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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Nursing home directors of nursing experiences regarding safety among residents with obesity
Geriatric nursing (New York), v 47, pp 254-264
Sep 2022
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
•Admission considerations for people with obesity include costs of care.•Nursing Assistants are coached to provide safe care to residents with obesity.•Residents with obesity have challenges transitioning back to the community.
The prevalence of nursing home (NH) residents with obesity is rising. Perspectives of NH Directors of Nursing (DONs) who oversee care trajectories for residents with obesity is lacking. This study aimed to describe the experiences of NH DONs regarding care and safety for NH residents with obesity. An adapted version of Donabedian's structure-process-outcome model guided this qualitative descriptive study. Semi-structured interviews were conducted with 15 DONs. Data were analyzed using directed content analysis, and findings are presented under the model's constructs. We learned that admission decisions for NH referrals of patients with obesity are complex due to reimbursement issues, available space and resources, and resident characteristics. DONs described the need to coach and mentor Certified Nursing Assistants to provide safe quality care and that more staff education is needed. We identified novel findings regarding the challenges of short-term residents’ experience transitioning out of care due to limited resources.
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Details
- Title
- Nursing home directors of nursing experiences regarding safety among residents with obesity
- Creators
- Justine S. Sefcik - Drexel University College of Nursing and Health ProfessionsHolly C. Felix - Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 W. Markham St. Slot 820-12, Little Rock AR 72205, USAMarie-Rachelle Narcisse - College of Medicine, University of Arkansas for Medical Sciences, 2708 S. 48th Street, Springdale, AR 72762, USAJennifer L. Vincenzo - Department of Physical Therapy, College of Health Professions, University of Arkansas for Medical Sciences, 1125 N. College Ave, Fayetteville, AR 72703, USARobert Weech-Maldonado - Department of Health Services Administration, University of Alabama at Birmingham, 1720 2nd Ave. S., Birmingham, AL 35294, USAClare C. Brown - Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 W. Markham St. Slot 820-12, Little Rock AR 72205, USAChristine K. Bradway - Biobehavioral Health Sciences Department, University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, USA
- Publication Details
- Geriatric nursing (New York), v 47, pp 254-264
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Doctoral Nursing
- Web of Science ID
- WOS:000874758000002
- Scopus ID
- 2-s2.0-85136512139
- Other Identifier
- 991019174051304721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology
- Nursing