scholarly journals An Application of the Theory of Planned Behavior to Predict the Intention and Practice of Nursing Staff Toward Physical Restraint Use in Long-Term Care Facilities: Structural Equation Modeling

2021 ◽  
Vol Volume 14 ◽  
pp. 275-287
Author(s):  
Jun Wang ◽  
Weichu Liu ◽  
Qinghua Zhao ◽  
Mingzhao Xiao ◽  
Daomei Peng
Keyword(s):  
Structural Equation Modeling ◽  
Nursing Staff ◽  
Structural Equation ◽  
Long Term Care ◽  
Physical Restraint ◽  
Equation Modeling ◽  
Term Care ◽  
Restraint Use ◽  
Care Facilities

Impairment and Abuse of Elderly by Staff in Long-Term Care in Michigan: Evidence From Structural Equation Modeling

2010 ◽  
Vol 26 (1) ◽  
pp. 21-33 ◽  
Author(s):  
Tom Conner ◽  
Artem Prokhorov ◽  
Connie Page ◽  
Yu Fang ◽  
Yimin Xiao ◽  
...  
Keyword(s):  
Structural Equation Modeling ◽  
Structural Equation ◽  
Long Term Care ◽  
Equation Modeling ◽  
Term Care

scholarly journals The Impact of the Long-term Care Homes Act and Public Reporting on Physical Restraint and Potentially Inappropriate Antipsychotic Use in Ontario’s Long-term Care Homes

2019 ◽  
Author(s):  
Kevin Walker ◽  
Sara Shearkhani ◽  
Yu Qing Bai ◽  
Katherine S McGilton ◽  
Whitney B Berta ◽  
...  
Keyword(s):  
Long Term Care ◽  
Physical Restraint ◽  
Public Reporting ◽  
Care Homes ◽  
Term Care ◽  
Early Adopters ◽  
Inappropriate Use ◽  
Restraint Use ◽  
The Impact

Abstract Background We report on the impact of two system-level policy interventions (the Long-Term Care Homes Act [LTCHA] and Public Reporting) on publicly reported physical restraint use and non-publicly reported potentially inappropriate use of antipsychotics in Ontario, Canada. Methods We used interrupted time series analysis to model changes in the risk-adjusted use of restraints and antipsychotics before and after implementation of the interventions. Separate analyses were completed for early ([a] volunteered 2010/2011) and late ([b] volunteered March 2012; [c] mandated September 2012) adopting groups of Public Reporting. Outcomes were measured using Resident Assessment Instrument Minimum Data Set (RAI-MDS) data from January 1, 2008 to December 31, 2014. Results For early adopters, enactment of the LTCHA in 2010 was not associated with changes in physical restraint use, while Public Reporting was associated with an increase in the rate (slope) of decline in physical restraint use. By contrast, for the late-adopters of Public Reporting, the LTCHA was associated with significant decreases in physical restraint use over time, but there was no significant increase in the rate of decline associated with Public Reporting. As the LTCHA was enacted, potentially inappropriate use of antipsychotics underwent a rapid short-term increase in the early volunteer group, but, over the longer term, their use decreased for all three groups of homes. Conclusions Public Reporting had the largest impact on voluntary early adopters while legislation and regulations had a more substantive positive effect upon homes that delayed public reporting.

scholarly journals FACTORS ASSOCIATED WITH MORTALITY AMONG LONG-TERM CARE RESIDENTS TRANSITIONING TO AND FROM EMERGENCY DEPARTMENTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S821-S821
Author(s):  
Kaitlyn C Tate ◽  
Colin Reid ◽  
Patrick McLane ◽  
Garnet E Cummings ◽  
Brian H Rowe ◽  
...  
Keyword(s):  
Decision Making ◽  
Emergency Departments ◽  
Structural Equation ◽  
Organizational Context ◽  
Long Term Care ◽  
Care Transitions ◽  
Equation Modeling ◽  
Term Care ◽  
Risk Of Death

Abstract Studies examining risk of death during acute care transitions have highlighted potential predictors of death during transition. However, they have not closely examined the relationships and directional effects of organizational context, care processes, resident demographics and health conditions on death during transition. By employing structural equation modeling, we aimed to 1) identify predictive factors for residents who died during transitions from long term care (LTC) to emergency departments (EDs) and back; 2) examine relationships between identified organizational, process and resident factors with resident death during these transitions; and 3) identify areas for further investigation and improvement in practice. We tracked every resident transfer from 38 participating LTC facilities to two included EDs in two Western Canadian provinces from July 2011 to July 2012. Overall, 524 residents were involved in 637 transfers of whom 63 residents (12%) died during the transition. Sustained dyspnea (in both LTC and the ED), sustained change in level of consciousness (LOC) and severity measured by triage score were direct and significant predictors of resident death during transition. The model fit the data, (x2 = 83.77, df = 64, p = 0.049) and explained 15% variance in resident death. Dyspnea and change in LOC in both LTC and ED needs to be recognized regardless of primary reason for transfer. More research is needed to determine the specific influences of LTC ownership models, family involvement in decision-making, LTC staff decision-making on resident death during transition, and interventions to prevent pre-death transfers.

Nursing Personnel's Perceptions of Physical Restraint Use in Long-Term Care

1993 ◽  
Vol 2 (1) ◽  
pp. 98-110 ◽  
Author(s):  
Victoria Schirm ◽  
Marjorie Gray ◽  
Marlene Peoples
Keyword(s):  
Long Term Care ◽  
Physical Restraint ◽  
Term Care ◽  
Restraint Use

scholarly journals Long-Term Care Nurses’ Intent to Stay, Job Characteristics, and Organizational Justice : A Structural Equation Model

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 85-85
Author(s):  
Lin Wang ◽  
Miao Miao ◽  
Xiaoping Yu
Keyword(s):  
Organizational Justice ◽  
Structural Equation ◽  
Long Term Care ◽  
Intent To Stay ◽  
Job Characteristics ◽  
Equation Modeling ◽  
Intention To Stay ◽  
Term Care ◽  
Convenience Sample

Abstract Background：Gratifying the elderly health-care demands and promoting high-quality of nursing services are based on the effort of long-term care(LTC) nurses. However, the high turnover rate of LTC nurses has become very serious in China. What remains unclear is whether the organizational justice and job characteristics affect the LTC nurses’ intention to stay. Objective: The aim was to investigate intention to stay among LTC nurses in relation to organizational justice and job characteristics. Method: A cross-sectional study was conducted with a convenience sample of 545 LTC nurses. Data collection was performed between July and November 2019. Data were analyzed using structural equation modeling. Results: Most of LTC nurses reported to stay in nursing or current work place, however they still had strong desire to leave if there were other job opportunities. Organizational justice and job characteristics were significant predictors of LTC nurses intent to stay. LTC nurses job characteristics partially mediates the relationship between organizational justice and intent to stay. Conclusion: This would suggest the importance of administrators/ managers understanding how to promote organizational justice, foster a justice climate and increase LTC nurses’ perceived job characteristics. The organizational justice culture programs should be develop as LTC nurses retention strategy.

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