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- 7Nursing homes
- 3Elderly
- 3Knowledge translation
- 3Quality improvement
- 3Quality of care
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2013
Stewart, N., Morgan, D. G., Estabrooks, C. A., Norton, P., Squires, J. E., Poss, J. W., Doupe, M., Teare, G. F., Cummings, G. G.
Nursing homes have become complex care environments where residents have significant needs and most have age-related dementia. Building on research by Hirdes et al. (2011), we describe a resident profile in a representative sample of 30 urban nursing homes in the prairie provinces using Resident...
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Affirming the value of the resident assessment instrument: Minimum data set version 2.0 for nursing home decision-making and quality improvement
Download2015
Wagg, Adrian S., Drummond, Lindsay S., Jones, C. Allyson, Slaughter, Susan E.
Background: We examined the agreement over time of the physical functioning domains of the Resident Assessment Instrument: Minimum Data Set Version 2.0 (RAI-MDS) and the Functional Independence Measure (FIM) in nursing home residents with dementia. Methods: We completed a secondary analysis of...
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Data for improvement and clinical excellence: report of an interrupted time series trial of feedback in long-term care
Download2014
Baylon, Melba A., Fraser, Kimberly D., Schalm, Corinne, Sales, Anne E.
Background There is considerable evidence about the effectiveness of audit coupled with feedback for provider behavior change, although few feedback interventions have been conducted in long-term care settings. The primary purpose of the Data for Improvement and Clinical Excellence-Long-Term Care...
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Facility versus unit level reporting of quality indicators in nursing homes when performance monitoring is the goal.
Download2014
Teare, G. F., Poss, J., Murray, M., Norton, P., Estabrooks, C. A., Cummings, G. G., Doupe, M., Squires, J.
Objectives To demonstrate the benefit of defining operational management units in nursing homes and computing quality indicators on these units as well as on the whole facility. Design Calculation of adjusted Resident Assessment Instrument – Minimum Data Set 2.0 (RAI–MDS 2.0) quality indicators...
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2012
Barnard, D., Norton, P. G., Batra-Garga, N., Cummings, G. G., Estabrooks C. A., Cranley, L. A.
Background: In Canada, healthcare aides (also referred to as nurse aides, personal support workers, nursing assistants) are unregulated personnel who provide 70-80% of direct care to residents living in nursing homes. Although they are an integral part of the care team their contributions to the...
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Improving Decision making On Location of Care with the frail Elderly and their caregivers (the DOLCE study): study protocol for a cluster randomized controlled trial
Download2015
Brière, Nathalie, Freitas, Adriana, Légaré, France, Bourassa, Henriette, Stacey, Dawn, Rivest, Louis‐Paul, Fraser, Kimberly, Dumont, Serge, Roy, Lise, Desroches, Sophie
Background One of the toughest decisions faced by elderly people is whether to stay at home or move to a care facility. This study seeks to evaluate the impact of training interprofessional home-care teams in shared decision making combined with a decision aid on the proportion of elderly people...
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2015
Hewko, Sarah J., Cooper, Sarah L., Reid, Shawna, Huynh, Hanhmi, Spiwek, Trish L., Carleton, Heather L., Cummings, Greta G.
Background: Healthcare aides (HCAs) are the primary caregivers for vulnerable older persons. They have many titles and are largely unregulated, which contributes to their relative invisibility. The objective of this scoping review was to evaluate the breadth and depth of the HCA workforce...
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2012
Estabrooks, C. A., Cummings, G. G., Wagg, A., Bottorff, J. L., Lynch, S. L., Abel, S. L., Bissell, L., Norton, P. G., Robinson, C. A., Lee, J. S., Masaoud, E., Cummings, G. E., Rowe, B. H., Reid, R. C.
Background Changes in health status, triggered by events such as infections, falls, and geriatric syndromes, are common among nursing home (NH) residents and necessitate transitions between NHs and Emergency Departments (EDs). During transitions, residents frequently experience care that is...
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Optimizing the mobility of residents with dementia: A pilot study promoting healthcare aide uptake of a simple mobility innovation in diverse nursing home settings.
Download2013
Estabrooks, C. A., Slaughter, S. E.
Background Almost 90 percent of nursing home residents have some type of mobility limitation. Many spend most of their waking hours lying in bed or sitting. Such inactivity can negatively affect residents’ health and general well-being. This pilot study aimed to assess (1) the effect of the...
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Perceptions of family and staff on the role of the environment in long-term care homes for people with dementia
Download2012
Background: Disruptive behaviors are frequent and often the first predictor of institutionalization. The goal of this multi-center study was to explore the perceptions of family and staff members on the potential contribution of environmental factors that influence disruptive behaviors and...