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Practice style in the nursing home
 — dimensions for assessment and quality improvement
Author(s)Jiska Cohen-Mansfield, Aleksandra Parpura-Gill
Journal titleInternational Journal of Geriatric Psychiatry, vol 23, no 4, April 2008
Pagespp 376-386
Sourcehttp://www.interscience.wiley.com
KeywordsNursing homes ; Care home staff ; Management [care] ; Quality ; Performance ; Evaluation ; United States of America.
AnnotationBased on research with observations during several studies of nursing homes and the findings of other studies, the authors propose a nomenclature of components of care for older people in nursing homes. This paper seeks thereby to operationalise those aspects of nursing home practice style that can be improved, by examining the staff and institutional components of nursing home care. Four domains characterise staff conduct: knowledge, practice style proficiency, flexibility and individualisation of care, and communication. Three domains define institutional conduct: staff support, resources, and flexibility/rigidity of policies. The paper considers critical aspects of staff conduct, and by extension, key features that require training, monitoring and systemic change. Examples form each domain of practice style are provided. After systematically reviewing the observations and findings, it was concluded that enhancing practice style in the nursing home requires knowledge, communication, flexibility, understanding, and genuine concern on the part of nursing home staff and administrators at all levels. The authors acknowledge and understand that changing practice styles in nursing homes is a difficult and time-consuming process. (RH).
Accession NumberCPA-080430209 A
ClassmarkLHB: QRM: QA: 59: 5H: 4C: 7T

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