ADVANCE-C: A Qualitative Study of Experiences Caring for Nursing Home Residents with Advanced Dementia During the COVID-19 Pandemic

Article Medicine, General & Internal

Association of Nursing Home Organizational Culture and Staff Perspectives With Variability in Advanced Dementia Care The ADVANCE Study

Ruth Palan Lopez et al.

Summary: This study aimed to assess the factors associated with facility and regional variation in the intensity of care for nursing home residents with advanced dementia. The results found that organizational factors, staff perceptions, and implicit values were associated with the intensity of care. It is important to address biases and enhance support for low-resource facilities to achieve health equity for nursing home residents with advanced dementia.

JAMA INTERNAL MEDICINE (2022)

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Article Geriatrics & Gerontology

Front-line Nursing Home Staff Experiences During the COVID-19 Pandemic

Elizabeth M. White et al.

Summary: During the COVID-19 pandemic, nursing home staff faced ongoing constraints on testing and continued reliance on crisis standards for extended use of personal protective equipment. They expressed fears of infection, empathy for residents, burnout due to increased workloads, staffing shortages, and emotional burden, as well as the demoralizing impact of negative media coverage and lack of organizational communication and teamwork. These challenges are likely to contribute to increased burnout, turnover, and staff shortages in the long term for this already strained and vulnerable workforce.

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION (2021)

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Article Geriatrics & Gerontology

Trust of Nursing Home Staff Caring for Residents with Advanced Dementia: A Qualitative Descriptive Study of Family Caregivers' Perspectives

Anita Hendrix Rogers et al.

Summary: Research on interpersonal trust within nursing homes is limited. This study found that both Black and White family caregivers experienced trust and mistrust, with Black caregivers more likely to experience differential mistrust. Further research is needed to clarify the meaning of this concept.

GERIATRIC NURSING (2021)

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Article Medicine, General & Internal

Risk Factors Associated With All-Cause 30-Day Mortality in Nursing Home Residents With COVID-19

Orestis A. Panagiotou et al.

Summary: In this cohort study of 5256 US nursing home residents with COVID-19, older age, male gender, and impaired cognitive and physical function were independently associated with increased mortality risk. Identifying these risk factors can help in developing clinical prediction models for mortality in this population.

JAMA INTERNAL MEDICINE (2021)

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Article Geriatrics & Gerontology

ADVANCE: Methodology of a qualitative study

Ruth Palan Lopez et al.

Summary: The study aims to explore disparities and variations in nursing care for patients with advanced dementia, identifying factors related to NH organizational culture and proxy perspectives that contribute to differences in care intensity. Four HRRs were selected based on high and low intensity of care, with corresponding NHs providing high and low intensity care within these regions.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2021)

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Editorial Material Medicine, General & Internal