Thesis (M.S.) in Nursing--University of Maine, 2004. / Includes vita. Includes bibliographical references (leaves 47-49).

Thesis (M.S.)--University of Missouri-Columbia, 2005. / The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file viewed on (July 13, 2006) Includes bibliographical references.

Thesis (Ph. D.)--Florida State University, 2006. / Advisor: Frances S. Berry, Florida State University, College of Social Sciences, Dept. of Public Administration and Policy. Title and description from dissertation home page (viewed Sept. 21, 2006). Document formatted into pages; contains xiii, 114 pages. Includes bibliographical references.

No description available.

As the baby boomer population continues to age, the number of older adults in the United States continues to rise as well, which has and will continue to result in an ongoing increase in the nursing home population. Challenges in nursing home care include assuring the provision of comprehensive quality care, person centered care, and continuity of care. This DNP project evaluated a comprehensive template for nurse practitioners to use when completing monthly nursing home visits that would help address these challenges. The purpose of this project was to evaluate nurse practitioner satisfaction regarding the effectiveness of the tool in assuring comprehensive, quality and patient centered care when completing monthly nursing home visits. This was accomplished via a descriptive analysis of 10 nurse practitioners providing care in nursing homes. A Likert scale questionnaire was used before and after the nurse practitioners used the tool for a period of two months. All 10 participants agreed or strongly agreed that they would recommend the tool for use by nurse practitioners when completing monthly nursing home visits. Seven of the participants agreed or strongly agreed that the tool helped improve overall quality of the visit. The results demonstrated that the monthly nursing home assessment tool was beneficial in improving the quality of the visits and that there are future implications for use of the tool by not only nurse practitioners who practice in this setting but also for nurse practitioner students and physicians.

The effect of frequency of nursing home contact on family perceptions of quality care is the focus of this research. A family member characteristic, such as geographic distance from the nursing home, affects his or her frequency of contact with the nursing home. Frequency of contact, in turn, affects family perceptions of the care his or her loved one receives in the nursing home. The theoretical framework for this study is based on Allport's intergroup contact theory, which posits that when four contact conditions - institutional support, equal status, common goals, and intergroup cooperation - are present in an intergroup situation, a reduction in anxiety between groups is likely to occur. Regression analysis tested the stated hypotheses using survey data collected from 275 family members of residents in 10 Dallas-Ft. Worth area nursing homes. This study is among the first to quantify family geographic distance, finding that family geographic distance is a significant negative predictor of nursing home contact. Additionally, results build on Allport's theory by extending its' usefulness to nursing home organizations in two distinct ways. First, findings support Allport's premise that contact alone between groups - i.e., family members and nursing home staff - is insufficient for increasing or decreasing family perceptions of nursing home care. Second, three of the four contact conditions included in Allport's theory were statistically supported by the data. In sum, findings of this research provide nursing homes with an empirically tested model for improving family perceptions of quality nursing home care.

Mental health disorders interfere with the daily functioning of an individual’s meaningful occupations, the ability to interact with others, and decrease their ability to continue with life events (Frahm, Gammonley, Zhang, & Paek, 2010). Mental health disorders are often unreported in older adults, but the frequency is relatively high among older adults residing in long-term care settings. Further, individuals who have mental health problems are primarily located in long-term facilities (Frahm, et al. 2010). Among these diagnoses, major depressive disorder remains common within the long-term care environment. Depression could be secondary but not limited to decreased physical activity, poor social interaction, and limited participation in leisure activities. Engaging in adequate physical activities has been determined as one of the most essential factors of maintaining good health (Lipovcan, Brkljacic, Larsen, Zganec, & Franc, 2018). However, despite the widespread promotion of maintaining active lifestyles in order to live longer, many older adults live inactive lives. Research shows that activity in later life cannot be determined by only participating in exercise routines, but quality of life is measured by several domains including social, leisure, and physical (Lipovcan et al., 2018). Occupational therapists (OT) and other professionals who work with older adults should create routine programs of physical activity to increase their occupational needs and make it possible for them to maintain a meaningful life (Lok, Lok, & Canbaz, 2017). M(OT)IVATION: The Benefits of a Physical and Leisure Activity Program for Older Adults with Depression in Long-Term Care Settings is an evidence-based model program created to increase the well-being of older adults and decrease depression by engaging in exercise and leisure activities.

No description available.

The purpose of this study was to retrospectively identify risk factors of elderly nursing home residents that may predict the hospitalization of recently admitted elderly nursing home residents. Two groups of randomly chosen residents were studied. The non-hospitalized group (n = 100) were admitted to a nursing home and remained in the facility for at least 90 days. The hospitalized group (n = 100) were discharged to a hospital within 30 days of admission to the nursing home. The presence of HCFA irregularities increased the odds for hospitalization of an elderly nursing home resident by 1.67. Regular medication orders on discharge increased the odds of hospitalization by 1.25. This study showed that the use of the 33 HCFA indicators are useful in identifying elderly nursing home residents that may be at an increased risk of hospitalization.

Bakgrund: Att ha kontakt med närstående till personer med demenssjukdom ingår i omvårdnadspersonalens dagliga arbete. Det finns i forskning beskrivet hur närstående upplever sin situation och i riktlinjer beskrivs vikten av att kommunicera med närstående utifrån ett personcentrerat förhållningssätt.  Syfte: Att beskriva omvårdnadspersonalens erfarenheter av att kommunicera med närstående till personer med demenssjukdom.  Metod: Kvalitativ intervjustudie med induktiv ansats. Åtta semistrukturerade intervjuer med undersköterskor anställda på särskilt boende anpassat för personer med demenssjukdom. Resultat: I studien identifierades fyra huvudkategorier och tolv underkategorier. Huvudkategorierna var: strävan efter att vara professionell, relationen mellan omvårdnadspersonal och närstående, bemötande av närståendes behov och behov av teamsamverkan. Slutsats: Ett professionellt förhållningssätt och ett gott bemötande är några av de viktigaste förmågorna som omvårdnadspersonalen innehar. Att förekomma och ta initiativ till kontakt även om det inte finns någon egentlig anledning skapar trygga och välmående närstående. En närvarande sjuksköterska och ett väl sammansvetsat multiprofessionellt team ökar kvaliteten på omvårdnaden av personer med demenssjukdom. / Background: Contact with relatives to people with dementia is included in the daily work of the nursing staff. In research, it is described how relatives experience their situation and guidelines describe the importance of communicating with relatives based on a personcentered approach. Aim: To describe the nursing staff's experiences of communicating with relatives to people with dementia. Method: Qualitative interview study with inductive approach. Eight semi-structured interviews with nursing staff employed on nursing-home specially adapted for people with dementia. Result: The study identified four main categories and twelve subcategories. The main categories were: the pursuit of being professional, the relationship between nursing staff, addressing the needs of relatives and relatives and the need for team collaboration.  Conclusion: A professional approach and good treatment is one of the most important abilities that nursing staff possess. To occur and initiate contact even if there is no real reason creates safe and prosperous relatives. A present nurse and a well-knit multi-professional team increase the quality of care for people with dementia.