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Full-Text Articles in Nursing
Barriers To Safe Medication Administration In The Nursing Home--Exploring Staff Perceptions And Concerns About The Medication Use Process, A. Vogelsmeier, Jill Scott-Cawiezell, D. Zellmer
Barriers To Safe Medication Administration In The Nursing Home--Exploring Staff Perceptions And Concerns About The Medication Use Process, A. Vogelsmeier, Jill Scott-Cawiezell, D. Zellmer
Jill Scott-Cawiezell
The purpose of this study was to explore staff perceptions and concerns about the medication use process in the nursing home setting. A total of 76 staff members from 5 nursing homes in 3 Midwestern states participated in key informant interviews and focus groups. Common themes included issues related to communication, competing demands, and the challenges of a paper-based medication administration record. Concerns frequently were associated with the timeliness and accuracy of the medication administration process. Recognition of staff concerns are an important first step in improving the nursing home medication use process. Staff insight provided clarification related to impediments …
Measuring Pain Intensity In Nursing Home Residents, K. Jones, R. Fink, E. Hutt, C. Vojir, G. Pepper, Jill Scott-Cawiezell, B. Mellis
Measuring Pain Intensity In Nursing Home Residents, K. Jones, R. Fink, E. Hutt, C. Vojir, G. Pepper, Jill Scott-Cawiezell, B. Mellis
Jill Scott-Cawiezell
Assessing pain intensity in nursing home residents remains a challenge. As part of a multifaceted intervention study to improve pain practices in nursing homes, quarterly pain assessments were conducted in 12 Colorado nursing homes. Residents who reported pain or discomfort of any kind in the past 24 hours were asked to choose one of three pain intensity scales to quantify their current and highest level of pain intensity. They were also observed for pain behaviors using Feldt's Checklist of Nonverbal Pain Indicators. Residents preferred the Verbal Descriptor Scale almost 2:1 over the 11-point Verbal Numeric Rating Scale and the Faces …
Quality Improvement In Long-Term Care. Are Nursing Homes Ready To Create Sustainable Improvement?, Jill Scott-Cawiezell
Quality Improvement In Long-Term Care. Are Nursing Homes Ready To Create Sustainable Improvement?, Jill Scott-Cawiezell
Jill Scott-Cawiezell
No abstract provided.
Cost, Staffing And Quality Impact Of Bedside Electronic Medical Record (Emr) In Nursing Homes, M. Rantz, L. Hicks, G. Petroski, R. Madsen, G. Alexander, C. Galambos, V. Conn, Jill Scott-Cawiezell, M. Zwygart-Stauffacher, L. Greenwald
Cost, Staffing And Quality Impact Of Bedside Electronic Medical Record (Emr) In Nursing Homes, M. Rantz, L. Hicks, G. Petroski, R. Madsen, G. Alexander, C. Galambos, V. Conn, Jill Scott-Cawiezell, M. Zwygart-Stauffacher, L. Greenwald
Jill Scott-Cawiezell
OBJECTIVE: There is growing political pressure for nursing homes to implement the electronic medical record (EMR) but there is little evidence of its impact on resident care. The purpose of this study was to test the unique and combined contributions of EMR at the bedside and on-site clinical consultation by gerontological expert nurses on cost, staffing, and quality of care in nursing homes. METHODS: Eighteen nursing facilities in 3 states participated in a 4-group 24-month comparison: Group 1 implemented bedside EMR, used nurse consultation; Group 2 implemented bedside EMR only; Group 3 used nurse consultation only; Group 4 neither. Intervention …