Academic literature on the topic 'Skilled nursing care'

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Journal articles on the topic "Skilled nursing care"

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Golden, Adam G., Shanique Martin, Melanie da Silva, and Bernard A. Roos. "Care Management and the Transition of Older Adults From a Skilled Nursing Facility Back Into the Community." Care Management Journals 12, no. 2 (2011): 54–59. http://dx.doi.org/10.1891/1521-0987.12.2.54.

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After hospitalization, many older adults require skilled nursing care. Although some patients receive services at home, others are admitted to a skilled nursing facility. In the current fragmented health care system, hospitals are financially incentivized to discharge frail older adults to a facility for postacute care as soon as possible. Similarly, many skilled nursing facilities are incentivized to extend the posthospitalization period of care and to transition the patient to custodial nursing home care. The resulting overuse of institution-based skilled nursing care may be associated with various adverse medical, social, and financial consequences. Care management interventions for more efficient and effective skilled nursing facility use must consider the determinants involved in the decisions to admit and maintain patients in skilled nursing facilities. As we await health care reform efforts that will address these barriers, opportunities already exist for care managers to improve the current postacute transition processes.
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Weeks, Peggy, and Karen K. Decker. "Supplementary Agencies Provide Skilled Nursing Care." American Journal of Nursing 88, no. 5 (1988): 640. http://dx.doi.org/10.2307/3425927.

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WEEKS, PEGGY, and KAREN K. DECKER. "SUPPLEMENTARY AGENCIES PROVIDE SKILLED NURSING CARE." AJN, American Journal of Nursing 88, no. 5 (1988): 640. http://dx.doi.org/10.1097/00000446-198805000-00010.

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Li, Chih-Ying, Amol Karmarkar, Yong-Fang Kuo, Allen Haas, and Kenneth J. Ottenbacher. "Impact of Self-Care and Mobility on One or More Post-Acute Care Transitions." Journal of Aging and Health 32, no. 10 (2020): 1325–34. http://dx.doi.org/10.1177/0898264320925259.

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Objective: To investigate the association between functional status and post-acute care (PAC) transition(s). Methods: Secondary analysis of 2013–2014 Medicare data for individuals aged ≥66 years with stroke, lower extremity joint replacements, and hip/femur fracture discharged to one of three PAC settings (inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies). Functional scores were co-calibrated into a 0–100 scale across settings. Multilevel logistic regression was used to test the partition of variance (%) and the probability of PAC transition attributed to the functional score in the initial PAC setting. Results: Patients discharged to inpatient rehabilitation facilities with higher function were less likely to use additional PAC. Function level in an inpatient rehabilitation facility explained more of the variance in PAC transitions than function level while in a skilled nursing facility. Discussion: The function level affected PAC transitions more for those discharged to an inpatient rehabilitation facility than to a skilled nursing facility.
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Daddato, Andrea, Heidi L. Wald, Carolyn Horney, et al. "A randomized trial of heart failure disease management in skilled nursing facilities (SNF Connect): Lessons learned." Clinical Trials 14, no. 3 (2017): 308–13. http://dx.doi.org/10.1177/1740774517690529.

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Background/Aims: Conducting clinical trials in skilled nursing facilities is particularly challenging. This manuscript describes facility and patient recruitment challenges and solutions for clinical research in skilled nursing facilities. Methods: Lessons learned from the SNF Connect Trial, a randomized trial of a heart failure disease management versus usual care for patients with heart failure receiving post-acute care in skilled nursing facilities, are discussed. Description of the trial design and barriers to facility and patient recruitment along with regulatory issues are presented. Results: The recruitment of Denver-metro skilled nursing facilities was facilitated by key stakeholders of the skilled nursing facilities community. However, there were still a number of barriers to facility recruitment including leadership turnover, varying policies regarding research, fear of litigation and of an increased workload. Engagement of facilities was facilitated by their strong interest in reducing hospital readmissions, marketing potential to hospitals, and heart failure management education for their staff. Recruitment of patients proved difficult and there were few facilitators. Identified patient recruitment challenges included patients being unaware of their heart failure diagnosis, patients overwhelmed with their illness and care, and frequently there was no available proxy for cognitively impaired patients. Flexibility in changing the recruitment approach and targeting skilled nursing facilities with higher rates of admissions helped to overcome some barriers. Conclusion: Recruitment of skilled nursing facilities and patients in skilled nursing facilities for clinical trials is challenging. Strategies to attract both facilities and patients are warranted. These include aligning study goals with facility incentives and flexible recruitment protocols to work with patients in “transition crisis.”
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Rose, Liam. "The Effects of Skilled Nursing Facility Care." American Journal of Health Economics 6, no. 1 (2020): 39–71. http://dx.doi.org/10.1086/706864.

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Thobaben, Marshelle. "Psychiatric Home Health Care Skilled Nursing Services." Home Health Care Management & Practice 25, no. 1 (2012): 32–34. http://dx.doi.org/10.1177/1084822312461354.

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Goldrick, Barbara A. "Infection Control Programs in Long-Term-Care Facilities: Structure and Process." Infection Control & Hospital Epidemiology 20, no. 11 (1999): 764–69. http://dx.doi.org/10.1086/501581.

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AbstractDue to the rapid transfer of patients from the acute-care setting, the intensity of nursing care among residents in long-term-care facilities (LTCFs) has increased, transforming today's LTCFs into subacute healthcare facilities. Given the increased risk of infection among residents in LTCFs and the associated morbidity and mortality, evaluation of infection control programs in skilled nursing LTCFs is warranted. This article addresses the current structure and process of infection control programs in skilled nursing LTCFs.
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Kroll, Christine, and Thomas Fisher. "The congressional mandate: standardised post-acute care quality measures." International Journal of Therapy and Rehabilitation 26, no. 8 (2019): 1–10. http://dx.doi.org/10.12968/ijtr.2019.0028.

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Background/Aims This study describes the relationships between rehabilitation services intensity, post-acute care measures of Functional Performance Change, and length of stay for episodes of care provided in 93 skilled nursing facilities in the US. Methods The study used a secondary analysis of existing data on Medicare beneficiaries admitted to skilled nursing facilities from acute hospitals (n=518) who subsequently returned to the community. Data were selected from Minimum Data Set Section GG items reported by therapists. Results Statistically significant correlations were identified between rehabilitation services intensity and functional outcomes (P<0.001); and between rehabilitation intensity, medical condition, and length of stay (P<0.001) for rehabilitation patients in skilled nursing facilities. Conclusions The intensity of occupational and physical rehabilitation therapy services correlate with patients achieving higher functional outcomes, specifically improvement in self-care and mobility.
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Ehlenbach, William J., Andrea Gilmore-Bykovskyi, Michael D. Repplinger, et al. "Sepsis Survivors Admitted to Skilled Nursing Facilities." Critical Care Medicine 46, no. 1 (2018): 37–44. http://dx.doi.org/10.1097/ccm.0000000000002755.

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Dissertations / Theses on the topic "Skilled nursing care"

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Jain, Tarun. "Electronic Data Capture System for Heart Failure Disease Management Program in Skilled Nursing Facility." Case Western Reserve University School of Graduate Studies / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=case1412698796.

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Burfield, Allison. "Cohort Study of Pain Behaviors in the Elderly Residing in Skilled Nursing Care." Doctoral diss., University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2716.

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An integral concern across care settings is the prompt intervention for patients suffering with pain. Long-term care (LTC) settings present with unique challenges to assess and manage pain in resident populations. Pain assessment is especially challenging, because residents have varying degrees of cognition to communicate their pain, and clinician/staff knowledge of pain symptoms may be lacking. The purpose of this research was to improve the measurement of pain and outcomes of care for the elderly residing in skilled nursing care, especially those with cognitive-impairment. The specific aims of this study were to: 1) Determine the magnitude of the relationship between pain behaviors and a measurement model hypothesized for pain; 2) Test the construct validity of a pain measurement model; 3) Examine the concomitance of pain and cognition in a three-year longitudinal analysis. The research questions answered: 1) Is there a difference in the prevalence of pain in cognitively intact versus cognitively-impaired residents; 2) Can a theoretically derived model of pain aid in detecting pain across all cognitive levels; and 3) Do pain and cognitive status concomitantly correlate? The goal was to examine the covariance model of concomitance of pain and cognition to more accurately construct theoretical models of pain to then include additional resident care factors in future research. Traditional self-reports of pain are often under-assessed and under-treated in the cognitively-impaired (CI) elderly resident. Having additional measures to detect pain beyond self-reports of pain intensity and frequency increases the likelihood of detecting pain in populations with complex symptom presentation. Data collected from skilled nursing facilities offer exceptional opportunities to study resident demographics, characteristics, symptoms, medication use, quality indicators, and care outcomes. The Minimum Data Set-Resident Assessment Instrument (MDS-RAI) 2.0, a nationally required resident assessment tool, must be completed on every resident in a Medicare LTC facility within 14 days of admission, quarterly, annually and with significant changes in resident status. Because the MDS is widely used and recognized in LTC settings, core items from MDS [i.e., pain frequency (J2a) and pain intensity (J2b)] along with additional MDS items hypothesized to signify pain were analyzed in the pilot measurement model. Ten core items from MDS were used: 1) Inappropriate behavior frequency (E4da); 2) Repetitive physical movements; 3) Repetitive verbalizations (E1c); 4) Sad facial expressions (E1l); 5) Crying (E1m); 6) Change in mood (E3); 7) Negative statements (E1a); 8) Pain frequency (J2a); 9) Pain intensity (J2b); and 10) Cumulative pain sites scores. All indicators of pain were significant at the p<.01 level. A longitudinal cohort design was used to answer if a concomitance exists between pain and cognition. Data were collected from MDS annual assessments from 2001, 2002 and 2003 for residents across the United States. The sample consisted of 56,494 residents age 65 years and older with an average age of 83 [plus or minus] 8.2 years. Descriptive statistics, ANOVA and a covariance model were used to evaluate cognition and pain at the three time intervals. ANOVA indicated a significant effect (p<.01) for pain and cognition with protected t-tests indicating scores decreased significantly over time with resident measures of pain and cognition. Results from this study suggest that: 1) Using only pain intensity and frequency, pain prevalence was found in 30% of the pilot population, while 47.7% of cognitively intact residents had documented pain and only 18.2% of the severely CI had documented pain, supporting previous research that pain is potentially under-reported in the CI; 2) Parsimonious measurements models of pain should include dimensions beyond self-reports of pain (i.e., cognitive, affective, behavioral and inferred pain indicators); 3) Model fit was improved by using specific MDS items in the pain construct; 4) Longitudinal analysis revealed relative stability for pain and cognition measures over time (e.g., larger stability or consistency was found in cognitive measures than the measures of pain over the three-year period); 5) Crossed-legged effects between pain and cognition were not consistent; 6) A concomitant relationship was not found between pain and cognition. The relationship was significant (p<.01), but associations were weak (r=0.03 to 0. 08). Pain or cognition should not be used as a predictor of the other in theoretical models for similar populations. The MDS is a reliable instrument to follow resident attributes, quality of care, and patient outcomes over time. The development of more accurate assessments of pain may improve resident care outcomes. Ineffectively intervening on the pain cycle is posited to cause secondary unmet needs that affect the resident's quality of life. Findings support the importance of improving clinical outcomes in the management of pain in the elderly residing in long-term care. Deficits in the treatment of pain highlight the impetus to support health policy change that includes pain treatment as a top health priority and a quality indicator for federally funded programs supporting eldercare.
Ph.D.
School of Nursing
Other
Nursing PhD
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Bonifas, Robin P. "Multi-level factors related to deficiencies in psychological care in Washington State skilled nursing facilities /." Thesis, Connect to this title online; UW restricted, 2007. http://hdl.handle.net/1773/8139.

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Berish, Diane E. "INVESTIGATING THE EFFICACY OF SKILLED-NURSING FACILITIES’ TRANSITIONAL CARE PROGRAMS ON REDUCING 30-DAY HOSPITAL READMISSIONS." Miami University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=miami1531907403994485.

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Nunn, Dianna R. "Using adaptive problem solving to reduce hospital readmissions from skilled nursing facilities." Thesis, California State University, Dominguez Hills, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1524282.

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Unplanned readmissions back to the hospital are a burden financially and a strain on patients and their families, healthcare organizations, and government payers. Readmissions from skilled nursing facilities account for approximately one-fifth of total rehospitalizations. This project uses the Plan, Do, Study, Act (PDSA) cycle to implement an adaptive problem solving plan to determine the root cause of individual unplanned readmissions from skilled nursing facilities back to the hospital. The plan details past readmission administrative data using descriptive statistics, the roles and responsibilities for the collaborative partnership between care sites, the content of adaptive problem solving, and the use of rigorous reflection and review for continuous improvement. The project provides a disruptive patient centered care approach for problem solving the complexities of readmissions to the hospital for healthcare organizations to consider as readmission rates are tied to reimbursement and quality outcomes.

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Maggio, Nancy J. "THE EFFECT OF HEART FAILURE EDUCATION ON NURSING STAFFS KNOWLEDGE AND CONFIDENCE IN A SKILLED NURSING FACILITY." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1492024614598638.

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Pangilinan, John Simon. "IMPACT OF COMPASSION FATIGUE AND EMOTIONAL INTELLIGENCE ON THE QUALITY OF CARE IN SKILLED NURSING FACILITIES." CSUSB ScholarWorks, 2018. https://scholarworks.lib.csusb.edu/etd/648.

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Staff in skilled nursing facilities (SNF) can experience physical and emotional strain via caregiving. The purpose of this study was to educate staff on the harm of compassion fatigue and a lack of emotional intelligence and provide steps that can be taken by administration to improve the quality of care provided. It was hypothesized for staff that having low compassion fatigue and high emotional intelligence would result in a higher quality of care. The study design utilized a quantitative approach and a purposive sample from a SNF. Participants were provided with The Professional Quality of Life 5 Scale (ProQoL 5), Wong & Law Emotional Intelligence Scale (WLEIS), and survey data received from Department of Public Health. A Multiple Regression test analyzed the relationship between compassion fatigue and emotional intelligence on the quality of care provided by staff members. The results of this study indicated that staff’s compassion fatigue was not indicative of quality of care; however, Self-Emotional Appraisal, a subscale of WLEIS, was found to predict the quality of care. This study assisted with informing SNF staff in recognizing how managing their emotions could be a useful tool to improve the quality of care they provide. Lastly, SNF administration could implement policies, procedures, and in-services to ensure that all staff members are educated in identifying emotions and practicing self-care
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Leson, Suzanne M. "Restaurant-style dining in skilled nursing facilities : resident and employee satisfaction." Diss., Manhattan, Kan. : Kansas State University, 2009. http://hdl.handle.net/2097/1680.

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Riggs, Jennifer Sue. "The Influence of Home Care Nursing Visit Pattern on Heart Failure Patient Outcomes." Case Western Reserve University School of Graduate Studies / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=case1244663522.

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Baker, McKenzie A. "Nursing Knowledge and the Influence on Patient Diabetes Control." Kent State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=kent1606307145199735.

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Books on the topic "Skilled nursing care"

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United States. Health Care Financing Administration. Medicare coverage of skilled nursing facility care. U.S. Dept. of Health and Human Services Health Care Financing Administration, 2000.

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Knapp, Mary. Providing inpatient skilled care. National Health Pub., 1991.

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Kinzie, Barbara. Basic maternal and newborn care: A guide for skilled providers. JHPIEGO, 2004.

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Katherine, Smith. Pediatric skilled nursing facilities in the United States: Directory. K. Smith, 1991.

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United States. Health Care Financing Administration. Office of Research and Demonstrations. Medicare: use of skilled nursing facilities, 1984. Department of Health and Human Services, Health Care Financing Administration, Office of Research and Demonstrations, 1986.

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Cotterill, Philip. Testing a diagnosis-related group index for skilled nursing facilities. Health Care Financing Administration, 1986.

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Cotterill, Philip. Testing a diagnosis-related group index for skilled nursing facilities. Health Care Financing Administration, 1986.

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Cotterill, Philip. Testing a diagnosis-related group index for skilled nursing facilities. Health Care Financing Administration, 1986.

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Cotterill, Philip. Testing a diagnosis-related group index for skilled nursing facilities. Health Care Financing Administration, 1986.

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Wakeley, Kitt. The skilled services troubleshooter: Strategies for covering nursing home residents under medicare. 2nd ed. HCPro, 2008.

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Book chapters on the topic "Skilled nursing care"

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Jurgens, Corrine Y., and Diane K. Pastor. "End-of-Life Care in Skilled Nursing Facilities." In End-of-Life Care in Cardiovascular Disease. Springer London, 2014. http://dx.doi.org/10.1007/978-1-4471-6521-7_8.

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Midgett, Matthew. "Skilled Nursing Facility Marketing: A Better Piece of Pie." In Marketing Long-Term and Senior Care Services. Routledge, 2021. http://dx.doi.org/10.4324/9781315860169-8.

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Ray, Panchali. "Care (Un)skilled: Fragmented Markets and Nursing Labour, Contemporary Kolkata." In Land, Labour and Livelihoods. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-40865-1_12.

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Veitch, Karen. "The Challenge of Primary Care." In Clinical Skills in Nursing. Macmillan Education UK, 1999. http://dx.doi.org/10.1007/978-1-349-14724-3_7.

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Niven, Neil, and Jill Robinson. "Interpersonal skills." In The psychology of nursing care. Macmillan Education UK, 1994. http://dx.doi.org/10.1007/978-1-349-23703-6_2.

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Niven, Neil. "Interpersonal Skills." In The Psychology of Nursing Care. Macmillan Education UK, 2006. http://dx.doi.org/10.1007/978-0-230-20944-2_2.

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Adams, Trevor. "Clinical settings, competencies and skills in dementia care nursing." In Dementia Care Nursing. Macmillan Education UK, 2008. http://dx.doi.org/10.1007/978-0-230-58039-8_11.

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Webber, J. "Optimizing Palliative Nursing Skills by Education." In Supportive Care in Cancer Patients II. Springer Berlin Heidelberg, 1991. http://dx.doi.org/10.1007/978-3-642-84138-5_48.

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Babyak, Shannon R., and Jeffrey B. Backus. "Emergency Medicine and Critical Care Nursing Skills." In Veterinary Technician's Manual for Small Animal Emergency and Critical Care. John Wiley & Sons, Inc., 2018. http://dx.doi.org/10.1002/9781119536598.ch28.

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Miers, Margaret. "Power, knowledge and skills in child-centred care." In Power and Nursing Practice. Macmillan Education UK, 1999. http://dx.doi.org/10.1007/978-1-349-14439-6_12.

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Conference papers on the topic "Skilled nursing care"

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Oliver, Brant, Daniel Stadler, Ellen Flaherty, and Stephen Bartels. "1057 Reducing unwanted and unwarranted ed and hospital utilisation for frail elders in rural skilled nursing facilities: a hybrid improvement-implementation approach." In Institute for Healthcare Improvement (IHI) Scientific Symposium on Improving the Quality and Value of Health Care. British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/bmjoq-2017-ihi.29.

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Nicolls, Barbara Anne, Maria Cassar, Corinne Scicluna, and Sharon Martinelli. "Charting the competency-based eportfolio implementation journey." In Seventh International Conference on Higher Education Advances. Universitat Politècnica de València, 2021. http://dx.doi.org/10.4995/head21.2021.13183.

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As health professionals, nurses are responsible not only for staying abreast of current professional knowledge to provide effective care but also for managing their own career, professional growth and development. Nurse educators have acknowledged that eportfolios provide a means through which nurses can record and provide evidence of skills, achievements, experience, professional development and, on-going learning, not only for themselves, but for the information and scrutiny of registration boards, employers, managers and peers. Recognising that practices to support these activities that foster 21st century learning should ideally start during their student years, the authors explored eportfolios as a valuable learning device for on-going personal and professional development for fostering students’lifelong learning and enhancing continuous personal and professional development. This paper describes the critical success factors for successful implementation of the Google Sites Practice eportfolio embedded in the three-year BSc(Hons) Nursing Programme in Malta. Evidence-based practice of successful eportfolio implementors was examined and their methods adapted to ensure the initiative had a sound foundation and fit for purpose.The authors argue that to be successful, eportfolio implementation must primarily be strategic, holistic, supported and have senior management buy-in and secondarily, have a robust tool, good pedagogy, and skilled and enthusiastic staff. Keywords:nursing;competency;implementation;eportfolio;Malta;Nurse Education
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Mondragon, Carlos, and Reza Fotouhi. "Kinematics and Path Planning of a Six-Degrees-of-Freedom Robot Manipulator." In ASME 2013 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/detc2013-13475.

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This paper introduces a strategy to accomplish pick-and-place operations for a six-degrees-of-freedom (6-DOF) robotic arm attached to a wheeled mobile robot. This research work is part of a bigger project in developing a robotic-assisted nursing to be used in medical settings. The significance of this project relies on the increasing demand for elderly and disabled skilled care assistance which nowadays has become insufficient. Several methods were implemented to make a 6-DOF manipulator capable of performing pick-and-place operations. This paper presents an approach for solving the inverse kinematics problem and planning collision-free paths. An Iterative Inverse Kinematics method (IIK) was introduced to find multiple configurations for the manipulator along a given path. The IIK method takes advantage of a specific geometric characteristic of the manipulator, in which several joints share a common plane. Ten different scenarios with different number and pattern of obstacles were used to verify the efficiency of a path planning algorithm introduced here. Other methods, also implemented in the current project, which describe the manipulator and its capabilities, are presented elsewhere [1]. Overall results confirmed the efficiency of the implemented methods for performing pick-and-place operations for a 6-DOF manipulator.
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Harvey, Clare, Rachel Forrest, Alannah Meyers, et al. "Aberrant Work Environments – Rationed Care As System Failure Or Missed Care As Skills Failure?" In Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2014. http://dx.doi.org/10.5176/2315-4330_wnc14.78.

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Laranjeira, Carlos, Ana Querido, and Catarina Afonso. "Therapeutic communication skills in palliative care nursing education: an exploratory study using a role-playing tool." In Seventh International Conference on Higher Education Advances. Universitat Politècnica de València, 2021. http://dx.doi.org/10.4995/head21.2021.13068.

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This study aim to explore the experiences of nursing final-year students on the care of the person in a palliative situation and their family using the role-playing technique. Qualitative, descriptive research developed in October 2020 with 30 third-year nursing students from a palliative care nursing course, in Portugal. Individual debriefing reflections and thematic analysis of the information were conducted. Two main themes emerged: 1) facilitators; and 2) barriers of role-playing in a simulated palliative care context. We concluded that type of simulation allows students to deal with complex palliative care situations from an individual and realistic perspective.
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Liao, Mengyuan, Takashi Yoshikawa, Akihiko Goto, Yuka Takai, and Tomoko Ota. "Development of Video Training Course Containing Human Kinematic Mechanism Analysis for Caregivers." In ASME 2015 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/imece2015-51401.

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A 30-minute of simple understanding video course was proposed, which included of normal movie comparison between expert and non-expert, corresponding body model motion simulation movie, transfer care process division and different mechanics of movement analysis results. Through video display in training course, nursing care staff could easily compare and catch the motion detail differences with expert and deeply imprinted in mind. In a word, the target of this paper was to give the feedback to elder nursing care occupational site by video training course development, help to improve and optimize beginner and non-expert’s care skill in a shorter cycle period.
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Marković, Biljana. "THE IMPORTANCE OF ICT SKILLS AND DIGITAL LITERACY IN THE HEALTH CARE PROFESSION OF NURSING." In 13th International Conference on Education and New Learning Technologies. IATED, 2021. http://dx.doi.org/10.21125/edulearn.2021.0409.

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Sila, Nissa Aruming, Nursalam, and M. Yusuf Asegaf. "Description of Knowledge and Skill of Nurses to Interpret Basic ECG In The Hospital." In The 9th International Nursing Conference: Nurses at The Forefront Transforming Care, Science and Research. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008323302440249.

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"Remaining Connected with our Graduates: A Pilot Study." In InSITE 2019: Informing Science + IT Education Conferences: Jerusalem. Informing Science Institute, 2019. http://dx.doi.org/10.28945/4162.

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[This Proceedings paper was revised and published in the 2019 issue of the Interdisciplinary Journal of E-Skills and Lifelong Learning, Volume 15.] Aim/Purpose This study aims to determine where nursing students from a metropolitan university subsequently work following graduation, identify the factors that influence decisions to pursue careers in particular locations, ascertain educational plans in the immediate future; and explore the factors that might attract students to pursue postgraduate study. Background The global nursing shortage and high attrition of nursing students remain a challenge for the nursing profession. A recurrent pattern of maldistribution of nurses in clinical specialities and work locations has also occurred. It is imperative that institutions of learning examine their directions and priorities with the goal of meeting the mounting health needs of the wider community. Methodology Qualitative and quantitative data were obtained through an online 21-item questionnaire. The questionnaire gathered data such as year of graduation, employment status, the location of main and secondary jobs, the principal area of nursing activity, and plans for postgraduate study. It sought graduates’ reasons for seeking employment in particular workplaces and the factors encouraging them to pursue postgraduate study. Contribution This study is meaningful and relevant as it provided a window to see the gaps in higher education and nursing practice, and opportunities in research and collaboration. It conveys many insights that were informative, valuable and illuminating in the context of nurse shortage and nurse education. The partnership with hospitals and health services in providing education and support at the workplace is emphasized. Findings Twenty-three students completed the online questionnaire. All respondents were employed, 22 were working in Australia on a permanent basis (96%), 19 in urban areas (83%) with three in regional/rural areas (13%), and one was working internationally (4%). This pilot study revealed that there were varied reasons for workplace decisions, but the most common answer was the opportunity provided to students to undertake their graduate year and subsequent employment offered. Moreover, the prevailing culture of the organization and high-quality clinical experiences afforded to students were significant contributory factors. Data analysis revealed their plans for postgraduate studies in the next five years (61%), with critical care nursing as the most popular specialty option. The majority of the respondents (78%) signified their interest in taking further courses, being familiar with the educational system and expressing high satisfaction with the university’s program delivery. Recommendations for Practitioners The results of the pilot should be tested in a full study with validated instruments in the future. With a larger dataset, the conclusions about graduate destinations and postgraduate educational pursuits of graduates would be generalizable, valid and reliable. Recommendation for Researchers Further research to explore how graduates might be encouraged to work in rural and regional areas, determine courses that meet the demand of the market, and how to better engage with clinical partners are recommended. Impact on Society It is expected that the study will be extended in the future to benefit other academics, service managers, recruiters, and stakeholders to alert them of strategies that may be used to entice graduates to seek employment in various areas and plan for addressing the educational needs of postgraduate nursing students. The end goal is to help enhance the nursing workforce by focusing on leadership and retention. Future Research Future directions for research will include canvassing a bigger sample of alumni students and continuously monitoring graduate destinations and educational aspirations. How graduates might be encouraged to work in rural and regional areas will be further explored. Further research will also be undertaken involving graduates from other universities and other countries in order to compare the work practice of graduates over the same time frame.
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Park, Sung-ju, and Sun-hee Choi. "Effects of Problem-based Learning on the Learning Atti-tudes, Critical Thinking Disposition and Problem-Solving Skills of Nursing Students: Infant Care." In Education 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.103.41.

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Reports on the topic "Skilled nursing care"

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Rahman, Momotazur, Edward Norton, and David Grabowski. Do Hospital-Owned Skilled Nursing Facilities Provide Better Post-Acute Care Quality? National Bureau of Economic Research, 2016. http://dx.doi.org/10.3386/w22515.

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Wiener, Joshua M., Mary E. Knowles, and Erin E. White. Financing Long-Term Services and Supports: Continuity and Change. RTI Press, 2017. http://dx.doi.org/10.3768/rtipress.2017.op.0042.1709.

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This article provides an overview of financing for long-term services and supports (LTSS) in the United States, paying special attention to how it has changed and not changed over the last 30 years. Although LTSS expenditures have increased greatly (like the rest of health care), the broad outline of the financing system has remained remarkably constant. Medicaid—a means-tested program—continues to dominate LTSS financing, while private long-term care insurance plays a minor role. High out-of-pocket costs and spend-down to Medicaid because of those high costs continue to be hallmarks of the system. Although many major LTSS financing reform proposals were introduced over this period, none was enacted—except the Community Living Assistance Services and Supports Act, which was repealed before implementation because of concerns about adverse selection. The one major change during this time period has been the very large increase in Medicare spending for post-acute services, such as short-term skilled nursing facility and home health care. With the aging of the population, demand for LTSS is likely to increase, placing strain on the existing system.
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Cornell, Portia, David Grabowski, Edward Norton, and Momotazur Rahman. Do Report Cards Predict Future Quality? The Case of Skilled Nursing Facilities. National Bureau of Economic Research, 2019. http://dx.doi.org/10.3386/w25940.

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Cutler, David, Leemore Dafny, David Grabowski, Steven Lee, and Christopher Ody. Vertical Integration of Healthcare Providers Increases Self-Referrals and Can Reduce Downstream Competition: The Case of Hospital-Owned Skilled Nursing Facilities. National Bureau of Economic Research, 2020. http://dx.doi.org/10.3386/w28305.

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