JAMDA
Volume 7, Issue 5 , Pages 279-286 , June 2006

A Clinical Pathway for Treating Pneumonia in the Nursing Home: Part II: The Administrators’ Perspective and How It Differs From Nurses’ Views

  • Soo Chan Carusone, MSc

      Affiliations

    • Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
    • ,
  • Mark Loeb, MD, MSc

      Affiliations

    • Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
    • Department of Pathology and Molecular Medicine, McMaster University
    • ,
  • Lynne Lohfeld, PhD, MS

      Affiliations

    • Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada
    • Program for Educational Research and Development, McMaster University
    • Corresponding Author InformationAddress correspondence to Lynne Lohfeld, PhD, McMaster University, Michael DeGroote Centre for Learning, Room 3521, 1200 Main Street West, Hamilton, ON L8N 3Z5, Canada.

References 

  1. Kruse RL , Mehr DR , Boles KE , et al.   Does hospitalization impact survival after lower respiratory infection in nursing home residents? . Med Care . 2004;42:860–870
  2. Fried TR , Gillick MR , Lipsitz LA . Whether to transfer? Factors associated with hospitalization and outcome of elderly long-term care patients with pneumonia . J Gen Intern Med . 1995;10:246–250
  3. Feldman PH , Kane RL . Strengthening research to improve the practice and management of long-term care . Milbank Q . 2003;81:179–220
  4. Schnelle JF , Cruise PA , Rahman A , Ouslander JG . Developing rehabilitative behavioural interventions for long-term care (Technology transfer, acceptance, and maintenance issues) . J Am Geriatr Soc . 1998;46:771–777
  5. Miller WL , Crabtree BF . Depth interviewing . In:  Crabtree BF ,  Miller WL editor. Doing Qualitative Research . 2nd ed. Thousand Oaks, CA: SAGE Publications Inc; 1999;p. 89–107
  6. Sandelowski M . The problem of rigor in qualitative research . Adv Nurs Sci . 1986;8:27–37
  7. Miller WL , Crabtree BF . The dance of interpretation . In:  Crabtree BF ,  Miller WL editor. Doing Qualitative Research . 2nd ed. Thousand Oaks, CA: SAGE Publications Inc; 1999;p. 127–143
  8. Patton MQ . Qualitative Research & Evaluation Methods . 3rd ed. Thousand Oaks, CA: SAGE Publications Inc; 2002;
  9. Carusone SC , Loeb M , Lohfeld L . A clinical pathway for treating pneumonia in the nursing home. Part I: The nursing perspective . J Am Med Dir Assoc . 2006;7:271–278
  10. Krueger RA . Analyzing and Reporting Focus Group Results. Volume 6. The Focus Group Kit (Morgan D.L. & Krueger R.A.) . Thousand Oaks: SAGE Publications, Inc; 1997;
  11. Longo DR , Young J , Mehr D , et al.   Barriers to timely care of acute infections in nursing homes (A preliminary qualitative study) . J Am Med Dir Assoc . 2004;5:S5–S10
  12. Schmidt I , Svarstad BL . Nurse-physician communication and quality of drug use in Swedish nursing homes . Soc Sci Med . 2002;54:1767–1777
  13. Scott-Cawiezell J , Schenkman M , Moore L , et al.   Exploring nursing home staff’s perceptions of communication and leadership to facilitate quality improvement . J Nurs Care Qual . 2004;19:242–252
  14. Barker WH , Zimmer JG , Hall WJ , et al.   Rates, patterns, causes and costs of hospitalization of nursing home residents (A population-based study) . Am J Public Health . 1994;84:1615–1620
  15. Intrator O , Castle N , Mor V . Facility characteristics associated with hospitalization of nursing home residents (Results of a national study) . Med Care . 1999;37:228–237
  16. Teresi JA , Homes D , Bloom HG , et al.   Factors differentiating hospital transfers from long-term care facilities with high and low transfer rates . Gerontologist . 1991;31:795–806
  17. Aigner MJ , Drew S , Phipps J . A comparative study of nursing home resident outcomes between care provided by nurse practitioners/physicians versus physicians only . J Am Med Dir Assoc . 2004;5:16–23

 This research study was funded as part of a Canadian Institutes of Health Research (CIHR) Interdisciplinary Health Research Team (IHRT) grant. S.C.C. is the recipient of a CIHR Canada Graduate Scholarship Doctoral Award.

PII: S1525-8610(05)00643-2

doi: 10.1016/j.jamda.2005.11.005

JAMDA
Volume 7, Issue 5 , Pages 279-286 , June 2006

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