Providing high quality dementia care in nursing homes

Abstract

Dementia is a complex condition and is difficult to manage well. Linda Nazarko discusses person-centered care and offers some solutions to the challenges presented by caring for residents with dementia.

Day healthcare services for family caregivers of older people with stroke: needs and satisfaction

“…Munroe (1990) also found a positive, statistically significant relationship between nursing home quality care and the daily ratio of on‐duty hours of RNs to on‐duty hours of Licensed Vocational Nurses per resident. The present results also further support the work of Rowell and Milholland (1998) and Nazarko (1998), in which number of RNs was an important factor for quality of care in nursing home. Therefore, effective strategies must be developed to expand the number of RNs delivering care in day care centres.…”

The Power of the Social Environment in Motivating Persons with Dementia to Engage in Occupation: Qualitative Findings

“…Examples of PCC strategies that caregivers can employ include creation of enabling environments (Nazarko, 2009), including family as key members of the care team (O'Neill, 2009), and focusing on enhancements in dining services (Robinson & Gallagher, 2008). Additionally, emerging research indicates that use of specialized PCC training is advantageous in supporting caregivers' use of these principles in their daily work with older adults (Chapman & Law, 2009;Kemeny, Boettcher, DeShon, & Stevens, 2004.…”

Nurses’ perceptions of quality and the factors that affect quality care for older people living in long‐term care settings in Ireland

“…Many researchers have found that the ethos of the ward environment has the potential to influence the delivery of quality care. This ethos may be shaped positively by having a philosophy of care, which guides practice (KM Hudson, University of Virginia, VA, USA, unpublished PhD thesis, Redfern & Norman 1999) and good ward leadership (Smith 1988, Kitson 1991, Nazarko 1998, Bravo et al. 1999).…”

“…Staffing factors have also been found by a number of researchers to have an impact on quality care. The actual number of staff (Munroe 1990, Nazarko 1998, Rowell & Milholland 1998, Bravo et al. 1999), the time available for care giving (Williams 1998, Caldwell 2000, Bowers et al 2001) and the mix of registered nurses to care staff were factors which were identified as important within the literature (Wade 1983, Carr‐Hill et al.…”

“…(2002) found that work satisfaction and stress were likely to have an impact upon staff motivation to provide good care. Nazarko (1998) found that a good knowledge base and appropriate expertise were important to good care, while Hasin et al. (2001)) found that a lack of schemes for staff development could have an impact negatively on quality of care.…”