Study of Individualization and Bias in Nursing Home Fall Prevention Practices

Journal of the American Geriatrics Society

Volumn 65, Issue 4, 2017, Pages 815-821

  Colón Emeric, Cathleen S ^a,b   Corazzini, Kirsten ^a,b,c   McConnell, Eleanor ^c   Pan, Wei ^c   Toles, Mark ^d   Hall, Rasheeda ^a,b   Batchelor Murphy, Melissa ^c   Yap, Tracey L ^c   Anderson, Amber L ^c   Burd, Andrew ^c   Anderson, Ruth A ^d  

^a DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b GERIATRIC RESEARCH EDUCATION AND CLINICAL CENTER   (United States)

^c DUKE UNIVERSITY   (United States)

^d UNIVERSITY OF NORTH CAROLINA   (United States)

Author keywords

bias; clinical vignettes; fall prevention; nursing homes; person centered care

Indexed keywords

ACCIDENT PREVENTION; ADULT; AGE; ARTICLE; CONTROLLED STUDY; DEMOGRAPHY; FALLING; FEMALE; HEALTH CARE DELIVERY; HUMAN; INDIVIDUALIZATION; LICENSED PRACTICAL NURSE; MALE; MEASUREMENT; NURSING HOME; NURSING HOME PERSONNEL; RACISM; REGISTERED NURSE; RISK FACTOR; SOCIAL WORK; ADOLESCENT; AGED; CLINICAL TRIAL; MIDDLE AGED; MULTICENTER STUDY; NORTH CAROLINA; PREVENTION AND CONTROL; RANDOMIZED CONTROLLED TRIAL; STATISTICAL BIAS; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

ACCIDENT PREVENTION; ACCIDENTAL FALLS; ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BIAS (EPIDEMIOLOGY); FEMALE; HUMANS; MALE; MIDDLE AGED; NORTH CAROLINA; NURSING HOMES; RISK FACTORS;

EID: 85013018475     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/jgs.14675     Document Type: Article

References (31)

1. Koren MJ. Person-centered care for nursing home residents: The culture-change movement. Health Aff 2010;29:312–317.
2. Kogan AC, Wilber K, Mosqueda L. Person-centered care for older adults with chronic conditions and functional impairment: A systematic literature review. J Am Geriatr Soc 2016;64:e1–e7.
3. The American Geriatrics Society Expert Panel on Person-Centered Care. Person-centered care: A definition and essential elements. J Am Geriatr Soc 2016;64:15–18.
4. Vance J. The clinical practice guideline for falls and fall risk. Transl Behav Med 2012;2:241–243.
5. Hall WJ, Chapman MV, Lee KM et al. Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes: A systematic review. Am J Public Health 2015;105:e60–e76.
6. Saunders K, Dunn K, Merrill J et al. Relationship of opioid use and dosage levels to fractures in older chronic pain patients. J Gen Intern Med 2010;25:310–315.
7. Degenholtz HB, Arnold RA, Meisel A et al. Persistence of racial disparities in advance care plan documents among nursing home residents. J Am Geriatr Soc 2002;50:378–381.
8. Li Y, Yin J, Cai X et al. Association of race and sites of care with pressure ulcers in high-risk nursing home residents. JAMA 2011;306:179–186.
9. Li Y, Glance LG, Yin J et al. Racial disparities in rehospitalization among medicare patients in skilled nursing facilities. Am J Public Health 2011;101:875–882.
10. Engle VF, Graney MJ, Chan A. Accuracy and bias of licensed practical nurse and nursing assistant ratings of nursing home residents’ pain. J Gerontol A Biol Sci Med Sci 2001;56:M405–M411.
11. Jones KR, Fink R, Pepper G et al. Improving nursing home staff knowledge and attitudes about pain. Gerontologist 2004;44:469–478.
12. Campbell EB, Knight M, Benson M et al. Effect of an incontinence training program on nursing home staff's knowledge, attitudes, and behavior. Gerontologist 1991;31:788–794.
13. Veloski J, Tai S, Evans AS et al. Clinical vignette-based surveys: A tool for assessing physician practice variation. Am J Med Qual 2005;20:151.
14. Peabody JW, Luck J, Glassman P et al. Comparison of vignettes, standardized patients, and chart abstraction: A prospective validation study of 3 methods for measuring quality. JAMA 2000;283:1715–1722.
15. Peabody JW, Luck J, Glassman P et al. Improving patient care. Measuring the quality of physician practice by using clinical vignettes: A prospective validation study. Ann Intern Med 2004;141:771.
16. Anderson R, Corazzini K, Porter K et al. CONNECT for quality: Protocol of a cluster randomized controlled trial to improve fall prevention in nursing homes. Implement Sci 2012;7:11.
17. Taylor J, Parmelee P, Brown H et al. The Falls Management Program: A quality improvement initiative for nursing facilities. In: ed. Agency for Healthcare Research and Quality. Atlanta, GA: Emory University, 2005, pp. 1–52.
18. Chang JT, Ganz DA. Quality indicators for falls and mobility problems in vulnerable elders. J Am Geriatr Soc 2007;55:S327–S334.
19. Hox J. Multilevel Analysis: Techniques and Applications. New York: Routledge, 2010.
20. Oliver D, Britton M, Seed P et al. Development and evaluation of evidence based risk assessment tool (STRATIFY) to predict which elderly inpatients will fall: Case-control and cohort studies. BMJ 1997;315:1049–1053.
21. Cameron ID, Gillespie LD, Robertson MC et al. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database of Syst Rev 2012;12:1–184.
22. Taylor JA, Parmelee P, Brown H et al. A model quality improvement program for the management of falls in nursing homes. J Am Med Dir Assoc 2007;8(3 Suppl):S26–S36.
23. Anderson RA, Toles MP, Corazzini K et al. Local interaction strategies and capacity for better care in nursing homes: A multiple case study. BMC Health Serv Res 2014;14:1–17.
24. Nazir A, Unroe K, Tegeler M et al. Systematic review of interdisciplinary interventions in nursing homes. J Am Med Dir Assoc 2013;14:471–478.
25. Rantz MJ, Zwygart-Stauffacher M, Flesner M et al. The influence of teams to sustain quality improvement in nursing homes that “need improvement”. J Am Med Dir Assoc 2013;14:48–52.
26. White-Means S, Dong Z, Hufstader M et al. Cultural competency, race and skin tone bias among pharmacy, nursing, and medical students: Implications for addressing health disparities. Med Care Res Rev 2009;66:436–455.
27. Shavers VL, Fagan P, Jones D et al. The state of research on racial/ethnic discrimination in the receipt of health care. Am J Public Health 2012;102:953–966.
28. Haider AH, Sexton J, Sriram NN et al. Association of unconscious race and social class bias with vignette-based clinical assessments by medical students. JAMA 2011;306:942–951.
29. Green AR, Carney DR, Pallin DJ et al. Implicit bias among physicians and its prediction of thrombolysis decisions for black and white patients. J Gen Intern Med 2007;22:1231–1238.
30. Sabin JA, Greenwald AG. The influence of implicit bias on treatment recommendations for 4 common pediatric conditions: Pain, urinary tract infection, attention deficit hyperactivity disorder, and asthma. Am J Public Health 2012;102:988–995.
31. Blair IV, Steiner JF, Hanratty R et al. An investigation of associations between clinicians’ ethnic or racial bias and hypertension treatment, medication adherence and blood pressure control. J Gen Intern Med 2014;29:987–995.