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Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes./
Author:	Maguire, Jeanine.
Description:	1 online resource (129 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 85-05, Section: B.
Contained By:	Dissertations Abstracts International85-05B.
Subject:	Health education. -
Online resource:	click for full text (PQDT)
ISBN:	9798380844147

Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes.
Maguire, Jeanine.

Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes. - 1 online resource (129 pages)

Source: Dissertations Abstracts International, Volume: 85-05, Section: B.

Thesis (Ph.D.)--Walden University, 2023.

Includes bibliographical references

Older adults (over 65) with chronic disease and mobility impairments have the highest risk of developing chronic wounds, and therefore the 1.5 million people who reside in nursing homes are disproportionately affected. These wounds can cause pain, infections, poor quality of life, and death. Chronic wounds also challenge viability of nursing homes and lead to lowered Medicare quality measures, which result in lower admission rates due to perceptions of poor care. Further, failure to properly manage chronic wounds results in expensive regulatory fines and litigation. This quantitative study involved measuring effects of a novel person-centered integrated wound team on nursing homes. A pre/posttest quasi-experimental design was used to measure both avoidable PI incidence rates and wound team behavior and clinical significance in terms of prevention of PIs and team behavior change. Nineteen homes adopted and sustained this program and were used as the sample in the study. Analysis consisted of paired t-tests for both PIs and TPOT behavior scores before and after the program. All nursing homes in the sample did have a reduction of PI rates. Teaming behavior scores did improve significantly. There was no statistically significant relationship between teamwork and lower PI rates. Findings may be used by nursing administrators to raise awareness of PIs and lower rates in the nursing home population.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798380844147Subjects--Topical Terms:

585977
Health education.
Subjects--Index Terms:

Nursing homesIndex Terms--Genre/Form:

554714
Electronic books.

Evaluation of Patient-Centered Integrated Wound Team in Nursing Homes.
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520 $a Older adults (over 65) with chronic disease and mobility impairments have the highest risk of developing chronic wounds, and therefore the 1.5 million people who reside in nursing homes are disproportionately affected. These wounds can cause pain, infections, poor quality of life, and death. Chronic wounds also challenge viability of nursing homes and lead to lowered Medicare quality measures, which result in lower admission rates due to perceptions of poor care. Further, failure to properly manage chronic wounds results in expensive regulatory fines and litigation. This quantitative study involved measuring effects of a novel person-centered integrated wound team on nursing homes. A pre/posttest quasi-experimental design was used to measure both avoidable PI incidence rates and wound team behavior and clinical significance in terms of prevention of PIs and team behavior change. Nineteen homes adopted and sustained this program and were used as the sample in the study. Analysis consisted of paired t-tests for both PIs and TPOT behavior scores before and after the program. All nursing homes in the sample did have a reduction of PI rates. Teaming behavior scores did improve significantly. There was no statistically significant relationship between teamwork and lower PI rates. Findings may be used by nursing administrators to raise awareness of PIs and lower rates in the nursing home population.
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