Navigation Links
Study links teamwork, communication with quality of nursing home care

Nursing homes that foster an environment in which workers feel they are valued contributors to a team of caregivers provide better care to their residents. That is the conclusion of a study out this month in the journal Health Services Research.

"We know from other fields of medicine that teamwork the relationship between coworkers that facilitates decision making and care coordination plays an important role in the quality of care," said Helena Temkin-Greener, Ph.D., lead author of the study and professor in the Department of Community and Preventive Medicine at the University of Rochester Medical Center (URMC). "Our body of work in this area demonstrates that, while many nursing home managers may contend that they have teams in place to coordinate care, it is only when staff perceives that they are part of a cohesive unit that the quality of care is improved."

The study's authors used data on over 45,000 residents in 162 nursing home facilities across New York State. They measured the quality of care by examining the incidence of incontinence and pressure ulcers, conditions that, while highly prevalent in nursing homes, can frequently be prevented from occurring. In nursing homes, the prevalence of these two conditions may be exacerbated by poor staff communication, inadequate hand-offs during shift changes , and inefficient coordination of care. For example, pressure ulcers can be avoided by taking simple steps such as routine monitoring, regular repositioning of the patient, and the relay of this information when care of a patient is transferred between nursing home staff.

The authors surveyed 7,418 nursing home staff providing direct patient care at these facilities to measure perceived staff cohesion, defined by the extent to which staff share common goals, values, responsibility for care delivery, and group identity. Answers to survey questions were used to construct a numerical score (ranging from 1 to 5) that represented "staff cohesion" at a given nursing home.

The authors then examined the association between staff cohesion and prevalence of pressure ulcers and incontinence in that facility, adjusting for other patient characteristics. They found that less than 0.25 point improvement in a facility's staff cohesion score was associated with a 4.5 percent decrease in the prevalence of pressure ulcers and a 7.6 percent decrease in incontinence, representing a significant improvement in both these health outcomes.

"This study empirically demonstrates that better work relationships between staff, as measured by staff cohesion, are associated with better outcomes for nursing home residents," said Temkin-Greener. "Nursing home managers have the tools to encourage good patient care but they have to work at it and encourage practices that promote better cohesion, communication, and teamwork in their facilities. If they do this, the quality of care will improve."


Contact: Mark Michaud
University of Rochester Medical Center

Related medicine news :

1. Study Suggests Vaccine May Help Kids With Brain Cancer
2. Study reveals how cancer drug causes diabetic-like state
3. Coffee Drinking in Pregnancy Wont Lead to Sleepless Baby: Study
4. Lower GI problems plague many with rheumatoid arthritis, Mayo Clinic study finds
5. Veggies Like Broccoli, Cabbage May Help Fight Breast Cancer: Study
6. No Added Cancer Risk From Hip Replacement Materials: Study
7. Reported Decline in U.S. Pneumonia Deaths May Be False: Study
8. Early Study Finds Some Promise for Lung Cancer Vaccine
9. Narcissists Often Ace Job Interviews, Study Finds
10. Sexual objectification of female artists in music videos exists regardless of race, MU study finds
11. Soy may alleviate hot flashes in menopause, large-scale study finds
Post Your Comments:
(Date:6/25/2016)... ... June 25, 2016 , ... ... and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes ... important health care topics including advance care planning, healthcare costs and patient and ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. ... his M.D from the David Geffen School of Medicine at UCLA. He trained in ... to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he ...
(Date:6/24/2016)... ... 2016 , ... Those who have experienced traumatic events may suffer from a ... such as drug or alcohol abuse, as a coping mechanism. To avoid this pain ... following a traumatic event. , Trauma sufferers tend to feel a range of emotions, ...
(Date:6/24/2016)... Francisco, CA (PRWEB) , ... June 24, 2016 ... ... CitiDent, is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive ... self-ligating Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation ...
(Date:6/24/2016)... ... June 24, 2016 , ... The ... recognize Dr. Barry M. Weintraub as a prominent plastic surgeon and the network’s ... the world, and the most handsome men, look naturally attractive. Plastic surgery should ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Research and Markets has announced the ... (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality (Filler, ... Global Forecast to 2021" report to their offering. ... pharmaceutical excipients market is projected to reach USD 8.1 ... the forecast period 2016 to 2021. ...
(Date:6/23/2016)... Capricor Therapeutics, Inc. ... company focused on the discovery, development and commercialization ... in its ongoing randomized HOPE-Duchenne clinical trial (Halt ... its 24-patient target. Capricor expects the trial to ... 2016, and to report top line data from ...
(Date:6/23/2016)... and INDIANAPOLIS , June 23, 2016 ... Lilly Diabetes Tomorrow,s Leaders Scholarship is any indication, the ... announced today online at by the ... diabetes stand in the way of academic and community ... Foundation,s scholarship program since 2012, and continues to advocate ...
Breaking Medicine Technology: