Bioelectrical Impedance Analysis and Other Hydration Parameters as Risk Factors for Delirium in Rural Nursing Home Residents

J Am Psychiatr Nurses Assoc

et al. 2005

BACKGROUND: Depression has a substantial negative impact on quality of life. Underdiagnosis and undertreatment of depression are major problems in nursing home residents. OBJECTIVES: This study sought to determine the prevalence of depression among older adults in nursing homes in rural Iowa using the Geriatric Depression Scale (GDS), Minimum Data Set (MDS), and primary care provider (PCP) depression diagnosis. DESIGN: This is a secondary analysis of data collected from 279 randomly selected residents of nursing homes in rural Iowa. RESULTS: The prevalence of depression based on the GDS (score of 6 or greater) was 37.3%, the MDS was 21.3%, and the PCP depression diagnosis was 39.1%. CONCLUSION: There was only chance agreement in identifying depression among the measures. The overall prevalence of depression (as indicated by a positive depression marker in any group) was 67.1%, suggesting depression continues to be a problematic clinical and qualityof-life issue in rural nursing homes.

“…For the original study (Culp et al, 2004), a two-stage cluster sampling procedure was used. The first stage was to randomly select nursing homes among 15 rural counties in southeast Iowa.…”

Section: Designmentioning

confidence: 99%

Comparing the Geriatric Depression Scale, Minimum Data Set, and Primary Care Provider Diagnosis for Depression in Rural Nursing Home Residents

Kerber

J Am Psychiatr Nurses Assoc

et al. 2005

“…The original study used a two-stage sampling procedure (Culp et al, 2004). In the first stage, nursing homes were randomly selected among 15 rural counties in southeast Iowa.…”

Section: Designmentioning

confidence: 99%

Antidepressant Treatment of Depression in Rural Nursing Home Residents

Kerber

Issues in Mental Health Nursing

et al. 2008

Under-diagnosis and under-treatment of depression are major problems in nursing home residents. The purpose of this study was to determine antidepressant use among nursing home residents who were diagnosed with depression using three different methods: (1) the Geriatric Depression Scale, (2) Minimum Data Set, and (3) primary care provider assessments. As one would expect, the odds of being treated with an antidepressant were about eight times higher for those diagnosed as depressed by the primary care provider compared to the Geriatric Depression Scale or the Minimum Data Set. Men were less likely to be diagnosed and treated with antidepressants by their primary care provider than women. Depression detected by nurses through the Minimum Data Set was treated at a lower rate with antidepressants, which generates issues related to interprofessional communication, nursing staff communication, and the need for geropsychiatric role models in nursing homes.

“…This cohort study in rural nursing homes was designed to identify the epidemiology of delirium in nursing home residents (Culp et al, 2004). Research staff were involved in data collection in a 14-county area, but were in a facility for only six weeks.…”

Section: Exemplar: Data Quality Program For a Delirium Study Of Nursimentioning

confidence: 99%

“…The purpose of the Data Quality Program was to ensure accuracy of cognitive, behavioral, and physiological ratings and data entry under the protocols described elsewhere (Culp et al, 2004). The PI set the data quality standards based on physiological plausible measurements and established the structure for the Data Quality Program, including a nurse Data Quality Coordinator (DQC) and data entry clerks.…”

Section: Exemplar: Data Quality Program For a Delirium Study Of Nursimentioning

confidence: 99%

Data quality strategies in cohort studies: Lessons from a study on delirium in nursing home elders

Applied Nursing Research

Cacchione

2007

Data quality has a direct impact on reliability and validity, however, the procedures are usually briefly summarized in the methods section of reports. Sustaining data quality and integrity over time can pose serious challenges and prompted the development of a Data Quality Program based on Donabedian's quality framework. Although many are familiar with the structure, process, and outcome components in health care quality, application to a research project may be unfamiliar. This article summarizes the data quality program for a cohort study of nursing home elders with delirium by providing an "insider's view" of the procedures and protocols followed over several years.Keywords quality improvement; data quality; reliability; validity; cohort studies; methodology; nursing homes; delirium Data Quality Strategies in Cohort Studies: Lessons from a Study on Delirium in Nursing Home EldersThe quality of data collected over a sustained period of time in a longitudinal study impacts on the reliability and validity of measurements. Sustaining data integrity over time poses challenges, especially with staff changes, transcription errors, and historical events. These concepts in a cohort study with elders are not discussed in the literature. Elders may be lost to follow-up due to illness, transfer, and death. This article describes data quality strategies to uphold reliability and validity in a cohort study of nursing home elders.