Conducting Research in Long-Term Care Settings by Brenda Lewis Cleary PhD RN FAAN

By Brenda Lewis Cleary PhD RN FAAN

Winner of an AJN ebook of the 12 months Award! Nursing houses are wealthy repositories of knowledge, but are underutilized for managed study reviews. This publication is a hands-on consultant to carrying out long term care examine in either nursing houses and residential care settings. It bargains an outline of attainable learn within the box in addition to useful info on the best way to achieve entry to and paintings with complicated associations that won't welcome switch. the writer additionally indicates the simplest study method for long term care settings, and the way to enforce and disseminate profitable learn.

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CLINICAL STUDIES IN LONG-TERM CARE Clinical research addresses patients' health problems and responses to treatment. Regardless of the setting in which care is provided, recipients of long-term care exhibit common, chronic health problems. There have been a variety of clinical studies regarding these common problems; however, many of the studies have been descriptive in nature or have involved small samples of mostly nursing home residents. 1, providing the longterm care researcher with an overview of recurring clinical problems as a focus of research and providing a framework for the discussion of clinical research in long-term care.

Children as well as adults receive hospice care, but just as with other home-care services, recipients tend to be primarily older people. The National Hospice Organization as well as the National Association for Home Care provide guidance for agencies and clinicians providing hospice care (National Association for Home Care, 2002). THE REGULATORY AND REIMBURSEMENT ENVIRONMENT The majority of states require licensure for home care agencies; any agency seeking Medicare certification must be licensed in the state in which it is located, and periodic satisfactory surveys must be conducted to maintain certification.

Secondary prevention involves reducing fall-related injuries and includes padding and hip protectors and even innovations such as special energyabsorbing flooring (Stevens & Olson, 2000). Ray and colleagues (1997) conducted a randomized trial of a consultation service to reduce falls in nursing homes. They selected seven pairs of nursing homes in Tennessee for the study, and randomly assigned one facility in each pair to the intervention. There were 221 subjects in the experimental group and 261 controls.

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