A primary care nursing model in long-term care facilities: evaluation of impact on affect, behavior, and socialization -- Teresi et al. 33 (5): 667 -- The Gerontologist

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A primary care nursing model in long-term care facilities: evaluation of impact on affect, behavior, and socialization

J Teresi, D Holmes, E Benenson, C Monaco, V Barrett, M Ramirez and MJ Koren
Hebrew Home for the Aged at Riverdale.

A primary care model of delivery of nursing aide care was implemented and evaluated in one small, rural nursing home and one large, urban facility. Experimental unit residents received primary care consisting of permanent assignment of nursing aide, a team approach and enhanced communication. The urban experimental residents improved significantly in behavior and affect as measured across several sources, while the comparison group declined or remained the same. Significant improvements in behavior and social activities were observed among the experimental rural nursing home residents as contrasted with the comparison group after implementation of primary care nursing. It was concluded that primary care nursing as applied to nursing attendants in long-term care is beneficial to residents in terms of decreasing disturbed behavior and improved affect.

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Journals of Gerontology Series A: Biological Sciences and Medical Sciences

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				D. Brannon, J. S. Zinn, V. Mor, and J. Davis An Exploration of Job, Organizational, and Environmental Factors Associated With High and Low Nursing Assistant Turnover Gerontologist, April 1, 2002; 42(2): 159 - 168. [Abstract] [Full Text] [PDF]

				S. Shea, J. Starren, R. S. Weinstock, P. E. Knudson, J. Teresi, D. Holmes, W. Palmas, L. Field, R. Goland, C. Tuck, G. Hripcsak, L. Capps, and D. Liss Columbia University's Informatics for Diabetes Education and Telemedicine (IDEATel) Project: Rationale and Design J. Am. Med. Inform. Assoc., January 1, 2002; 9(1): 49 - 62. [Abstract] [Full Text] [PDF]