Academic literature on the topic 'Nursing Home Administrator'

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Journal articles on the topic "Nursing Home Administrator"

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Siegel, Elena O., Michael C. Leo, Heather M. Young, and Nicholas G. Castle. "Nursing home administrator self-assessed preparedness." Health Care Management Review 39, no. 3 (2014): 210–22. http://dx.doi.org/10.1097/hmr.0b013e318294e5ce.

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Jacobs, M. Lindsey, A. Lynn Snow, Patricia A. Parmelee, and Jullet A. Davis. "Person-Centered Care Practices in Long-Term Care in the Deep South: Consideration of Structural, Market, and Administrator Characteristics." Journal of Applied Gerontology 37, no. 3 (April 17, 2016): 349–70. http://dx.doi.org/10.1177/0733464816642583.

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The purpose of this study was to identify structural, market, and administrator factors of nursing homes that are related to the implementation of person-centered care. Administrators of Medicare/Medicaid-certified nursing homes in the Deep South were invited to complete a standardized survey about their facility and their perceptions and attitudes regarding person-centered care practices (PCCPs). Nursing home structural and market factors were obtained from public websites, and these data were matched with administrator data. Consistent with the resource-based theory of competitive advantage, nursing homes with greater resources and more competition were more likely to implement PCCPs. Implementation of person-centered care was also higher in nursing homes with administrators who perceived culture change implementation to be feasible in their facilities. Given that there is a link between resource availability and adoption of person-centered care, future research should investigate the cost of such innovations.
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Angelelli, Joseph, David Gifford, Ann Shah, and Vincent Mor. "External Threats and Nursing Home Administrator Turnover." Health Care Management Review 26, no. 3 (2001): 52–62. http://dx.doi.org/10.1097/00004010-200107000-00006.

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Oyama, Yumiko, Masayo Kashiwagi, Yasuko Ogata, and Yumiko Hoshishiba. "Factors Associated With the Use of the Reactive Approach to Preventing Patient Safety Events." Home Health Care Management & Practice 29, no. 2 (December 1, 2016): 96–102. http://dx.doi.org/10.1177/1084822316681267.

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The aim was to investigate the prevalence of using the reactive approach to patient safety event prevention in home-visit nursing agencies and explore factors associated with this approach. Multiple logistic regression analysis was conducted to investigate possible reactive approach-related factors. Two hundred forty-five agencies (71.0%) reported using the reactive approach to prevent event recurrence. Use of the reactive approach in agencies was significantly associated with having administrators who had attended an education course before employment in an administrative position (odds ratio = 1.95). To increase patient safety knowledge and awareness, administrator candidates must attend a course on home-visit agency management. Nursing researchers and policy makers should reexamine and adjust prerequisites for administrator registration at home-visit nursing agencies in Japan.
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Siegel, Elena O., Anna Zisberg, Debra Bakerjian, and Leehu Zysberg. "Nursing Home Administrator Quality Improvement Self-Efficacy Scale." Health Care Management Review 42, no. 4 (2017): 328–40. http://dx.doi.org/10.1097/hmr.0000000000000111.

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Nelson, H. Wayne, Bo Kyum Yang, Cyrus Y. Engineer, and Mary W. Carter. "NURSING HOME ADMINISTRATOR STRESS, SATISFACTION, AND INTENTIONS TO LEAVE." Innovation in Aging 3, Supplement_1 (November 2019): S504. http://dx.doi.org/10.1093/geroni/igz038.1864.

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Abstract Previous studies reported that high Nursing Home Administrator (NHA) turnover correlates with low staff morale and poorer care outcomes. The purpose of this study was to assess how NHA job satisfaction (JS) (in five subscales: job content, coworkers, work demands, work load, work skills, and rewards) interacts with role conflict and ambiguity, autonomy, work conflict, and influence and to estimate the odds of having NHA’s intent to quit by degree of job satisfaction. A total 208 responses were collected from the online survey in 2017 among NHAs currently working in nursing homes in 5 states. We analyzed the data using descriptive statistics and ordinal logistic regression models. The findings suggested that NHAs were generally satisfied in all JS subscales and expressed moderately high levels of autonomy, neutral levels of work conflict, role conflict and role ambiguity. NHAs with good coworker relations (adjusted odds ratio [AOR]=0.67), fair job demands (AOR=0.68) and rewards (A0R=0.8), were less likely to harbor quitting intents. Interestingly, NHAs reporting higher job skills were more likely to consider leaving nursing homes (AOR=1.46). Overall, study findings are consistent with previous JS research with the exception that higher perceived skill efficacy was found to be associated with greater likelihood of quitting in the near future. This suggests perhaps that more highly skilled NHAs may now have less tolerance for work discomfort. These findings are presented in the context of earlier studies on NHA turnover as well as likely implications of changing market conditions.
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Chisholm, Latarsha, Akbar Ghiasi, Justin Lord, and Robert Weech-Maldonado. "Culture Change Initiatives in High Medicaid Nursing Homes: Does Time of Adoption Make a Difference?" Innovation in Aging 4, Supplement_1 (December 1, 2020): 22–23. http://dx.doi.org/10.1093/geroni/igaa057.072.

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Abstract Racial/ethnic disparities have been well documented in long-term care literature. As the population ages and becomes more diverse over time, it is essential to identify mechanisms that may eliminate or mitigate racial/ethnic disparities. Culture change is a movement to transition nursing homes to more home-like environments. The literature on culture change initiatives and quality has been mixed, with little to no literature on the use of culture change initiatives in high Medicaid nursing homes and quality. The purpose of this study was to examine how the involvement of culture change initiatives among high Medicaid facilities was associated with nursing home quality. The study relied on both survey and secondary nursing home data for the years 2017-2018. The sample included high Medicaid (85% or higher) nursing homes. The outcome of interest was the overall nursing home star rating obtained from the Nursing Home Compare Five-Star Quality Rating System. The primary independent variable of interest was the years of involvement in culture change initiatives among nursing homes, which was obtained from the nursing home administrator survey. The final model consisted of an ordinal logistic regression with state-level fixed effects. High-Medicaid nursing homes with six or more years in culture change initiatives had higher odds of having a higher star rating, while facilities with one year or less had significantly lower odds of having a higher star rating. Culture change initiatives may require some time to effectively implement, but these initiatives are potential mechanisms to improve quality in high Medicaid nursing homes.
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Singh, Douglas A. "Nursing Home Administrator Compensation: Pay Equity and Determinants of Salary." Health Care Management Review 27, no. 2 (April 2002): 18–32. http://dx.doi.org/10.1097/00004010-200204000-00003.

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McCarthy, Jennifer, and Leonard H. Friedman. "The Significance of Autonomy in the Nursing Home Administrator Profession." Health Care Management Review 31, no. 1 (January 2006): 55–63. http://dx.doi.org/10.1097/00004010-200601000-00008.

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Hamann, Darla J., and Karabi C. Bezboruah. "Outcomes of health information technology utilization in nursing homes: Do implementation processes matter?" Health Informatics Journal 26, no. 3 (January 29, 2020): 2249–64. http://dx.doi.org/10.1177/1460458219899556.

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We examined several outcomes of health information technology utilization in nursing homes and how the processes used to implement health information technology affected these outcomes. We hypothesized that one type of health information technology, electronic medical records, will improve efficiency and quality-related outcomes, and that the use of effective implementation processes and change leadership strategies will improve these outcomes. We tested these hypotheses by creating an original survey based on the case study literature, which we sent to the top executives of nursing homes in seven US states. The administrators reported that electronic medical record adoption led to moderately positive efficiency and quality outcomes, but its adoption was unrelated to objective quality indicators obtained from regulatory agencies. Improved electronic medical record implementation processes, however, were positively related to administrator-reported efficiency and quality outcomes and to decreased deficiency citations at the next regulatory visit to the nursing home. Change leadership processes did not matter as much as technological implementation processes.
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Dissertations / Theses on the topic "Nursing Home Administrator"

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Madubata, Juliet Iheoma. "The Influence of Nursing Home Administrator Turnover on Resident Quality of Life." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/325.

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By 2040, 79.7 million older adults will live in the US, and nearly 40% will need nursing home services that are primarily funded by Medicare and Medicaid. Researchers have underscored the importance of leadership in quality healthcare care delivery, suggesting that nursing home administrator turnover could influence resident quality of life, causing ill-health for the residents and preventable medical costs for taxpayers. In spite of the suggested association, little research has specifically examined the role of administrator turnover on resident quality of life. As such, the purpose and central research questions of this case study were designed specifically to address the relationship between nursing home administrator turnover and resident quality of life. The Donabedian health services quality model was the framework for the study. Data were collected from 14 nursing homes, and included semistructured interview data with 7 nursing home administrators, and a review of other documents related to quality of care including site visit reports and surveys. An iterative process of coding and constant comparison was used to identify themes and categories from the data. The findings indicate that turnover likely caused an adverse impact on the nursing home overall, which was expected. The study also determined, however, that high turnover itself was not perceived to be associated to low resident quality of life. The implication for social change is that nursing home stakeholders may develop processes to retain competent administrators which in turn could reduce absent leadership presence in nursing homes. Consistent leadership presence may lead to improvement in quality of life regulatory compliance and reduction in unnecessary Medicare and Medicaid spending by nursing home residents.
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Cohn, Arthur M. "Effectiveness of nursing home administrators /." The Ohio State University, 1988. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487596307358779.

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Sheehy, Christine M. "Differences in Nursing Home Utilization and Clinical Outcome in Veterans Administration Nursing Home Patients." VCU Scholars Compass, 1987. https://scholarscompass.vcu.edu/etd/5520.

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Because of increasing costs and demand for nursing home care, studies are needed that can better describe the population of users and improve prediction of clinical outcomes and program requirements. The major purpose of this study was to explore the incremental and seven month outcomes of nursing home patients using the Andersen model. The design was longitudinal. Patients from one Veterans Administration (VA) hospital-based nursing home and six freestanding. VA contract community nursing homes were studied. Functional and cognitive ability were analyzed along with socioeconomic and demographic data. and utilization patterns. A second purpose was to assess associations among variables and their interaction effects in predicting outcome. A third purpose was to assess the contribution of such independent variables as case-mix and rehospitalization rates to possible cost differences evidenced by the two nursing home types. The results of this study suggest avenues for planning and allocation of resources in the two program alternatives. The Barthel Index (BI) (Mahoney & Barthel. 1965) was used to measure functional status and the Short Portable Mental Status Questionnaire (SPMSQ) (Pfeiffer. 1975) for cognitive ability. In addition to standardized measures. sociodemographic and utilization data. perceptions of health and outcomes of care were collected on all subjects. Analytical techniques included descriptive and inferential statistics. The major hypothesis was that veterans in the hospital-based versus contract statistically significant differences in characteristics and on measures of service use and clinical outcome. Findings were evaluated for policy adequacy. adherence to program intent. federal and state cost complement and other qualitative implications. Statistically significant differences were found between patients in the two settings on predisposing, enabling and need characteristics. The hospital-based NHCU patients were more likely to be married and living with someone. They also had higher incomes, more Medicare A coverage, a greater percentage of service-connected veterans and demonstrated greater limitation in functional ability than did those in contract. The predominant outcome for both groups was continued nursing home care. Statistically significant differences were also found for outcome measures. Higher income and being 76 years or older were predictive of continued nursing home residence. The type of nursing home was not significant in explaining continued care. The total number of diagnoses. age group and type of nursing home were predictive of death as an outcome. There were significantly more deaths among those 75 years or younger. among those with lower incomes and among NHCU patients. Health service utilization did not differ significantly by nursing home type. Neither group of nursing home patients demonstrated any significant improvement in functional or mental status and self-perceived health. The only differences of note were among those 75 years or less who did improve in functional ability from the third to the sixth month. The findings suggest that the two nursing home types do have different patient population profiles. However. the continued use of nursing home care by both groups indicates some lack of fit between legislative intent and actual clinical utilization.
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MaGee-Rodgers, Tamiko R. "Character Strengths of Nursing Home Administrators Who Lead Exemplary Long-Term Care." Thesis, Indiana Wesleyan University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10930255.

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The growth in the older adult population will result in an increasing number of individuals with functional and cognitive limitations. The demand for nursing home administrators will grow proportionately with the aging population and the need for effective leadership within nursing homes is and will continue to be imperative as the population ages. Identifying top-rated nursing homes that provide quality care is essential to understanding the operations of successful long-term care facilities. Nursing home administrators (NHAs) are tasked with leading and directing provision of skilled, intermediate and rehabilitation care on a 24-hour basis while ensuring high quality operations. Identifying the character strengths of nursing home administrators who lead exemplary nursing homes may benefit other nursing home leaders who lead lower rated or underperforming facilities. In this qualitative study, 19 nursing home administrators who lead exemplary facilities across Indiana completed the Value in Action Inventory Strengths (VIA-IS) questionnaire and engaged in face-to-face interviews. Analysis of the interview data via NVivo indicated how the use of character strengths is crucial to effective leadership within long-term care. Creativity, fairness, bravery, perspective, and judgment were identified by a majority of study participants as essential to decisionmaking and problem solving, especially in a heavily regulated environment. Humor, hope, courage, and spirituality were acknowledged as contributing to a positive and optimistic environment. Humor, hope, courage, and spirituality were also noted as coping mechanisms when faced with stress and adversity. Honesty, kindness, love, teamwork, and gratitude were emphasized by the study participants as essential to relationship development and formation of trust with staff, residents, and families. This study allowed participants the opportunity to reflect on their own character strengths and leadership both personally and professionally. This reflection resulted in increased self-awareness and appreciation of their staff, residents, and roles as nursing home administrators.

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Law, Emma. "Research in care homes : issues of participation and citizenship." Thesis, University of Stirling, 2016. http://hdl.handle.net/1893/25305.

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Across Scotland, there is a lack of research in care homes. This thesis explores this topic by examining links between inclusion, participation in general and participation in research and whether those who work and live in the care home environment experience social citizenship. Using a national survey and interviews with residents, staff, relatives and experts in care home research, this thesis investigated whether participation generally was linked to participation in research for residents, staff and visitors in a care home setting. The thesis further explored how social citizenship functions in a care home environment and whether there is a link between participation and citizenship. The findings suggest there is a lack of general participation which is connected with the leadership style and management within the care homes. There is misunderstanding about research and legislation amongst the care home staff, residents, visitors, as well as the junior research staff which inhibited staff and resident participation. Furthermore, citizenship is not experienced universally by residents or staff due to disempowerment, and exclusion occurs amongst residents due to age, frailty and dementia. By facilitating good leadership, communication and relationship-building such issues may be overcome. In addition, the analysis suggests a link is evident between inclusion, participation and citizenship. Where choice is provided and residents have their social position maintained, as well as have a degree of responsibility for shaping events, this leads to participation and inclusivity as described in Bartlett and O’Connor’s (2010) definition of social citizenship. Furthermore, if inclusion is adapted for cognition and frailty, then participation leads to the experience of social citizenship, encouraging a culture which can welcome research. The explicit emphasis on inclusion and participation in research has enabled this under-researched area of participation and experience of social citizenship in care homes to be more fully explored.
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Thomas, Cynthia M. "Issues of concern for directors of nursing in long term care." Virtual Press, 1999. http://liblink.bsu.edu/uhtbin/catkey/1154778.

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Health care delivery has changed and the long term care facility has residents with more complex medical problems. The director of nursing (DON) faces many problems and stressors, is often dissatisfied and leaves the position within the first two years. This turnover is associated with increased cost to the facility, decrease in the quality of care provided to residents and an increase in the turnover rate of the nursing staff. While the turnover problem is significant to the agency and the industry, little has been accomplished to correct the situation.The purpose of this descriptive study was to examine the stressors and emotions that are associated with the tenure and job satisfaction of directors of nursing in long term care. The theoretical framework for this study was the revised causal model of job satisfaction developed by Agho, Mueller and Price (1993).Participants were obtained from a current list from the National Association of Director's of Nursing Administration/Long Term Care (NADONA/LTC). The population was 400 directors of nursing currently employed in long term care. The sample of 134 (34%) was obtained from the completed questionnaires. Participants completed two questionnaires about the stressors of the director's position and demographics. The procedures for the protection of human subjects were followed.Findings supported Agho, Mueller and Price's (1993) revised causal model of job satisfaction. In this study (39.6%) of the DONs reported they would not leave the position even if there were other opportunities elsewhere. This was in spite of 67 (50%) who stated the area they worked in had other nursing opportunities. DONs (77.7%) had a great deal of freedom to make decisions in the job, supporting Agho et al., (1993) findings that autonomy was important to job satisfaction as an abstract concept. Role overload was also cited by Agho et al., (1993) to effectjob satisfaction. The majority of respondents ( n = 123; 92.5%) believed the job to be stressful yet 78 (58.6%) did not leave work with feelings of failing, as well as 119 (88.8%) saw their work as having a greater purpose. This finding did not support Agho et al. (1993) model.In spite of being stressed and dealing with a high degree of repetition 83 (62.4%) of the DONs had a high degree of job satisfaction with the current position and 94 (70.2%) felt fulfilled. Believing DONs could make a positive change in the career was expressed by 115 (85.9%) which supports Agho et al. (1993) work motivation or the belief in the centrality of the work role in one's life. Findings did not support the current trend for advanced education as preparation for the position. The DONs (61.6%) in this study believed that an associate degree or diploma was adequate preparation for the position.In conclusion the DONs participating in the study were able to identify areas of stress and issues of concern which impact job satisfaction and tenure. Findings suggested that to retain a DON in long term care the administrator and staff must be supportive of decisions made while managing the department. DONs indicated jobs were stressful, required long hours, and involved dealing with staff conflict which created stressors. However, individuals loved the work, because individual believed some good was being accomplished and making a difference in people's lives which made the stress tolerable. Findings suggest the majority of the DONs remain in the position for personal satisfaction.Implications from this study suggested that the tenure and job satisfaction of the DON in long term care can be lengthened and strengthened to improve and stabilize long term care facilities and the industry as a whole. Quality of care, staffing turnover and negative/positive cost to the facility hinges on the tenure of the DON. Long term care directors may need advanced education to manage stress and handle complex daily decisions. Directors need a sense of support from the administrator and the staff to develop autonomy. Directors need to be involved in nursing organizations and hold certifications that support and provide some stature to the position. Directors may need to unite and lobby to create change in the long term care industry.
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Payne, Regina L. Lynn Mary Ann. "Selected relationships among demographic, career, organization, job satisfaction, and job attachment variables for directors of nursing in nursing homes." Normal, Ill. Illinois State University, 1985. http://wwwlib.umi.com/cr/ilstu/fullcit?p8525563.

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Thesis (Ed. D.)--Illinois State University, 1985.
Title from title page screen, viewed June 23, 2005. Dissertation Committee: Mary Ann Lynn (chair), Kenneth Strand, David Eaton, John McCarthy, J.H. McGrath. Includes bibliographical references (leaves 207-218) and abstract. Also available in print.
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Wike, Christopher L. Wircenski Jerry L. "Intent to quit perceptions of nursing assistants working in Oklahoma state veterans administration-owned and administered nursing homes." [Denton, Tex.] : University of North Texas, 2007. http://digital.library.unt.edu/permalink/meta-dc-3903.

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Wike, Christopher L. "Intent to quit perceptions of nursing assistants working in Oklahoma state veterans administration-owned and administered nursing homes." Thesis, University of North Texas, 2007. https://digital.library.unt.edu/ark:/67531/metadc3903/.

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The purpose of this study was to examine a select set of organizational variables and determine their relationship to nursing assistants' intentions to quit in state-owned veterans' long-term care facilities located across the United States. America's long-term care industry (e.g., nursing homes, assisted living facilities) is a multibillion dollar industry. Because the U.S. government is projecting a 250% increase in the elderly population, staffing these nursing homes and related facilities is a critical concern. A vitally important but often overlooked factor of the long-term care industry is employee turnover. Of the staff in long-term care facilities, the nursing assistant (NA) position is particularly susceptible to turnover. Approximately 80% of NAs who enter the workforce leave within the 1st year and many leave within the first 3 months of employment. Some facilities report that they are unable to accept new residents because of a lack of qualified NAs. While many studies have researched this issue, staff turnover in long-term care facilities remains a serious and widespread problem. This study provides a foundation for future research related to the perceptions of intentions to quit of nursing assistants (NAs) working in state-owned veterans long-term care facilities by providing primary data regarding NAs intentions to quit. Results of this study indicate that NA intentions to quit might be reduced provided that pay and rewards are increased, workplace violence is addressed, and better access to patient care plans is provided. This research is useful to state-owned and operated long-term care facilities by giving them additional insights into nursing assistants' intentions to quit perhaps resulting in lower rates of turnover. It is suggested that future research be performed using populations of individuals from other segments of the long-term care industry, mainly, for-profit institutional care nursing homes, and federally owned veterans long-term care facilities.
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Peoples, Paula Beth. "Pay-per-visit for Home Health Agency nurses." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1410.

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Books on the topic "Nursing Home Administrator"

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Office, General Accounting. Medicaid: Making Georgia's nursing home reimbursement more equitable : report to the Region IV Administrator, Health Care Financing Administration. [Washington, D.C.]: The Office, 1986.

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Nursing home administration. New York: Springer Pub. Co., 1987.

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H, Koff Theodore. Nursing home administration. Washington, DC: Association for Gerontology in Higher Education, 1993.

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Nursing home administration. 3rd ed. New York, NY: Springer Pub. Co., 1997.

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Nursing home administration. 2nd ed. New York: Springer Pub. Co., 1992.

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Nursing home administration. 4th ed. New York: Springer Pub. Co., 2003.

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Nursing home administrators: Their influence on quality of care. New York: Garland Pub., 1997.

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Whitton, James R. Managing to care in homes for the elderly. 2nd ed. Hayle: Patten Press, 1987.

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Whitton, James R. Managing to care in homes for the elderly. 2nd ed. Hyle, Cornwall: Patten Press, 1987.

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Nursing home administrator's desk book. Englewood Cliffs, N.J: Prentice Hall, 1989.

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Book chapters on the topic "Nursing Home Administrator"

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Hefele, Jennifer Gaudet, Pamela Nadash, and Edward Alan Miller. "Public Reports of Nursing Home Quality." In Global Encyclopedia of Public Administration, Public Policy, and Governance, 1–7. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-31816-5_3305-1.

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Richardson, Jane. "The Administration of Chemotherapy in the Patient’s Home — A New Perspective." In Cancer Nursing, 146–49. London: Macmillan Education UK, 1989. http://dx.doi.org/10.1007/978-1-349-10714-8_51.

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"Nursing Home Administration Practice Exam." In The Health Services Executive (HSE™) Q&A Review. New York, NY: Springer Publishing Company, 2021. http://dx.doi.org/10.1891/9780826135261.0008.

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Cotter Fredrickson, Kyle. "Nursing Home Culture Change." In Long-Term Care Administration and Management. New York, NY: Springer Publishing Company, 2014. http://dx.doi.org/10.1891/9780826195685.0018.

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Schweid, Richard. "Observe, Record, and Report." In The Caring Class, 28–47. Cornell University Press, 2021. http://dx.doi.org/10.7591/cornell/9781501754104.003.0003.

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This chapter examines the home health aides' (HHAs) mantra: “observe, record, and report” (O.R.R.). At the end of each shift, Cooperative Home Care Associates (CHCA) aides filed an automated report by telephone, pressing numerals to respond to recorded questions about the tasks they had done that day. Any anomalies in the patient's physical or mental health had to be reported immediately to the client's nurse supervisor. The aides served as the eyes and ears of a patient's care team, and nowhere was O.R.R. more important as a prevention tool than with skin care. The Obama administration issued a rule allowing consumers to sue nursing homes for negligence rather than submit to binding arbitration, as is frequently specified in nursing home contracts with patients and their families. Seven months into his term, Donald Trump moved to eliminate the rule and allow nursing homes once again to insert a binding arbitration clause in their contracts. The chapter then traces the long history of money troubles between care workers and the people for whom they care. Almost all of CHCA's revenue came from clients whose home health care was paid for by federal Medicaid insurance.
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"Administrators, Supervisors, and the Underground." In The Human Factor in Nursing Home Care, 101–20. Routledge, 2013. http://dx.doi.org/10.4324/9780203056486-12.

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Remmers, Hartmut, and Manfred Hülsken-Giesler. "e-Health Technologies in Home Care Nursing." In Advances in Healthcare Information Systems and Administration, 154–78. IGI Global, 2011. http://dx.doi.org/10.4018/978-1-60960-177-5.ch007.

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The innovative impact of advancing e-Health technologies is more frequently being discussed in nursing science. Nurses play an important role in collecting data and giving support to other users, especially in home care. Since issues of acceptance play a major role, the following article, which presents findings based on a focus group consisting of the elderly, caretaking relatives and professional nurses, is discussed from an ethical point of view in the context of international debate. It is interesting to note, that to some extent there is substantial ambivalence in the willingness to integrate such technologies into daily care. A need for technical assistance is clearly recognizable, however, limits as well. The authors’ findings indicate that a fundamental discussion on the relevance of e-Health methods in professional nursing needs to be held. It should address the ethical questions of often conflicting interests and rights (protection of identity, privacy and safety) in situations of high vulnerability.
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"Chemotherapy." In Oxford Handbook of Cancer Nursing, edited by Mike Tadman and Dave Roberts, 213–40. Oxford University Press, 2007. http://dx.doi.org/10.1093/med/9780198569244.003.0017.

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Principles and uses 214 Chemotherapy regimens 216 Safe handling 218 Safe administration 220 Routes of administration 222 Oral chemotherapy 228 Administering vesicants and extravasation 230 Recognizing extravasation 232 Side effects and complications 234 Chemotherapy in the home setting 236 New approaches in chemotherapy treatment 238...
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Gillick, Muriel R. "Movers and Shapers." In Old and Sick in America. University of North Carolina Press, 2017. http://dx.doi.org/10.5149/northcarolina/9781469635248.003.0011.

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Nursing home administrators, physicians, hospitals, drug companies, and Medicare are among the major influences on the patient’s experience of skilled nursing facility (SNF) care. Administrators are concerned with selecting patients with high levels of Medicare reimbursement; physicians tend to regard SNF care as low status and unrewarding; hospitals use the SNF as a safety valve allowing for early discharge; drug companies work with regional medical distributors to influence physician prescribing; and Medicare tries to promote quality by using an elaborate system of quality indicators, mandating state inspections or surveys, and reimbursing care so as to encourage maximal use of physical therapy.
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Or, Calvin Kalun, Kaifeng Liu, and Hailiang Wang. "A Socio-Technical Analysis of Barriers to Implementing a Clinical Information System in a Nursing Home." In Advances in Healthcare Information Systems and Administration, 425–37. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-5460-8.ch018.

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In this chapter, the authors aim to identify key barriers affecting the implementation of a clinical information system (CIS) in a nursing home from a socio-technical perspective. The data collected through field observations and semi-structured individual interviews were analyzed using the immersion/crystallization approach based on the Sittig-Singh healthcare socio-technical framework (HSTF). Three categories of implementation factors encompassing the eight HSTF dimensions were identified: infrastructure-based factors, process-based factors, and outcome-based factors. The authors extended the HSTF by proposing two additional dimensions: advocacy, promoting the articulation and influence of changes in the system and subsequent outcomes by CIS stakeholders, and adaptability, ensuring the ability of the system to adjust to emerging needs. This chapter expanded prior research and identified barriers related to why the nursing home CIS was abandoned. A knowledge base and recommendations are offered herein as a guide for future implementation strategies and policies in CIS initiatives.
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Conference papers on the topic "Nursing Home Administrator"

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Matias, Bruno Miguel, Jose Carlos Metrolho, and Fernando Reinaldo Ribeiro. "Software development for medication administration record in clinics and small nursing homes — A case study." In 2015 10th Iberian Conference on Information Systems and Technologies (CISTI). IEEE, 2015. http://dx.doi.org/10.1109/cisti.2015.7170494.

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Hall, Elke, Fiona Dakin, Christine Hirsch, John Speakman, and Jon Tomas. "25 A mixed-methods study to investigate nursing attitudes towards administration of ‘as required’ prescribed symptom control medication at end of life in a hospital setting." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.46.

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Reports on the topic "Nursing Home Administrator"

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Lumpkin, Shamsie, Isaac Parrish, Austin Terrell, and Dwayne Accardo. Pain Control: Opioid vs. Nonopioid Analgesia During the Immediate Postoperative Period. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0008.

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Background Opioid analgesia has become the mainstay for acute pain management in the postoperative setting. However, the use of opioid medications comes with significant risks and side effects. Due to increasing numbers of prescriptions to those with chronic pain, opioid medications have become more expensive while becoming less effective due to the buildup of patient tolerance. The idea of opioid-free analgesic techniques has rarely been breached in many hospitals. Emerging research has shown that opioid-sparing approaches have resulted in lower reported pain scores across the board, as well as significant cost reductions to hospitals and insurance agencies. In addition to providing adequate pain relief, the predicted cost burden of an opioid-free or opioid-sparing approach is significantly less than traditional methods. Methods The following groups were considered in our inclusion criteria: those who speak the English language, all races and ethnicities, male or female, home medications, those who are at least 18 years of age and able to provide written informed consent, those undergoing inpatient or same-day surgical procedures. In addition, our scoping review includes the following exclusion criteria: those who are non-English speaking, those who are less than 18 years of age, those who are not undergoing surgical procedures while admitted, those who are unable to provide numeric pain score due to clinical status, those who are unable to provide written informed consent, and those who decline participation in the study. Data was extracted by one reviewer and verified by the remaining two group members. Extraction was divided as equally as possible among the 11 listed references. Discrepancies in data extraction were discussed between the article reviewer, project editor, and group leader. Results We identified nine primary sources addressing the use of ketamine as an alternative to opioid analgesia and post-operative pain control. Our findings indicate a positive correlation between perioperative ketamine administration and postoperative pain control. While this information provides insight on opioid-free analgesia, it also revealed the limited amount of research conducted in this area of practice. The strategies for several of the clinical trials limited ketamine administration to a small niche of patients. The included studies provided evidence for lower pain scores, reductions in opioid consumption, and better patient outcomes. Implications for Nursing Practice Based on the results of the studies’ randomized controlled trials and meta-analyses, the effects of ketamine are shown as an adequate analgesic alternative to opioids postoperatively. The cited resources showed that ketamine can be used as a sole agent, or combined effectively with reduced doses of opioids for multimodal therapy. There were noted limitations in some of the research articles. Not all of the cited studies were able to include definitive evidence of proper blinding techniques or randomization methods. Small sample sizes and the inclusion of specific patient populations identified within several of the studies can skew data in one direction or another; therefore, significant clinical results cannot be generalized to patient populations across the board.
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