BACKGROUND Interprofessionalism, considered as collaboration between medical professionals, has gained prominence over recent decades and evidence for its impact has grown. The steadily increasing number of residents in nursing homes will challenge medical care and the interaction across professions, especially nurses and general practitioners (GPs). The nursing home visit, a key element of med...

1. Meydani SN, Hamer DH. Zinc supplementation in elderly nursing home residents. Clin Infect Dis 2009; 49:479 (in this issue). 2. Fulop T, Pawelec G, Castle S, Loeb M. Immunosenescence and vaccination in nursing home residents. Clin Infect Dis 2009 (Epub ahead of print). 3. Meydani SN, Barnett JB, Dallal GE, et al. Serum zinc and pneumonia in nursing home elderly. Am J Clin Nutr 2007; 86:1167–73.

A growing elderly population coupled with a reduction in hospital long term care has led to an increase in the independent nursing home sector. This is an expensive resource. Proper placement is therefore essential to ensure its efficient use. Prior to the introduction of care management there was no standard assessment procedure for admission to nursing home care from different sources. A nurs...

OBJECTIVE to assess patient knowledge of heart failure by home-based measurement of two NOC Nursing Outcomes over a six-month period and correlate mean outcome indicator scores with mean scores of a heart failure Knowledge Questionnaire. METHODS in this before-and-after study, patients with heart failure received four home visits over a six-month period after hospital discharge. At each home ...

........ .......................................................................................................... xiii CHAPTER 1: INTRODUCTION........................ ........................................................1 Literature Background .............................................................................................2 Purpose of the Study and Research Questions ............

MOST of the information currently available about nursing home patients has been obtained by sample or enumeration studies of the patients found in one or more homes as of a given date. Such studies have ascertained the demographic characteristics of the nursing home patient-population and have obtained information about the physicial condition of the patients, including ambulatory status, type...

OBJECTIVE to examine the prevalence of therapy use in nursing homes in selected countries and to describe the characteristics of nursing home residents who receive therapy. DESIGN and SAMPLING the design of the study is cross-sectional, using Minimum Data Set (MDS) assessments of nursing home residents. The sample includes all nursing home residents in six US states (n = 273491), in Copenhage...

OBJECTIVE The objective of this study was to determine whether the Minimum Data Set (MDS) 3.0 discharge record accurately identifies hospitalizations and deaths of nursing home residents. DESIGN We merged date of death from Medicare enrollment data and hospital inpatient claims with MDS discharge records to check whether the same information can be verified from both the sources. We examined ...

Background: Job satisfaction is important for nursing home staff and nursing home management, as it is associated with absenteeism, turnover, and quality of care. However, we know little about factors associated with job satisfaction and dissatisfaction for nursing home workers. Methods: In this investigation, we use data from 251 caregivers to examine: what job satisfaction domains are importa...

OBJECTIVES Hospitalization is potentially detrimental to nursing home patients and resource demanding for the specialist health care. This study assessed if a brief training program in administrating intravenous fluids and antibiotics in nursing homes could reduce hospital transfers and ensure high quality care locally. DESIGN A pragmatic and modified cluster randomized stepped-wedge trial wi...