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1.
J Gerontol Nurs ; 41(9): 32-41, 2015 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-26375148

RESUMO

The purpose of the current study was to explore how Minimum Data Set (MDS) coordinators perceive their role and the assessment process. Eleven MDS coordinators from 10 geographically dispersed nursing homes (NHs) were interviewed between May and September 2013. Four broad themes emerged from content analysis: (a) information gathering, (b) interdisciplinary coordination, (c) role challenges, and (d) resources. The first two themes referred to key components and competencies in the MDS coordinators' role, the third theme dealt with certain challenges inherent in the role, and the fourth theme highlighted resources that helped address these challenges. The current study provides insight into how MDS coordinators perceive their role, as well as some of the challenges they face to successfully enact that role. The current findings can help inform NH management staff, such as directors of nursing and NH administrators, and policy makers, on how best to support MDS coordinators' work to enable efficient and accurate resident assessment processes.


Assuntos
Casas de Saúde/organização & administração , Casas de Saúde/normas , Inquéritos e Questionários , Feminino , Humanos , Masculino
2.
Geriatr Nurs ; 36(4): 267-72, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25794923

RESUMO

Infections have been identified as a priority issue in nursing homes (NHs). We conducted a qualitative study purposively sampling 10 NHs across the country where 6-8 employees were recruited (N = 73). Semi-structured, open-ended guides were used to conduct in-depth interviews. Data were audiotaped, transcribed and a content analysis was performed. Five themes emerged: 'Residents' Needs', 'Roles and Training' 'Using Infection Data,' 'External Resources' and 'Focus on Hand Hygiene.' Infection prevention was a priority in the NHs visited. While all sites had hand hygiene programs, other recommended areas were not a focus and many sites were not aware of available resources. Developing ways to ensure effective, efficient and standardized infection prevention and control in NHs continues to be a national priority.


Assuntos
Infecção Hospitalar/prevenção & controle , Controle de Infecções/métodos , Higiene das Mãos/métodos , Higiene das Mãos/normas , Humanos , Controle de Infecções/normas , Entrevistas como Assunto , Casas de Saúde , Equipe de Assistência ao Paciente , Pesquisa Qualitativa
3.
Geriatr Nurs ; 36(5): 355-60, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26071320

RESUMO

Healthcare-associated infections, while preventable, result in increased morbidity and mortality in nursing home (NH) residents. Frontline personnel, such as certified nursing assistants (CNAs), are crucial to successful implementation of infection prevention and control (IPC) practices. The purpose of this study was to explore barriers to implementing and maintaining IPC practices for NH CNAs as well as to describe strategies used to overcome these barriers. We conducted a multi-site qualitative study of NH personnel important to infection control. Audio-recorded interviews were transcribed verbatim and transcripts were analyzed using conventional content analysis. Five key themes emerged as perceived barriers to effective IPC for CNAs: 1) language/culture; 2) knowledge/training; 3) per-diem/part-time staff; 4) workload; and 5) accountability. Strategies used to overcome these barriers included: translating in-services, hands on training, on-the-spot training for per-diem/part-time staff, increased staffing ratios, and inclusion/empowerment of CNAs. Understanding IPC barriers and strategies to overcome these barriers may better enable NHs to achieve infection reduction goals.


Assuntos
Atitude do Pessoal de Saúde , Infecção Hospitalar/prevenção & controle , Enfermagem Geriátrica , Casas de Saúde , Recursos Humanos de Enfermagem , Humanos
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