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This review will consider studies including male and female adults aged 50 or older, living in the community, and irrespective of the nursing care they may otherwise receive, were offered a nursing intervention for HA.
- In No Uncertain Terms
Since publication of the first key paper outlining a clear...
- In No Uncertain Terms
Such knowledge could aid in the quality of care and delivery of safe evidence-based nursing care for older people in long-term care. One way to guarantee the above might be to support nurses in delivering care through distinctly articulated and defined models of care (MoC).
Nurses should provide high-quality care to older adults in geriatric settings to improve patients’ and their families’ satisfaction. Nurses should target quality leadership, implement quality improvement, and communicate effectively.
- Characteristics of The Evidence Sources
- Quality of Evidence
- Practice Guidelines/Criteria For Older Residents in Ltcfs
- Findings from The Primary Studies
Of the 16 included primary studies relating standards and quality of care, approximately 56% (9) were conducted in the United States of America (USA) [47,48,49,50,51,52,53,54,55]. The remainder involved LTCFs in Canada , Hong Kong , Ireland , Norway , Israel , Japan , and France . The majority 31% (5) of the included studies were quasi-experimental...
All 16 included studies underwent methodological quality appraisal using the MMAT (Supplementary file 2). The quality score ranged from 78.6 to 100%. Approximately 56.3% (9/16) of the included studies scored 85.7% [48, 61, 62] and 6.3% (1/16) scored 78.6% . Figure 2presents a clustered column bar chart comparing the quality scores of the included s...
Aside from the 16 included studies, this review revealed 12 practice guidelines for care of older persons in LTCFs. Namely; practice guidelines for evaluation of fever and infection , practice guidelines for improving medication management , oral health care guidelines [28, 31], and standard guidelines for specialized nutrition support . Clinical p...
Prompted voiding interventions
Six of the 16 included studies highlighted evidence on prompted voiding intervention/standards [47, 50,51,52,53, 57]. Burgio et al. indicated significant improvement to the two-hourly schedule in one of the four groups involved. Two groups appeared to improve on the less intensive three-hour schedule (P < 0.05) . Moreover, the authors indicated that during training self-initiated toileting reduced (P < 0.05) and volume voids in a suitable receptacle increased (P < 0.05) . Lai et al. i...
Provision of professional support to LTCF staff
Three of the 16 included studies presented evidence on professional support to LTCF staff and quality of care. Rolland et al. investigated the effects of a global intervention that included professional support and education for nursing home staff on quality indicators as well as functional decline and emergency department transfers of residents . At the outset, they reported that quality indicators in nursing homes in France were generally low . The annual rate of transfer to the eme...
Effect of regulation of LTCFs
Two reported evidence sources relating to regulation and quality of care in LTCFs were accessed from the 16 included studies. Bravo et al. compared the mortality rate in regulated and unregulated facilities and concluded that quality of care has a much stronger influence on resident outcomes in Canada than regulation . The study found that a resident’s length of survival in LTCF is unaffected by the regulatory status of the facility where he or she lived at the start . Nonetheless, re...
May 11, 2021 · This chapter examines ways in which nurses today work to improve health care equity, as well as their potential future roles and responsibilities in improving equity through efforts to expand access to and improve the quality of health care.
- Jennifer Lalitha Flaubert, Suzanne Le Menestrel, David R. Williams, Mary K. Wakefield
- 2021/05/11
- 2021
Jul 15, 2022 · There is preliminary evidence that purposeful activity interventions, particularly those that involved taking on a functional role, can improve well-being and quality-of-life outcomes in older adults aged 80 years and older.
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Jun 3, 2019 · Registered nurses (RNs) have played a major role in developing and leading care management programs in hospitals and health systems, consistent with meeting the health care needs of patients with...
