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Resident-directed long-term care: staff provision of choice during morning care
- Authors:
- SIMMONS Sandra F., et al
- Journal article citation:
- Gerontologist, 51(6), December 2011, pp.867-875.
- Publisher:
- Oxford University Press
This study aimed to develop a protocol to assess the quality of staff-resident communication relevant to choice, and describe staff-resident interactions to assess current nursing home practices related to offering choice during morning care provision. The study included 73 long-stay residents in 2 facilities in the United States who were observed for four consecutive morning hours during targeted care activities, for twelve weeks. Interactions were observed of staff offers of choice and residents’ responses. Findings revealed that staff offered residents choice during only 18% of the morning care activities. The authors concluded that nursing home staff could use a simplified version of the tool to measure staff-resident interactions related to choice as a first step toward improving care practice.
What do family members notice following an intervention to improve mobility and incontinence care for nursing home residents? An analysis of open-ended comments
- Authors:
- LEVY-STORMS Lene, SCHNELLE John F., SIMMONS Sandra F.
- Journal article citation:
- Gerontologist, 47(1), February 2007, pp.14-20.
- Publisher:
- Oxford University Press
The purpose of this study was to evaluate the sensitivity of family members' responses to open-ended interview questions about an intervention to improve incontinence and mobility care for their relative in a nursing home. The study was a randomized, controlled intervention trial with incontinent nursing home residents (N = 145), wherein research staff provided toileting and walking assistance of sufficient intensity to significantly improve continence and mobility outcomes in the treatment group. Interviewers posed open-ended interview questions to family members after 8 weeks of intervention to assess if they noticed a difference in care. Family responses to open-ended questions showed that, compared to the control group, the intervention group noticed significant overall improvement in incontinence and mobility care and in residents' outcomes in mobility. It is concluded that families' responses to open-ended questions were sensitive to improvements in incontinence and mobility care and may provide evidence for important care quality differences that would be missed if only direct satisfaction and discrepancy-based closed-ended questions were asked.
Selecting nursing home residents for satisfaction surveys
- Authors:
- SIMMONS Sandra F., et al
- Journal article citation:
- Gerontologist, 37(4), August 1997, pp.543-550.
- Publisher:
- Oxford University Press
Presents objective criteria to identify nursing home residents who are capable of accurately reporting the occurrence of daily care activities. These criteria can be used to select residents for interviews concerning the quality of their care and life in the nursing home.