments. When a patient s decisional capacity fluctuates, the role of the nurse in a hospital setting is valuable because they have the most direct contact with the patient. Objective: Determine receptiveness of nursing staff to assessing capacity, to gather feedback on the Aid to Capacity Evaluation (ACE) tool, and to ascertain awareness of capacity by sixty nurses working on progressive care, trauma orthopedic, and medical/surgical units. Method: This project was completed at a Midwestern academic level I trauma center. Nurses on a medical/surgical, orthopedic trauma, and progressive care unit participated. Education about MDMC and the ACE tool were given to nurses verbally and in writing. They were asked to utilize the Aide to Capacity Evaluation (ACE) tool to assess patients whom they believed lacked decision-making capacity. After four weeks the nurses completed an evaluation. Results: Thirty nurses (50%) responded. Over 70% of those respondents used the tool at least once. 63% agreed that the format helped to systematically evaluate a patient and they found it easy to incorporate into practice. Overall, 73% of respondents would welcome more education about capacity. Conclusion: Given a standardized tool in conjunction with proper and continuous education, bedside nurses are in an optimal position to identify mental changes early, alert the provider so steps can be taken to optimize mental capacity, and assist with assessment of capacity with minimal disruption of care. Implementation of a tool such as the ACE can ensure accurate, reliable, and consistent assessments. Furthermore, providers would benefit from the extra time to gather information and complete focused assessments to make a determination of capacity with confidence.

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Jester, Dylan J., Kathryn Hyer, and John R. Bowblis. "HIGH ON SMI: QUALITY CONCERNS ABOUT NURSING HOMES SERVING HIGH PROPORTIONS OF SERIOUSLY MENTALLY ILL RESIDENTS." Innovation in Aging 3, Supplement_1 (November 2019): S510—S511. http://dx.doi.org/10.1093/geroni/igz038.1885.

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Abstract The proportion of nursing home (NH) residents that have serious mental illness (SMI) has increased over the least two decades. Residents with SMI tend be younger and have different medical needs than traditional residents. To better understand this population, our study examined the facility, staffing, and resident characteristics of NHs that were more likely to specialize in SMI. Utilizing the Certification and Survey Provider Enhanced Reports, low-SMI (N = 3,616) and high-SMI (N = 3,615) NHs were defined as the first and fourth quartile of the distribution of the proportion of SMI residents, respectively. We performed bivariate tests and multivariate logistic regression to compare facility, staffing, resident, and star-ratings characteristics between NHs. High-SMI NHs were less likely to be Not-For-Profit, have fewer beds, have more Medicaid-paying residents, lower registered nurse staffing, and lower certified nurse aide staffing levels (p’s<.001). Residents in high-SMI NHs were more likely to require behavioral healthcare (p<.001) and be treated with psychoactive medications (any psychoactive, antidepressants, antipsychotics, anxiolytics (p’s<.001), hypnotics (p<.01)). Finally, high-SMI facilities had lower overall quality, health inspection, quality measure, staffing, and registered nurse staffing star-ratings (p’s<.001). High-SMI NHs have characteristics that are associated with lower quality-of-care (e.g., For-Profit, more Medicaid), lower staffing, prescribe more psychoactive medications, and have lower star-ratings. As the SMI population grows, large numbers of SMI residents will concentrate in a few NHs. While further research is needed to understand the implications of these trends, policy-makers must be aware of this population when affecting the resources and staffing of NHs.

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Roberts, Amy Restorick, and Mercedes Bern-Klug. "Barriers to Meeting the Social and Emotional Needs of Nursing Home Residents." Innovation in Aging 4, Supplement_1 (December 1, 2020): 718. http://dx.doi.org/10.1093/geroni/igaa057.2534.

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Abstract Presenters will describe barriers to psychosocial care and identify which factors increase the odds of experiencing a psychosocial care barrier. Reported major barriers include: insufficient number of nurse aide staff (31%), having to do things other people could do (29%), lack of resources to provide residents with opportunities to leave the nursing home on outings (25%), pressure to admit and discharge post/sub-acute patients takes time away from attending to the social and emotional needs of long stay residents (23%), and not enough social service staff for the number of residents (21%). With data from the 2019 National Nursing Home Social Services Directors Survey, a series of logistic regressions found that significant predictors varied by specific barrier, although devoting more time to short-term residents predicted a greater likelihood of reporting a major barrier in four of the five outcomes. Strategies to address these structural and contextual factors will be discussed.

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Ali, Saadia, Marshall J. Getz, and Heather Chung. "Bridging the gap for patients with mental illness." Mental Health Clinician 5, no. 1 (January 1, 2015): 40–45. http://dx.doi.org/10.9740/mhc.2015.01.040.

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A metropolitan hospital system has developed and implemented a transition-of-care program focusing on patients with mental illnesses and high risk for hospital readmissions or emergency department visits. Currently, the transition period between care settings creates a state of vulnerability for patients and their caregivers. Poor care coordination negatively affects patient outcomes and results in a major economic burden. Patients with mental illnesses are particularly sensitive to transition-of-care issues including confusion about which medications to start and stop. This program aims to design, implement, and evaluate interventions to improve care transitions at 3 hospitals for individuals with a primary or secondary psychiatric diagnosis. In the inpatient setting, the clinical pharmacist, nurse practitioners, and social workers collaborate to identify medication-related problems. After patients are discharged from the hospital, nurse practitioners, the clinical pharmacist, and educators follow up with patients for 30 days via home health aide visits and telephone calls. Evidence-based tools and assessments are used to drive the program's interventions. From June 2014 to September 2014, 770 patients were identified as high risk. Readmissions data are pending. The patient outcomes data will fill the gap in the literature with essential information on transition-of-care issues within the mental health population. This program has implications to affect health care policy because it uses multiple evidence-based practices with the ultimate goal of decreasing economic burden for health systems and patients. New pharmacist roles in transition of care may emerge from this program.

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Park, Yunhee, and Hyun-Jung Yun. "A Multilevel Investigation of Fall Prevention Behavior Among Nursing Staff of South Korean Geriatric Hospitals." Global Journal of Health Science 12, no. 10 (August 4, 2020): 97. http://dx.doi.org/10.5539/gjhs.v12n10p97.

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BACKGROUND: There is lack of empirical evidence on whether organizational variables affect the fall prevention behavior of nursing staff working at Korean geriatric hospital. Aim This study aimed to investigate individual and organizational characteristics associated with the fall prevention behavior of nurses and nurse aides. METHODS: A descriptive cross-sectional research design was used. A convenient sample of 426 clinical nurses and nurse aides from 8 geriatric hospitals in South Korea was recruited between October and November 2019. Hierarchical regression analysis was used to estimate the effects of individual- and organization-level predictors. RESULTS: The result indicated that fall prevention self-efficacy (β=0.41, p<.001) was a significant individual-level predictor. At the organizational level, Nurse to nurse aides ratio (β=.21, p=.005) and number of patients per physical therapist (β=-.28, p=.014) were significant predictors. Furthermore, there was a significant change of R2 (p=.034) when organizational variables were included in the regression model. CONCLUSION: To increase fall prevention behavior of nurse and nurse aides, administrators in geriatric hospital should recognize the importance of staffing, such as nurse and physical therapist. Further studies are proposed to investigate the empirical evidence about the association between organizational variables and patient outcomes.

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Koutlas, Judy B., and Debra C. Mascarenhas. "Utilizing volunteer, nonclinical navigators (NCN) as extenders of the breast nurse navigator (BNN) to provide patient education and support." Journal of Clinical Oncology 37, no. 27_suppl (September 20, 2019): 128. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.128.

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128 Background: The role of the BNN during the treatment phase of the care continuum involves educating patients and families and assisting them with overcoming barriers to care by linking them to appropriate resources. Our BNN provides education to approximately 15 new patients per month. Additional navigation services are provided to 114 patients per month with an annual caseload of 580. The caseload volume limits the number of patients she can see in one day. With our existing volunteer NCN program, we decided to conduct a 3-month pilot project utilizing NCN in our breast clinic to provide navigation services while the BNN was on medical leave. Methods: Three NCN were trained by BNN to provide breast navigation services. Each NCN received a minimum of 10 hours of training, which included education regarding breast cancer, common barriers to care, and resources. The BNN created a navigation tool indicating the education to be provided at diagnosis, pre-and post-surgery, and systemic therapy. NCN provided education by utilizing videos and written materials. Patient medical questions were deferred to nursing staff and physicians. BNN provided training and resource guide to aide NCN to identify and link patients with appropriate resources and support staff. Results: NCN provided services to 78 patients including approximately 10 new patients per month. A total of 24 surveys were completed by healthcare team and patients. Results revealed 94% of patients agreed/strongly agreed NCN helped them feel better and reduced fears, 100% reported helpfulness in linking to resources and support programs, and 50% viewed a video and reported better understanding. Healthcare team overwhelmingly reported the emotional support provided was beneficial and that NCN were helpful in providing resources and recommended continuing. Conclusions: NCN are effective in providing additional navigation services. Our breast navigation program had a 29% increase in new patient encounters and 27% increase in returning patient encounters compared to the previous year prior to the addition of NCN. We plan to expand this model into other multidisciplinary clinics.

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Maharjan, Leison, Aditya Singhal, and Rajendra P. S. Guragain. "Effectiveness of Audit and Feedback in Improving the Quality of Operative Notes - A Retrospective Observational Study." Journal of Institute of Medicine Nepal 41, no. 1 (April 30, 2019): 75–78. http://dx.doi.org/10.3126/jiom.v41i1.28604.

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Introduction: Surgeons must maintain detailed and accurate operative notes as it is important not only for safe patient care but also for research, audit and medicolegal purposes. But literature has shown that many operative notes are incomplete and illegible. Audit and feedback is a useful strategy to improve such practices which our department has been following. Our aim is to study its effectiveness by comparing the quality of operative notes of 2016 with that of 2014. Methods: Total 96 operative notes, 48 each of the year 2014 and 2016 were studied under 22 parameters including 18 suggested by “Good Surgical Practice” guideline. Each operative notes was analyzed by a single observer for completeness. Parameters of the operative notes of two different years were compared and given the status of either improved, deteriorated or unchanged. Results: Only parameters related to patient identification, date, surgeon’s fullname, postoperative plan were complete in both the years. In comparison to earlier year, in 2016 improvement was seen in parameters such as postoperative diagnosis, details of tissue removed, authors details, closure details, operation time and operative difficulties/ complications and deterioration was seen in hospital number, preoperative diagnosis, procedure, fullname of anesthetist, fullname of scrub nurse, operative findings and signature of the surgeon. Conclusion: Improvement in the quality of the operative notes was not adequate with audit and feedback strategy alone. Hence to increase the effectiveness, other methods such as computerized operative notes and aide-memoire should also be introduced.

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