OBJECTIVES To examine trends of influenza vaccination in nursing homes before and after public reporting (objective-1), and to assess the effect of influenza vaccinations on hospitalization events (objective-2). RESEARCH DESIGN Nursing Home Compare (NHC) database was used to obtain influenza vaccination rates during the 2005-2006, 2006-2007, and 2007-2008 flu seasons (objective-1). The 2005-2...

Going into a nursing home can turn out to be a critical life experience if elderly people are afraid of losing their independence and identity after having moved into a nursing home. In order to find out what nursing home residents need in their first year after having moved into a nursing home to maintain their identity and self-determination, 20 problem-orientated interviews with residents of...

BACKGROUND Although many countries have implemented strict legal rules, the prevalence of physical restraints in nursing homes seems to remain high. In Switzerland, data related to the frequency of physical restraints are scarce and little is known about associations with resident and nursing home characteristics. The aim of this study was to investigate the prevalence and types of physical res...

OBJECTIVES Nationwide among nursing home residents, receipt of the influenza vaccine is 8 to 9 percentage points lower among blacks than among whites. The objective of this study was to determine if the national inequity in vaccination is because of the characteristics of facilities and/or residents. DESIGN Cross-sectional study with multilevel modeling. SETTING AND PARTICIPANTS States in w...

The 1991 National Health Provider Inventory (NHPI) was a survey of nursing homes, board and care homes, hospices,and home health agencies. This report deals primarily with nursing homes and board and care homes but includes some discussion of home health care. The NHPI was previously known as he Inventory of Long-Term Care Places (ETCP), which was conducted in 1986 (1). Before that, it was know...

Background: Long-term care facilities provide a wide range of services over a sustained period of time to people of all ages with functional limitations and chronic conditions. Nursing homes provide 24 hour nursing care support and long-term housing. Objectives: The purpose of this study is to explore the relationships among nursing home ownership, care processes and quality outcomes in Medicar...

For the leading of the complex care as all social process the exact notice of need-structure among aged people important. The investigation of the complex need for cultural entertainments among inhabitants of geriatric nursing stations shows group-specific particularities, so that by taking cultural measures the didactiv principle is to be demanded to offer differentiated entertainments concern...

Nursing home quality indicators have been developed over the past 10 years to quantify nursing home quality and to draw systematic comparisons between facilities. Although these indicators have been applied widely for nursing home regulation, quality improvement, and public reporting, researchers and stakeholders have raised concerns about their accuracy and usefulness. We critically evaluate n...

BACKGROUND The elderly use a large number of medications, which exposes them to an increased risk for medication-related errors, especially in nursing homes. OBJECTIVES The aim of this study was to investigate the impact of an educational session addressing good medication administration practices on the medication administration error rate in 2 nursing homes. METHOD A before-after study wa...

Nursing home culture change is becoming more prevalent, and research has demonstrated its benefits for nursing home residents and staff-but little is known about the role of nursing home administrators in culture change implementation. The purpose of this study was to determine what barriers nursing home administrators face in implementing culture change practices, and to identify the strategie...