Journal of the American Medical Directors Association
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The objective of this study was to describe the nursing documentation of telephone communication with physicians in community nursing homes. ⋯ In this study, documentation of issues that lead to telephone calls to physicians was not always present. Similarly, orders given by the physician were absent over 20% of the time. Nurses, physicians, and facilities should develop efficient and routine strategies to optimize rates of documentation of telephone communication with physicians.
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Editorial Comment
End-of-life care in nursing homes: is the glass half empty or half full?
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Multicenter Study
Barriers to timely care of acute infections in nursing homes: a preliminary qualitative study.
During a large prospective study of lower respiratory infections in nursing home residents, project staff observed that in some facilities there was consistent difficulty in obtaining timely identification of potential subjects. Starting with this motivation, we conducted a preliminary qualitative study to investigate the process of illness identification and initiating management in episodes of acute infection. We sought factors promoting timely or delayed identification and treatment of acute infections among nursing home residents. ⋯ Effective identification and management of acute infections requires successful communication at multiple levels; however, breakdowns are common. Our model provides a framework for improving acute illness care in nursing homes, which offers important insights potentially useful in quality improvement activities in nursing homes and may facilitate further research.
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Multicenter Study
Preventing assaults by nursing home residents: nursing assistants' knowledge and confidence-a pilot study.
To describe the frequency and context of assaults against nursing assistants (NAs) from residents and to describe NAs' beliefs about their violence prevention knowledge and self-efficacy to prevent assaults from residents. ⋯ These findings provide useful information that supports the need for violence prevention education and for developing violence prevention programs in nursing homes.