JAMDA
Volume 7, Issue 9 , Pages 541-544 , November 2006

Direct Observations of Nursing Home Care Quality: Does Care Change When Observed?

  • John F. Schnelle, PhD

      Affiliations

    • Geriatric Research Education and Clinical Center, VA Greater Los Angeles Health Care System, Los Angeles, CA
    • Borun Center for Gerontological Research, Los Angeles Jewish Home for the Aging, Los Angeles, CA
    • UCLA Department of Medicine, Division of Geriatrics, Los Angeles, CA
    • Corresponding Author InformationAddress correspondence to John F. Schnelle, PhD, Borun Center for Gerontological Research, 7150 Tampa Avenue, Reseda, CA 91335.
    • ,
  • Joseph G. Ouslander, MD

      Affiliations

    • Division of Geriatric Medicine and Gerontology, Department of Medicine, and the Center for Health in Aging, Emory University School of Medicine, Atlanta, GA
    • Atlanta VA Rehabilitation Research and Development Center, Atlanta, GA
    • The Birmingham/Atlanta VA GRECC, Atlanta, GA.
    • ,
  • Sandra F. Simmons, PhD

      Affiliations

    • Borun Center for Gerontological Research, Los Angeles Jewish Home for the Aging, Los Angeles, CA
    • UCLA Department of Medicine, Division of Geriatrics, Los Angeles, CA

References 

  1. Institute of Medicine. Improving the Quality of Long-Term Care. Washington, DC: National Academy Press; 2001;
  2. Schnelle JF, Bates-Jensen BM, Chu L, Simmons SF. Accuracy of nursing home medical record information about care process delivery: Implications for staff management and improvement. J Am Geriatr Soc. 2004;52:1378–1383
  3. Romanczyk RG, Kent RN, Diament C, O’Leary KD. Measuring the reliability of observational data: A reactive process. J Appl Behav Anal. 1973;6:175–184
  4. O’Leary KD, Kent RD. Behavior modification for social action: Research tactics and problems. In:  Hamerlynk LA,  Davidson PO,  Acker LE editor. Critical issues in research and practice. Champaign, IL: Research Press; 1973;
  5. Burleigh JC, Peterson HW. Video tapes in education. The Elementary School Journal. 1967;68:35–38
  6. Alessi CA, Yoon EJ, Al-Samarrai NR, Cruise PA, Schnelle JF. A randomized trial of a combined physical activity and environmental intervention in nursing home residents: Do sleep and agitation improve?. J Am Geriatr Soc. 1999;47:784–791
  7. Schnelle JF, Cruise PA, Alessi CA, Al-Samarrai NR, Ouslander JG. Sleep hygiene in physically dependent nursing home residents: Behavioral and environmental intervention implications. Sleep 198;21:515–523.
  8. Bates-Jensen BM, Schnelle JF, Alessi CA, Al-Samarrai NR, Levy-Storms L. The effects of staffing on in-bed times among nursing home residents. J Am Geriatr Soc. 2004;52:931–938
  9. Bates-Jensen BM, Cadogan MP, Jorge J, Schnelle JF. Standardized quality-assessment system to evaluate pressure ulcer care in the nursing home. J Am Geriatr Soc. 2003;51:1195–1202
  10. Bates-Jensen BM, Cadogan M, Osterweil D, et al. The Minimum Data Set Pressure Ulcer Indicator: Does it reflect differences in care processes related to pressure ulcer prevention and treatment in nursing homes?. J Am Geriatr Soc. 2003;51:1203–1212
  11. Simmons SF, Lim B, Schnelle JF. Accuracy of Minimum Data Set in identifying residents at risk for undernutrition: Oral intake and food complaints. J Am Dir Assoc. 2002;3:140–145
  12. Simmons SF, Garcia ET, Cadogan MP, et al. The Minimum Data Set Weight Loss Quality Indicator: Does it reflect differences in care processes related to weight loss. J Am Geriatr Soc. 2003;51:1410–1418
  13. Simmons SF, Schnelle JF. Individualized feeding assistance care for nursing home residents: Staffing requirements to implement two interventions. J Gerontol Med Sci. 2004;59:966–973
  14. Simmons SF, Babineau S, Garcia E, Schnelle JF. Quality assessment in nursing homes by systematic direct observation: Feeding assistance. J Gerontol Med Sci. 2002;57A:M665–M671
  15. Simmons SF, Patel AV. Nursing home staff delivery of oral liquid nutritional supplements to residents at risk for unintentional weight loss. J Am Geriatr Soc. 2006;54:1372–1376
  16. Schnelle JF, Osterweil D, Simmons SF. Improving the quality of nursing home care and medical record accuracy with direct observational technologies. Gerontologist. 2005;45:576–582

 This research was supported by Grant AG10415 from the National Institute on Aging, University of California at Los Angeles Claude D. Pepper Older Americans Independence Center.

PII: S1525-8610(06)00179-4

doi: 10.1016/j.jamda.2006.03.009

JAMDA
Volume 7, Issue 9 , Pages 541-544 , November 2006

Article Tools