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Investigating adverse events in long-term care facilities:a systematized review

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Frontiers of Nursing 2023年第4期10卷 399-412页

作者： Dominika Kohanová Martina Lepiešová Daniela Bartoníčková Pavol Faťun KatarínaŽiaková Department of Nursing Faculty of Social Sciences and Health CareConstantine the Philosopher University in NitraNitra 94901Slovak Republic Department of Nursing Jessenius Faculty of Medicine in MartinComenius University in BratislavaMartin 03601Slovak Republic Department of Nursing Faculty of Health SciencesPalackýUniversity in OlomoucOlomouc 77515Czech Republic

Objective:This systematized review aimed to synthesize the results of empirical studies focused on the types and factors of adverse events(AEs)that contribute to them in long-term care(LTC)***:The search was conducted in Pro Quest,Scopus,and Pub Med in January 2021 and resulted in 1057 *** content analysis method was used in the data ***:In all,35 studies were identified as relevant for the *** analysis revealed 133 different types of AEs and 60 factors that contributed to ***:In LTC,various AEs occur,most of which are preventable,while many factors that influence their occurrence could be significantly *** an effective analysis of AEs in LTC,it is possible to minimize their occurrence and,at the same time,minimize their negative impact on all par ties concerned.

关键词： adverse event facility factors long-term care healthcare workers

Comparison of research hotspots and trends in long-term care for the elderly between China and Australia: a bibliometric analysis

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Frontiers of Nursing 2022年第4期9卷 421-430页

作者： Mian-Li Li Jacqui Allen Virginia Plummer Yan-Ling Dai College of Nursing Fujian University of Traditional Chinese MedicineFuzhouFujian 350122China School of Nursing and Midwifery Monash UniversityMelbourne 3800Australia School of Nursing and Healthcare Professions Federation UniversityMelbourne 859Australia

Objective:To explore the current status and development of long-term care(LTC)research in terms of publications in China and Australia,to identify the major contributing authors and institutions,and to compare the research hotspots and trends between China and Australia in order to encourage informed collaborations and work in ***:We collected bibliometric data on the LTC of the elderly in China and Australia from 2009 to 2020 using Chinese National Knowledge Infrastructure(CNKI)and Web of Science(WOS).Cite Space software was used to analyze co-authorships,co-institutions,and ***:A total of 826 ar ticles in Chinese and 393 in English were included for *** total number of publications showed an upward trend in both *** top 10 productive researchers and institutions in China and Australia were identified,and their collaboration network was ***,the knowledge maps of cooccurring keywords,respectively,showed the hotspots of"LTC insurance,disabled elderly,combination of medical and health care,nursing home"and"nursing home,dementia,quality of life,intervention"in China and *** citation burst keywords illustrated the emerging trends of"combination of medical and health care,healthy aging"in China and"polypharmacy,prevention"in ***:This article provided an insight into LTC of the elderly in China and Australia,and research in this field is developing rapidly and is being increasingly *** findings will be useful for future researchers to facilitate collaboration,identify new topics,and suppor t urgently needed research of LTC in China.

关键词： Australia bibliometric analysis China Cite Space elderly knowledge map long-term care

Nursing culture assessment tool (NCAT): Empirical validation for use in long-term care

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International Journal of Nursing Sciences 2014年第3期1卷 241-249页

作者： Tracey L.Yap Susan M.Kennerly Elizabeth P.Flint Duke University School of Nursing 307 Trent Dr.DurhamNC 27710United States Duke University Center for the Study of Aging and Human Development Box 3003 DUMCDurhamNC 27710United States University of North Carolina at Charlotte School of Nursing United States

Background:Capturing general aspects of the occupational subculture of nursing is needed in long-term care(LTC)given its latent influence on the quality of care that residents receive and on the ability of nursing staff(licensed nurses and certified nursing assistants)to implement evidence-based practice *** psychometrically validated Nursing Culture Assessment Tool(NCAT)provides a comprehensive assessment using six dimensions(teamwork,communication,satisfaction,professional commitment,behaviors,and expectations),and evaluation of these dimensions could help positively reshape the culture before any change ***:Aims were to:(1)assess the validity and reliability of the NCAT across nursing staff in a single type of clinical setting e LTC facilities,and(2)present a refined theoretical model of the interaction of culture and practice ***:A cross-sectional,exploratory investigation of the NCAT in LTC settings was *** construct validity of the 19-item NCAT's six subscales was investigated by confirmatory factor analysis using a sample of licensed nurses and certified nursing assistants(n?318).Results:The model fit was judged using the comparative fit index(0.94)and standardized root mean-square residual(0.05).Cronbach's alpha correlation coefficients of items in each subscale and in the overall scale ranged from 0.76 to ***:A summary of the NCAT development and report on its psychometric properties when administered in LTC settings is provided,extending previous findings of the NCAT's enhanced stability when used in assessing nursing staff perceptions in LTC and by demonstrating that the NCAT is a reliable and valid psychometric screening tool for nursing culture.

关键词： Nursing culture Staff assessment long-term care Occupational subculture framework

long-term care provision and evaluation in European countries in the wake of New Public Management-inspired public sector reforms

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Long-term care provision and evaluation in European countrie...

Dignity and its related factors among older adults in long-term care facilities:A cross-sectional study

作者： Hellmut Wollmann Humboldt University of Berlin

Since the 1980 s neo-liberal policy concepts and New Public Management（NPM） maxims have 1980 s significantly propelled and shaped public sector reforms as well as the evaluative assessment of the conduct of public functions. The article discusses whether, when, how and why the delivery of personal social services, in particular the provision of long-term care（LTC）, has been part of and mirrors this development in European countries.

关键词： long-term care New Public Management Reforms Evaluation Cross-country Analysis

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International Journal of Nursing Sciences 2021年第4期8卷 394-400,I0002,I0003页

作者： Die Dong Qian Cai Qiong-Zhi Zhang Zhi-Nan Zhou Jia-Ning Dai Ting-Yu Mu Jia-Yi Xu Cui-Zhen Shen School of Nursing Zhejiang Chinese Medical UniversityHangzhouChina

Objectives:This study aimed to explore the dignity and related factors among older adults in long-term care ***:Cross-sectional data were obtained from a sample of 253 Chinese older adults dwelling in long-term care *** among older adults was measured using the Dignity Scale,and its potential correlates were explored using multiple linear ***:Results showed that the total score of the Dignity Scale is 151.95±*** high to low,the different factors of dignity among older adults in long-term care facilities were as follows:caring factors(4.83±0.33),social factors(4.73±0.41),psychological factors(4.66±0.71),value factors(4.56±0.53),autonomous factors(4.50±0.57),and physical factors(4.38±0.55).A higher score of the Dignity Scale was associated with higher economic status,fewer chronic diseases,less medication,better daily living ability and long-time lived in ***:Older adults with low economic status,more chronic diseases,and poor daily living ability,taking more medications,or the previous residence in rural areas seem to be most at low-level dignity in long-term care facilities and thus require more attention than their peers.

关键词： Aged Health long-term care Respect Skilled nursing facilities Sociological factors

Evidence-Based Practice and Job Satisfaction of Nurses in long-term care

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Open Journal of Nursing 2016年第12期6卷 977-986页

作者： Hyunwook Kang Department of Nursing Kangwon National University Chuncheon South Korea

Purpose: The purpose of this study was to identify the relationship between evidence-based practice (EBP) and job satisfaction among nurses working in long-term care facilities. Methods: The study used a descriptive cross-sectional design. A total of 146 nurses working in 6 long-term care facilities in South Korea self-reported their perception of EBP implementation, barriers to research utilization, and job satisfaction. Results: The level of job satisfaction was higher in nurses who were single, older, more experienced, and had a higher income. Lower perceived barriers to research utilization were associated with greater job satisfaction. However, there was no significant relationship between a level of EBP implementation and job satisfaction. Factors influencing job satisfaction included lower barriers to the organization and communication domains of research utilization, being unmarried and older. Conclusion: Decreasing barriers to research utilization may improve the job satisfaction of nurses working in long-term care facilities.

关键词： Evidence-Based Practice Job Satisfaction long-term care Nurse

Effects of Sustained, Coordinated Activities Programming in long-term care: The Memory in Rhythm® Program

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Advances in Aging Research 2016年第1期5卷 1-8页

作者： Iva De Witt-Hoblit Mary Neal Miller Cameron J. Camp miVision LLC West Liberty Ohio USA Center for Applied Research in Dementia Solon Ohio USA

Beneficial effects of providing engaging activities to long-term care residents have been well documented. However, it is important to determine the effects of activities when providing throughout the day, especially as they related to outcomes salient to administrators. We describe the creation and pilot testing of a sustained, coordinated activities program, Memory in Rhythm®(MIR), which incorporated Montessori-Based Dementia Programming™, in a skilled nursing facility (SNF). Effects of implementing MIR then were examined in memory care units in 16 aged care centers—9 SNFs and 7 assisted living residences in Ohio. For these centers, all data were collected over a period of one year before and one year after implementation of MIR. Results indicate that implementation of MIR was associated with reductions in medication use, increased census, decreased employee turnover, decreased wandering and agitation, and increased sleeping at night, eating and capacity for activities of daily living. In the SNFs, increases in RUGS case mix and use of Medicare Part B (rehabilitation services) were noted, while in assisted living implementation also was related to increased amount of time residents who were able to age in place. Implications of these findings are discussed.

关键词： Dementia Engagement Medication Reduction Agitation Wandering ADLs Employee Turnover Census long-term care Assisted Living

The Effect of Knowledge and Attitude on Fall Prevention Activities among Nursing Staff in long-term care Hospitals

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Open Journal of Nursing 2020年第7期10卷 676-692页

作者： Yeong Hwa Han Hye Young Kim Hye Sun Hong Graduate School Keimyung University Daegu South Korea Department of Nursing Keimyung University Daegu South Korea

Background: The fall prevention activities of nursing staff are emphasized more in order to reduce the incidence of falls in elderly people in long-term care hospitals. Objectives: To examine the extent of knowledge and attitude about falls and the degree of fall prevention activities among nursing staff in long-term care hospitals, and to identify the effect of knowledge and attitude about falls on prevention activities. Design: The data collection was, in the period between July 10th, 2017 and August 10th, 2017, accumulated by constructive questionnaires targeting 138 nurses and nurse aids who are employed within five long-term care hospitals. Methods: The statistical processing was as follows: the frequency, percentage, mean and standard deviation, independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and hierarchical regression analysis. Results: The fall prevention activities showed a significant difference statistically in the fields of age (F = 5.33, p = 0.002), working career (F = 3.98, p = 0.014), positions (t = 2.71, p = 0.008), subject’s experience with patient falls (t = 2.15, p = 0.033), fall prevention education (t = 3.32, p = 0.001). As for the correlation between knowledge and attitude towards falls and fall prevention activities, knowledge and attitude towards fall (r = 0.45, p long-term care hospitals, their attitude towards falls (β = 0.32, p Conclusion: In order to increase fall prevention activities in long-term care hospitals, nursing staff’ attitude towards falls is important. Therefore, we need to explore diverse strate

关键词： Knowledge Attitude Nursing long-term care

Analysis on long-term care and Influencing Factors of Empty-Nest Differently Abled Elderly People in China —Based on the Data from the Chinese longitudinal Healthy longevity Survey

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Open Journal of Preventive Medicine 2020年第12期10卷 299-311页

作者： Zenghui Qiu Yali Liu Zengzi Wang Shuangshuang Peng Di Wan Yi Jiang School of Public Health and Management Chongqing Medical University Chongqing China Chongqing University Three Gorges Hospital Chongqing China

Purpose: This study aimed to understand the actual needs of empty-nest differently abled elderly people and analyze their long-term care status including the factors affecting choice of care mode so adequate resources can be allocated to meet their healthcare needs. Methods: An empty-nest group was compared with a non-empty-nest group based on data from the 2014 Chinese longitudinal Healthy longevity Survey. Individual characteristics, family characteristics, and sociological factors were considered as independent variables, and long-term care model was the dependent variable in the three binary logistic regression method. Results: Age, gender, marriage, and disability were the most important factors influencing the choice of long-term care mode, including the willingness of the differently abled elderly. Family care can no longer meet the needs of the severely disabled elderly. long-term care for such elderly people should be undertaken by professional and specialized social institutions. Conclusion: Multi-level services should be provided according to the elderly peoples’ needs, and the skill and expertise of professional personnel of care institutions should be strengthened. The government should deploy fund-raising initiatives, actively use the power of non-governmental organizations, and strive to resolve the financial issues faced by the empty-nested elderly people with disability.

关键词： Abled Elders Empty-Nest Elders long-term care Influencing Factors