M Rantz

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..Qualitatively describe the use of team and group processes in intervention facilities participating in a study targeted to improve quality of care in nursing homes "in need of improvement."..

..To describe how staff use federal quality indicator/quality measure (QI/QM) scores and reports, quality improvement methods and activities, and how staff supported and sustained the changes recommended by their quality improvement teams...

..05). Technological methods such as these could be widely adopted in older adult housing, long-term care settings, and in private homes where older adults wish to remain independent for as long as possible...

..A comprehensive multilevel intervention was tested to build organizational capacity to create and sustain improvement in quality of care and subsequently improve resident outcomes in nursing homes in need of improvement...

..The purpose of this study was to describe the processes of care, organizational attributes, cost of care, staffing level, and staff mix in a sample of Missouri homes with good, average, and poor resident outcomes...

..Nurses from a variety of environments dialogue about what could be and how to create it. Discussions are affirming, confirming, and challenging, creating personal and professional growth and innovation...

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..Two case studies are included to illustrate the potential of the sensor networks to augment traditional health care assessment...

..Generalizability Theory analyses revealed that dependability of scores can be improved by including a second site observer, or by revisiting a site. There is a small additional benefit from increasing observers or visits beyond two...

..The purpose of this study was to test the unique and combined contributions of EMR at the bedside and on-site clinical consultation by gerontological expert nurses on cost, staffing, and quality of care in nursing homes...

..We recommend its use by researchers and consumers and further testing of the use of the instrument with regulators...

..After 12 to 24 months, almost no one wants to return to the era of paper charting...

..With early detection, interventions can be more effective and reduce hospitalization and other healthcare expenses. Case studies are presented, and implications are discussed...

..Both mental health and physical health measures indicate the health restoration and independence effectiveness of the AIP model for long-term care...

..43 on a four-point scale). The OIQ-AL gives reliable and valid scores for researchers, and may be useful for consumers, providers, and others interested in measuring quality of care in assisted-living facilities...

..New models of care are needed to challenge the existing paradigm, which often excludes distant caregivers from the care process. Technology can facilitate this process by bridging geographic distance...

..They can help older adults with light care needs to make informed decisions about long-term care, seek out community options, and set in place assistive care systems that can help them age in the community...

..They furthermore expressed the desire to control system operation by being able to turn a vision-based system off and on, and also determine who has access to the collected information...

..A culture of safety...

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..Analyzing the data even at this level we gain increased confidence that technology will be a welcome addition as the population ages and require increasing care...

..3 hours in total). The actor was previously trained by our nursing collaborators to fall like an elderly person. The use of height information reduced the false alarm hourly rate from 32 to 5 at a 100% fall detection rate...

..Findings will be useful to administrators and policy makers who are contemplating implementation of a clinical information system...

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..Users want better image quality, when expectations are matched satisfaction increases, and unclear meaning of motion measures decreases satisfaction...

..To compare hospice residents in nursing homes with residents who are noted as end-stage, but not in hospice programs...

..The pattern of decline identified here may provide additional clues to the presence of underlying depression...

..This study describes the prevalence, profile, and survivorship of residents admitted to LTC facilities, using the Minimum Data Set (MDS) designation of being at the EOL...

..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...

..Through the use of a sensor system, new ways of detecting functional decline in elderly residents of assisted living facilities can be accomplished...

..A summary is also included on the challenges encountered and the lessons learned as a result of our experiences in monitoring aging adults in their homes...

..The results of this work will additionally reduce the workload on caregivers, foster communication between residents and family, and give these seniors independence. We have requested and received IRB approval for this study...

..The participatory evaluation approach not only empowers end-users but it also allows for the implementation of smart home systems that address residents' needs...

..The study aim is to assess older adults' perceptions of specific smart home technologies (i.e., a bed sensor, gait monitor, stove sensor, motion sensor, and video sensor)...

..Our experimental results demonstrate that the proposed system is efficient in indoor elder activities monitoring and easily utilized by eldercare professionals...

..By building a regression model from this higher order information, our system can automatically estimate elder activity levels...

..This finding provides support of the importance and advantage of continuous gait assessment in a daily living environment. Results on 4 elderly participants are included in the paper...

..Sex and ethnic differences need further investigation. There is a vital need for rigorously designed studies to contribute to this science...

..To measure pressure ulcer quality indicator (QI) scores and to describe the self-reported skin integrity assessment, pressure ulcer risk assessment, and pressure ulcer prevention and treatment practices in long-term care facilities (LTCFs)...

..Senior Care and the Aging in Place initiative provide an excellent example of how nurses can be leaders in health system change...

..Because grey literature is a source of data that might not employ peer review, critics have questioned the validity of its data and the results of meta-analyses that include it...

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..The results of this study provide a basis for developing educational programs and a guide for future research...

..Achieving these outcomes is the challenge facing those currently working in and leading nursing facilities...

..90 for the total scale, indicating excellent results for initial field-testing. A focus group confirmed the 5 dimensions of quality of care measured by the instrument as important in residential care settings...

..Findings indicate that innovative QI programs and APN consultation can positively influence nursing home quality improvement efforts and improve care...

..Findings suggest that residents admitted from assisted living facilities are more likely to be older, to have diagnoses of dementia and depression, and to be placed in Alzheimer's special care units...

..Our findings indicate that the use of adaptive technology that can be installed in the home environment has the potential to not only support but also empower individual senior users...

..Descriptions of the Quality Improvement Program for Missouri and the Aging in Place Project are detailed to illustrate real-world application of research to practice...

..To evaluate a range of staffing measures and data sources for long-term use in public reporting of staffing as a quality measure in nursing homes...

..Academic nursing units can develop research cultures to support meaningful research that secures major external funding...

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..Findings suggest that many NH residents classified as light-care by these criteria could be cared for in community settings offering fewer services than NHs...

..Collaboration between Nursing, Computer Engineering, and Health Informatics is likely on a path to improve the quality of life of seniors...

..While each individual quality measure makes only small contributions to costs, when considered across the facility, quality could have a substantial financial impact on the operations of the home...

..We describe the development of a statewide strategy to improve resident outcomes in nursing facilities, and we present some evaluative data from this strategy...

..Future work to develop valid measures of primary study quality dimensions will improve the ability of meta-analysis to inform research and nursing practice...

..Subjects will not use any expensive telehealth equipment or wear any devices. We propose to use this information to detect changes in health status which could indicate an impending acute illness or exacerbation of chronic illness. ..

..Similarly, we will observe processes of care delivery before, during and after the multilevel intervention to describe the adoption of the care delivery strategies recommended in the intervention. ..

..Similarly, we will observe processes of care delivery before, during and after the multilevel intervention to describe the adoption of the care delivery strategies recommended in the intervention. ..

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