Conducting Research in Long-Term Care Settings by Brenda Lewis Cleary PhD RN FAAN

By Brenda Lewis Cleary PhD RN FAAN

Winner of an AJN booklet of the 12 months Award! Nursing houses are wealthy repositories of knowledge, but are underutilized for managed learn reviews. This ebook is a hands-on consultant to engaging in long term care examine in either nursing houses and residential care settings. It bargains an outline of attainable study within the box in addition to sensible details on the way to achieve entry to and paintings with advanced associations that won't welcome switch. the writer additionally indicates the simplest examine technique for long term care settings, and the way to enforce and disseminate profitable learn.

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Since the MDS has evolved through several iterations, it has been redesigned to be more than an individual assessment instrument. In its current form, it is also a measure of the use of resources and includes important indicators of the quality of care. A total of 175 quality indicators are organized within the following twelve care domains: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Accidents Behavioral and Emotional Patterns Clinical Management Cognitive Functioning Elimination and Continence Infection Control Nutrition and Eating Physical Functioning Psycho tropic Drug Use Quality of Life Sensory Function and Communication Skin Care Being able to determine the quality of care from routine assessment information collected among nursing home residents has the potential to play a vital role in improving resident outcomes and to dramatically influence public policy decisions regarding reimbursement, recertification, and regulation.

42 Conducting Research in Long-Term Care Settings The key elements of the quality-measurement system are the quality indicators, and these are derived from items on the Minimum Data Set (MDS) described in Chapter 1. Since the MDS has evolved through several iterations, it has been redesigned to be more than an individual assessment instrument. In its current form, it is also a measure of the use of resources and includes important indicators of the quality of care. A total of 175 quality indicators are organized within the following twelve care domains: 1.

Secondary prevention involves reducing fall-related injuries and includes padding and hip protectors and even innovations such as special energyabsorbing flooring (Stevens & Olson, 2000). Ray and colleagues (1997) conducted a randomized trial of a consultation service to reduce falls in nursing homes. They selected seven pairs of nursing homes in Tennessee for the study, and randomly assigned one facility in each pair to the intervention. There were 221 subjects in the experimental group and 261 controls.

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