| Papers [1-14] of 100 :: [Page 1 of 8] | | Go to page : 1 2 3 4 5 6 7 8 —> | Search results on "IMPROVING QUALITY CARE NURSING HOMES": |
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Improving Quality of Care in Nursing Homes, 2006.
Suggestions on how to improve the quality of care in nursing home facilities.
1,350 words (approx. 5.4 pages), 2 sources, £ 37.95
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Abstract
This paper discusses several measures on the part of the government have been taken to assure the quality of care in nursing homes. With the passing of the Omnibus Budget Reconciliation Act of 1987, the quality of life of residents has significantly improved; however the regulators have not. The paper further discusses how with several issues the residents have not seen addressed in spite of the regulators' presence, policy must be turned to the standardization of regulations regarding quality of care. With standardization, it is believed that a continuous cycle of regular evaluation, implementation and re-evaluation will prepare the nursing home systems in the decades to come.
From the Paper
"Quality of care in nursing homes has been a long-standing issue that remains particularly difficult to characterize and thus address properly and develop policies ultimately uplifting the residents' quality of life. The first obstacle is an agreement upon a universal definition of quality of care - what it encompasses, how these components can be quantified and who can define it (Wunderlich & Kohler, 2001). There is also the issue of the ultimate authority that sets the standards for nursing home practices. Nonetheless, the quality of care in these institutions must be addressed with more urgency, with the retirement and inevitable aging of the "baby boomer" generation looming."
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"Why Improving Quality Doesn't Improve Quality", 2006.
A review of the article "Why improving quality doesn't improve quality" (Or whatever happened to marketing?).
790 words (approx. 3.2 pages), 1 source, MLA, £ 20.95
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Abstract
This paper aims to inform the reader, as expeditiously as possible, what was done, the outcome of the doing, and the investigator's conclusion, in the paper by Kordupleski, Rust, and Zahorik. The remainder of this review analyzes a particular professional article wherein a marketing concept was presented and evaluated, namely quality programs and process improvement techniques.
From the Paper
"presented and evaluated, namely quality programs and process improvement techniques.
When a manuscript is presented to the public or professional audience the first words a reader is drawn are those in the title of the article or report. Depending on what is included in the title will oftentimes determine whether or not a potential reader will read all that is contained in the manuscript. To this end the author or authors of a research report must, in the beginning, clearly define those concepts contained in the manuscript title. The authors claimed, by way of title, that the reporting of their information would be in the area of "quality" in marketing. Sometimes, however, a "catchy" title can become a significant enticement to spur the reader to read a manuscript regardless of how well or how poorly an article is written. Setting this aside, the thoroughness of overall content presentation is the most pivotal criteria for evaluating a professional journal article."
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Nursing Home Care, 2007.
This paper discusses creating stimulating environments for the elderly in nursing homes.
1,253 words (approx. 5.0 pages), 3 sources, MLA, £ 29.95
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Abstract
In this article, the writer presents an overview of the question regarding stimulation in nursing homes for the purpose of helping residents remain active. The writer, who has worked in nursing homes for the past 27 years, has experienced first hand the negative impact that lack of stimulation has had on her clients. The writer explores research regarding the topic and designs a plan in which it would be mandatory to gather information about the residents' prior interests when they move in so that those interests could be incorporated into clients' daily care plan once they arrive. The writer concludes that the goal of her nursing home plan would be to create a more mature and active activity plan for the aged, thereby creating a more well rounded end of life experience for them and their families.
From the Paper
"Having worked in a nursing home for the past 27 years I have seen what happens to the elderly as they enter the home and they are no longer being stimulated.
They give up. They come in full of enthusiasm, if not a bit nervous, and they start to interact. I can always spot the residents who have been there a long time because as the resident passes the time he or she begins to stop interacting. The lack of stimulation begins to take its toll and soon they sit and wait to die instead of getting up each morning ready to live.
Many people believe they are simply witnessing a natural progression toward death, however, I believe that if the residents were stimulated within the nursing home setting they would enjoy a higher standard of living for their remaining years and perhaps live longer as well."
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Health and Safety for Nurses in Home Health Care, 2008.
A discussion of health and safety issues for nurses who work with home health care agencies.
1,710 words (approx. 6.8 pages), 4 sources, APA, £ 39.95
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Abstract
This paper takes a look at the situation of nurses in home health care, who regularly work in isolation without the benefit of peers or essential supports, unlike nurses in hospitals, which have the benefit of safety and security measures provided by the institution. The paper points out that home health care nurses are predominately female and are subject to high physical and psychosocial demands. Furthermore, many of these nurses work in isolated rural settings, making them more prone to physical assault, sexual assault and various forms of workplace violence, as well as personal injury related to heavy lifting. The paper argues that the most important point about health and safety issues is that they impact of the care the client receives. To conclude, the paper maintains that the goal for all home health care agencies must be to ensure the safety of both staff and patients, and this may be achieved through employee awareness and in agency commitment to the staff.
From the Paper
"Home health care is a rapidly expanding industry because of such factors as an aging population and decreased hospital stays. With that expansion have come increasing incidents of violence in the workplace. Surveys of nurse reveal that problems related to safety in the home care field have escalated. These problems range form verbal and physical abuse, along with threatening animals to visible weapons and illegal drugs (Sylvester & Reisener, 2002). In addition, nurses in home care very often work in areas where the crime rate is above the national average. All of these issues and concerns create a potential impact on patient care and patient outcomes (Fazzone & Barloon, 2000). When nurses are in continual fear over their safety, this situation is certain to affect the quality of care."
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Staff and Nursing Homes, 2005.
A summary of a research paper on the effects of the staffing mix on patient care in nursing homes.
920 words (approx. 3.7 pages), 1 source, APA, £ 22.95
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Abstract
This is a summary and critique of a research paper about a study of the effect of the staffing mix on patient care and outcomes at nursing homes. The study looked at a range of nursing homes across five states and looked at the effect of having full-time RENs on staff on patient care and outcomes.
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Nursing Home Abuse, 2005.
This paper discusses that government and private investigations reveal that nursing home residents nationwide are often succumbed to death or serious injury because of neglect in the nursing homes.
2,870 words (approx. 11.5 pages), 16 sources, MLA, £ 60.95
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Abstract
This paper explains that, since the residents of nursing homes are dependent on their staff for most or all of their necessities from food and water to medication and toileting, the care recipients are left in a very vulnerable position and often times without alternatives. The author reports that an analysis of the population of nursing homes over the last decade reveals the fact of malnourishment or undernourishment in about 35 percent to 85 percent of the U.S. nursing home residents. The paper stresses that it is essential to be cautious in selecting a care facility, to pay attention to the care being given, to educate people about nursing care abuse and to report elder abuse regardless of personal consequences.
From the Paper
"The types of abuse occurring in nursing homes against the elders reflect the types prevalent in domestic environments including homicide, physical and sexual attack, neglect, inappropriate restraint, financial abuse, separation, oral threats and intimidation. Additionally, the nursing home abuses stems from traditional practices giving rise to chronic neglect, sub-standard care, overcrowding, authoritarian practices, and failure to safeguard the residents against inexperienced, distressed or greedy workers or against abusive residents or visitors. The delicate types of abuse have been innovated that refuse the residents the liberty to exert personal choice in respect of eating, getting up or going to bed; forcing the residents to involve in the activities and branding the bothersome individuals, giving rise to depersonalized dealings and isolation. Moreover, it has been noted that facilities engage in prejudiced practices like emphasizing activities that supports more capable residents."
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Under-staffing in Nursing Homes, 2007.
This paper looks at the topic of under-staffing, focusing on nursing homes.
1,013 words (approx. 4.1 pages), 15 sources, MLA, £ 24.95
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Abstract
In this article the writer discusses that minimum nurse-to-patient ratios represent the minimal amount of nurses required to care for the maximum number of patients, without compromising patient or nurse safety. The writer points out that both the public and physicians rank nurse under-staffing as one of the most serious threats to patient safety. The writer notes that nurse safety advocates are beginning to question how inadequate ratios impact job satisfaction and the ability of nursing staff to improve quality of care. While a problem at all healthcare facilities, the issue is even larger at nursing homes where minimum staffing ratios are very low. The writer concludes that much research is in progress to help nurses maintain a safe environment to practice and to determine how to adequately define what nurse-to-patient ratios should be.
From the Paper
"A history of nurse staffing and patient outcomes dates as far back as a study by Moses and Mosteller. They found nurse staffing among the significant determinants of mortality. Later, publicly available Medicare data for U.S. hospitals generated more studies on the factors related to mortality. Authors of these studies reported that nurse staffing was significantly related to mortality. Aiken, Clarke, Sloane, Sochalski, and Silber produced the first study to specifically quantify the impact of nurse-to-patient ratios on death rates. They reported that reducing the number of patients that a registered nurse takes care of results in better patient outcomes. A reduction in mortality rates and infections were among the findings. Aiken, Sochalski, and Lake demonstrated that nursing presence, whether measured as RN ratios or as RN hours relative to other nursing personnel hours, is significantly correlated to mortality. Adequate staffing levels allow nurses time to make comprehensive patient assessments, attend to routine nursing duties and effectively respond to emergencies. Specifically, Aiken, Clarke, Sloane, Sochalski, and Silber found that each additional patient assigned to a nurse resulted in a 7% increase in the likelihood of the patient dying within 30 days of admission to the hospital."
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Primary Health Care, Primary Nursing, and Primary Care, 2005.
A comparison of primary health care physicians and primary nurses.
2,154 words (approx. 8.6 pages), 15 sources, MLA, £ 47.95
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Abstract
Nursing care was developed, in part, to provide services to patients with multiple needs and evolved with the initial goals of providing efficient and effective care. Among the delivery systems used to provide this care include primary nursing, primary care, and primary health care. Primary nursing originated in the United States and emerged because of concern about the fragmented care patients were receiving particularly in hospital settings. Primary health care follows many of the same principles and is concerned with providing comprehensive, individualized, patient care from point of contact to completion. Primary care may be defined as a service provided by primary nurses and primary health care physicians. The similarities and differences between these concepts are explored in detail.
From the Paper
"According to Sergei Vinogradov (2002) primary health care or PHC is "based on family health teams, working in family health centers" whose goals include prioritizing prevention and addressing 90% of health problems and patient concerns (p.39). In primary health care systems, doctors bear the brunt of the responsibility, sometimes at the expense of efficiency according to some critics (Vinogradov, 2002). PHC teams are comprised of many individuals including medicine doctors, nurses and other relevant health professionals, but it is the doctor (usually a family doctor) that bears the brunt of accountability and responsibility in terms of patient care (Vinogradov, 2002).
Primary health care is often provided in a managed care setting which requires that a centralized medical decision be made by a primary care physician, thus enhancing according to some the 'attractiveness' of care, suggesting it is quality oriented and scientifically based (Brekke, et. al, 2002). Primary health care usually is offered in hospitals and primary medical offices, less so in community based settings."
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Director of Nursing in Nursing Home, 1999.
Examines issues affecting this position & role. Examines the economics of the institute, restructuring, responsibilities, quality of care and staffing.
1,350 words (approx. 5.4 pages), 14 sources, £ 33.95
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From the Paper
"DONS IN THE CONTEMPORARY NURSING HOME ENVIRONMENT
Introduction
This research examines some of the issues affecting the position and role of the Director of Nursing (DON) in contemporary nursing home environments. DONs are experiencing increasing difficulties in their attempts to fulfill their responsibilities as the health care environment in the United States continues in a period of transition.
DONs and Transition in the Health Care Environment
An increasing number of nursing homes, in the pursuit of goals related to both efficiency and effectiveness, are implementing reorganization schemes that frequently involve downsizing, decentralization, or some combination of downsizing and decentralization (Barrett, 1995). Among health care.."
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Nursing Homes, 2002.
A discussion on the effect of conditions in nursing homes on the elderly.
1,125 words (approx. 4.5 pages), 4 sources, £ 27.95
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Abstract
Discusses effect of conditions in nursing homes on the elderly. Nursing home industry. Complaints of neglect and abuse. Issue of elderly abuse in institutional facilities, especially long-term care facilities. Economics of nursing home care. Staffing problems. Reform measures to prevent abuse. Role of legisltors. Domestic abuse of the elderly.
From the Paper
"Nell Hoover choked on laxative.
Vestal Ferguson suffocated as orange juice filled his lungs.
Esther Fincher's heart failed, and nobody called a doctor. Each year, hundreds of North Carolina's elderly suffer needlessly in the nursing homes they turn to for care. They lie for hours in their own waste or battle dangerously infected bedsores or, bound to their beds and wheelchairs, slowly lose the strength and will to walk, eat, speak. They're victims of poorly staffed homes and under-trained workers--and of the public system responsible for protecting them. The state pays the bills for 75% of our nursing home..."
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Nursing Homes, 2002.
This paper discusses problems with nursing home care.
5,400 words (approx. 21.6 pages), 13 sources, £ 138.95
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Abstract
This paper discusses three major problems with nursing homes today: gross understaffing, a dim view of the elderly in American society, and the burdensome nature of Medicare paperwork and cost-cutting efforts. The author proposes alternative care including adult day care centers and skilled nursing house calls. The paper explores reintegrating the elderly into our families and communities.
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Medication Dispensing in Nursing Homes, 2005.
This paper establishes guidelines for the safe storage and record keeping of medications used in nursing homes.
920 words (approx. 3.7 pages), 6 sources, MLA, £ 22.95
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Abstract
This paper establishes guidelines for the storage, safety, record keeping, consent forms and stock medications used in nursing homes. It is based on federal laws and state regulations and describes how the medications should be dispensed, how records should be kept, the need for informed consent, safety measures and stock medications kept in nursing homes.
From the Paper
" All medications should be stored in a locked cabinet at all times except where they are required to be kept by a resident on his her person because of the need for frequent or emergency use as determined by their physician..."
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The Use of Restraints in Nursing Homes, 2005.
An argument against the use of restraints on nursing home patients.
1,800 words (approx. 7.2 pages), 8 sources, £ 50.95
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Abstract
The paper examines how the use of physical and pharmacological restraints in hospitals and nursing homes has been around as long as the institutions using them. The writer argues that despite the Nursing Home Reform Act of 1987, risk of injury or death are still commonplace, and this casts serious doubt on its further use as a sound intervention.
From the Paper
"The use of physical and pharmacological restraints in hospitals and nursing homes has been around as long as the institutions using them. Today, the use of restraints in these institutions ranged from 41-64% at nursing homes and 33-68% in hospitals (Hamers & Huizing, 2005). The Health Care Financial Administration defines physical restraints as any manual method or physical or mechanical device, material, or equipment attached or adjacent to the individual's body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body. (as cited in Cotter, 2005, p. 1). Use of restraints is ideally dictated by the desire to assure the safety of the patient or others from harm, even across cultures but to varying degrees (Ljunggren, Phillips & Sgadari, 1997)."
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Quality Care, 2005.
A definition of what quality care is and its importance in society.
865 words (approx. 3.5 pages), 3 sources, MLA, £ 21.95
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Abstract
This paper explains how quality care, as it applies to nursing homes, must be expanded to be inclusive on all fronts. The writer argues that it must be expanded to allow any and all modalities that contribute to a perception and experience of a high quality of care by the residents. It also states that it must be expanded to encompass the perceptions of and value to the other significant stakeholders involved when a person enters a nursing home.
From the Paper
"Uhlenberg also noted that physical comfort needs improvement. Those who cannot walk or bathe without assistance are entrusted to the care of aides who often have little training and virtually no motivation. In fact, they ?treat [the patients] as work objects? rather than human beings, and there is no social interaction (1997, p. 71+). A beginning of bringing the facts toward the expanded definition would be to improve the salary and fringe benefits of those workers, and offer prospects for advancement, which would be a complete reversal of the often-antagonistic relationships Uhlenberg notes between this staff population and supervisors (1997, p. 71+)."
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