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OBJECTIVES To assess the effect of a multicomponent advance care planning intervention directed at nursing home social workers on identification and documentation of preferences for medical treatments and on patient outcomes. DESIGN Controlled clinical trial. SETTING New York City nursing home. PARTICIPANTS One hundred thirty-nine newly admitted(More)
OBJECTIVE A growing number of nursing homes across the country are embarking on culture change transformations that focus on maximizing elder residents' quality of life (QOL). Challenges to culture change implementation include the wide range of possible interventions as well as a lack of research-based evidence to guide these choices. The purpose of this(More)
OBJECTIVES To identify perceived barriers to communication between hospital and nursing home at the time of patient transfer and examine associations between perceived barriers and hospital and nursing home characteristics. DESIGN Mailed survey. SETTING Medicare- or Medicaid-certified nursing homes in New York State. PARTICIPANTS Nursing home(More)
OBJECTIVES To identify organizational factors and hospital and nursing home organizational relationships associated with more-effective processes of care during hospital-nursing home patient transfer. DESIGN Mailed survey. SETTING Medicare- or Medicaid-certified nursing homes in New York State. PARTICIPANTS Nursing home administrators, with input from(More)
This study examined the effects of list-making, and specific aspects of list-making such as intent (whether one expects to refer back to one's list at the time of recall) and organization, on memory performance in young and old adults. Young and old adults were randomly assigned to a list-making or a non-list-making condition. In both conditions, subjects(More)
OBJECTIVES Distressing behavioral symptoms often associated with dementia are not uncommon in the long term care setting. Culture change with its "person-centered approach to care" provides a potential nonpharmacological intervention to reduce these symptoms. The purpose of this study was to examine the relationship between a culture change initiative and(More)
Certified nursing assistants (CNAS) provide the hands-on care to residents in nursing homes, often developing close relationships with those in their care. The current study used a support program model to explore CNAS' feelings, experiences, and needs when caring for the dying. Special attention was given to the experience of caring for residents who opted(More)
Incident review (IR) is a process for achieving a better understanding of problems related to the health and safety of clients and the integrity of healthcare facilities. The purpose of IR is to identify and document adverse incidents through fact-finding. Incidents may vary in both type and levels of seriousness. Through careful documentation,(More)
This study examined certified nursing assistants' (CNAs) experiences of nursing home practices following resident death. Participants were 140 CNAs who had experienced recent resident death. In semi-structured, in-person interviews, CNAs were asked about their experiences with the removal of the resident's body, filling the bed with a new resident, and how(More)
This study explored the experiences of 80 home health aides (HHAs) whose client died within the last 2 months. Data collection involved comprehensive semi-structured in-person interviews to try to better understand characteristics of HHAs and their clients associated with preparedness for death. Among those, personal end-of-life (EOL) care preferences of(More)