A5036471228- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Frailty in Older Adults
- Health disparities and outcomes
- Patient Satisfaction in Healthcare
- Global Health Workforce Issues
- Migration, Aging, and Tourism Studies
- Palliative Care and End-of-Life Issues
- Intergenerational Family Dynamics and Caregiving
- Aging and Gerontology Research
- Global Health Care Issues
- Family and Patient Care in Intensive Care Units
- Intensive Care Unit Cognitive Disorders
- Health Systems, Economic Evaluations, Quality of Life
- COVID-19 and healthcare impacts
- Health Policy Implementation Science
- Meta-analysis and systematic reviews
- Delphi Technique in Research
- Innovations in Medical Education
- Emotional Labor in Professions
- Patient Safety and Medication Errors
- Attention Deficit Hyperactivity Disorder
- Interdisciplinary Research and Collaboration
University of Iowa
2021-2025
Iowa City VA Health Care System
2021-2024
Veterans Health Administration
2024
VA Boston Healthcare System
2019-2021
Boston University
2021
University School
2021
United States Department of Veterans Affairs
2021
University of Minnesota
2014-2018
University of Minnesota System
2018
Minnesota Department of Education
2018
The current project examined the impact of caregiving and caregiving–work conflict on employees’ well-being. A sequential explanatory mixed-methods design (QUAN→qual) was utilized, a total 880 employees from large health-care plan employer completed an online survey. Forty-five caregivers who survey also participated in one five focus groups held 1 to 2 months later. Employed were significantly ( p < .05) more likely indicate poorer physical mental health than noncaregivers; among n =...
Background: The 2014 Veterans Choice Program aimed to improve care access for through expanded availability of community (CC). Increased CC could particularly benefit rural Veterans, who often face obstacles in obtaining medical at the Health Administration (VHA). However, whether improved timely this vulnerable population is understudied. Objectives: To examine wait times among and urban 5 outpatient specialty services representing top requests Veterans. Research Design: Retrospective study...
Importance Prior studies indicate that Black and Hispanic vs White veterans wait longer for care. However, these do not capture the COVID-19 pandemic, which caused care access disruptions, nor implementation of US Department Veterans Affairs (VA) Maintaining Internal Systems Strengthening Integrated Outside Networks Act (MISSION), is intended to improve by increasing veterans’ options use community clinicians. Objective To determine whether times increased differentially compared with from...
The 2018 Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act was implemented to increase timely access care by expanding veterans' opportunities receive (VA)-purchased in the community (community [CC]). Because health equity is a major VA priority, it important know whether Black Hispanic veterans compared with White experienced equitable primary within MISSION Act.
Abstract Background Studies have shown that both patient- and hospital-level factors can influence the evaluation of antimicrobial consumption, appropriate risk adjustments are necessary for reliable benchmarking. The curation candidate variables through experts be helpful in gaining trust users. We conducted a modified two-stage Delphi method to build consensus on should considered developing risk-adjustment model benchmarking metrics hospital consumption. Summary Expert Consensus Candidate...
Abstract Purpose Growing numbers of older adults need home health care, yhese services may be more difficult to access for rural Veterans, who represent one‐third Veterans Health Administration (VA) enrollees. Our objective was examine whether use differs within VA based on rurality. Methods We examined national administrative data 2019–2021 (January 1, 2019 December 31, 2021) among ages ≥65 years. Using descriptive and multivariable analyses, we assessed versus urban differed in (1) the...
US veterans have a unique dementia risk profile that may be evolving over time.Age-standardized incidence and prevalence of Alzheimer's disease (AD), AD related dementias (ADRD), mild cognitive impairment (MCI) was estimated from electronic health records (EHR) data for all aged 50 years older receiving Veterans Health Administration (VHA) care 2000 to 2019.The annual declined, as did ADRD incidence. increased 1.07% in 1.50% 2019, primarily due an increase the not otherwise specified. The...
An increasing number of nursing home quality improvement efforts are aimed at reducing avoidable hospitalizations residents. The current study focused on the experiences nurses as "boundary-spanners" in implementation initiatives this effort. In-depth, semi-structured interviews were conducted with 76 staff members within 38 homes. Data analyzed using thematic analysis and an inductive category development approach. Nursing described multiple scenarios where they had acted to negotiate...
This article describes the experiences of staff members working within nursing homes that successfully implemented a quality improvement project aimed at reducing resident pain. Interviews were conducted with 24 home employees from 8 facilities participating in project. Findings organized using Consolidated Framework for Implementation Research. Interdisciplinary communication, supportive leadership, training, and assistant participation facilitated implementation. Increased documentation,...
The 2014 Veterans Access, Choice and Accountability Act was intended to improve Veterans' access timely health care by expanding their options receive community (CC) paid for the Health Administration (VA). Although CC could particularly benefit rural Veterans, we know little about experiences with CC.
Abstract Background and Objectives Despite research documenting gender differences in numerous outcomes later life, we know little about quality of life (QoL) for nursing home (NH) residents. This study examines the relationship between residents’ QoL, including possible reasons observed. Research Design Methods We used a mixed-methods design surveys with random sample Minnesota NH residents using multidimensional measure QoL (n = 9,852), resident clinical data, facility-level...
How to Obtain Contact Hours by Reading This Article Instructions 1.2 contact hours will be awarded Villanova University College of Nursing upon successful completion this activity. A hour is a unit measurement that denotes 60 minutes an organized learning learner-based does not require submission your answers the quiz. certificate once you register, pay registration fee, and complete evaluation form online at https://villanova.gosignmeup.com . To obtain must: 1. Read article, “Examining...
Nursing assistants provide the majority of direct resident care in nursing homes and are centrally involved implementing quality improvement (QI), yet little is known about their experiences QI. Interviews with found that respondents perceive themselves as having a unique important role They described key outcomes QI positive gains daily lives residents, improved work processes, increased time between staff residents.
Abundant evidence documents racial/ethnic disparities in access, quality of care, and life (QoL) among nursing home (NH) residents who are Black, Indigenous, people color (BIPOC) compared with White residents. BIPOC more likely to be admitted lower NHs experience worse outcomes. Yet, little is known about processes for differences QoL receiving care high-proportion NHs. This study presents an examination the facilities while highlighting variability between these facilities.Guided by...
The objective of this study was to explore home and community-based service (HCBS) providers’ perspectives organizational readiness for quality improvement (QI). Data were obtained from a survey participants (N = 56) in state-sponsored HCBS QI initiative. Quality challenges included lack time resources, staff apprehension or resistance, resistance consumers families, project sustainability. Support leadership viewed as an important factor participating organizations’ decision engage QI....
Traditional university learning modalities of lectures and examinations do not prepare students fully for the evolving complex world gerontology geriatrics. Students involved in more active, self-directed can develop a wider breadth knowledge perform better on practical examinations. This article describes Evidence Aging (EIA) study as model active with aim preparing to be effective interdisciplinary researchers, educators, leaders aging. We focus particularly experiences reflections...