International prevalence measurement of care problems: results

Halfens, Ruud J.G.; Meesterberends, Esther; Nie-Visser, Noémi C. van; Lohrmann, Christa; Schönherr, S.; Meijers, J.M.M.; Hahn, Sabine; Vangelooven, Christa; Schols, Jos M. G. A.

doi:10.1111/jan.12189

Cited by 89 publications

(97 citation statements)

References 12 publications

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“…In the Dutch LPZ, each participating organization can decide which QoC outcomes are assessed on the resident level within the organization [30]. Therefore, because of non-participation, data on QoC outcomes were partly missing.…”

Section: Methodsmentioning

confidence: 99%

Relationship between the presence of baccalaureate-educated RNs and quality of care: a cross-sectional study in Dutch long-term care facilities

Backhaus

Rossum

Verbeek

et al. 2017

BMC Health Serv Res

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BackgroundRecent evidence suggests that an increase in baccalaureate-educated registered nurses (BRNs) leads to better quality of care in hospitals. For geriatric long-term care facilities such as nursing homes, this relationship is less clear. Most studies assessing the relationship between nurse staffing and quality of care in long-term care facilities are US-based, and only a few have focused on the unique contribution of registered nurses. In this study, we focus on BRNs, as they are expected to serve as role models and change agents, while little is known about their unique contribution to quality of care in long-term care facilities.MethodsWe conducted a cross-sectional study among 282 wards and 6,145 residents from 95 Dutch long-term care facilities. The relationship between the presence of BRNs in wards and quality of care was assessed, controlling for background characteristics, i.e. ward size, and residents’ age, gender, length of stay, comorbidities, and care dependency status. Multilevel logistic regression analyses, using a generalized estimating equation approach, were performed.Results57% of the wards employed BRNs. In these wards, the BRNs delivered on average 4.8 min of care per resident per day. Among residents living in somatic wards that employed BRNs, the probability of experiencing a fall (odds ratio 1.44; 95% CI 1.06-1.96) and receiving antipsychotic drugs (odds ratio 2.15; 95% CI 1.66-2.78) was higher, whereas the probability of having an indwelling urinary catheter was lower (odds ratio 0.70; 95% CI 0.53-0.91). Among residents living in psychogeriatric wards that employed BRNs, the probability of experiencing a medication incident was lower (odds ratio 0.68; 95% CI 0.49-0.95). For residents from both ward types, the probability of suffering from nosocomial pressure ulcers did not significantly differ for residents in wards employing BRNs.ConclusionsIn wards that employed BRNs, their mean amount of time spent per resident was low, while quality of care on most wards was acceptable. No consistent evidence was found for a relationship between the presence of BRNs in wards and quality of care outcomes, controlling for background characteristics. Future studies should consider the mediating and moderating role of staffing-related work processes and ward environment characteristics on quality of care.

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Section: Methodsmentioning

confidence: 99%

Relationship between the presence of baccalaureate-educated RNs and quality of care: a cross-sectional study in Dutch long-term care facilities

Backhaus

Rossum

Verbeek

et al. 2017

BMC Health Serv Res

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“…PUs are associated with pain, reduced quality of life, increased morbidity and mortality. Especially in high risk settings PU incidence and prevalence figures are high [2,3]. Since PUs are highly severe but preventable, its occurrence is an internationally established indicator for the quality of care [4].…”

Section: Introductionmentioning

confidence: 99%

Using ultrasound elastography to monitor human soft tissue behaviour during prolonged loading: A clinical explorative study

Schäfer

Dobos

Lünnemann

et al. 2015

Journal of Tissue Viability

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“…This is in part because IAD is not well defined; until recently there was no international agreement on the name of the condition and IAD does not have a separate code in the International Statistical Classification of Diseases and Related Health Problems 10 th version, 2007 (ICD-10) where it is grouped as diaper dermatitis (Beeckman, 2016). Meanwhile, incontinence is not well reported because it is not considered to be a medical diagnosis, but rather a nursing diagnosis or care problem (Halfens et al, 2013).…”

Section: Incidence/prevalence Of Incontinence and Iadmentioning

confidence: 99%

“…The prevalence of faecal incontinence is around 10% in hospital and 30-60% in nursing homes (Halfens et al, 2013). Long et al (2012) presented information on 171 patients admitted to a long-term care facility in Cincinnati, Ohio, USA.…”

Section: Incidence/prevalence Of Incontinence and Iadmentioning

confidence: 99%

Incontinence-associated dermatitis: reducing adverse events

Rippon

Colegrave²,

Ousey

2016

Br J Nurs

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Incontinence-associated dermatitis (IAD) is a common problem in patients with faecal and/or urinary incontinence. Urine alters the normal skin flora and increases permeability of the stratum corneum and faecal enzymes on the skin contribute to skin damage. Faecal bacteria can then penetrate the skin, increasing the risk of secondary infection. However, IAD can be prevented and healed with timely and appropriate skin cleansing and skin protection. This includes appropriate use of containment devices. HARTMANN incontinence pads have been developed to absorb the fluids that cause IAD and maintain the skin's acidic pH. The acidic pH of the skin contributes to its barrier function and defence against infection. Therefore, maintaining an acidic pH will help protect the skin from damage. Key phrasesThe incidence of IAD in people in long term care, acute care and the community is high.Treatment of IAD increases the cost of providing incontinence care and decreases patients' quality of life.IAD incidence can be significantly reduced by effective preventative measures that involve correct implementation of a structured skin care protocol.Incontinence pads with curly fibre technology may assist with effective skin care protocols to prevent IAD and effective skin care protocols to prevent IAD and have associated benefits for the patient's quality of life and for healthcare providers.

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International prevalence measurement of care problems: results

Cited by 89 publications

References 12 publications

Relationship between the presence of baccalaureate-educated RNs and quality of care: a cross-sectional study in Dutch long-term care facilities

Relationship between the presence of baccalaureate-educated RNs and quality of care: a cross-sectional study in Dutch long-term care facilities

Using ultrasound elastography to monitor human soft tissue behaviour during prolonged loading: A clinical explorative study

Incontinence-associated dermatitis: reducing adverse events

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