Scholars@Duke
Kirsten N Corazzini

Kirsten N Corazzini

Associate Professor Emeritus in the School of Nursing
School of Nursing
kirsten.corazzini@duke.edu
Box 3322 Med Ctr, Durham, NC 27710
School of Nursing, Trent Drive, Room 3069, Durham, NC 27710

Selected Publications

Assessing social connection for long-term care home residents: Systematic review using COnsensus-based Standards for the selection of health Measurement INstruments guidelines

Journal Article Alzheimer's and Dementia: Translational Research and Clinical Interventions · July 1, 2024 Social connection is important for long-term care (LTC) residents' quality of life and care. However, there is a lack of consensus on how to measure it and this limits ability to find what improves and impairs social connection in LTC homes. We therefore a ... Full text Cite

Feasibility and Utility of Wearable Bluetooth and RFID Sensors to Measure Care Interactions

Journal Article Work, Aging and Retirement · January 1, 2024 Clinical care interactions influence important health outcomes in older adults such as nosocomial infections, falls, and care satisfaction. However, traditional measurements of interactions are often time-consuming, costly, biased, or they interfere with n ... Full text Cite

Factors Related to Fatigue and Physical Function in COPD: A Secondary Analysis Using National Survey Data.

Journal Article Western journal of nursing research · July 2023 Fatigue in chronic obstructive pulmonary disease (COPD) is debilitating and associated with considerable morbidity. The aim of this study is to present a model based on the Theory of Unpleasant Symptoms of physiologic, psychologic, and situational factors ... Full text Cite

Examining Human Capital Among Foreign- and U.S.-Educated Nurses in Long-term Care

Journal Article Journal of Nursing Regulation · July 1, 2023 Background: Recruiting foreign-educated nurses (FENs) is a strategy to reduce staffing shortages of registered nurses (RNs) practicing in long-term care (LTC) in the United States. However, little is known about how FENs compare to U.S.-educated nurses (US ... Full text Cite

COPD-Related Fatigue: A Scoping Review.

Journal Article Clinical nursing research · June 2023 Millions of people worldwide have chronic obstructive pulmonary disease (COPD), and one of the most common and troublesome symptoms that must be managed is fatigue. While there are existing interventions to address COPD-related fatigue, not all patients ex ... Full text Cite

Long-Term Care Staff Perspectives on the Care of Persons Living With Dementia During the COVID-19 Pandemic in São Paulo State, Brazil.

Journal Article Journal of gerontological nursing · May 2023 During the coronavirus disease 2019 (COVID-19) pandemic, the Brazilian long-term care (LTC) sector faced many challenges, which accentuated other common issues experienced by persons living with dementia (PLWD). The current pilot study evaluated staff pers ... Full text Cite

Care Coordination Processes in Transitional Care for Patients With Heart Failure: An Integrative Review Through a Social Network Lens.

Journal Article The Journal of cardiovascular nursing · November 2022 BackgroundTransitional care components are well studied, but their coordination has not been systematically reviewed. Viewing transitional care through a social network framework can focus attention on processes leading to information and relation ... Full text Cite

Care rejection and aggression among veterans with dementia with and without posttraumatic stress disorder: A multi-group analysis.

Journal Article International journal of nursing studies · November 2022 BackgroundIn residential long-term care, military service veterans with co-occurring posttraumatic stress disorder (PTSD) and dementia encounter a range of physical and social stimuli that may serve as triggers of trauma-related distress that mani ... Full text Cite

Resilience in relation to older adults with multimorbidity: A scoping review.

Journal Article Geriatric nursing (New York, N.Y.) · November 2022 The purpose of this scoping review is to identify conceptual and theoretical resilience models, types of resilience measures, and outcomes regarding resilience in relation to older adults with multimorbidity. PubMed, Embase, CINAHL, and PsycINFO were searc ... Full text Cite

Using Technology to Measure Older Adults' Social Networks for Health and Well-Being: A Scoping Review.

Journal Article The Gerontologist · August 2022 Background and objectivesSocial networks affect the health and well-being of older adults. Advancements in technology (e.g., digital devices and mHealth) enrich our ability to collect social networks and health data. The purpose of this scoping re ... Full text Cite

Registered Nurse Migration to the United States and the Impact on Long-Term Care.

Journal Article Journal of the American Medical Directors Association · February 2022 Full text Cite

Relational processes in heart failure care transitions: A data-driven case report.

Journal Article Heart & lung : the journal of critical care · September 2021 BackgroundEffective patient care transitions require consideration of social and clinical context, yet how these factors and relational processes in care coordination relate remains poorly described. This case report aims to describe provider netw ... Full text Cite

A mixed methods study on the manifestations of behavioural symptoms of dementia among veterans with and without posttraumatic stress disorder.

Journal Article Journal of advanced nursing · July 2021 AimsTo explore how behavioural symptoms of dementia are manifested among veterans in residential long-term care settings, in the context of personal, interpersonal/social and environmental triggers and how the manifestations differ between veteran ... Full text Cite

Testing cost containment of future healthcare with maintained or improved quality—The COSTCARES project

Journal Article Health Science Reports · June 1, 2021 Background: Increasing healthcare costs need to be contained in order to maintain equality of access to care for all EU citizens. A cross-disciplinary consortium of experts was supported by the EU FP7 research programme, to produce a roadmap on cost contai ... Full text Cite

Living With Cognitive Impairment in China: Exploring Dyadic Experiences Through a Person-Centered Care Lens.

Journal Article Research on aging · March 2021 China has experienced a substantial increase in the number of older adults with dementia and milder forms of cognitive impairment. Being spouses of Persons with cognitive impairment (PWCI) and living with them for several decades does not necessarily mean ... Full text Cite

Uncovering the Devaluation of Nursing Home Staff During COVID-19: Are We Fuelling the Next Health Care Crisis?

Journal Article Journal of the American Medical Directors Association · July 2020 Full text Cite

Nursing home residents' perspectives on their social relationships.

Journal Article Journal of clinical nursing · April 2020 Aims and objectivesTo explore nursing home residents' perspectives on their relationships with other residents, family members and staff.BackgroundThe cultivation of social relationships is central to promoting well-being in nursing homes ... Full text Cite

Setting Priorities to Inform Assessment of Care Homes' Readiness to Participate in Healthcare Innovation: A Systematic Mapping Review and Consensus Process.

Journal Article International journal of environmental research and public health · February 2020 Organisational context is known to impact on the successful implementation of healthcare initiatives in care homes. We undertook a systematic mapping review to examine whether researchers have considered organisational context when planning, conducting, an ... Full text Cite

Resident Challenges With Pain and Functional Limitations in Chinese Residential Care Facilities.

Journal Article The Gerontologist · January 2020 Background and objectivesPain and functional limitations can severely impede older adults' quality of life. In Chinese residential care facilities, limited research suggests that residents potentially have significant unmet care needs with pain an ... Full text Cite

Measurement of older adults' social networks using technologies in the context of health and social care: a scoping review protocol.

Journal Article JBI database of systematic reviews and implementation reports · July 8, 2019 OBJECTIVE:This scoping review aims to identify and map the use of technology in measuring and analyzing older adults' social networks in the context of health and social care. INTRODUCTION:Research has shown that social networks impact the health and wellb ... Full text Cite

Toward Common Data Elements for International Research in Long-term Care Homes: Advancing Person-Centered Care.

Journal Article Journal of the American Medical Directors Association · May 2019 To support person-centered, residential long-term care internationally, a consortium of researchers in medicine, nursing, behavioral, and social sciences from 21 geographically and economically diverse countries have launched the WE-THRIVE consortium to de ... Full text Cite

Supervisory relationships in long-term care facilities: A comparative case study of two facilities using complexity science.

Journal Article Journal of nursing management · March 2019 AimsThis study aims to understand the factors that contribute to supervisory nurse performance in long-term care facilities.BackgroundLong-term care facilities have been faced with staffing challenges and increasing resident care needs, r ... Full text Cite

Person-Directed Care Planning in Nursing Homes: Resident, Family, and Staff Perspectives.

Journal Article Journal of applied gerontology : the official journal of the Southern Gerontological Society · February 2019 Empowering individuals to direct their own care is central to person-centered care and health care policy. However, there is limited knowledge of how "person-directed care planning" (PDCP) can be achieved in particular settings. This study identifies key s ... Full text Cite

Predictors and patterns of home health care utilization among older adults in Shanghai, China.

Journal Article Home health care services quarterly · January 2019 The objective of this study is to explore the predictors and patterns of home health care among older adults in Shanghai, China. A cross-sectional survey was conducted in the Yangpu and Pudong Districts of Shanghai from August to September of 2015. A total ... Full text Cite

Advancing Long-Term Care Science Through Using Common Data Elements: Candidate Measures for Care Outcomes of Personhood, Well-Being, and Quality of Life.

Journal Article Gerontology & geriatric medicine · January 2019 To support the development of internationally comparable common data elements (CDEs) that can be used to measure essential aspects of long-term care (LTC) across low-, middle-, and high-income countries, a group of researchers in medicine, nursing, behavio ... Full text Cite

Person-directed care planning in nursing homes: A scoping review.

Journal Article International journal of older people nursing · December 2018 AimFederal regulations require nursing homes in the United States to support residents in directing their own care rather than having their care plans developed for them without their engagement, but knowledge of person-directed approaches to care ... Full text Cite

Interchangeability of Licensed Nurses in Nursing Homes: Perspectives of Directors of Nursing.

Journal Article Nursing outlook · November 2018 BackgroundLicensed nurse (registered nurse [RN] and licensed practical nurse [LPN]) roles in nursing homes are often viewed as interchangeable. Interchangeability occurs when the differences in RN and LPN education and scopes of practice are not r ... Full text Cite

Person-Centered Incontinence Care in Residential Care Facilities for Older Adults With Cognitive Decline: Feasibility and Preliminary Effects on Quality of Life and Quality of Care.

Journal Article Journal of gerontological nursing · November 2018 The current study operationalized, assessed, and evaluated the feasibility and preliminary effects of implementing a person-centered approach to incontinence care for older adults with cognitive decline in residential care facilities (RCFs) in Sweden. Twen ... Full text Cite

Resident Vignettes for Assessing Care Quality in Nursing Homes.

Journal Article J Am Med Dir Assoc · May 2018 OBJECTIVES: Validated process measures that correlate with patient outcomes are needed for research and quality improvement. DESIGN: Cross-sectional analysis within a cluster-randomized fall prevention study. SETTING: Nursing homes in North Carolina (n = 1 ... Full text Link to item Cite

Resident challenges with daily life in Chinese long-term care facilities: A qualitative pilot study.

Journal Article Geriatric nursing (New York, N.Y.) · January 2018 As traditional family-based care in China declines, the demand for residential care increases. Knowledge of residents' experiences with long-term care (LTC) facilities is essential to improving quality of care. This pilot study aimed to describe residents' ... Full text Cite

Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial.

Journal Article JAMA Intern Med · November 1, 2017 IMPORTANCE: New approaches are needed to enhance implementation of complex interventions for geriatric syndromes such as falls. OBJECTIVE: To test whether a complexity science-based staff training intervention (CONNECT) promoting high-quality staff interac ... Full text Link to item Cite

Study of Individualization and Bias in Nursing Home Fall Prevention Practices.

Journal Article J Am Geriatr Soc · April 2017 OBJECTIVES: Little is known about how nursing home staff use resident characteristics to individualize care delivery or whether care is affected by implicit bias. DESIGN: Randomized factorial clinical vignette survey. SETTING: Sixteen nursing homes in Nort ... Full text Link to item Cite

Health-related quality of life in older depressed psychogeriatric patients: one year follow-up.

Journal Article BMC Geriatr · July 7, 2016 BACKGROUND: Knowledge about long-term change in health related quality of life (HQoL) among older adults after hospitalization for treatment of depression has clinical relevance. The aim was firstly to describe the change of HQoL one year after admission f ... Full text Link to item Cite

Nursing home director of nursing leadership style and director of nursing-sensitive survey deficiencies.

Journal Article Health care management review · July 2016 BackgroundNursing homes are becoming increasingly complex clinical environments because of rising resident acuity and expansion of postacute services within a context of historically poor quality performance. Discrete quality markers have been lin ... Full text Cite

National Guidelines for Nursing Delegation

Journal Article Journal of Nursing Regulation · April 1, 2016 In early 2015, the National Council of State Boards of Nursing convened two panels of experts representing education, research, and practice. The goal was to develop national guidelines based on current research and literature to facilitate and standardize ... Full text Cite

Recommendations From the International Consortium on Professional Nursing Practice in Long-Term Care Homes.

Journal Article Journal of the American Medical Directors Association · February 2016 In response to the International Association of Gerontology and Geriatrics' global agenda for clinical research and quality of care in long-term care homes (LTCHs), the International Consortium on Professional Nursing Practice in Long Term Care Homes (the ... Full text Cite

Are coping strategies and locus of control orientation associated with health-related quality of life in older adults with and without depression?

Journal Article Arch Gerontol Geriatr · 2016 The aim of this study was to investigate relationships between coping and health related quality of life (HRQoL) in older adults (aged ≥60 years) with and without depression. This cross-sectional study included 144 depressed inpatients from seven psychoger ... Full text Link to item Cite

Severity of Neuropsychiatric Symptoms in Nursing Home Residents.

Journal Article Dementia and geriatric cognitive disorders extra · January 2016 We aimed at assessing time shift in the severity of neuropsychiatric symptoms (NPS) in nursing home residents between 2004/2005 and 2010/2011 and associations between NPS and socio-demographic variables, physical health status, dementia severity, and the u ... Full text Cite

Comprehensive care plan development using resident assessment instrument framework: Past, present, and future practices

Journal Article Healthcare (Switzerland) · December 1, 2015 Development of the comprehensive care plan (CCP) is a requirement for nursing homes participating in the federal Medicare and Medicaid programs, referred to as skilled nursing facilities. The plan must be developed within the context of the comprehensive i ... Full text Cite

Nursing Workforce in Hubei China: Implications for the Development of Traditional Chinese Medicine Education.

Journal Article Holistic nursing practice · November 2015 Research evidence suggests that educating nurses about traditional Chinese medicine (TCM) significantly improves their nursing care practice and the health care outcomes of community residents. The purpose of this study was to describe the current use of T ... Full text Cite

Implementing Culture Change in Nursing Homes: An Adaptive Leadership Framework.

Journal Article Gerontologist · August 2015 PURPOSE OF THE STUDY: To describe key adaptive challenges and leadership behaviors to implement culture change for person-directed care. DESIGN AND METHODS: The study design was a qualitative, observational study of nursing home staff perceptions of the im ... Full text Link to item Cite

Adaptive leadership framework for chronic illness: framing a research agenda for transforming care delivery.

Journal Article ANS. Advances in nursing science · April 2015 We propose the Adaptive Leadership Framework for Chronic Illness as a novel framework for conceptualizing, studying, and providing care. This framework is an application of the Adaptive Leadership Framework developed by Heifetz and colleagues for business. ... Full text Cite

Differentiating Scopes of Practice in Nursing Homes: Collaborating for Care

Journal Article Journal of Nursing Regulation · April 1, 2015 Hospitalizations of nursing home residents are costly and adversely affect the health of already vulnerable residents, and reducing avoidable hospitalizations has been identified as a priority quality and safety outcome by the U.S. government. However, exi ... Full text Cite

Perceptions of Nursing Practice: Capacity for High-Quality Nursing Home Care

Journal Article Journal of Nursing Regulation · January 1, 2015 Emerging evidence indicates that harmful nursing home resident outcomes occur because of ineffective collaboration between registered nurses (RNs) and licensed practical nurses (LPNs) during assessment, care planning, delegation, and supervision. This obse ... Full text Cite

Staff characteristics and care in Chinese nursing homes: A systematic literature review

Journal Article International Journal of Nursing Sciences · December 1, 2014 The need for institutional long-term care (LTC) services, including nursing homes (NHs), is increasing in Mainland China in part due to the aging population and changing family structures. In developing NH staff training programs, a review is needed to syn ... Full text Cite

Adaptive leadership and person-centered care: a new approach to solving problems.

Journal Article North Carolina medical journal · September 2014 Successfully transitioning to person-centered care in nursing homes requires a new approach to solving care issues. The adaptive leadership framework suggests that expert providers must support frontline caregivers in their efforts to develop high-quality, ... Full text Cite

Teaching Delegation to RN Students

Journal Article Journal of Nursing Regulation · July 1, 2014 Registered nurse (RN) students have difficulty learning delegation and supervision, and new RNs lack confidence in executing these skills. To improve safety, therefore, RN educators require new teaching and learning strategies to help prelicensure students ... Full text Cite

Evaluation of Cueing Innovation for Pressure Ulcer Prevention Using Staff Focus Groups.

Journal Article Healthcare (Basel, Switzerland) · July 2014 UnlabelledThe purpose of the manuscript is to describe long-term care (LTC) staff perceptions of a music cueing intervention designed to improve staff integration of pressure ulcer (PrU) prevention guidelines regarding consistent and regular movem ... Full text Cite

Local interaction strategies and capacity for better care in nursing homes: a multiple case study.

Journal Article BMC Health Serv Res · June 5, 2014 BACKGROUND: To describe relationship patterns and management practices in nursing homes (NHs) that facilitate or pose barriers to better outcomes for residents and staff. METHODS: We conducted comparative, multiple-case studies in selected NHs (N = 4). Dat ... Full text Link to item Cite

Connecting the learners: improving uptake of a nursing home educational program by focusing on staff interactions.

Journal Article Gerontologist · June 2014 PURPOSE OF THE STUDY: The CONNECT intervention is designed to improve staff connections, communication, and use of multiple perspectives for problem solving. This analysis compared staff descriptions of the learning climate, use of social constructivist le ... Full text Link to item Cite

Non-nutritive sucking for preterm infants in Egypt.

Journal Article Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · May 2014 ObjectiveTo assess how non-nutritive sucking (NNS) using a pacifier affected physiological and behavioral outcomes of preterm infants.DesignShort-term longitudinal, experimental design.SettingThe study took place at the neonatal ... Full text Cite

CONNECT for better fall prevention in nursing homes: results from a pilot intervention study.

Journal Article J Am Geriatr Soc · December 2013 OBJECTIVES: To determine whether an intervention that improves nursing home (NH) staff connections, communication, and problem solving (CONNECT) would improve implementation of a falls reduction education program (FALLS). DESIGN: Cluster randomized trial. ... Full text Link to item Cite

Perceptions of Nursing Practice Scale Pilot Study: Directors of Nursing in Nursing Homes

Journal Article Journal of Nursing Regulation · October 1, 2013 In nursing homes, the urgency to advance our measurement of nursing practice grows because nursing homes are increasingly regarded as an essential component of the care continuum needed to achieve national care quality goals. Prior qualitative case study r ... Full text Cite

Licensed practical nurse scope of practice and quality of nursing home care.

Journal Article Nursing research · September 2013 BackgroundAlthough higher levels of registered nurse (RN) staffing in nursing homes are related to better care quality, licensed practical nurses (LPNs) provide most licensed-nursing care; prior research is mixed regarding how this influences qual ... Full text Cite

Understanding RN and LPN Patterns of Practice in Nursing Homes

Journal Article Journal of Nursing Regulation · April 1, 2013 Understanding how nurse regulators can ensure optimal registered nurse-licensed practical/vocational nurse (RN-LPN) collaborations for patient safety and care quality is critically important.To aid this understanding, researchers conducted a comparative, m ... Full text Cite

Pain medication management in nursing homes and nursing scope of practice.

Journal Article Journal of gerontological nursing · April 2013 Inadequate pain medication management is pervasive in nursing homes (NHs). Licensed practical nurses (LPNs) deliver the majority of licensed nursing care, but LPNs are neither trained nor licensed to provide comprehensive pain assessment and medication man ... Full text Cite

Supporting and promoting personhood in long term care settings: contextual factors.

Journal Article International journal of older people nursing · December 2012 The need for personhood-focused long-term care (LTC) is well-documented. A myriad of sociocultural, political, nursing/professional and organisational contexts facilitate or hinder registered nurses (RNs)' capacity to ensure personhood-focused LTC. Complex ... Full text Cite

Studying the clinical encounter with the Adaptive Leadership framework.

Journal Article Journal of Healthcare Leadership · August 2012 In this paper we discuss the concept of leadership as a personal capability, not contingent on one’s position in a hierarchy. This type of leadership allows us to reframe both the care-giving and organizational roles of nurses and other front-line clinical ... Full text Cite

Top nurse management staffing collapse and care quality in nursing homes.

Journal Article Journal of Applied Gerontology · August 2012 Director of nursing turnover is linked to staff turnover and poor quality of care in nursing homes; however the mechanisms of these relationships are unknown. Using a complexity science framework, we examined how nurse management turnover impacts system ca ... Full text Link to item Cite

Registered nurse retention strategies in nursing homes: a two-factor perspective.

Journal Article Health care management review · July 2012 BackgroundAs the American population ages and the proportion of individuals over the age of 65 expands, the demand for high-quality nursing home care will increase. However, nursing workforce instability threatens care quality and sustainability i ... Full text Cite

Licensed Nurse Responsibilities in Nursing Homes: A Scope-of-Practice Issue

Journal Article Journal of Nursing Regulation · April 1, 2012 A mailed survey of licensed practical nurses (LPNs) employed in nursing homes in Minnesota and North Carolina examined their role and responsibilities as well as barriers to and facilitators for working within their scope of practice. The study focused on ... Full text Cite

Licensed nurse responsibilities in nursing homes: a scope of practice issue.

Journal Article Journal of Nursing Regulation · April 2012 Cite

Prioritizing culture change in nursing homes: perspectives of residents, staff, and family members.

Journal Article J Am Geriatr Soc · March 2012 OBJECTIVES: To explore the perspectives and priorities of nursing home residents, family members, and frontline nursing staff concerning a broad range of items representing common targets of culture change initiatives. DESIGN: Qualitative study. SETTING: A ... Full text Link to item Cite

CONNECT for quality: protocol of a cluster randomized controlled trial to improve fall prevention in nursing homes.

Journal Article Implement Sci · February 29, 2012 BACKGROUND: Quality improvement (QI) programs focused on mastery of content by individual staff members are the current standard to improve resident outcomes in nursing homes. However, complexity science suggests that learning is a social process that occu ... Full text Link to item Cite

Diffusion of innovations in long-term care measurement battery.

Journal Article Research in gerontological nursing · January 2012 Poor understanding of factors influencing integration of new practices into long-term care (LTC) hinders timely implementation of evidence-based practices (EBPs). Using the Diffusion of Innovations (DOI) framework, a new instrument measuring staff percepti ... Full text Cite

Staff interaction strategies that optimize delivery of transitional care in a skilled nursing facility: a multiple case study.

Journal Article Fam Community Health · 2012 After hospitalization, more than 1.5 million older adults each year receive postacute care in skilled nursing facilities (SNFs). Transitional care services, designed to prepare older SNF patients (and their family caregivers) for their transitions from an ... Full text Link to item Cite

Jurisdiction over nursing care systems in nursing homes: latent class analysis.

Journal Article Nursing research · January 2012 BackgroundIn the context of declining registered nurse (RN) staffing levels in nursing homes, professional nursing jurisdiction over nursing care systems may erode.ObjectiveThe aim of this study was to develop a typology of professional n ... Full text Cite

Regulation of LPN scope of practice in long-term care.

Journal Article Journal of Nursing Regulation · July 2011 With changing staffing structures and persistent quality concerns in nursing homes, registered nurses are challenged to ensure that appropriate care is delivered. We describe differences in the nurse practice acts (NPAs) and related administrative code for ... Cite

Clinical leadership development in accelerated baccalaureate nursing students: an education innovation.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · July 2011 Nursing faculty members are responsible for assuring competence and safety in the preparation of prelicensure students who are preparing to deliver care in diverse settings. The growing complexity of care and the rapid expansion of knowledge have challenge ... Full text Cite

Assessing the feasibility of using virtual environments in distance education.

Journal Article Knowledge Management & E-Learning: An International Journal · March 2011 Abstract: Learning is an active, social process. However, many distance education programs are flat and asynchronous with limited interaction. Virtual environments may be best equipped to foster an active social learning environment that provides optimal d ... Link to item Cite

Regulation and mindful resident care in nursing homes.

Journal Article Qual Health Res · September 2010 Regulatory oversight is intended to improve the health outcomes of nursing home residents, yet evidence suggests that regulations can inhibit mindful staff behaviors that are associated with effective care. We explored the influence of regulations on mindf ... Full text Link to item Cite

Birds of a feather: introducing a virtual learning community for geriatric nurse educators.

Journal Article Journal of continuing education in nursing · May 2010 The Duke Geriatric Nursing Education Virtual Learning Community (Gero-VLC) is a newly developed online inquiry network that enables geriatric nurse educators to borrow, share, and collaborate to promote in-depth learning and optimal communication among ins ... Full text Cite

Delegation in long-term care: Scope of practice or job description?

Journal Article Online Journal of Issues in Nursing · May 2010 This article presents a qualitative, descriptive study of how registered nurses (RNs) (N=33) in leadership roles in institutional, long-term care settings delegate care. Findings from this study include both the strategies and processes these nurses used f ... Full text Link to item Cite

Staff perception of new pain care practices in dementia care psychometric properties of the Duke Diffusion of Innovation in long-term care battery

Journal Article Alzheimer's Care Today · April 1, 2010 Approximately 80% of long-term care (LTC) residents suffer from chronic pain, and residents with dementia are at highest risk for inadequate pain control. Delayed implementation of evidence-based care practices is a key contributor to these poor outcomes. ... Full text Cite

The importance of organizational climate to training needs and outcomes in long-term care

Journal Article Alzheimer's Care Today · April 1, 2010 Efforts to improve dementia care through training occur in an organizational context that may enhance or inhibit improvement. This article used linear mixed models to examine the relationship of contextual and organizational factors to baseline knowledge, ... Full text Cite

Outcomes of a Dementia Care training program for staff in nursing homes and residential care/assisted living settings

Journal Article Alzheimer's Care Today · April 1, 2010 This article reports on the results of a nested cohort group-randomized trial of 6 training sessions of Foundations of Dementia Care, a national training curriculum for nursing home and residential care/assisted living staff. Staff from 9 nursing homes and ... Full text Cite

Delegation in long-term care: Scope of practice or job description?

Journal Article Online Journal of Issues in Nursing · 2010 This article presents a qualitative, descriptive study of how registered nurses (RNs) (N=33) in leadership roles in institutional, long-term care settings delegate care. Findings from this study include both the strategies and processes these nurses used f ... Full text Cite

The Nature of Staff - Family Interactions in Nursing Homes: Staff Perceptions.

Journal Article J Aging Stud · August 2009 Each year thousands of older adults are admitted to nursing homes. Following admission, nursing home staff and family members must interact and communicate with each other. This study examined relationship and communication patterns between nursing home st ... Full text Link to item Cite

The Veterans Learning to Improve Fitness and Function in Elders Study: a randomized trial of primary care-based physical activity counseling for older men.

Journal Article J Am Geriatr Soc · July 2009 OBJECTIVES: To determine the effects of primary care-based, multicomponent physical activity counseling (PAC) promoting physical activity (PA) guidelines on gait speed and related measures of PA and function in older veterans. DESIGN: Randomized controlled ... Full text Link to item Cite

Teaching evidence-based nursing practice in geriatric care settings: the geriatric nursing innovations through education institute.

Journal Article Journal of gerontological nursing · April 2009 Evidence-based practice holds tremendous potential to optimize care outcomes for older adults, yet many nurses are ill prepared to identify, interpret, and apply the best evidence to their practice. The Geriatric Nursing Innovations through Education (GNIE ... Full text Cite

Use of a handheld computer observational tool to improve communication for care planning and psychosocial well-being.

Journal Article Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization · January 2009 Staff development nurses in long-term care are challenged to implement training programs that foster quality unlicensed assistive personnel (UAP) care and improve the transfer of their observations to licensed nursing staff for care planning. This study de ... Full text Cite

Barriers to and facilitators of clinical practice guideline use in nursing homes.

Journal Article J Am Geriatr Soc · September 2007 Featured Publication OBJECTIVES: To identify barriers to and facilitators of the diffusion of clinical practice guidelines (CPGs) and clinical protocols in nursing homes (NHs). DESIGN: Qualitative analysis. SETTING: Four randomly selected community nursing homes. PARTICIPANTS: ... Full text Link to item Cite

Paying attention: A leap toward quality care.

Journal Article Director · 2007 Featured Publication Link to item Cite

Exit interview-consultation for research validation and dissemination.

Journal Article West J Nurs Res · December 2006 Featured Publication Dissemination of research findings to practice and maintenance of rigor and validity in qualitative research are continuing challenges for nurse researchers. Using three nursing home case studies as examples, this article describes how exit interview-consu ... Full text Link to item Cite

MDS coordinator relationships and nursing home care processes.

Journal Article West J Nurs Res · April 2006 Featured Publication This study describes how Minimum Data Set (MDS) coordinators' relationship patterns influence nursing home care processes. MDS coordinators interact with nursing home staff to coordinate resident assessment and care planning, but little is known about how ... Full text Link to item Cite

Patterns of medical and nursing staff communication in nursing homes: implications and insights from complexity science.

Journal Article Qual Health Res · February 2006 Featured Publication Complexity science teaches that relationships among health care providers are key to our understanding of how quality care emerges. The authors sought to compare the effects of differing patterns of medicine-nursing communication on the quality of informat ... Full text Link to item Cite

Connection, regulation, and care plan innovation: a case study of four nursing homes.

Journal Article Health Care Manage Rev · 2006 Featured Publication We describe how connections among nursing home staff impact the care planning process using a complexity science framework. We completed six-month case studies of four nursing homes. Field observations (n = 274), shadowing encounters (n = 69), and in-depth ... Full text Link to item Cite

Nurse assistant mental models, sensemaking, care actions, and consequences for nursing home residents.

Journal Article Qual Health Res · October 2005 Featured Publication In a nursing home case study using observation and interview data, the authors described two mental models that guided certified nurse assistants (CNAs) in resident care. The Golden Rule guided CNAs to respond to residents as they would want someone to do ... Full text Link to item Cite

The power of relationship for high-quality long-term care.

Journal Article J Nurs Care Qual · 2005 Featured Publication Full text Link to item Cite

"The Golden Rule": Only a starting point for quality care.

Journal Article Director · 2005 Featured Publication The Golden Rule guides people to choose for others what they would choose for themselves. The Golden Rule is often described as 'putting yourself in someone else's shoes', or 'Do unto others as you would have them do unto you'(Baumrin 2004). The viewpoint ... Link to item Cite

Complexity science and the dynamics of climate and communication: reducing nursing home turnover.

Journal Article The Gerontologist · June 2004 Featured Publication PurposeTurnover in nursing homes is a widespread problem adversely affecting care quality. Using complexity theory, we tested the effect of administrative climate, communication patterns, and the interaction between the two on turnover, controllin ... Full text Cite

A conceptual framework for understanding decision-making processes of nursing assistants in providing dementia care.

Journal Article Alzheimer’s Care Quarterly · 2004 Our current understanding of how nursing assistants (NAs) provide unlicensed nursing care to the cognitively impaired suggests NAs make choices about how to provide care in ways that may be classified as either rational or intuitive. ... Cite

How state-funded home care programs respond to changes in Medicare home health care: resource allocation decisions on the front line.

Journal Article Health services research · October 2003 Featured Publication ObjectiveTo examine how case managers in a state-funded home care program allocate home care services in response to information about a client's Medicare home health care status, with particular attention to the influence of work environment. ... Full text Cite

The relative effects of home care client characteristics on the resource allocation process: do personality and demeanor matter?

Journal Article The Gerontologist · December 2002 Featured Publication PurposeThis study measures the differential effects of home care client characteristics typically included in standardized needs assessment protocols, and client characteristics such as attitude or demeanor that arise from the case manager-client ... Full text Cite

Case management decision making: goal transformation through discretion and client interpretation.

Journal Article Home health care services quarterly · January 2000 Featured Publication This study examines the decision-making strategies employed by case managers in a state-funded home care program for the elderly. Specifically, this study applies Lipsky's (1980) theory of street-level bureaucracy to gerontological research on case managem ... Full text Cite

Factors affecting influenza vaccination among attendees at a senior center.

Journal Article Maryland medical journal (Baltimore, Md. : 1985) · January 1996 Featured Publication Influenza is an important cause of morbidity and mortality in the elderly. We questioned attendees at a Baltimore County senior center that offered influenza vaccination about the factors that influenced their decision to receive vaccination. Of the 43 res ... Cite

Guidelines for the use of tacrine in Alzheimer's disease: clinical application and effectiveness. Johns Hopkins Dementia Research Clinic.

Journal Article The Journal of neuropsychiatry and clinical neurosciences · January 1996 Featured Publication The efficacy of tacrine for treatment of Alzheimer's has been demonstrated in several clinical trials but has not been assessed in cases complicated by medical and psychiatric comorbidities. Additionally, the benefit-risk ratio of tacrine is small, so it i ... Full text Cite

Mania in Alzheimer's disease.

Journal Article The Journal of neuropsychiatry and clinical neurosciences · January 1995 Featured Publication A chart review of 134 patients with Alzheimer's disease (AD) showed a 2.2% prevalence of mania, lower than previously cited. Of 3 patients with mania, 2 had a history of mania before the onset of AD. Prevalence rates and the role of Alzheimer's disease in ... Full text Cite