scholarly journals Investigating the Management of Diabetes in Nursing Homes in the West of Ireland using a Mixed Methods Approach

2017 ◽  
Vol 17 (5) ◽  
pp. 514
Author(s):  
Lorna Hurley ◽  
Máire O'Donnell ◽  
Rónán O'Caoimh ◽  
Sean Finbarr Dinneen
Keyword(s):  
Mixed Methods ◽  
Nursing Homes ◽  
The West ◽  
Mixed Methods Approach ◽  
West Of Ireland

Vitamin D Status of Adults in the Community, in Outpatient Clinics, in Hospital, and in Nursing Homes in the West of Ireland

2020 ◽  
Vol 75 (12) ◽  
pp. 2418-2425 ◽  
Author(s):  
Tomás Patrick Griffin ◽  
Deirdre Wall ◽  
Liam Blake ◽  
Damian Gerard Griffin ◽  
Stephaine M Robinson ◽  
...  
Keyword(s):  
Vitamin D ◽  
Nursing Home ◽  
Nursing Homes ◽  
Hospital Stay ◽  
Vitamin D Deficiency ◽  
Nursing Home Residents ◽  
Outpatient Clinics ◽  
Vitamin D Status ◽  
The West ◽  
West Of Ireland

Abstract Background Approximately 1 billion people worldwide have Vitamin D deficiency. The aim of this study was to compare Vitamin D status and serum 25-hydroxyvitamin D (25(OH)D) concentrations among adults sampled in the community, in outpatient clinics, as hospital inpatients and in nursing homes in the West of Ireland. The secondary aim was to determine the associations between length of hospital stay (inpatients) at the time of serum 25(OH)D sampling and Vitamin D status. Methods A cross-sectional study was carried out. Patients who had serum 25(OH)D analysis carried out in Galway University Hospitals (January 2011–December 2015) were identified following interrogation of the electronic laboratory data system. Baseline demographics, location, and date of sample collection were recorded. Vitamin D deficiency was defined as a serum 25(OH)D concentration <25 nmol/L. Results In total, 24,302 patient samples were eligible for inclusion: community 15,319; outpatient clinics 6,371; inpatients 2,339; and nursing home residents 273. Vitamin D deficiency was more common in nursing home residents than inpatients, or those sampled in outpatient clinics or in the community (42% vs 37% vs 17% vs 13%; p < .001). Inpatients sampled further into their hospital stay (≥3 days) had greater Vitamin D deficiency than inpatients sampled on 0–2 days (p = .007). Season (p < .001), sex (p < .001), and age (p < .001) were associated with 25(OH)D concentrations. Vitamin D deficiency was more common in Winter/Spring, in males, and in those aged ≥80 years. Conclusions Nursing home residents and inpatients are at the highest risk for Vitamin D deficiency. Season, sex, age, and day of hospital stay on which serum 25(OH)D concentrations were sampled were associated with Vitamin D status.

scholarly journals Investigating the management of diabetes in nursing homes using a mixed methods approach

2017 ◽  
Vol 127 ◽  
pp. 156-162 ◽  
Author(s):  
L. Hurley ◽  
M. O'Donnell ◽  
R. O'Caoimh ◽  
S.F. Dinneen
Keyword(s):  
Mixed Methods ◽  
Nursing Homes ◽  
Mixed Methods Approach

scholarly journals Systematic pain assessment in nursing homes: a cluster-randomized trial using mixed-methods approach

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Anna-Greta Mamhidir ◽  
Britt-Marie Sjölund ◽  
Birgitta Fläckman ◽  
Anders Wimo ◽  
Anders Sköldunger ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Nursing Homes ◽  
Randomized Trial ◽  
Pain Assessment ◽  
Cluster Randomized Trial ◽  
Mixed Methods Approach ◽  
Cluster Randomized

scholarly journals 2048. Antibiogram Use in Wisconsin Nursing Homes

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S690-S690
Author(s):  
Lindsay N Taylor ◽  
Lillian Vranas ◽  
Joseph Boero ◽  
Diane Dohm ◽  
Ashlie Dowdell ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Nursing Homes ◽  
Structured Interviews ◽  
Specific Data ◽  
Mixed Methods Approach ◽  
Prescribing Behavior ◽  
Traditional Drug ◽  
The Impact ◽  
Over Time

Abstract Background A 2014 survey demonstrated that fewer than 10% of Wisconsin (WI) Nursing Homes (NHs) used an antibiogram. In 2016, the Centers for Medicare & Medicaid Services released regulations requiring NHs to track and report their antibiotic-related outcomes. The impact these regulations will have on the development and use of antibiograms in NHs is unknown. Methods To characterize antibiogram use in WI NHs, a mixed-methods approach was used consisting of two statewide surveys, a combination of semi-structured interviews with key NH personnel, and a structured survey administered to providers in a sample of facilities using an antibiogram. Answers to questions included on statewide surveys administered in 2014 and 2018 were used to assess change in antibiogram use over time. Semi-structured interviews with key NH personnel focused on antibiogram development and dissemination. Structured surveys of providers focused on their awareness of antibiogram existence and the extent to which it influenced their prescribing behavior. A copy of the antibiogram was obtained from some facilities to assess consistency with Clinical and Laboratory Standards Institute (CLSI) recommendations. Results Antibiogram use in WI NHs increased from 9.3% in 2014 to 32.5% in 2018. The majority of antibiograms were not facility-specific, primarily due to inadequate numbers of isolates at individual facilities. Most facilities reported that antibiogram tools were updated annually, and most made an effort to disseminate them to prescribers. However, 30% of surveyed prescribers reported being unaware of the existence of an antibiogram and only 40% reported it influenced their prescribing decisions. Review of antibiograms provided by NHs revealed that all were created using the traditional “drug-bug” format; however, none were fully compliant with CLSI recommendations. Conclusion Antibiogram use in WI NHs increased significantly between 2014 and 2018. The majority of antibiograms used in WI NHs are not based on facility-specific data. A substantial number of providers are unaware of the existence of an antibiogram in their facility and only a minority felt that it impacted their prescribing decisions. More research is needed on how to increase antibiogram utility in NHs. Disclosures All authors: No reported disclosures.

Staffing Levels in Rural Nursing Homes: A Mixed Methods Approach

2010 ◽  
Vol 4 (3) ◽  
pp. 207-220 ◽  
Author(s):  
Gail L. Towsley ◽  
Susan L. Beck ◽  
William N. Dudley ◽  
Ginette A. Pepper
Keyword(s):  
Mixed Methods ◽  
Nursing Homes ◽  
Mixed Methods Approach ◽  
Rural Nursing ◽  
Staffing Levels

Prevalence of cerebral palsy in the West of Ireland 1990–1999

2006 ◽  
Vol 48 (11) ◽  
pp. 892 ◽  
Author(s):  
Deirdre Mongan ◽  
Kevin Dunne ◽  
Sinead O'Nuallain ◽  
Geraldine Gaffney
Keyword(s):  
Cerebral Palsy ◽  
The West ◽  
West Of Ireland
Sign in / Sign up

Export Citation Format

Share Document