Medical Staff Involvement in Nursing Homes

Shield, Renée; Rosenthal, Marsha; Wetle, Terrie; Tyler, Denise; Clark, Melissa A.; Intrator, Orna

doi:10.1177/0733464812463432

Cited by 18 publications

(14 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As such, nursing researchers have defined the relational propositions interactions more explicitly (Richie 1987) and also proposed new, adapted models (Chen et al . 2007, Shield et al . 2014, Mitchell et al .…”

Section: Discussionmentioning

confidence: 99%

Evaluation of conceptual frameworks applicable to the study of isolation precautions effectiveness

Cohen

Shang

2015

Journal of Advanced Nursing

View full text Add to dashboard Cite

Aims A discussion of conceptual frameworks applicable to the study of isolation precautions effectiveness according to Fawcett and DeSanto-Madeya’s (2013) evaluation technique and their relative merits and drawbacks for this purpose Background Isolation precautions are recommended to control infectious diseases with high morbidity and mortality, but effectiveness is not established due to numerous methodological challenges. These challenges, such as identifying empirical indicators and refining operational definitions, could be alleviated though use of an appropriate conceptual framework. Design Discussion paper Data Sources In mid-April 2014, the primary author searched five electronic, scientific literature databases for conceptual frameworks applicable to study isolation precautions, without limiting searches by publication date. Implications for Nursing By reviewing promising conceptual frameworks to support isolation precautions effectiveness research, this paper exemplifies the process to choose an appropriate conceptual framework for empirical research. Hence, researchers may build on these analyses to improve study design of empirical research in multiple disciplines, which may lead to improved research and practice. Conclusion Three frameworks were reviewed: the epidemiologic triad of disease, Donabedian’s healthcare quality framework and the Quality Health Outcomes model. Each has been used in nursing research to evaluate health outcomes and contains concepts relevant to nursing domains. Which framework can be most useful likely depends on whether the study question necessitates testing multiple interventions, concerns pathogen-specific characteristics and yields cross-sectional or longitudinal data. The Quality Health Outcomes model may be slightly preferred as it assumes reciprocal relationships, multi-level analysis and is sensitive to cultural inputs.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of conceptual frameworks applicable to the study of isolation precautions effectiveness

Cohen

Shang

2015

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…This review was conducted as part of a larger study entitled "The structures, processes and outcomes of effective nursing leadership in LTC." We applied Donabedian's framework that has been widely used in healthcare and LTC literature (Castle & Ferguson, 2010;Shield et al, 2014). In this review, we define structures as attributes or characteristics that are within the nurse, organization, or resident that influence supervisory performance of nurses.…”

Section: Methods Designmentioning

confidence: 99%

An Integrative Review of the Structures and Processes Related to Nurse Supervisory Performance in Long‐Term Care

Chu

Ploeg

Wong³

et al. 2016

Worldviews Ev Based Nurs

View full text Add to dashboard Cite

show abstract

“…Patient expectations and perceptions of the physicians’ care in SNFs are poorly understood. Patient-perceived deficiencies in SNF care include poor communication and care coordination between physicians and other medical staff as well as with patients and caregivers [ 5 , 6 ]. However, prior research examining patient experiences in these facilities did not focus on patients with dementia who have complex needs and unique concerns.…”

Section: Introductionmentioning

confidence: 99%

“…Our conceptual model was based on the nursing home Medical Staff Involvement Model [ 6 ], which applied the Donabedian “structure-process-outcomes” framework [ 16 ] to describe the relationship between staffing and outcomes in the nursing home (or SNF). It was further developed using the influential framework of medical staff organization in hospitals by Roemer & Friedman [ 17 ] that identified job commitment of physicians as a key dimension influencing hospital performance.…”

Section: Introductionmentioning

confidence: 99%

Expectations and experiences with physician care among patients receiving post-acute care in US skilled nursing facilities

Foley

Karlawish

et al. 2020

BMC Geriatr

View full text Add to dashboard Cite

Background In the US, post-acute care in skilled nursing facilities (SNFs) is common and outcomes vary greatly across facilities. Little is known about the expectations of patients and their caregivers about physician care during the hospital to SNF transition. Our objectives were to (1) describe the experiences and expectations of patients and their caregivers with SNF physicians in SNFs, and (2) identify patterns that differed between patients with vs. without cognitive impairment. Methods This qualitative study used grounded theory approach to analyze data collected from semi-structured interviews at five SNFs in January–August 2018. Patients admitted for short-term SNF care 5–10 days prior were eligible to participate. Thematic analysis was performed to detect recurrent themes with a focus on modifiable aspects of physician care. Analysis was stratified by patient cognitive impairment (measured by the Montreal Cognitive Assessment at the time of the interview). Results Fifty patients and six caregivers were interviewed. Major themes were: (1) patients had poor awareness of the physician in charge of their care; (2) they were dissatisfied with the frequency of interaction with the physician; and (3) participants valued the perception of receiving individualized care from the physician. Less cognitively impaired patients were more concerned about limited interactions with the physicians and were more likely to report attempts to seek out the physician. Conclusion Patient and caregiver expectations of SNF physicians were not well aligned with their experiences. SNFs aiming to improve satisfaction with care may focus efforts in this area, such as facilitating frequent communication between physicians, patients and caregivers.

show abstract

Medical Staff Involvement in Nursing Homes

Cited by 18 publications

References 40 publications

Evaluation of conceptual frameworks applicable to the study of isolation precautions effectiveness

Evaluation of conceptual frameworks applicable to the study of isolation precautions effectiveness

An Integrative Review of the Structures and Processes Related to Nurse Supervisory Performance in Long‐Term Care

Expectations and experiences with physician care among patients receiving post-acute care in US skilled nursing facilities

Contact Info

Product

Resources

About