Journal articles: '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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Yoshimatsu, Keiko, and Hisae Nakatani. "Home Visiting Nurses’ Job Stress and Error Incidents." Home Health Care Management & Practice 32, no. 2 (January 13, 2020): 110–17. http://dx.doi.org/10.1177/1084822319899392.

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The current study examined the relationship between home visiting nurses’ job stress and error incidents to provide a better understanding of risk management for home visiting nursing services. Home visiting nurses often perform patient care alone, under great mental and physical stress, increasing the risk of human error when executing tasks. A mail survey was distributed to 437 home visiting nurses working at agencies in 71 locations in Japan. The questionnaires were anonymously completed and included items on career history, experiences of job stress, and experiences of incidents. Answers were collected from 230 participants. After eliminating incomplete responses, 146 questionnaires were included in the analyses. Participants’ average age was 48.5 ± 9.3 years, and they had an average of 7.2 ± 5.6 years of experience in home visiting nursing services. In total, 21 (14.4%) were administrators, and 125 (85.6%) were staff nurses. Administrators experienced more no-harm incidents in which an error occurred but did not result in client injury than did staff nurses ( p < .05) and scored higher on three items of job stress (quantitative overload, fit to the job, and supervisor support) ( p < .05). Harmful incidents were positively associated with quantitative overload ( p < .05) and work environment ( p < .01). These results suggest that there is a limit to the extent to which an administrator can offer safe care. A less stressful working environment and active information exchange rooted in a culture of medical safety should reduce the number of incidents.

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Galambos, Colleen, Laura Rollin, and Eric Engelbart. "The Connection of Social Services to Care Transitions and Discharge Planning in Nursing Home Settings." Innovation in Aging 4, Supplement_1 (December 1, 2020): 718. http://dx.doi.org/10.1093/geroni/igaa057.2536.

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Abstract Care transitions are critical junctures in the healthcare delivery process. Effective transitions and discharge planning reduce the need for subsequent transfers between healthcare settings (Boutwell et al., 2015). Understanding social services (SS) involvement in these processes is important due to its key role in their success (Fabbre et al., 2011). Facility characteristics from 924 nursing homes were evaluated in relation to SS involvement in care transitions and discharge planning. Chi-square tests indicate associations between SS involvement and level of engagement of SS expertise by the nursing home administrator (p=.004), medical director (p=.002), nursing staff (p=.003), community physicians (p=.049), and family members (p<.001). An association between SS involvement and freestanding SS departments was also observed. Results suggest the level of SS involvement in care transitions and discharge planning relates to structural (i.e. SS positioning within the facility) and relational (i.e. perceptions and utilization of SS designees by key facility leadership) factors.

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KELLOGG, ROBAH. "Administrator??s Handbook for Community Health and Home Care Services, (Revised)." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 3, no. 2 (March 1985): 15. http://dx.doi.org/10.1097/00004045-198503000-00004.

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Holecek, Terry, Mary Dellmann-Jenkins, and Dale Curry. "Exploring the Influence of the Regulatory Survey Process on Nursing Home Administrator Job Satisfaction and Job Seeking." Journal of Applied Gerontology 29, no. 2 (August 7, 2008): 215–30. http://dx.doi.org/10.1177/0733464808321886.

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Clark, Melissa, Michelle Rogers, Andrew Foster, Faye Dvorchak, Frances Saadeh, Jessica Weaver, and Vincent Mor. "A Randomized Trial of the Impact of Survey Design Characteristics on Response Rates Among Nursing Home Providers." Evaluation & the Health Professions 34, no. 4 (March 16, 2011): 464–86. http://dx.doi.org/10.1177/0163278710397791.

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An experiment was conducted to maximize participation of both the Director of Nursing (DoN) and the Administrator (ADMIN) in long-term care facilities. Providers in each of the 224 randomly selected facilities were randomly assigned to 1 of 16 conditions based on the combination of data collection mode (web vs. mail), questionnaire length (short vs. long), and incentive structure. Incentive structures were determined by amount compensated if the individual completed and an additional amount per individual if the pair completed (a) $30 individual/$5 pair/$35 total; (b) $10 individual/$25 pair/$35 total; (c) $30 individual/$20 pair/$50 total; and (d) $10 individual/$40 pair/$50 total. Overall, 47.4% of eligible respondents participated; both respondents participated in 29.3% of facilities. In multivariable analyses, there were no differences in the likelihood of both respondents participating by mode, questionnaire length, or incentive structure. Providing incentives contingent on participation by both providers of a facility was an ineffective strategy for significantly increasing response rates.

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&NA;. "A Closing Word From Mr. Tom Scully, Administrator." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 20, no. 9 (September 2002): 620. http://dx.doi.org/10.1097/00004045-200209000-00017.

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Clark-Shirley, Leanne J., Tina Kruger Newsham, and M. A. Guest. "TERMINOLOGY USED BY EMPLOYERS AND JOB SEEKERS FOR AGING-RELATED POSITIONS." Innovation in Aging 3, Supplement_1 (November 2019): S48. http://dx.doi.org/10.1093/geroni/igz038.187.

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Abstract Our aging society calls for a workforce capable of meeting older adults’ diverse needs. Yet the extent that employers seek out a workforce with aging-related training or education is unclear, as is how people with such backgrounds search for positions. We describe an exploratory content analysis of job postings to understand how employers are searching for applicants with aging-related backgrounds, and compare job posting keywords to terms used by a sample of aging-trained job seekers/employees. Results showed 35% of aging-related job postings used keywords expressing preference for applicants with aging-related backgrounds; the most commonly-occurring terms were “gerontology,” “Assisted living” + “adult day” + “director” + “nursing home administrator,” and “elderly.” Job seekers also cited “gerontology” as a term used to search for positions, along with “aging,” “older adults” and “seniors”. Findings suggest that employers should use more positively-connoted terms to attract applicants with aging-related backgrounds, rather than terms like “elderly.”

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Sherman, James A. "Clinical Software in Long-term Care Consultant Pharmacy Practice." Journal of Pharmacy Practice 1, no. 3 (December 1988): 218–24. http://dx.doi.org/10.1177/089719008800100311.

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As evidenced in 1985, and confirmed through preliminary analysis of a 1988 survey, 96.3% of long-term care (LTC) providers were using computers in providing dispensing services. It is the challenge of using this current tecnhology to merge existing drug management (prescription processing) and clinical applications that identifies the frontier of computerized pharmacy practice. Software programs are currently available that enable the consultant to uniformly apply set indicator criteria without ommission or human memory lapse to all LTC resident drug regimens. It is the degree to which these drug regimen review software programs may be integrated with prescription processing software, and the extent that the programs exceed the indicators that may be used in evaluating their impact and value. This value may be reflected in decreased consultant pharmacist review time, patient benefit, physician response, perceived administrator/nursing home benefits, and the usefulness of reports and outcome statistics generated. The advantages, disadvantages, guidelines for software evaluation, and currently available clinical programs are presented in order to provide accurate information to those consultant pharmacists seeking to expand or implement new computer based clinical services.

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Henning-Smith, Carrie, Dori Cross, and Adrita Rahman. "Challenges to Admitting Residents: Perspectives from Rural Nursing Home Administrators and Staff." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 58 (January 2021): 004695802110051. http://dx.doi.org/10.1177/00469580211005191.

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Rural residents are older, on average, than urban residents, with more underlying health conditions and higher rates of disability. Rural nursing homes face unique challenges admitting medically-complex patients and meeting their needs throughout their stay. These challenges may be amplified for certain health conditions. Greater geographic distances also strain transitional care coordination practices with health system referral hubs in urban areas. In this study, we assess perceptions of difficulty rural nursing homes encounter in admitting and serving individuals with dementia, obesity, mental and behavioral health conditions, and medically complex conditions. Using a survey of nursing home administrators located in non-metropolitan counties across the U.S. (n = 209), we assessed the self-reported degree of difficulty identified in serving each of the 4 type of conditions, coupled with qualitative analysis of open-ended questions identifying specific challenges. Rural nursing homes have capacity constraints owing to lower population density, limited financial resources, and unique challenges recruiting and retaining workforce to rural areas. Nursing home administrators reported the most challenges to providing high-quality care to residents with mental and behavioral health challenges, followed by obesity. For specific challenges, administrators focused primarily on staffing concerns, as well as space and equipment needs. Rural nursing home administrators identified challenges related to specific conditions and capacity constraints. To ensure appropriate and high-quality nursing home placement for rural residents, and to minimize the disruption of transitions into nursing home settings, more attention is needed on addressing the constraints identified by rural nursing home administrators in this study.

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Wilson, Felicia L. "What Is The Impact Of Job Burnout On Nursing Home Administrators?" Journal of Diversity Management (JDM) 13, no. 1 (August 16, 2018): 1–6. http://dx.doi.org/10.19030/jdm.v13i1.10201.

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The nursing home industry is facing a crisis that appears to only get worse as each year progresses. The issue at hand is attracting and retaining qualified nursing home administrators to run efficient nursing homes. There is an overwhelming amount of data that highlights the devastating effects of job burnout on professionals. Job burnout has been found to impact the longevity of professionals. The purpose of this research was to examine the impact of job burnout among Georgia’s nursing home administrators. Participants in the study were licensed nursing home administrators (N= 363) who are employed in the state of Georgia. I received 141 completed surveys for a response rate of 38%. This study found that nursing home administrators show moderate levels emotional exhaustion, low cynicism, and high professional efficacy.

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Yu, Lei. "Covid-19 Swept Nursing Homes in the United States." Innovation in Aging 4, Supplement_1 (December 1, 2020): 939. http://dx.doi.org/10.1093/geroni/igaa057.3439.

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Abstract Nursing Homes experienced a colossal loss impacted by the Covid-19 pandemic in the United States. This study applied Covid-19 Nursing Home Dataset (updated on 08/16/2020) released by Data.CMS.gov to explore possible factors behind the death s at nursing homes. The results indicated 2.55 residents died per week at a nursing home averagely. Besides, the absence of nursing staff, aides, clinical physicians, PPE supplies contributes to more deaths at nursing homes. Lastly, the number of positive COVID-19 cases of nursing home staff positively associate with the number of total deaths of residents（R=0.65). These findings provide more pieces of evidence for nursing home administrators and policymakers to make adjustments to help nursing home residents better cope with challenges caused by the pandemic; however, this dataset is not the final data for the pandmic is not over. Also, the dataset covers few demographic information (gender, race, ethinicty and so on) ; therefore, researchers could explore the relationship between the demographic features and COVID-19 deaths at nursing homes.

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Castle, Nicholas G., Steven Handler, John Engberg, and Kristen Sonon. "Nursing home administrators' opinions of the resident safety culture in nursing homes." Health Care Management Review 32, no. 1 (January 2007): 66–76. http://dx.doi.org/10.1097/00004010-200701000-00009.

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McGee, Gail W., Myron D. Fottler, Richard M. Shewchuk, and Carole W. Giardina. "Corporate Structure and Administrators' Job Stress: The Case of Nursing Homes." Health Services Management Research 5, no. 1 (March 1992): 54–65. http://dx.doi.org/10.1177/095148489200500106.

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This paper examined the relationship between the job-related stress of nursing home administrators and the structure of their work setting. Multivariate analysis of covariance (MANCOVA) was used to test the hypothesis that nursing home administrators who are employed in multi-unit, corporate-owned facilities experience more job-related stress than do administrators employed in independent, free-standing organizations. The results indicated that, when controlling for other potential stressors, administrators in corporate-owned nursing homes reported more general job stress and greater role ambiguity than their counterparts in single-unit, autonomous organizations. Recommendations for management strategies and for future studies in this area are discussed.

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Alexander, Gregory L., Richard W. Madsen, Erin L. Miller, Melissa K. Schaumberg, Allison E. Holm, Rachel L. Alexander, Keely K. Wise, Michelle L. Dougherty, and Brian Gugerty. "A national report of nursing home information technology: year 1 results." Journal of the American Medical Informatics Association 24, no. 1 (April 23, 2016): 67–73. http://dx.doi.org/10.1093/jamia/ocw051.

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Abstract Objective To provide a report on year 1 results of a national study investigating nursing home information technology (IT) adoption, called IT sophistication. Methods A reliable and valid survey was used to measure IT sophistication. The target goal was 10% from each state in the United States, 1570 nursing homes. A random sample of homes from each state was recruited from Nursing Home Compare. Results The team reached 2627 nursing home administrators, among whom 1799 administrators agreed to participate and were sent a survey. A total of 815 surveys were completed (45.3% response rate), which was below the goal. Facilities in the participating sample have similar demographic characteristics (ownership, total population in a location, and bed size) to the remaining homes not participating. There are greater IT capabilities in resident care and administrative activities, less in clinical support. The extent of use of these capabilities appears to be highest in administrative activities and lowest in clinical support. IT in resident care appears to be the most integrated with internal and external stakeholders. IT capabilities appear to be greater than IT extent of use in all health domains, with the greatest difference in resident care. Discussion National evaluations of nursing home IT are rare. Measuring trends in IT adoption in a nationally representative sample provides meaningful analytics that could be more useful for policy makers and nursing home leaders in the future. Conclusion Discovering national baseline assessments is a first step toward recognizing nursing home trends in IT adoption.

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Laditka, Sarah B., James N. Laditka, Sudha Xirasagar, Carol B. Cornman, Courtney B. Davis, and Jane V. E. Richter. "Protecting Nursing Home Residents during Emergencies or Disasters: An Exploratory Study from South Carolina." Prehospital and Disaster Medicine 22, no. 1 (February 2007): 42–48. http://dx.doi.org/10.1017/s1049023x00004325.

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AbstractPurpose:This is an exploratory study of nursing home preparedness in South Carolina intended to: (1) examine nursing home administrators' perceptions of disaster preparedness in their facility in the absence of an immediate emergency or disaster, and changes in their views about preparedness following a large disaster; (2) study whether administrators' knowledge of shortcomings in preparedness leads them to change their views about planning; and (3) suggest ways to enhance preparedness.Methods:A descriptive survey based on interviews with public officials responsible for nursing home safety was developed and mailed to all 192 licensed nursing homes in South Carolina in July 2005, and an extensive literature review was performed. As responses to the baseline survey were received, Hurricane Katrina devastated the Gulf Coast.Two weeks after Katrina, a brief, post-Katrina survey was mailed, asking administrators if Katrina had influenced their preparedness plans. Quantitative responses were analyzed using descriptive statistics. Three researchers coded the qualitative data and conducted a thematic analysis.Results:One hundred twelve baseline surveys and 50 post-Katrina surveys were completed (response rates 58.3% and 26%, respectively). A large number of respondents reported a high level of satisfaction with the overall ability of their facilities to protect residents during an emergency or disaster. However, many were less satisfied with their preparedness in specific, important areas, including: (1) providing shelter to evacuees from other nursing homes; (2) transportation; and (3) staffing. In the post-Katrina survey, 54% of respondents were re-evaluating their disaster plans; only 36% felt well-prepared. Those re-evaluating their plans specifically mentioned evacuation, transportation, supplies, staffing, and communication.Conclusions:Transportation, communication, supplies, staffing, and the ability to provide shelter to evacuees are important domains to consider when evaluating nursing home preparedness. Administrators believe their nursing homes need to improve in all of these areas. Recommendations include developing improved transportation arrangements, redundant communication systems, and stronger linkages with local emergency preparedness systems.

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Alexander, Gregory L., Kimberly Powell, Chelsea B. Deroche, Lori Popejoy, Abu Saleh Mohammad Mosa, Richelle Koopman, Lorren Pettit, and Michelle Dougherty. "Building consensus toward a national nursing home information technology maturity model." Journal of the American Medical Informatics Association 26, no. 6 (March 19, 2019): 495–505. http://dx.doi.org/10.1093/jamia/ocz006.

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Abstract Objectives We describe the development of a nursing home information technology (IT) maturity model designed to capture stages of IT maturity. Materials and Methods This study had 2 phases. The purpose of phase I was to develop a preliminary nursing home IT maturity model. Phase II involved 3 rounds of questionnaires administered to a Delphi panel of expert nursing home administrators to evaluate the validity of the nursing home IT maturity model proposed in phase I. Results All participants (n = 31) completed Delphi rounds 1-3. Over the 3 Delphi rounds, the nursing home IT maturity staging model evolved from a preliminary, 5-stage model (stages 1-5) to a 7-stage model (stages 0-6). Discussion Using innovative IT to improve patient outcomes has become a broad goal across healthcare settings, including nursing homes. Understanding the relationship between IT sophistication and quality performance in nursing homes relies on recognizing the spectrum of nursing home IT maturity that exists and how IT matures over time. Currently, no universally accepted nursing home IT maturity model exists to trend IT adoption and determine the impact of increasing IT maturity on quality. Conclusions A 7-stage nursing home IT maturity staging model was successfully developed with input from a nationally representative sample of U.S. based nursing home experts. The model incorporates 7-stages of IT maturity ranging from stage 0 (nonexistent IT solutions or electronic medical record) to stage 6 (use of data by resident or resident representative to generate clinical data and drive self-management).

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Eiring, MPH, Hilary, Sarah C. Blake, MA, PhD Candidate, and David H. Howard, PhD. "Nursing homes’ preparedness plans and capabilities." American Journal of Disaster Medicine 7, no. 2 (April 1, 2012): 127–35. http://dx.doi.org/10.5055/ajdm.2012.0088.

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Objectives: To assess nursing homes’ capabilities to evacuate or shelter-in-place during a disaster and to determine their actual preparedness-related capacity.Design: A 27-question survey assessing disaster preparedness plans and capabilities in nursing homes. Respondents and nonresponders were compared based on characteristics from the Nursing Home Compare Web site using t tests for continuous variables and χ2 test for categorical variables. Probit regression was used to estimate the relationships between nursing home characteristics and dichotomous measures of preparedness.Setting: Web and paper surveys of nursing home administrators.Participants: Nursing home administrators in California, Florida, and Georgia.Main outcome measures: Number of disaster drills, days supply of emergency food and water, evacuation transportation and destination.Results: All facilities reported conducting at least one disaster drill per year. Only 55 percent of facilities used a template to develop their disaster plans and 74 percent of facilities reported that they discuss their disaster plans with local or state emergency management officials. Most facilities (81 percent) have generators. All but 19 (7 percent) of nursing homes are able to shelterin- place for 2 days or longer. Ambulance services are the most common form of transportation (76 percent). Most facilities (73 percent) plan to evacuate residents to nursing homes affiliated with their corporate group.Discussion: Almost all respondents conducted disaster drills, discussed preparedness with local officials, and were able to shelter-in-place for at least 2 days. However, many facilities rely on resources that may not be available during a large disaster.

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Hearld, Larry, Akbar Ghiasi, Ganisher Davlyatov, and Robert Weech-Maldonado. "Is It What You Have or What You Do With It? Staffing, Human Resource Management, and Knowledge Management Practices." Innovation in Aging 4, Supplement_1 (December 1, 2020): 679–80. http://dx.doi.org/10.1093/geroni/igaa057.2364.

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Abstract Research in the nursing home industry shows more robust knowledge management activities are associated with the adoption of patient-centered, culture change initiatives among high Medicaid nursing homes. These findings are notable because they highlight the important role that knowledge management activities may play for improving quality of care in under-resourced nursing homes. They also raise important questions about the conditions that may support or hinder the use of these activities. Using survey responses from 393 nursing home administrators, we empirically examined whether two components of human resources – staffing levels and HRM practices – are associated with the level of knowledge management activities in high Medicaid census nursing homes. More robust HRM practices were associated with greater levels of knowledge management activities, as well as three separate domains of knowledge management (acquisition, dissemination, and responsiveness). Staffing levels, in contrast, were not significantly associated with the level of knowledge management activities.

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Sturdevant, Diana L., and Kathleen C. Buckwalter. "LESSONS LEARNED FROM NURSING HOME CIVIL MONETARY PENALTY PROJECTS." Innovation in Aging 3, Supplement_1 (November 2019): S770. http://dx.doi.org/10.1093/geroni/igz038.2832.

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Abstract Nursing homes must comply with numerous federal/state regulations to receive Medicare and Medicaid funding. Failure to comply with these regulations can result in deficiency citations, and depending on the severity of the deficiency, a resulting Civil Monetary Penalty (CMP). Through the Centers for Medicare and Medicaid Services (CMS) Civil Monetary Penalty Reinvestment Program, CMP funds are reinvested to support activities that benefit nursing home residents and that protect or improve their quality of life or quality of care. This symposium presents some of the unique challenges, successes, failures, and surprise findings from CMP-funded nursing home quality improvement projects in two, predominantly rural Midwestern states: Oklahoma and Kansas. Dr. Williams presents findings of a pilot-study testing an adaptation of a successful family caregiver telehealth support intervention in the nursing home setting and implications for future research. Dr. Sturdevant shares successes, challenges, and unanticipated results from the “It’s Not OK to Fall” project, a comprehensive, 3 year fall prevention project implemented in Oklahoma nursing homes. Lastly, Ms. Round’s paper describes the implementation and findings of a Long-term Care Leadership Academy aimed at improving leadership and team building skills of three levels of nursing home staff, including Administrators/Directors’ of Nursing, RN/LPN charge nurses and certified nursing assistants. Discussant, Dr. Kathleen Buckwalter Ph.D., FAAN, RN, will discuss how principles of nursing home culture change provides a common framework for these projects and conclude by offering suggestions on how promotion of these principles might improve the quality of care provided by nursing homes.

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Blake, Sarah C., David H. Howard, Hilary Eiring, and Scott Tarde. "San Diego's Area Coordinator System: A Disaster Preparedness Model for US Nursing Homes." Disaster Medicine and Public Health Preparedness 6, no. 4 (December 2012): 424–27. http://dx.doi.org/10.1001/dmp.2012.65.

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ABSTRACTAlmost 2 million Americans rely on nursing homes for care, and many require daily or near daily contact with the health care system to remain alive and functional. In October 2007, Southern California experienced a series of wildfires that burned over 500 000 acres and caused 14 nursing homes to evacuate more than 1200 residents. In response to this event, nursing home administrators and officials from various health care and emergency management agencies in San Diego County collaborated to form a model for nursing home emergency preparedness. This report describes the model, known as the area coordinator system, and discusses its strengths and limitations, and whether it ought to be replicated in other areas of the country.(Disaster Med Public Health Preparedness. 2012;6:424-427)

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Hosay, Cynthia K. "Compliance with Patients' End-of-Life Wishes by Nursing Homes in New York City with Conscience Policies." OMEGA - Journal of Death and Dying 44, no. 1 (February 2002): 57–76. http://dx.doi.org/10.2190/rc21-29wg-qtce-2ny1.

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Nursing home patients have a constitutional right to refuse treatment. The Patient Self-Determination Act confirmed that right. State laws address the obligations of health care providers and facilities to honor that right. The New York State law is more specific than those of many other states. It allows exemptions for “reasons of conscience” and imposes a number of requirements on nursing homes claiming such an exemption, including the transfer of a patient to a home that will honor an end-of-life wish. This study, conducted by FRIA,1 investigated the refusal of some nursing homes in New York City to carry out patients' end-of-life wishes because of conscience-based objections. The study also investigated the willingness of homes which did not have such policies to accept patients transferring from a home with a policy so that the patient's end-of-life wishes would be honored. Implications for administrators, policy makers, and regulators are discussed.

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Williams, Kristine N., Clarissa Shaw, and Carissa K. Coleman. "CHALLENGES FOR IMPLEMENTING PRAGMATIC COMMUNICATION INTERVENTIONS IN NURSING HOME SETTINGS." Innovation in Aging 3, Supplement_1 (November 2019): S363—S364. http://dx.doi.org/10.1093/geroni/igz038.1327.

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Abstract Interventions to improve nursing home care have been developed and tested. However readily disseminated interventions are lacking. Barriers include low staffing levels contributing to limited time for education and high turnover of direct care and administrative staff. Educational interventions must be accessible to accommodate busy staff. Meaningful outcome measures are needed and interventions must fit varied nursing home sizes, ownership, resident population, and regions. Changing Talk Online (CHATO) was adapted from the effective, yet time-intensive, Changing Talk program addressing nursing home staff communication. The original classroom-based program significantly improved staff communication with residents and resulted in subsequent reductions in resident behavioral and psychological symptoms of dementia. Strategies for marketing and recruiting nursing homes and to engage administrators and staff will be discussed as implemented in the Changing Talk Online (CHATO) R61 trial. Approaches addressing unique nursing home challenges to implementation are essential for successful dissemination to improve care.

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Harrington, Charlene, Mary Ellen Dellefield, Elizabeth Halifax, Mary Louise Fleming, and Debra Bakerjian. "Appropriate Nurse Staffing Levels for U.S. Nursing Homes." Health Services Insights 13 (January 2020): 117863292093478. http://dx.doi.org/10.1177/1178632920934785.

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US nursing homes are required to have sufficient nursing staff with the appropriate competencies to assure resident safety and attain or maintain the highest practicable level of physical, mental, and psychosocial well-being of each resident. Minimum nurse staffing levels have been identified in research studies and recommended by experts. Beyond the minimum levels, nursing homes must take into account the resident acuity to assure they have adequate staffing levels to meet the needs of residents. This paper presents a guide for determining whether a nursing home has adequate and appropriate nurse staffing. We propose five basic steps to: (1) determine the collective resident acuity and care needs, (2) determine the actual nurse staffing levels, (3) identify appropriate nurse staffing levels to meet residents care needs, (4) examine evidence regarding the adequacy of staffing, and (5) identify gaps between the actual staffing and the appropriate nursing staffing levels based on resident acuity. Data sources and specific methodologies are analyzed, compared, and recommended. The goal is to assist nursing home nurses and administrators to ensure adequate nursing home staffing levels that protect resident health, safety, and well-being.

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Castle, N. G. "Nursing Home Administrators' Opinions of the Nursing Home Compare Web Site." Gerontologist 45, no. 3 (June 1, 2005): 299–308. http://dx.doi.org/10.1093/geront/45.3.299.

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Round, Teri, and Diana Sturdevant. "CHANGING NURSING HOME CULTURE: LONG-TERM CARE LEADERSHIP ACADEMY." Innovation in Aging 3, Supplement_1 (November 2019): S771. http://dx.doi.org/10.1093/geroni/igz038.2835.

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Abstract Nursing homes that fostered open communication and teamwork were more likely to change their practices and adopt the “It’s Not OK to Fall” program. This pilot study evaluated the feasibility and acceptance of a team-building approach for developing leadership skills to three groups of coworkers: Administrators/Directors of Nursing, charge nurses, and certified nursing assistants (CNA) employed by nursing homes in Oklahoma. Each coworker group received one day of job specific leadership training, with another one half-day session where all levels engaged in team-building exercises. Participant satisfaction with course content ranged from agree-to-strongly agree. All stated that they could apply the leadership strategies at their facility. Administrators/Directors of Nursing found tools for tracking turnover/retention and strategies for improving staff communication helpful. Charge nurses and certified nursing assistants seldom viewed themselves as leaders, found coworker group communication very fragmented, and felt least knowledgeable about nursing home care best practices.

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Perraillon, Marcelo Coca, Daniel J. Brauner, and R. Tamara Konetzka. "Nursing Home Response to Nursing Home Compare: The Provider Perspective." Medical Care Research and Review 76, no. 4 (August 11, 2017): 425–43. http://dx.doi.org/10.1177/1077558717725165.

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Nursing Home Compare (NHC) publishes composite quality ratings of nursing homes based on a five-star rating system, a system that has been subject to controversy about its validity. Using in-depth interviews, we assess the views of nursing home administrators and staff on NHC and unearth strategies used to improve ratings. Respondents revealed conflicting goals and strategies. Although nursing home managers monitor the ratings and expend effort to improve scores, competing goals of revenue maximization and avoidance of litigation often overshadow desire to score well on NHC. Some of the improvement strategies simply involve coding changes that have no effect on resident outcomes. Many respondents doubted the validity of the self-reported staffing data and stated that lack of risk adjustment biases ratings. Policy makers should consider nursing home incentives when refining the system, aiming to improve the validity of the self-reported domains to provide incentives for broader quality improvement.

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Herr, Marie, Séhéno Raharimanana, Emmanuel Bagaragaza, Philippe Aegerter, Irène Sipos, Céline Fabre, Joël Ankri, and George Pisica-Donose. "Evaluation de la culture de sécurité en Etablissement d’Hébergement pour Personnes Agées Dépendantes (EHPAD): adaptation française du questionnaire Nursing Home Survey on Patient Safety Culture." Canadian Journal on Aging / La Revue canadienne du vieillissement 36, no. 4 (October 11, 2017): 453–62. http://dx.doi.org/10.1017/s071498081700037x.

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ABSTRACTThe objective was to translate into French the American questionnaire “Nursing Home Survey on Patient Safety Culture” and to test the feasibility of its use in a sample of nursing homes. The questionnaire was translated by a multidisciplinary group of six experts and tested on a sample of people working in nursing homes. The questionnaire was then administered in five nursing homes. A first version of the French NHSPSC is proposed in this article. Despite similarities between items and ceiling effect for one item, the choices made were conservative to allow international comparisons. The administration of the questionnaire in five nursing homes confirmed the feasibility of the approach, with a participation of more than 50 per cent. This work made a French version of the NHSPSC available and confirmed that it is a feasible method for evaluating safety culture in nursing homes.

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Berridge, Clara, Denise A. Tyler, and Susan C. Miller. "Staff Empowerment Practices and CNA Retention: Findings From a Nationally Representative Nursing Home Culture Change Survey." Journal of Applied Gerontology 37, no. 4 (August 25, 2016): 419–34. http://dx.doi.org/10.1177/0733464816665204.

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This article examines whether staff empowerment practices common to nursing home culture change are associated with certified nursing assistant (CNA) retention. Data from 2,034 nursing home administrators from a 2009/2010 national nursing home survey and ordered logistic regression were used. After adjustment for covariates, a greater staff empowerment practice score was positively associated with greater retention. Compared with the low empowerment category, nursing homes with scores in the medium category had a 44% greater likelihood of having higher CNA retention (odds ratio [OR] = 1.44; 95% confidence interval [CI] = [1.15, 1.81], p = .001) and those with high empowerment scores had a 64% greater likelihood of having higher CNA retention (OR = 1.64; 95% CI = [1.34, 2.00], p < 001). Greater opportunities for CNA empowerment are associated with longer CNA retention. This research suggests that staffing empowerment practices on the whole are worthwhile from the CNA staffing stability perspective.

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C. Bezboruah, Karabi, Darla Paulson, and Jason Smith. "Management attitudes and technology adoption in long-term care facilities." Journal of Health Organization and Management 28, no. 3 (June 10, 2014): 344–65. http://dx.doi.org/10.1108/jhom-11-2011-0118.

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Purpose – The purpose of this paper is to explore the attitudes of nursing home administrators and key managerial staff toward health information technology (health IT). Design/methodology/approach – This research is exploratory in nature, and applies qualitative case-study methodology to further understand health IT adoption by nursing homes through multiple in-depth semi-structured interviews of management, and direct observations of employee behavior at each participating facility. A modified Technology Acceptance Model is used to examine the attitudes and perceptions of administrators. Findings – This study finds that there are differences in the level of health IT adoption by nursing homes. While some administrators are aware of health IT and are implementing or updating their IT systems in a gradual but haphazard manner, others exhibited a lack of interest in implementing change. Overall, there is a lack of systematic planning and decision-making toward health IT adoption. Adoption is not evidence-based, instead driven primarily by real and perceived regulatory requirements combined with a lack of information about, or consideration of, the real costs and benefits of implementing health IT. Research limitations/implications – Including six in-depth case studies, the sample for this study is small for generalizing the findings. Yet, it contributes to the literature on the slow process of health IT adoption by nursing homes. Moreover, the findings provide guidelines for future research. Practical implications – This study demonstrates that nursing home administrators must systematically plan the adoption of health IT, and such decision making should be evidenced-based and participatory so that employees can voice their opinions that could prevent future resistance. Originality/value – This study is original and advances knowledge on the reasons for the slow adoption of health IT in nursing homes. It finds that lack of adequate information regarding the utility and benefits of health IT in management adoption decisions can result in haphazard implementation or no adoption at all. This finding has significant value for policy makers’ practitioners for improving accessibility of information regarding the use of health IT in nursing homes that could address the health IT adoption challenge in this industry.

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Wilson, Felicia L. "What Is The Impact Of Job Burnout Antecedents On Georgia Nursing Home Administrators?" American Journal of Health Sciences (AJHS) 7, no. 1 (May 31, 2016): 31–38. http://dx.doi.org/10.19030/ajhs.v7i1.9695.

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Retaining effective and qualified nursing home administrators is becoming a daunting task. With the increase of elderly people in America, the nursing home industry is being forced to address the leadership crisis in the industry. Participants in the study were licensed nursing home administrators (N = 363) who are employed in the state of Georgia. 141 completed surveys were returned for a response rate of 38%. The purpose of the study was to investigate the impact of job burnout antecedents: workload, control, rewards, community, fairness, and values on Georgia nursing home administrators?

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Icelli, I. "Elderly Abuse in Turkey." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70431-6.

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In Turkey, in the families who moved from rural settlements into city, the young peoples go to work and the grand parents take care of the little children at home. When the grand parents become old, there will be no one who can take care of them. This situation shows two solutions: to move back to their native environment or to be settled in a nursing home. If they have no where to go, these nursing homes are their only chance.The private nursing and caring homes, from the point of quality, are not in the same equality. The low-quality institutions are more familiar to the abuse. The residents of these institutions expect kindness, affection and warmth, but they never receive these expectations.A new kind of elderly abuse in Turkey is the Automatic Transfer Machines thefts. On the paydays the thief comes next to the machine, offers help to the elderly who came to take his retirement salary from the machine; the thief takes the ATM card, put in the hole, ask the password, enter it and take the money and run with a high speed. The poor old person looks after.There are no criminal codes yet which cover the elderly abuse in Turkey. Those kinds of incidents are taken as ordinary police incidents. The administration is now in preparation of a new program and a new regulation.

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Sharma, DO, Aishwarya, and Sharon E. Mace, MD, FACEP, FAAP. "Nursing home evacuations due to disasters in the United States over 22.5 years from 1995 to 2017." American Journal of Disaster Medicine 16, no. 2 (August 26, 2021): 105–21. http://dx.doi.org/10.5055/ajdm.2021.0393.

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A large and growing segment of the United States population resides in nursing homes. Many nursing home residents have multiple comorbidities, are unable to perform activities of daily living, and need assistance for their daily functioning. They are some of the most fragile and vulnerable members of the population. Disasters are increasing in frequency and severity. This makes it likely that disasters will strike nursing homes and affect their residents. The purpose of this study was to evaluate the characteristics of disasters in the United States that resulted in nursing home evacuations. There were 51 reported nursing home evacuations due to a disaster over 22.5 years between 1995 and 2017. Natural disasters were responsible for the majority of evacuations (58.8 percent) followed by man-made unintentional disasters (37.3 percent) and man-made intentional (arson) (3.9 percent). The single most common reason for evacuation was hurricanes (23.5 percent, N = 12) and internal fires (23.5 percent, N = 12). Water-related disasters accounted for nearly three-fourths of the natural disasters (hurricanes 40 percent, N = 12; floods, 33.3 percent, N = 10; total 73.3 percent, N = 22), then snow/ice storms (13.3 percent, N = 4). Of man-made disasters, over two-thirds (66.7 percent) were due to internal fires (internal fires, n = 12, 57.1 percent and arson n = 2, 9.5 percent; total N = 14, 66.7 percent). The highest number of evacuations occurred in Texas, Louisiana, Missouri, New York, and Pennsylvania. This knowledge should enable nursing home administrators, disaster planners, public health officials, and others to improve preparedness for disasters that lead to nursing home evacuations.

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Hanson, Laura C., Sohini Sengupta, and Monica Slubicki. "Access to Nursing Home Hospice: Perspectives of Nursing Home and Hospice Administrators." Journal of Palliative Medicine 8, no. 6 (December 2005): 1207–13. http://dx.doi.org/10.1089/jpm.2005.8.1207.

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Amirkhanyan, Anna A., Ohbet Cheon, Jourdan A. Davis, Kenneth J. Meier, and Fei Wang. "Citizen Participation and Its Impact on Performance in U.S. Nursing Homes." American Review of Public Administration 49, no. 7 (June 11, 2019): 840–54. http://dx.doi.org/10.1177/0275074019854172.

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Fundamental to democratic societies, citizen participation is an important tool for promoting active, informed, and empowered citizenry as well as responsive and accountable administration. Past literature on citizen participation has focused on its determinants, forms, and prevalence. This study examines the relationship between a specific form of citizen participation—client participation—and organizational performance. We use hybrid data on U.S. nursing homes that combine a survey of nursing home administrators’ managerial practices with federal performance appraisal data. Our empirical findings suggest that more intense levels of client participation, such as the use of clients’ feedback in decision-making, are positively associated with performance: They increase the overall five-star ratings and lower health deficiencies. In contrast, less intense client participation efforts, such as merely communicating with client/family groups, are not significantly related to performance. This study highlights the role of participation intensity, suggesting that public administrators should not only go beyond informing and listening to their stakeholders, but also take steps to use the obtained feedback in organizational decision-making.

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&NA;. "NURSING HOME DRUG ADMINISTRATION VIOLATIONS INCREASE." Journal of Wound, Ostomy and Continence Nursing 14, no. 1 (January 1987): 27A. http://dx.doi.org/10.1097/00152192-198701000-00008.

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Patterson, Mark E., Sandra Bollinger, and Janice Foust. "MEDICATION DISCREPANCIES AND COMMUNICATION ERRORS DURING NURSING HOME INTAKE: A MIXED-METHODS ANALYSIS." Innovation in Aging 3, Supplement_1 (November 2019): S731. http://dx.doi.org/10.1093/geroni/igz038.2680.

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Abstract Older adults experience high medication discrepancy rates during transitions from inpatient to nursing home settings. Dosage changes and multiple prescribers increases the risk of inaccurate handoffs and creates challenges for medication reconciliation at nursing home intake. Our objectives were to 1) Characterize medication discrepancies occurring at nursing home intake and 2) Identify resident and medication related factors associated with medication discrepancies. Demographics, comorbidities, medications, discrepancy types and location were prospectively collected over 9-months. Chi-square tests were used to determine factors associated with discrepancies. A focus group of nurse practitioners, pharmacists, and administrators from four long-term care facilities was convened to discuss medication reconciliation challenges at resident intake. Thematic analysis was used to determine key themes. 22%, 12%, and 3% of residents experienced one, 2 to 5, or six or more discrepancies, respectively. The most prevalent discrepancies were omission (34%), frequency (20%), and therapeutic duplication (13%) occurring in analgesics, respiratory and genitourinary medications. 44% of discrepancies occurred between nursing homes and hospitals and 39% involved the community pharmacy. The most significant risk factors for discrepancies included age over 70, Charlson comorbidity indices over 7, readmission to nursing homes, or the prescribing of at least 17 medications. Staff faced challenges of delayed and/or inaccurate data, incompatible documentation forms and inefficient workflows for resolving discrepancies. Residents at greatest risk for medication discrepancies require additional attention during admission medication reconciliation to prevent errors. Nursing home intake and medication reconciliation workflow needs to be improved with data sharing technology to increase accuracy and efficiency.

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Castle, Nicholas, and John A. Harris. "CONSISTENT ASSIGNMENT: AN UPDATE ON THE QUALITY IMPACT." Innovation in Aging 3, Supplement_1 (November 2019): S802. http://dx.doi.org/10.1093/geroni/igz038.2950.

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Abstract The association of consistent assignment of Nurse Aides (NAs) with nursing home quality indicators is examined. Consistent assignment is defined as the same caregivers consistently caring for the same residents almost (80% of their shifts) every time they are on duty. Data used came from a survey of nursing home administrators, Nursing Home Compare, the Certification and Survey Provider Enhanced Reporting (CASPER) data, and the Area Resource File. All of the data was from 2015, and included 3,550 facilities. Several multivariate logistic regression models (using GEE) were used, including staffing variables (turnover, agency use, staffing levels), facility factors (size, ownership, occupancy rate), and market characteristics (competition, Medicaid rates). An average of 77% of nursing homes reported using at least some level of consistent assignment; although some were at low levels. In the multivariate analyses, accepted levels of consistent assignment were used. Turnover and family satisfaction quality were significantly (p<.01) better in facilities with the highest levels of consistent NA assignment. 7 of the 9 Quality Measures and 3 of the 5 Five-Star measures examined were significantly (p<.01) better in facilities with the highest levels of consistent NA assignment. Consistent assignment has developed as a preferred practice in nursing homes based on little empirical evidence. The findings presented here provide substantial justification for the use of this staffing practice for NAs.

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Lane, Sandi J., and Elizabeth McGrady. "Nursing Home Self-assessment of Implementation of Emergency Preparedness Standards." Prehospital and Disaster Medicine 31, no. 4 (May 23, 2016): 422–31. http://dx.doi.org/10.1017/s1049023x16000492.

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AbstractIntroductionDisasters often overwhelm a community’s capacity to respond and recover, creating a gap between the needs of the community and the resources available to provide services. In the wake of multiple disasters affecting nursing homes in the last decade, increased focus has shifted to this vital component of the health care system. However, the long-term care sector has often fallen through the cracks in both planning and response.ProblemTwo recent reports (2006 and 2012) published by the US Department of Health and Human Services (DHHS), Office of Inspector General (OIG), elucidate the need for improvements in nursing homes’ comprehensive emergency preparedness and response. The Center for Medicare and Medicaid Services (CMS) has developed an emergency preparedness checklist as a guidance tool and proposed emergency preparedness regulations. The purpose of this study was to evaluate the progress made in nursing home preparedness by determining the level of completion of the 70 tasks noted on the checklist. The study objectives were to: (1) determine the preparedness levels of nursing homes in North and South Carolina (USA), and (2) compare these findings with the 2012 OIG’s report on nursing home preparedness to identify current gaps.MethodsA survey developed from the checklist of items was emailed to 418 North Carolina and 193 South Carolina nursing home administrators during 2014. One hundred seventeen were returned/“bounced back” as not received. Follow-up emails and phone calls were made to encourage participation. Sixty-three completed surveys and 32 partial surveys were received. Responses were compared to data obtained in a 2010 study to determine progress.ResultsProgress had been made in many of the overall planning and sheltering-in-place tasks, such as having contact information of local emergency managers as well as specifications for availability of potable water. Yet, gaps still persisted, especially in evacuation standards, interfacing with emergency management officials, establishing back-up evacuation sites and evacuation routes, identification of resident care items, and obtaining copies of state and local emergency planning regulations.ConclusionNursing homes have made progress in preparedness tasks, however, gaps persist. Compliance may prove challenging for some nursing homes, but closer integration with emergency management officials certainly is a step in the right direction. Further research that guides evacuation or shelter-in-place decision making is needed in light of persistent challenges in completing these tasks.LaneSJ, McGradyE. Nursing home self-assessment of implementation of emergency preparedness standards. Prehosp Disaster Med. 2016;31(4):422–431.

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Khader, Fakhri. "Quality of Life in the Nursing Homes in Jordan: Perspectives of Residents." Care Management Journals 12, no. 4 (December 2011): 149–62. http://dx.doi.org/10.1891/1521-0987.12.4.169.

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This study was planned and conducted to assess the quality of life (QOL) as perceived by 140 selected elderly people living in 3 public nursing homes in Amman, Jordan. Factors that may influence quality of life among the residents were analyzed, and the relationship between quality of life and certain demographics in the nursing homes was determined. The data were collected through administration of a questionnaire during face-to-face interviews in the residents’ settings. Consent from each resident was sought and obtained. The findings indicated that the quality of life is determined by age, gender, marital status, level of education, and length of stay in the nursing home. Also, by the quality of the four domains: physical, psychological, social relationships, and environment.

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Crose, Royda, and Jeffrey S. Kixmiller. "Counseling Psychologists as Nursing Home Consultants." Counseling Psychologist 22, no. 1 (January 1994): 104–14. http://dx.doi.org/10.1177/0011000094221007.

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Recent developments in federal legislation, reimbursement policies, and professional politics have promoted wider appeal within professional psychology for consultation services to nursing homes. This article outlines the need for counseling psychologists to be involved in such consultation. Results are reported from a survey of nursing home administrators that provides information about their perceptions of the mental health needs of both residents and staff, the problems they find most difficult to manage, and the intervention programs they desire. Recommendations are made for counseling psychologists to gain entry into the long-term care system as consultants.

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Journal articles on the topic 'Nursing Home Administrator'

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