Rozprawy doktorskie na temat „Home nursing”
Kliknij ten link, aby zobaczyć inne rodzaje publikacji na ten temat: Home nursing.
Utwórz poprawne odniesienie w stylach APA, MLA, Chicago, Harvard i wielu innych
Sprawdź 50 najlepszych rozpraw doktorskich naukowych na temat „Home nursing”.
Przycisk „Dodaj do bibliografii” jest dostępny obok każdej pracy w bibliografii. Użyj go – a my automatycznie utworzymy odniesienie bibliograficzne do wybranej pracy w stylu cytowania, którego potrzebujesz: APA, MLA, Harvard, Chicago, Vancouver itp.
Możesz również pobrać pełny tekst publikacji naukowej w formacie „.pdf” i przeczytać adnotację do pracy online, jeśli odpowiednie parametry są dostępne w metadanych.
Przeglądaj rozprawy doktorskie z różnych dziedzin i twórz odpowiednie bibliografie.
1
Allocca, Hernandez Giacomo Antonio. "Nursing Home". Thesis, Virginia Tech, 2016. http://hdl.handle.net/10919/73662.
Pełny tekst źródłaStreszczenie:
Getting old involves a lot of changes in life. Family and social relations change and mobility can decrease. These variations require new settings, and of course special care. A nursing home is a place dedicated to help with this situation.
Sometimes nursing homes can be perceived as mere institutions by society, and even by future residents. Inside, senior citizens are suppose to spend the rest of their lives doing the same activities day after day. How can we improve these days? Architecture can help.
This project deals with architectural design of a nursing home located in an open green area in Blacksburg, Virginia. The project's focus is in creating a home that is related to its surroundings and the proximity to nature.
Also deals with all the complexity of this kind of program, but tries to create a homely feeling, and an architectural environment that can adapt to the resident's physical and mental condition over time.Master of Architecture
2
Burd, David. "A nursing home community". PDF viewer required Home page for entire collection, 2008. http://archives.udmercy.edu:8080/dspace/handle/10429/9.
Pełny tekst źródła
3
Bostick, Jane E. "The relationship of nursing personnel and nursing home care quality". MU has:, 2002. http://wwwlib.umi.com/cr/mo/fullcit?3052150.
Pełny tekst źródła
4
Sheehy, Christine M. "Differences in Nursing Home Utilization and Clinical Outcome in Veterans Administration Nursing Home Patients". VCU Scholars Compass, 1987. https://scholarscompass.vcu.edu/etd/5520.
Pełny tekst źródłaStreszczenie:
Because of increasing costs and demand for nursing home care, studies are needed that can better describe the population of users and improve prediction of clinical outcomes and program requirements. The major purpose of this study was to explore the incremental and seven month outcomes of nursing home patients using the Andersen model. The design was longitudinal. Patients from one Veterans Administration (VA) hospital-based nursing home and six freestanding. VA contract community nursing homes were studied. Functional and cognitive ability were analyzed along with socioeconomic and demographic data. and utilization patterns.
A second purpose was to assess associations among variables and their interaction effects in predicting outcome. A third purpose was to assess the contribution of such independent variables as case-mix and rehospitalization rates to possible cost differences evidenced by the two nursing home types. The results of this study suggest avenues for planning and allocation of resources in the two program alternatives.
The Barthel Index (BI) (Mahoney & Barthel. 1965) was used to measure functional status and the Short Portable Mental Status Questionnaire (SPMSQ) (Pfeiffer. 1975) for cognitive ability. In addition to standardized measures. sociodemographic and utilization data. perceptions of health and outcomes of care were collected on all subjects.
Analytical techniques included descriptive and inferential statistics. The major hypothesis was that veterans in the hospital-based versus contract statistically significant differences in characteristics and on measures of service use and clinical outcome. Findings were evaluated for policy adequacy. adherence to program intent. federal and state cost complement and other qualitative implications.
Statistically significant differences were found between patients in the two settings on predisposing, enabling and need characteristics. The hospital-based NHCU patients were more likely to be married and living with someone. They also had higher incomes, more Medicare A coverage, a greater percentage of service-connected veterans and demonstrated greater limitation in functional ability than did those in contract.
The predominant outcome for both groups was continued nursing home care. Statistically significant differences were also found for outcome measures. Higher income and being 76 years or older were predictive of continued nursing home residence. The type of nursing home was not significant in explaining continued care. The total number of diagnoses. age group and type of nursing home were predictive of death as an outcome. There were significantly more deaths among those 75 years or younger. among those with lower incomes and among NHCU patients.
Health service utilization did not differ significantly by nursing home type. Neither group of nursing home patients demonstrated any significant improvement in functional or mental status and self-perceived health. The only differences of note were among those 75 years or less who did improve in functional ability from the third to the sixth month.
The findings suggest that the two nursing home types do have different patient population profiles. However. the continued use of nursing home care by both groups indicates some lack of fit between legislative intent and actual clinical utilization.
5
Cohn, Arthur M. "Effectiveness of nursing home administrators /". The Ohio State University, 1988. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487596307358779.
Pełny tekst źródła
6
Bercovitz, Anita Roth. "Mortality of nursing home residents". Available to US Hopkins community, 2003. http://wwwlib.umi.com/dissertations/dlnow/3080625.
Pełny tekst źródła
7
Nelson, Ian M. "Predictors of Nursing Home Placement for Home Care Consumers". Miami University / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=miami1073924945.
Pełny tekst źródła
8
Bonifas, Robin P. "Multi-level factors related to deficiencies in psychological care in Washington State skilled nursing facilities /". Thesis, Connect to this title online; UW restricted, 2007. http://hdl.handle.net/1773/8139.
Pełny tekst źródła
9
Peltz, Claudia. "Facility design & planning to improve nurses' effectiveness in administering care to fulltime residents of nursing homes". Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/436.
Pełny tekst źródła
10
Saxer, Susanne. "Urinary incontinence in nursing home care". [Maastricht] : Maastricht : [Maastricht University] ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=13767.
Pełny tekst źródła
11
Davidson, Carrie Jane. "Profit Status and the Relationship between Medicaid Reimbursement and Nursing Home Quality in Ohio Nursing Homes". Connect to text online, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=case1138477611.
Pełny tekst źródłaStreszczenie:
Thesis (Ph. D.)--Case Western Reserve University, 2006.[School of Medicine] Department of Epidemiology and Biostatistics. Includes bibliographical references. Available online via OhioLINK's ETD Center.
12
Shin, Juh Hyun. "Relationship between nurse staffing and quality of life in Iowa nursing homes". Diss., University of Iowa, 2008. http://ir.uiowa.edu/etd/18.
Pełny tekst źródła
13
Lansmon-Winter, Erin Cready Cynthia M. "Family perception of quality in nursing home care impact of gender, level of involvement, and utilization of empowered CNA teams /". [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-9069.
Pełny tekst źródła
14
Yoggerst, Lauren M. "Predictors of depression in nursing home residents /". View online, 2010. http://repository.eiu.edu/theses/docs/32211131576037.pdf.
Pełny tekst źródła
15
Rolls, Elsie E. C. "Night time sleeping in a nursing home". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0022/MQ36372.pdf.
Pełny tekst źródła
16
Neyens, Jacques Christiaan Luc. "Fall prevention in psychogeriatric nursing home residents". [Kerkrade] : Maastricht : D&L Graphics ; University Library, Universiteit Maastricht [host], 2007. http://arno.unimaas.nl/show.cgi?fid=8716.
Pełny tekst źródła
17
Zurakowski, Tamara Lee. "Interpersonal factors and nursing home resident health". Case Western Reserve University School of Graduate Studies / OhioLINK, 1990. http://rave.ohiolink.edu/etdc/view?acc_num=case1054909283.
Pełny tekst źródła
18
Chang, Hui-Chen. "Evidence-based practice in nursing homes a study of Taiwanese nurses' and nursing managers' perceptions /". Connect to full text, 2008. http://hdl.handle.net/2123/3572.
Pełny tekst źródłaStreszczenie:
Thesis (Ph. D.)--University of Sydney, 2008.Title from title screen (viewed 11 February 2009). Includes tables and questionnaires. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the School of Behavioural and Community Health Sciences, Faculty of Health Sciences. Includes bibliographical references. Also available in print form.
19
Baker, Kay Stouffer. "Home care clients' perceptions of nursing invasiveness, territorial control, and satisfaction with nursing care". Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276586.
Pełny tekst źródłaStreszczenie:
This descriptive correlational study describes the relationships among 30 home care clients' perceptions of nursing invasiveness, territorial control, and satisfaction with nursing care. The self-report data were collected using a Nursing Invasiveness Scale (NIS), Index of Patient Territorial Control Perceptions (IPTCP), and Patient Satisfaction Instrument (PSI). The subjects were males and females, aged 23 to 93 years, who were receiving home care nursing. Analysis of the data suggests that the subjects perceived a low level of invasiveness by home care nurses, "much control" within their homes (their primary territories), and were highly satisfied with their nursing care. There was a significant negative correlation (r = -0.79) between perceptions of nursing invasiveness and satisfaction with nursing care. The relationships between perceptions of nursing invasiveness and territorial control (r = -0.02) and between perceived territorial control and satisfaction with nursing care (r = 0.14) were not significant.
20
Damberg, Jonas. "Availability of primary care physicians in nursing homes and home care nursing services and associations with emergency care consumption". Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-61585.
Pełny tekst źródła
21
Harker, Jeanne M. "Planning for the future in home care nursing". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ59501.pdf.
Pełny tekst źródła
22
Kerrison, Susan Helen. "Images of the protected in nursing home regulation". Thesis, London School of Economics and Political Science (University of London), 2007. http://etheses.lse.ac.uk/2037/.
Pełny tekst źródłaStreszczenie:
In a simple model of regulation, three different types of actor, "the regulator", "the regulated" and "the protected" are positioned in relationship to each other by a legal framework. Academic scholarship has mainly focused on the first two types of actor, with little attention paid to "the protected". Yet "the protected" are the raison d'etre of nursing home regulation and "the resident" is at the centre of many key rules. Without an image of "the resident", such rules are without meaning. The central question for this thesis, then, is how are nursing home residents represented in the regulatory system which aims to protect them. Within this regulatory regime a number of social networks in which the category of "the resident" has meaning were identified. These included elements of the system that are key to the interpretation of regulatory rules - specifically, the practices of nursing home inspectors and the appeal system for nursing home owners - as well as the discourses of nursing and health policy. The practices of nursing home inspectors were observed, the decisions of the Registered Homes Tribunal analysed, and the construction of "the resident" in the discourses of nursing and health policy was explored. Taken together, these methods provided a broad multiperspectival understanding of influences and constraints on the construction of the term "resident". As a group, the residents of nursing homes are elderly people in poor health and at the end of their lives. This thesis concludes that there are great difficulties in understanding extreme old age either as a lived experience or a sociological construct. In nursing home regulation, these difficulties are compounded by a framework of normative and fiscal policies where the state ensures that the term "resident" remains unstable or ill-defined. Against this background, the articulation of any clear moral purpose for nursing home regulation becomes extremely vexed.
23
Yates-Bolton, N. J. "Meaning and purpose in care home (nursing) life". Thesis, University of Salford, 2017. http://usir.salford.ac.uk/42545/.
Pełny tekst źródłaStreszczenie:
Meaning and purpose in life are important aspects of the life experience of individuals. These aspects of life have often been studied using psychological and quantitative approaches addressing meaning and purpose across the life span. However, there is a dearth of studies of meaning and purpose in care home (nursing) life. This care sector has an important contribution to make nationally and internationally to the lives of older people who require long-term care. This study addresses the gap in the body of knowledge by exploring how to enhance meaning and purpose in the lives of care home (nursing) residents. This study of meaning and purpose in the lives of care home (nursing) residents was undertaken using an appreciative inquiry methodology. Two U.K. care homes (nursing) were the settings for the study; 20 residents and 25 members of staff were included in the sample of the study. The residents who participated in the study had moved into the care homes because of their physical disabilities. None of the residents who participated in the study had appreciable cognitive incapacity. Data were collected using life story interviews, structured interviews and focus groups. Data were constructed during the four stages of appreciative inquiry: Discovery, Dream, Design and Destiny. The data were analysed using the Framework Analysis approach. The findings of the study provide clear definitions of meaning and purpose in care home (nursing) life. The knowledge generated addresses the required focus on the creation of opportunities for residents to flourish and optimise their potential in order to enhance meaning and purpose in their lives. The ways in which care home staff can support residents enhance meaning and purpose in their care home experience through the physical setting, valuing of residents’ identities, the dynamics of relationships, the focus of activities and the component of care are articulated. This study presents the benefits of appreciative inquiry dialogue as a way of enhancing meaning and purpose in the lives of care home residents.
24
Lee, Hyang Yuol. "Quality of care: Impact of nursing home characteristics". Diss., Search in ProQuest Dissertations & Theses. UC Only, 2009. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3352465.
Pełny tekst źródłaStreszczenie:
Thesis (Ph.D.)--University of California, San Francisco, 2009.Source: Dissertation Abstracts International, Volume: 70-04, Section: B, page: 2206. Advisers: Mary A. Blegen; Charlene A. Harrington. Includes supplementary digital materials.
25
Dahlbäck, Anna. "Talkin' bout our generations : Preschool and nursing home". Thesis, Umeå universitet, Arkitekthögskolan vid Umeå universitet, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-160121.
Pełny tekst źródła
26
Saint-Clarke, Gwendolyn E. "Chemotherapy Side Effects at Home: A Nursing Impact". NSUWorks, 2017. https://nsuworks.nova.edu/hpd_con_stuetd/49.
Pełny tekst źródłaStreszczenie:
Background: Approximately 32% of all lymphoma patients experience immunocompromised severe avoidable side effects of nadir at home after discharge postchemotherapy. The certified oncology nurses employed at a large metropolitan hospital in Atlanta, Georgia, lack standardized discharge guidelines that include regulatory organizations’ recommendations to assist patients/families with at-home self-management of the avoidable side effects. Purpose: The purpose of this quality improvement project was to utilize the institution’s existing postchemotherapy discharge protocol to assess certified oncology nurses’ knowledge of severe avoidable side effects of nadir; modify the existing healthcare institution’s postchemotherapy discharge protocol to reflect standardized practice for promoting clinical practice continuity by leading organizations; conduct multifaceted training seminars to disseminate the modified postchemotherapy discharge guideline; evaluate the oncology nurses’ knowledge of severe avoidable side effects of nadir postchemotherapy after modified guideline implementation; and collaborate with the intraprofessional team to determine if the modified postchemotherapy discharge guideline was feasible and acceptable for system wide hospital implementation. Theoretical Framework: The theoretical framework used was Benner’s model of nurse proficiency: expert nurses develop skills and understanding of patient care through a sound educational base and a multitude of experiences. Methods: The existing postchemotherapy discharge protocol was used to develop a developed standardized guideline incorporating regulatory organizations’ recommendations for severe avoidable side effects of nadir postchemotherapy for nursing discharge information and patients’ at-home management. Ten oncology registered nurses on a 16-bed oncology unit participated in two 10-question Likert scale questionnaires based on the existing guideline (pretest) and the modified guideline (posttest) before and after an educational intervention. A quantitative nonparametric descriptive design was used. The questionnaires were analyzed with a two-tailed paired t test, p = 0.05, CI = 95, SD = 12. Results: Nurses significantly improved from pretest to posttest—63% before receiving modified guideline education and 83% after receiving education (p < 0.005). Conclusion: A standardized guideline that included regulatory organizations’ recommendations for at-home management of severe avoidable side effects of nadir showed significant nurses’ improvement in knowledge and competency. The effectiveness of nurses disseminating discharge information was paramount when knowledge awareness and appropriate patient/family assessment were incorporated in the discharge instructions.
27
Venskus, Diana Gilroy. "Nursing Home Staffing Adequacy, Rehabilitation Orientation and Quality". VCU Scholars Compass, 2003. https://scholarscompass.vcu.edu/etd/5959.
Pełny tekst źródłaStreszczenie:
Objective: The primary objective of this research is to examine how changing levels of nursing home staffing adequacy and variations in rehabilitation orientation have affected facility deficiencies and the quality of patient care as facilities responded to the Balanced Budget Act of 1997.Data Sources: Analyses were performed using data from the On-Line Survey Certification and Reporting System (OSCAR) data from years 1997, 1998, 1999, 2000 and 2001 and were merged with Area Resource File (ARF) data released in February 2001.Study Design: Contingency strategic adaptation provides the theoretical framework for developing the effects of environmental characteristics, organizational characteristics and strategic change on nursing facilities’ performance. The study employed a non-experimental, longitudinal panel design focusing on the individual nursing home as the unit of analysis. Measurement models were proposed and validated for each of the research constructs. Structural equation modeling was used to specify the relationships between staffing adequacy, rehabilitation orientation and nursing home quality.Principal Findings: Decreases in staffing adequacy and rehabilitation orientation, and also in nursing home quality occurred during the period of 1997 to 2001. Environmental and organizational characteristics have various direct effects on staffing, rehabilitation orientation and nursing facility performance. Staffing directly affects rehabilitation orientation; rehabilitation orientation directly affects quality. The variances accounted for in the final structural model are small.Conclusion: Staffing and rehabilitation orientation are, respectively, structures and processes of care subject to strategic change within organizations in response to changing environmental conditions. Changes in staffing and rehabilitation that occurred during the period of implementation of the BBA of 1997 reduced nursing facility performance. The relatively small contribution of each to the measurement of nursing facility performance suggests that other structures and processes should be identified, and their impact on the quality of care evaluated.Keywords: Staffing, rehabilitation, nursing home deficiencies, strategic adaptation, Balanced Budget Act of 1997.
28
Amin, Muhammad Ismat. "CERTIFIED NURSING ASSISTANT RETENTION: A STAFFING CHALLENGE FOR NURSING HOMES". Miami University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=miami1507435442201555.
Pełny tekst źródła
29
Boyce, Bridget Marne. "Oral health care practices and perceptions among nursing home residents a case study /". Morgantown, W. Va. : [West Virginia University Libraries], 2004. https://etd.wvu.edu/etd/controller.jsp?moduleName=documentdata&jsp%5FetdId=63.
Pełny tekst źródłaStreszczenie:
Thesis (M.S.)--West Virginia University, 2004.Title from document title page. Document formatted into pages; contains viii, 92 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 71-76).
30
Just, Mary Margaret. "Factors that affect the quantity and quality of interactive social support for nursing home residents /". Digital version accessible at:, 1998. http://wwwlib.umi.com/cr/utexas/main.
Pełny tekst źródła
31
Quail, J. Charles. "Developing a manual of worship for nursing home services". Theological Research Exchange Network (TREN), 1990. http://www.tren.com.
Pełny tekst źródła
32
Cook, Elaine K. "Nursing Outcomes Classification: a cross-link to assign nursing home recertification survey severity scores". Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/2465.
Pełny tekst źródłaStreszczenie:
In 2009, the Government Accountability Office reported that 15% of federal nursing home (NH) recertification surveys nationwide and 25% of surveys in nine states underscored serious deficiencies in nursing care provided to 1.5 million residents residing in NHs. The state nursing home survey agencies' surveyors attributed the Centers for Medicare and Medicaid Services (CMS) administrative rules and the documents in the surveyor guidance manual as too complex and ambiguous to correctly assign deficiency severity scores. In review of nursing literature, it was noted that standardized nursing language can increase the clarity of complex systems. The premise of this exploratory study was to determine if the standardized language of the Nursing Outcomes Classification (NOC) could provide a cross-linkage of the CMS rules, indicators of substandard nursing care, and the full guidance manual used to assign deficiency severity scores. The study attempted to achieve this goal by aligning select NOC outcomes and indicators with nursing outcomes indicators in the CMS administrative rules, select documents in the surveyor guidance manual and select documents in the Quality Indicator Survey. The data analysis suggested the relationship of the origin of the CMS rule and documents to the degree of alignment with the select NOC outcomes and indicators. It was also found that the intent of the CMS rule and select documents shared common themes. In addition, the data analysis revealed that the CMS rule and select documents aligned in various degrees with all of the selected NOC outcomes and respective indicators. The data analysis confirmed that there is sufficient evidence of a degree of alignment of select NOCs with the CMS rule and documents in the guidance manual for activities of daily living and functional status. Furthermore, the data analysis confirmed that this body of work can be a baseline for future research to develop an NOC specific to NHs as a viable cross-link to the CMS rules and guidance manual.
33
Chang, Hui-Chen. "Evidence-based practice in nursing homes". Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/3572.
Pełny tekst źródłaStreszczenie:
Aim and significance: The aim of this research was to investigate how evidence-based practice (EBP) in nursing homes is understood in the context of Taiwan, a non-Western country. There is a growing movement towards using research evidence to inform practice in the nursing profession with variable success. To date, factors that promote or inhibit implementation of EBP in health care have been investigated through research conducted in hospital settings in Western countries. Remarkably little is known about nurses’ experience and perceptions of EBP in residential aged care facilities (RACFs), especially in non-Western countries. Method: The study adopted a mixed method approach. Subjects were recruited from six nursing homes in the Hsinchu district of Taiwan. In Stage 1, 89 registered nurses completed a comprehensive questionnaire specifically developed for this project. It was designed to elicit information about (1) their experience of and attitudes towards research and EBP; (2) the barriers they perceive to its implementation; and (3) what strategies they believe would enhance its implementation in the nursing home setting. In Stage 2, six nursing managers participated in semi-structured in-depth interviews that explored the same topic areas as those in the questionnaire but used an open-ended format which allowed for new themes to emerge. Findings: The majority of nurses and nursing managers expressed positive attitudes towards research and EBP but reported relatively little experience in its implementation. Nurses relied most heavily on knowledge derived from past experience and on interactions with nursing colleagues, medical staff and patients to inform their clinical practice. They identified the main barriers to EBP as: insufficient authority to change practice, their own lack of research knowledge and insufficient time to implement new ideas in the workplace. They believed EBP would be facilitated by: improved access to computers and internet facilities in the workplace; more effective research training; collaboration with academics; and dedicated time to search for and read research articles. As anticipated, nurses viewed the issues from a practical stance in relation to their own time, resources and lack of authority to effect change. Nursing managers expressed similar views to the nurses in relation to attitudes towards EBP implementation. However, they identified barriers which related to aspects of the organizational framework. In particular, they expressed concerns about issues such as budgetary constraints, staff quality (notably the reliance on minimally trained assistants in nursing (AINs) for direct resident care), as well as factors that reflected the wider political and economic context of health care in Taiwan. Conclusion: The findings of this study have implications for research, policy and practice in both Western and non-Western countries. Further research on EBP would be beneficial if conducted in settings other than hospitals, such as RACFs. There remains also the need to examine the potential for EBP in different social-cultural contexts, such as those in non-Western countries. Nursing managers have generally been excluded in previous research but, because of their particular role, there is a need to examine their perspectives of EBP and then compare these with those of the nurses. In Taiwan specifically, policy change is needed at both government and institutional levels to encourage and support the development of protocols and procedures for the implementation of EBP. If EBP was a government requirement for accreditation and a standard for protocols in hospitals and RACFs, it would lead to improved standards of care and cost effectiveness. This study supports the findings of a number of investigations conducted in Western countries which indicate that further education and training in research for nurses may lead to higher standards of patient care, greater job satisfaction and higher staff retention rates.
34
Lindabury, Jennifer Kate. "Nursing Home Use Expectations: The Influence of Family Structure". Oxford, Ohio : Miami University, 2010. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1272642887.
Pełny tekst źródła
35
Nakrem, Sigrid. "Measuring quality of care in nursing home - what matters?" Doctoral thesis, Norges teknisk-naturvitenskapelige universitet, Institutt for samfunnsmedisin, 2011. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-14729.
Pełny tekst źródłaStreszczenie:
Residential care in nursing homes continues to be necessary for those individuals who are no longer able to live safely and comfortably at home. The demographic change with increasing number of persons over 65 years in the next 20 years also means that the percentage of those who will require care in a nursing home some time before the end of their lives will increase. Therefore, anticipating this pressure to expand nursing home availability, it is critical that these services are developed from a profound understanding of what creates the best value. Nursing homes in developed countries have evolved over the past half-century from being places of mainly custodial care to facilities responsible for the management of an ever increasing range of complex nursing and medical conditions. Nursing home residents are frail older adults with complex needs, dependent on advanced nursing care. Determining what aspect of nursing homes should and can be measured is the current work of many national health care systems. However, uncovering what the nursing home residents perceive as the most important aspects of quality and how they experience living in a nursing home is necessary to develop effective person-centred care. The overall aim of the present thesis was to contribute to a deeper understanding of quality of care in nursing homes, integrating the professionals’, residents’ and family’s perspectives. The research design is a qualitative approach to explore the concept quality of care and its domains. The thesis comprises a review of internationally used nursing sensitive quality indicators for nursing homes. The indicators are evaluated for their validity as described in the literature. The thesis further describes the residents’ experiences with the interpersonal factors of nursing care quality, as well as the residents’ experiences of living in a nursing home. The thesis also explores the understanding and belief about nursing home quality held by family members of residents. The thesis is based on in-depth interviews of residents in four different nursing homes, and focus group interviews of family members of residents in two different nursing homes. The findings are that quality of care in long-term care in nursing homes encompasses at least four domains: quality of the living conditions, quality of the nursing staff, quality of direct nursing care, and quality of the social environment. Moreover, care quality is influenced by a range of external factors such as the national policy, laws and regulations, management of the organization and the physical building. The local community provides a context in which the nursing home is more or less integrated into. The review of internationally used quality indicators indicate that some factors of care processes and health outcomes for nursing home residents could be measured and give valid and reliable evaluation of the nursing home care quality. In the explorative qualitative study, residents and family placed more emphasis on physical and psychological well-being, interpersonal relationships and the social environment if quality of care is to result. Objective indicators of essential areas of resident-experienced quality need to be developed. This should be done in collaboration with the residents and their next-of-kin, in addition to professional expertise. Methodological and practical implications of the results are discussed.Sykehjem er en helsetjeneste som vil være nødvendig for eldre som ikke føler seg trygge eller kan få tilstrekkelig behandling, pleie og omsorg i eget hjem. Antall eldre over 65 år er økende i Norge, noe som innebærer et økt press på sykehjem i framtiden. Det er derfor av stor betydning at sykehjemstjenesten utvikles med tanke på å skape best mulig nytteverdi ut fra behov. Sykehjemmene har utviklet seg de siste 50 årene fra hovedsakelig et botilbud til helseinstitusjoner som gir avansert helsehjelp. Sykehjemsbeboere er skrøpelige eldre med komplekse problemstillinger, avhengig av avansert sykepleie. Kvalitetsindikatorer er kvantitative mål som reflekterer en profesjonell standard for pleie og omsorg, og slike mål benyttes i økende grad for å vurdere kvalitet i sykehjem. Imidlertid er det nødvendig å inkludere det som har størst betydning for sykehjemsbeboere i slike mål for å kunne gi god pasientsentrert sykepleie. Hovedmålsettingen med studien var å bidra til en dypere forståelse av sykehjemskvalitet, ut fra helsepersonellets, beboernes og pårørendes ståsted. Avhandlingen omfatter en oversikt over kvalitetsindikatorer som er i bruk internasjonalt. Videre beskriver avhandlingen beboernes erfaringer med mellommenneskelige faktorer ved sykehjemskvalitet, samt hvordan de erfarer å bo i et sykehjem og opplever kvaliteten på “hjemmet” sitt. I avhandlingen blir også pårørendes forståelse av og meninger om sykehjemskvalitet utforsket. Avhandlingen er basert på dybdeintervju av beboere ved fire ulike sykehjem, og fokusgruppeintervjuer med pårørende ved to av sykehjemmene. Funnene viser at kvalitet på pleie og omsorg i sykehjem omfatter minst fire hovedområder: Bokvalitet, personellkvalitet, helsetjenestekvalitet og sosial kvalitet. Videre er pleie- og omsorgskvaliteten påvirket av en rekke eksterne faktorer som nasjonale føringer, lovverk, ledelsesstruktur, bygningskonstruksjon og lokale forhold. Den internasjonale oversikten over kvalitetsindikatorer gir indikasjoner på at noen av dem kan brukes som pålitelige og gyldige evalueringer av kvaliteten på pleie og omsorg, samt helserelaterte resultater for beboerne. I den kvalitative intervjuundersøkelsen med beboere og pårørende, ble fysisk og psykisk velvære, mellommenneskelige forhold og det sosiale miljøet tillagt større betydning for kvaliteten. Objektive indikatorer for disse beboererfarte områdene for kvalitet må utvikles. For å sikre at disse er pasientsentrerte, bør utviklingen av kvalitetsindikatorer gjøres i tett samarbeid med sykehjemsbeboerne og pårørende, i tillegg til helsepersonell.
36
Huizing, Anna Rensche. "Towards restraint-free care for psychogeriatric nursing home residents". Maastricht : Maastricht : [Maastricht University] ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=10682.
Pełny tekst źródła
37
Almendarez, Bertha Longoria. "Mexican American elders and nursing home transition : a dissertation /". San Antonio : UTHSC, 2007. http://proquest.umi.com/pqdweb?did=1390289481&sid=1&Fmt=2&clientId=70986&RQT=309&VName=PQD.
Pełny tekst źródła
38
Davies, Susan M. "Relatives' experiences of nursing home entry : a constructivist inquiry". Thesis, University of Sheffield, 2001. http://etheses.whiterose.ac.uk/4222/.
Pełny tekst źródłaStreszczenie:
The study reported within this thesis sought to better understand nursing home placement from multiple perspectives. Using a two stage approach, data were collected from semi-structured interviews with 37 people who had assisted a close relative to move into a nursing home, together with case studies in three nursing homes which explored how relatives are supported in maintaining their caring role in this new context. Data analysis revealed three phases to the transition: 'making the best of it'; 'making the move' and 'making it better', with relatives' experiences across these phases being understood in terms of five continua, reflecting the extent to which they felt they were: operating 'under pressure' or not; 'in the know' or 'working in the dark; 'working together' or 'working alone'; 'in control of events' or not, and 'supported' or 'unsupported' both practically and emotionally. Data from the case studies demonstrated the utility of these factors in understanding the experiences of relatives, residents and staff working in the care homes. In particular, the extent to which carers were able to meet their ultimate goal, that of ensuring 'best care' for their relative was influenced by these factors and the type of 'community' operating in the home. Analysis identified three types of community within the care homes studied: the controlled community; the cosmetic community; and the complete community. Findings suggest that the 'complete community' is consistent with the most positive experiences for older people, for family caregivers and for staff, and therefore promotes 'best care'. The ways in which staff, carers and older people can help to forge a complete community are considered.
39
Kennedy, Katherine A. "Is Nurse Aide Retention Associated with Nursing Home Quality?" Miami University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=miami1618591173416498.
Pełny tekst źródła
40
Reece, Heather Rae. "NURSING HOME QUALITY AND THE EFFECTS OF STRUCTURAL VARIABLES". Miami University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=miami1240854315.
Pełny tekst źródła
41
Herk, Rhodee van. "A closer look at pain in nursing home residents". [S.l.] : Rotterdam : [The Author] ; Erasmus University [Host], 2008. http://hdl.handle.net/1765/13962.
Pełny tekst źródła
42
Hudson, Kathleen Marie. "The meaning of quality nursing care in the nursing home /". 1991. http://wwwlib.umi.com/dissertations/fullcit/9218754.
Pełny tekst źródła
43
ling, huang hsiu, i 黃秀玲. "Evaluation of Nursing Home Care Quality of A Vet’s Hospital Nursing Homex". Thesis, 2007. http://ndltd.ncl.edu.tw/handle/95516907841836502991.
Pełny tekst źródłaStreszczenie:
碩士亞洲大學
長期照護研究所
95
The purpose of this study was to explore service quality and users’ satisfaction of the veterans living in nursing home. Purposive sampling was used to recruit 123 elders who met the sampling criteria from a nursing home under a veteran hospital in Taiwan. The measurement tools included demographic data sheets, living unit data sheets, a Chinese version of 「The Observable Indicators of Nursing Home Care Quality Instrument 」 (OINHCQI) by Ku, Sheau-Ming (2001). The collected data were analysis by the twelfth version of the Statistical Package for the Social Science. Data analysis included frequency distribution, arithmetic mean, t-test, one-way ANOVA, Pearson correlations & multiple Regression. Results showed that service quality and users’ satisfaction differences in the different dimensions under 0.1 probability. The dimensions of 「communication」&「home/family involvement」that users’ satisfaction is higher than service quality； but dimensions of 「environment」、「care」、「staff」 that users’ satisfaction is lower than service quality. Moreover, in the demographic data demobilized grade differences in the different satisfaction gaps of 「home/family involvement」(p＜0.05)； present ADL differences in the different satisfaction gaps of 「communication」(p＜0.05)； living of nursing home station difference in the different satisfaction gaps of 「home/family involvement」(p＜0.01)「staff」(p ＜0.05)；beds in rooms difference in the different satisfaction gaps of 「home/family involvement」(p＜0.05). In the station characteristic, the「occupancy rate 」was negatively correlated with satisfaction gaps of 「staff」(p＜0.05)；the 「NA hours per patient day」was negatively correlated with satisfaction gaps of 「home/family involvement」(p＜0.05). The results of Multiple Regression showed that demographic data and station characteristic difference in the（1）different service quality of 「home/family involvement」 & 「care」(p＜0.05) ;（2）but no different in any dimensions of users’ satisfaction (p＞0.05)；（3）different satisfaction gap of「home/family involvement」(p＜0.05). The result of this study could provides to understand the relationship between service quality and users’ satisfaction of the veterans who livie in nursing home. The findings can not only provide the information of improvement veterans’ nursing home service quality, a basis of their management for the government, but also serve as references for research. In this way, the residents will receive appropriate care and meet the demands of the aged.
44
YANG, TSAI-JU, i 楊采汝. "Unexpected hospitalization of residents in nursing home: A study of nursing home in Nautou". Thesis, 2016. http://ndltd.ncl.edu.tw/handle/767s4n.
Pełny tekst źródłaStreszczenie:
碩士弘光科技大學
健康事業管理研究所
104
Abstract Unexpected hospitalization of the residents in long-term care institutes will make many troubles for residents and nursing person. At the same time, it is also relevant to the quality of nursing. Therefore, the aim of this research was to analysis the incidence rate and related factors of unexpected hospitalization of residents. This study was prospective study. The 152 participants of the study were the residents who lived in the nursing home in Nantou Country from January 2104 to December 2014. This study applied Andersen’s Behavioral Model to explore the related factors of unexpected hospitalization utilization; there were three factors in the framework: predisposing, enabling, and needs factors. Data was collected from the medical records of nursing home, the summary of the resident’ hospital discharge records, etc. Descriptive statistics were used to analyze the characteristic of nursing home residents and the unexpected utilization of hospitalization. Logistic regression models were used to identify the predictors of unexpected hospitalization. A paired t- test was used to compare changes in health status. The data was analyzed by SPSS 20.0 Software. The results indicated that 27.0% of 152 residents suffered from unexpected hospitalization. The incident rate of male was higher than that of female. Infection was the main reason for unexpected hospitalization, especially who with URI or UTI. Most of notable factors that related unexpected hospitalization are need factors, such as placement without tubes (t=-2.046, p< .046), the number of tubes (F=5.652, p< .001). Residents with high blood pressure, dementia and heart disease also revealed a significant effect on the rate unexpected hospitalization. Logistic regression showed that, after controlling for other variables, the more the tubes (OR=0.152, p< .027), the number of diseases in the past (OR=3.810, p< .001) had significant effects on using unexpected hospitalization. The results of this research were beneficial to offer practical management to nursing home and the related institutional care. Residents of the nursing home had the traits of unexpected hospitalization; we should take more attention to prevent unexpected hospitalization happen, and care plan should be improved the rate of hospitalization. Keywords: nursing home, residents, unexpected hospitalization
45
Kao, Hsin-yi, i 高心儀. "Nursing home service quality－Subsidiary of a teaching hospital in Taichung Nursing Home Case". Thesis, 2011. http://ndltd.ncl.edu.tw/handle/40870222448876684275.
Pełny tekst źródła
46
Cheng-DaJiang i 江承達. "SCREEN -Nursing Home Cinemetrics Transcript". Thesis, 2018. http://ndltd.ncl.edu.tw/handle/4ajer5.
Pełny tekst źródłaStreszczenie:
碩士國立成功大學
建築學系
106
This study attempts to involve Cinemetrics tools in the nursing home design attentive to intangible aspects, such as feeling and belonging, which can’t be measured by conventionalevaluation tools. By filming the living environment and the elder's daily routine in a nursing home, detailed perceptions and relationships can be captured. This practice also includes letting the elders filming by themselves to acquire the subjective sight of the elders and create better interactions. After filming, Cinemetrics exercises begin with editing, transcript developing, drawing and design to create a new methodology for better evaluating and designing the nursing home.
47
Ai-Cheng, Li, i 李愛誠. "Quality of Care in Home Care and Nursing Home". Thesis, 2011. http://ndltd.ncl.edu.tw/handle/12111248590566418717.
Pełny tekst źródłaStreszczenie:
碩士亞洲大學
健康產業管理學系長期照護組
99
Objective: The problem of long-term healthcare for a disabled and aging population has gradually become a point of concern in many countries. Improvement of the quality of long-term healthcare is a topic that requires urgent focus. Thus, this study used the National Health Insurance (NHI) Claim Database to investigate differences in quality of care with regard to home care and nursing home services. Methods: This study obtained data on 2006 inpatient and outpatient medical claims from the data of one million people in 2005 Health Insurance Database. A sample of 1,564 users of home care and nursing home services was taken. This study then investigated the difference in quality indicators of healthcare, drug use, and healthcare utilization among these users within a two-year period. Results: Observation of users of home care services showed the following statistics: 4.5 % sought medical care due to depressive illnesses in the first year; 49.8 % sought medical care due to urinary tract infection (UTI) in the second year; 4.6 types of drugs were issued on average at each outpatient visit, and the average number of outpatient visits per year was 34.Observation of users of nursing home services showed the following statistics: 9.6 % sought medical care due to depressive illnesses in the first year; 62.1 % sought medical care due to urinary tract infection (UTI) in the second year; 4.2 types of drugs were issued on average at each outpatient visit, and the average number of outpatient visits per year was 49. The differences among users of home care services and users of nursing home services reached statistical significance. After other variables had been controlled, logistic regression analysis showed that the probability of depression (first year) and UTI (second year) among users of nursing home services was 2.62 and 1.54 times that of users of home care services, respectively. Conclusion: Although NHI in Taiwan affords a similar degree of disability benefits to users of home care services and nursing home services, the quality of the two service models differs. Related medical referral units and service providers should plan health education and guidance, and improve index management and care processes as soon as possible, to enhance the quality of healthcare services.
48
Ke, Shu-Jing, i 柯淑菁. "Investigations of Effects of Painting Activities in Nursing Home Residents— A Single Nursing Home Study". Thesis, 2014. http://ndltd.ncl.edu.tw/handle/28611937051003407131.
Pełny tekst źródłaStreszczenie:
碩士靜宜大學
社會工作與兒童少年福利學系
102
Art therapy activities have been used in various fields, but few researches have been conducted to explore the benefits of art therapy activities for nursing home residents. The main purposes of this study are to investigate the benefits of the “digital painting activities” for nursing home residents, and to explore the experiences of the participants involved in the painting activities. The “one-shot case study” in “pre-experimental design” was used in this study, combined with the methods of the quantitative and qualitative data analysis. The standard assessment instruments including the Chu’s hand dexterity test, the Geriatric Depression Scale-short form and the WHOQOL-BREF (Taiwanese version) were used in this study. The semi-structured interview questionnaire was used in qualitative interview and theme analysis was used in qualitative analysis. A total of 18 residents from a nursing home participated in this study at first, but only 16 residents of these participants’ individual attendance rates were over 60%, and then for further statistical analysis. The differences of functional performance (including hand function, depressive status and quality of life status) of the participants between pre- and post interventions were significant statistically. The “effect size” of the differences between pre- and post intervention except hand function (0.4) reached “moderate effect” to “high effect”. The results of “standardized response mean” showed all the differences between pre- and post interventions reached “moderate effect” to “high effect”. The thematic analysis method was employed for qualitative analysis and six themes were summarized to explore. The results of qualitative analysis and quantitative analysis were mutual supported. The lack of a control group study design, the small sample size and the participants from single nursing home would threaten the generalization of our results, although the combination of the qualitative and quantitative analysis was used to compromise these shortcomings. When referring to the results of our study, the limitation should be considered. The results of our study are suitable to be a reference for the practitioners and researchers in the related fields of elderly care.
49
Zhang, Angela Rong Yang. "At home in a nursing home: on movement and care". Thesis, 2020. http://hdl.handle.net/2440/129650.
Pełny tekst źródłaStreszczenie:
This thesis follows the everyday movements of a group of elderly Australians, to critically examine how they came to experience a sense of home while living with bodily and cognitive impairments in a nursing home. In tracing their steps and the minutiae of their day-to-day activities, this research illustrates how nursing home residents experience ‘home’ as a sense of ‘rightness’ of being through doing the most mundane activities of walking, transferring position and eating. Examining care through the lens of home, I analyse how home, bodies and movement are reconfigured through multiple contexts of care. I argue that it is only in constellations of care that produce movements that residents attempt to make, but are unable to make on their own, that the potential to become at home is made possible. Based on 12 months of fieldwork in two nursing homes in metropolitan Adelaide, South Australia, this research attends closely to the sensory extensions (Dennis 2007) and restrictions of residents’ bodies vis-à-vis their engagements with other people and things. From the taste of a home cooked meal, to the touch of staff and family members, medications, handrails, carpeted floors and walking aids, residents’ ageing and declining bodies respond to, and may resist, assistance to walk, stand or eat. Care plans, staff and equipment, as this thesis will show, can also restrain residents’ bodies, inhibiting their movements and their becoming at home. This thesis draws on Deleuze and Guattari’s (1977, 1988) theories of becoming and desiring production to expand Jackson’s notion of home (1995, 2002) and ‘existential imperative’ (2002, p. 14) to propose that home is a matter of becoming-at-home-in-the-world. Key to my argument is how residents experience an innermost drive to move, and in examining how their urge to move is responded to, I demonstrate the multiple and at times contested forces that can propel residents to sit, to stand, or to put one foot ahead of the other. It is through this Deleuzian approach that I detail the multiple persons and things that enact and produce assemblages (Deleuze & Guattari 1988) of care. In so doing, I demonstrate that an ethically responsive care, or the care that was communicated and experienced as ‘right’ by residents, requires tinkering (Mol, Moser & Pols 2010) to achieve a balance between inclusion and autonomy (Rapport 2018). From moment to moment, and day-to-day, as bodies age, decline and eventually die, each resident requires different assemblages of care to move and to become at home. Examining the varieties of experience for nursing home residents through the theoretical lens of becoming at-home-in-the-world, this thesis provides new knowledge about the interrelations between movement and care, and the generative and productive affects of walking, standing and eating in residents’ lives. I argue that this ethnographically informed understanding of the sensibilities and potentialities of movement presents a challenge to clinical constructions of bodily and cognitive impairment and is at odds with aged care discourses and practices that may render the lives of nursing home residents inactive or meaningless and thus further constrain their existential and bodily potentials.Thesis (Ph.D.) -- University of Adelaide, School of Social Sciences, 2020
50
Fleming, Mary Louise. "Nursing home leadership: Experience and perceptions of directors of nursing". Diss., 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3289307.
Pełny tekst źródła