The caring relationship between the nurse and the person in need of nursing care has been described as a key concept in nursing and could facilitate health and healing by involving the person's genuine needs. The aim of this study was to explore registered nurses' experiences of their relationships with persons in need of home-based nursing care. Individual interviews with nurses (n=13 register...

extract today home health care is implementing in many countries. in iran, because of increasing population growth and hospital investments, home health care is not avoidable. home health care not only causes decreasing length of hospitalization and rapid offloading of hospital's beds for the use of other patients, but also presenting direct health services in home based on individual need...

BACKGROUND Nursing home residents are at high risk for developing acute illnesses. Compared with community dwelling adults, nursing home residents are often more frail, prone to multiple medical problems and symptoms, and are at higher risk for adverse outcomes from acute illnesses. In addition, because of polypharmacy and the high burden of chronic disease, nursing home residents are particula...

The impending wave of aging boomers heightens long-standing concerns for the quality and cost of nursing home care. As industry and policy leaders continue efforts to remedy substandard nursing home care delivery practices, development of a well-prepared and adequately supported workforce of directors of nursing (DONs) is essential to ensuring the industry's readiness for the aging wave populat...

PURPOSE To investigate how a partnership between labor and management works to change the organization and focus of nursing home frontline work, supporting a transition toward person-centered care (PCC) in participating nursing homes. DESIGN AND METHODS Using a participatory research approach, we conducted case studies of 2 nursing homes participating in a partnership between a labor union an...

Currently, 1.6 million elderly and disabled people receive care in about 17,000 nursing homes across the United States. In 1987, Congress passed major nursing home reforms that defined the role of the State survey and certification process in determining the compliance of nursing homes with Federal standards. In 1998, the President announced new steps to increase Federal oversight of nursing ho...

Practicing psychiatry by remote access (telepsychiatry) is not a new development. Two-way interactive television has been used on an experimental basis since 1959 in Nebraska, and it has spread to other states as well. Its acceptance and efficacy was evaluated in several studies. In a study using questionnaires, patients’ evaluations of the interview was the same in control and experimental gro...

BACKGROUND Older persons in transition between hospital and home care services are in a particularly vulnerable situation and risk unfortunate consequences caused by organizational inefficiency. The purpose of the study reported here was to elucidate how home nursing leaders experience the administration of care to older people in transition from hospital to their own homes. METHODS A qualita...

PURPOSE A focus on palliative care for residents with dementia is much more common in Dutch nursing homes than in the United States. We compared treatment and mortality in U.S. and Dutch nursing home residents with lower respiratory infections (LRI), which are often the immediate cause of death in dementia. DESIGN AND METHODS We studied two prospective cohorts--a study of pneumonia (n = 706) ...