Despite comprising nearly 10% of the nation’s nursing home population, little is known about the quality of care provided by nursing homes located in rural Appalachia. However, anecdotal evidences suggests that the economic disadvantages associated with the Appalachian region may lead to higher concentrations of certain structural and organizational attributes previously shown to affect nursing...

As a historical era, postmodernism signifies transition from inflexible and logical positivism and entry into a new view to science. Postmodernism offers a number of nursing practice revise that including humanism, conditions, and borderless, multi-voice, view, and multicultural world, changes in meaning of knowledge, and life-long learning. Demographic changes, technological advances, ethnic a...

BACKGROUND: In view of the issues surrounding physical restraint use, it is important to have a method of measurement as valid and reliable as possible. We determined the sensitivity and specificity of physical restraint use a) reported by nursing staff and b) reviewed from medical and nursing records in nursing home settings, by comparing these methods with direct observation. METHODS: We samp...

BACKGROUND In November 2002, the Centers for Medicare & Medicaid Services (CMS) launched a Nursing Home Quality Initiative that included publicly reporting a set of Quality Measures for all nursing homes in the country, and providing quality improvement assistance to nursing homes nationwide. A pilot of this initiative occurred in six states for six months prior to the launch. METHODS Review ...

OBJECTIVES There is evidence of notable improvement in active life expectancy among older Americans. Little is known, however, about the effect of better health on lifetime nursing home use. The purpose of this study was to address this gap in our knowledge. METHODS Discrete-time hazard models of nursing home admission and discharge were developed using data from the 1982, 1984, and 1989 Nati...

The purpose of this study was to identify the relationship between faculty research productivity and organizational structure in schools of nursing. The need for nursing research has been widely recognized by members of the nursing profession, yet comparatively few engage in conducting research. Although contextual variables have been investigated that facilitate or inhibit nursing research, th...

Clinical teaching is an integral component of nursing education. As such, students' evaluations provide insight into their perceptions this style teaching. It's a type evaluation that was devised to improve education through formative assessment. The point view on the instruction they receive fundamental element since are main recipients, and appear more as partners in educational process. Ther...

This article describes a recent initiative, which used life-coaching to develop strong leadership skills and empower individual team members and the team as a whole. A three-stage process was used to enable a team of nurses in a GP practice to improve working relationships, leadership skills and stress management.