Randomized multilevel intervention to improve outcomes of residents in nursing homes in need of improvement

Journal of the American Medical Directors Association

Volumn 13, Issue 1, 2012, Pages 60-68

  Rantz, Marilyn J ^a   Zwygart Stauffacher, Mary ^b   Hicks, Lanis ^c   Mehr, David ^c   Flesner, Marcia ^a   Petroski, Gregory F ^c   Madsen, Richard W ^c   Scott Cawiezell, Jill ^d  

^a UNIVERSITY OF MISSOURI   (United States)

^b UNIVERSITY OF WISCONSIN EAU CLAIRE   (United States)

^c University of Missouri   (United States)

^d UNIVERSITY OF IOWA COLLEGE OF NURSING   (United States)

Author keywords

Advanced practice nurses; Cost analysis; Nursing homes; Outcomes of care; Quality improvement; Randomized clinical trial; Staff retention; Working conditions

Indexed keywords

AGED; ARTICLE; CLINICAL ASSESSMENT; CLINICAL PRACTICE; CLINICAL TRIAL; CONTROLLED STUDY; DAILY LIFE ACTIVITY; DECUBITUS; ELDERLY CARE; FECES INCONTINENCE; HEALTH CARE ORGANIZATION; HEALTH CARE QUALITY; HOSPITAL PERSONNEL; HUMAN; NURSING HOME; NURSING HOME PATIENT; OUTCOME ASSESSMENT; RANDOMIZED CONTROLLED TRIAL; TOTAL QUALITY MANAGEMENT; URINE INCONTINENCE; WEIGHT REDUCTION;

EID: 84855207487     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2011.06.012     Document Type: Article

References (73)

1. Evans L.K., Strumpf N.E., Allen-Taylor S.L., et al. Aclinical trial to reduce restraints in nursing homes. JAm Geriatr Soc 1997, 45:675-681.
2. Neufeld R.R., Libow L.S., Foley W.J., et al. Restraint reduction reduces serious injuries among nursing home residents. JAm Geriatr Soc 1999, 47(10):1202-1207.
3. Fiatarone M.A., O'Neill E.F., Doyle N., et al. The Boston FICSIT study: The effects of resistance training and nutritional supplementation on physical frailty in the oldest old. JAm Geriatr Soc 1993, 41(3):333-337.
4. Hagen B., Armstrong-Esther C., Sandilands M. On a happier note: validation of musical exercise for older persons in long-term care settings. Int J Nurs Stud 2003, 40(4):347-357.
5. Morris J.N., Fiatarone M., Kiely D.K., et al. Nursing rehabilitation and exercise strategies in the nursing home. JGeronotol: Med Sci 1999, 54A(10):M494-M500.
6. Beck C., Heacock P., Mercer S.O., et al. Improving dressing behavior in cognitively impaired nursing home residents. Nurs Res 1997, 46(3):126-132.
7. Blair C.E. Effect of self-care ADLs on self-esteem on intact nursing home residents. Iss Ment Health Nurs 1999, 20(6):559-570.
8. Cameron I.D., Venman J., Kurrle S.E., et al. Hip protectors in aged-care facilities: A randomized trial of use by individual higher-risk residents. Age Ageing 2001, 30(6):477-481.
9. Ray W.A., Taylor J.A., Meador K.G., et al. Arandomized trial of a consultation service to reduce falls in nursing homes. JAMA 1997, 278(7):557-562.
10. Geyer M.J., Brienza D.M., Karg P., et al. Arandomized control trial to evaluate pressure-reducing seat cushions for elderly wheelchair users. Adv Skin Wound Care 2001, 14(3):120-132.
11. Groen H.W., Groenier K.H., Schuling J. Comparative study of a foam mattress and a water mattress. JWound Care 1999, 8(7):333-335.
12. Edwards N.E., Beck A.M. Animal-assisted therapy and nutrition in Alzheimer's disease. West J Nurs Res 2002, 24(6):697-712.
13. Simmons S.F., Alessi C., Schnelle J.F. An intervention to increase fluid intake in nursing home residents: prompting and preference compliance. JAm Geriatr Soc 2001, 49(7):926-933.
14. Simmons S.F., Osterweil D., Schnelle J.F. Improving food intake in nursing home residents with feeding assistance: A staffing analysis. JGerontol Med Sci 2001, 56A(12):M790-M794.
15. Burgio L.D., McCormick K.A., Scheve A.S., et al. The effects of changing prompted voiding schedules in the treatment of incontinence in nursing home residents. JAm Geriatr Soc 1994, 42(3):315-320.
16. Ouslander J.G., Al-Samarrai N., Schnelle J.F. Prompted voiding for nighttime incontinence in nursing homes: Is it effective?. JAm Geriatr Soc 2001, 49(6):706-709.
17. Schnelle J.F., Cruise P.A., Alessi C.A., et al. Individualizing nighttime incontinence care in nursing home residents. Nurs Res 1998, 47(4):197-204.
18. Schnelle J.F., Kapur K., Alessi C., et al. Does an exercise and incontinence intervention save healthcare costs in a nursing home population?. JAm Geriatr Soc 2003, 51(2):161-168.
19. Ouslander J.G., Schnelle J.F., Uman G., et al. Predictors of successful prompted voiding among incontinent nursing home residents. JAm Geriatr Soc 1995, 273(17):1366-1370.
20. Schnelle J.F., Alessi C.A., Simmons S.F., et al. Translating clinical research into practice: A randomized controlled trial of exercise and incontinence care with nursing home residents. JAm Geriatr Soc 2002, 50(9):1476-1483.
21. Kane R.L., Garrard J., Skay C., et al. Effects of a geriatric nurse practitioner on process and outcome of nursing home care. Am J Pub Health 1989, 79(9):1271-1277.
22. Rantz M.J., Popejoy L., Petroski G.F., et al. Randomized clinical trial of a quality improvement intervention in nursing homes. Gerontologist 2001, 41(4):525-538.
23. Ryden M.B., Snyder M., Gross C.R., et al. Value-added outcomes: The use of advanced practice nurses in long-term care facilities. Gerontologist 2007, 40(6):654-662.
24. Mohide E.A., Tugwell P., Caulfield P.A., et al. Randomized trial of quality assurance in nursing homes. Med Care 1988, 26(6):554-565.
25. Rantz M.J., Hicks L., Grando V.T., et al. Nursing home quality, cost, staffing, and staff-mix. Gerontologist 2004, 44(1):24-38.
26. Reuben D. Organizational interventions to improve health outcomes of older persons. Med Care 2002, 40(5):416-428.
27. Rantz M.J., Grando V., Conn V.S., et al. Getting the basics right: Care delivery in nursing homes. JGerontol Nurs 2003, 29(11):15-25.
28. Marion R. The Edge of Organization: Chaos and Complexity Theories of Formal Social Systems 1999, Sage Publications, Thousand Oaks (CA).
29. Zimmerman B., Lindberg C., Plsek P. Edge Ware: Insights From Complexity Science of Health Care Leaders 2001, VHA, Irving (TX).
30. Stacey R. The science of complexity: an alternative perspective for strategic change processes. Strat Manage J 1995, 16(6):477-495.
31. Anderson R., McDaniel R. RN participation in organizational decision makingand improvements in resident outcomes. Health Care Manage Rev 1999, 24(1):7-16.
32. Issel L., Anderson R. Intensity of case managers' participation in organizational decision making. Res Nurs Health 2001, 24(5):361-372.
33. Ashmos D., Huonker J., McDaniel R. Participation as a complicating mechanism: The effect of clinical professional and middle manager participation on hospital performance. Health Care Manage Rev 1998, 23(4):7-20.
34. Kotter J.P. Leading Change 1996, Harvard Business School Press, Boston (MA).
35. Morris JN, Moore T, Jones R, etal. Validation of long-term and post-acute care quality indicators. Executive summary of report to CMS. Contract 500-95-0062/TO#2; 2002.
36. Ronch J. Leading culture change in long-term care: A map for the road ahead. Culture Change in Long-Term Care 2003, 65-80. The Haworth Social Work Practice Press, New York (NY). A.S. Weiner, J.L. Ronch (Eds.).
37. Rantz M.J., Hicks L., Petroski G.F., et al. Stability and sensitivity of nursing home quality indicators. JGerontol Med Sci 2004, 59A(1):79-82.
38. InterRAI. Accessed June 2011. http://www.interrai.org/section/view/.
39. Zeger S., Liang L. Longitudinal data analysis using generalized linear models. Biometrika 1986, 73:13-22.
40. Pillemer K. Solving the Frontline Crisis in Long-Term Care: A Practical Guide to Finding and Keeping Quality Nursing Assistants 1996, Delmar Cengage Learning, New York (NY).
41. Rantz M.J., Flesner M.K. Person Centered Care: A Model for Nursing Homes 2004, American Nurses Association, Washington (DC).
42. Rantz M.J., Mehr D., Popejoy L., et al. Nursing home care quality: A multidimensional theoretical model. JNurs Care Qual 1998, 12(3):30-46.
43. Rantz M.J., Zwygart-Stauffacher M., Mehr D., et al. Nursing home care quality: A multidimensional theoretical model integrating the views of consumers and providers. JNurs Care Qual 1999, 14(1):16-37.
44. Rantz M.J., Zwygart-Stauffacher M., Mehr D., et al. Field testing, refinement and psychometric evaluation of a new measure of nursing home care quality. JNurs Meas 2006, 14(2). 129-148(20).
45. Benjamini Y., Yekateuli D. The control of the false discovery rate in multiple testing under dependency. Ann Stat 2001, 29:1165-1188.
46. Rantz M.J., Zwygart-Stauffacher M., Popejoy L., et al. The Minimum Data Set: No longer just for clinical assessment. Ann Long-Term Care 1999, 7(9):354-360.
47. Karon S., Sainfort F., Zimmerman D.R. Stability of nursing home quality indicators over time. Med Care 1999, 37(6):570-579.
48. Zimmerman D.R. Improving nursing home quality of care through outcomes data: The MDS quality indicators. Int J Geriatr Psychiatry 2003, 18:250-257.
49. Rantz M.J., Vogelsmeier A., Manion P., et al. Statewide strategy to improve quality of care in nursing facilities. Gerontologist 2003, 43(2):248-258.
50. Center for Health System Research and Analysis, University of Wisconsin-Madison. Quality Indicators for MDS 2.0, Version 6.3 1997.
51. Zimmerman D.R., Karon S.L., Arling G., et al. Development and testing of nursing home quality indicators. Health Care Financ Rev 1995, 16(4):107-127.
52. Centers for Medicare & Medicaid Services. (2005). Nursing home quality initiative overview, University of Wisconsin-Madison. Available at: http://www.cms.hhs.gov/NursingHomeQualityInits/01_overview.asp.
53. Shortell S.M., Rousseau D.M., Gillies R.R., et al. Organizational assessment in intensive care units (ICUs): construct development, reliability, and validity of the ICU nurse-physician questionnaire. Med Care 1991, 29(8):709-726.
54. Shortell S.M., Zimmerman J.E., Rousseau D.M., et al. The performance of intensive care units: Does good management make a difference?. Med Care 1994, 32(5):508-525.
55. Scott-Cawiezell J., Schenkman M., Moore L., et al. Exploring nursing home staff's perceptions of communication and leadership to facilitate quality improvement. JNurs Care Qual 2004, 19(3):242-252.
56. Scott-Cawiezell J., Main D.S., Vojir C.P., et al. Linking nursing home working conditions to organizational performance. Health Care Manage Rev 2005, 30(4):372-380.
57. Scott-Cawiezell J., Jones K., Moore L., et al. Nursing home culture: A critical component in sustained improvement. JNurs Care Qual 2005, 20(4):341-348.
58. Straker J.K., Atchley R.C. Recruiting and Retaining Frontline Workers in Long-Term Care: Usual Organizational Practices in Ohio 1999, Scripps Gerontology Center, Miami University, Oxford (OH).
59. American Health Care Association. Results of the 2002 AHCQ Survey of nursing staff vacancy and turnover in nursing homes, Health Services Research and Evaluation 2003. Available at: http://www.ahca.org.
60. Madsen R. Proceedings from American Statistical Association: Section on Nonparametric Statistics [CD-ROM] 2005, American Statistical Association, Alexandria (VA), 1660-1667.
61. Rosen J., Mittal V., Degenholtz H., et al. Ability, incentives, and management feedback: Organizational change to reduce pressure ulcers in a nursing home. Am Med Dir Assoc 2006, 7:141-146.
62. Rahman A.N., Schnelle J.F., Yamashita T., et al. Distance learning: A strategy for improving incontinence care in nursing homes. Gerontologist 2010, 50(1):121-132.
63. Forbes-Thompson S., Scott-Cawiezell J., Dunton N. An exploration of nursing home organizational processes. West J Nurs Res 2006, 28(8):935-954.
64. Crandall L.G., White D.L., Schuldheis S., et al. Initiating person-centered care practices in long-term care. JGerontol Nurs 2007, 33(11):47-56.
65. Mueller C. Research in culture change in nursing homes [Presentation]. NursesInvolvement in Culture Change, Hartford Institute for Geriatric Nursing; 2008. Available at: http://hartfordign.org/uploads/File/issue_culture_change/Culture_Change_Background_Mueller.pdf.
66. Rahman A.N., Schnelle J.F. The nursing home culture change movement: Recent, past, present, and future directions for research. Gerontologist 2008, 48(2):142-148.
67. Castle N.G. Administrator turnover and quality of care in nursing homes. Gerontologist 2001, 41(6):757-767.
68. Castle N.G. State differences and facility differences in nursing home staff turnover. JAppl Gerontol 2008, 27(5):609-630.
69. Castle N.G., Engberg J., Men A. Nursing home staff turnover: Impact on nursing home compare quality measures. Gerontologist 2007, 47(5):650-661.
70. Hicks L.L., Rantz M.J., Petroski G.F., et al. Nursing home costs and quality of care outcomes. Nurs Econ 2004, 224:178-192.
71. Rantz M.J., Flesner M.K., Zwygart-Stauffacher M. Improving care in nursing homes using quality measures/indicators and complexity science. JNursing Care Qual 2010, 25(1):369-376.
72. Rantz M.J., Cheshire D., Flesner M., et al. Helping nursing homes " at risk" for quality problems: A statewide evaluation. Geriatric Nursing 2009, 30(4):238-249.
73. GAO. Nursing homes: Federal efforts to monitor resident assessment data should complement state activities, GAO-02-279. February 2002.