The Gerontologist
 QUICK SEARCH:   [advanced]


This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Schnelle, J. F.
Right arrow Articles by Cruise, P. A.
Right arrow Search for Related Content
Right arrow PubMed Citation
Right arrow Articles by Schnelle, J. F.
Right arrow Articles by Cruise, P. A.

The Gerontologist, Vol 37, Issue 4 527-532, Copyright © 1997 by The Gerontological Society of America


Policy without technology: a barrier to improving nursing home care

JF Schnelle, JG Ouslander and PA Cruise
UCLA/Jewish Home for the Aging-Borun Center for Gerontological Research, Reseda, CA 91335, USA.

Standards of care are written for nursing homes without a realistic assessment of whether there is an intervention protocol or resources to meet these standards. This situation produces unfair pressures on nursing home providers, who react with paper compliance strategies, and creates a barrier to implementing new interventions that do meet care standards once they are developed. This article explores this barrier and illustrates examples of interventions that have been attempted in nursing homes using a continuous quality improvement model. The development of quality indicators based on assessment data available in all nursing homes is a step toward making the survey process more focused on outcomes rather than on paper compliance. Much more research is needed to design effective clinical interventions and to provide nursing homes with the technologies necessary to target them. Internal nursing home quality assurance programs based on principles of continuous quality improvement, with reinforcement from the external survey process, are suggested as a strategy to maintain clinically effective interventions. Applied research centers based in long-term care facilities should be supported in order to accomplish such research designed to improve the care and quality of life our increasing frail nursing home population.

This article has been cited by other articles:

Home page
Journal of Health Politics, Policy and LawHome page
E. A. Miller and V. Mor
Balancing Regulatory Controls and Incentives: Toward Smarter and More Transparent Oversight in Long-Term Care
Journal of Health Politics Policy and Law, January 1, 2008; 33(2): 249 - 279.
[Abstract] [PDF]

Home page
GerontologistHome page
C. E. DuBeau, J. G. Ouslander, and M. H. Palmer
Knowledge and Attitudes of Nursing Home Staff and Surveyors About the Revised Federal Guidance for Incontinence Care
Gerontologist, August 1, 2007; 47(4): 468 - 479.
[Abstract] [Full Text] [PDF]

Home page
GerontologistHome page
J. M. Wiener
An Assessment of Strategies for Improving Quality of Care in Nursing Homes
Gerontologist, April 1, 2003; 43(90002): 19 - 27.
[Abstract] [Full Text] [PDF]

Home page
Psychiatr. Serv.Home page
M. Cody, C. Beck, and B. L. Svarstad
Mental Health Services in Nursing Homes: Challenges to the Use of Nonpharmacologic Interventions in Nursing Homes
Psychiatr Serv, November 1, 2002; 53(11): 1402 - 1406.
[Abstract] [Full Text] [PDF]

Home page
J. Gerontol. A Biol. Sci. Med. Sci.Home page
S. F. Simmons, S. Babineau, E. Garcia, and J. F. Schnelle
Quality Assessment in Nursing Homes by Systematic Direct Observation: Feeding Assistance
J. Gerontol. A Biol. Sci. Med. Sci., October 1, 2002; 57(10): M665 - 671.
[Abstract] [Full Text] [PDF]

Home page
West J Nurs ResHome page
M. L. Maas, L. S. Kelley, M. Park, and J. P. Specht
Issues in Conducting Research in Nursing Homes
West J Nurs Res, June 1, 2002; 24(4): 373 - 389.
[Abstract] [PDF]

All GSA journals Journals of Gerontology Series A: Biological Sciences and Medical Sciences Journals of Gerontology Series B: Psychological Sciences and Social Sciences
Copyright © 1997 by The Gerontological Society of America.