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A Profile of Residents in Prairie Nursing Homes*

Published online by Cambridge University Press:  06 August 2013

Carole A. Estabrooks*
Affiliation:
University of Alberta, Faculty of Nursing
Jeff W. Poss
Affiliation:
University of Waterloo
Janet E. Squires
Affiliation:
Ottawa Hospital Research Institute, University of Ottawa
Gary F. Teare
Affiliation:
Health Quality Council (Saskatchewan)
Debra G. Morgan
Affiliation:
University of Saskatchewan
Norma Stewart
Affiliation:
University of Saskatchewan
Malcolm B. Doupe
Affiliation:
University of Manitoba, Faculty of Medicine
Greta G. Cummings
Affiliation:
University of Alberta, Faculty of Nursing
Peter G. Norton
Affiliation:
University of Calgary, Faculty of Medicine
*
Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Carole A. Estabrooks, Ph.D. University of Alberta Faculty of Nursing 11405 87 Avenue Edmonton, AB T6G 1C9 (carole.estabrooks@ualberta.ca)

Abstract

Nursing homes have become complex care environments where residents have significant needs and most have age-related dementia. Building on research by Hirdes et al. (2011), we describe a resident profile in a representative sample of 30 urban nursing homes in the prairie provinces using Resident Assessment Instrument – Minimum Data Set 2.0 data from 5,196 resident assessments completed between 1 October 2007 and 31 December 2011. Residents were chiefly over age 85, female, and with an age-related dementia. We compared facility support and related services and resident characteristics by province, owner-operator model, and number of facility units. We observed differences in support and related services by both unit count and province. We also found that public facilities tend to care for residents with more demanding characteristics: notably cognitive impairment, aggressive behaviours, and incontinence. No clear trends associating the number of units in a facility with resident characteristics were observed.

Résumé

Les maisons de soins infirmiers sont devenues des environnements offrant des soins complexes, dont les habitants ont des besoins importants et la plupart souffrent de la démence liée a l’âge. S’appuyant sur les recherches de Hirdes et al. (2011), nous décrivons un profil des résidents dans un échantillon représentatif de 30 maisons de soins infirmiers en milieu urbain dans les provinces des Prairies, en utilisant des données de L’Instrument d’évaluation des résidents/le recueil de données minimum (Resident Assistant Instrument – Minimum Data Set 2.0) de 5 196 évaluations résidents accomplies entre le 1ier octobre et le 31ieme décembre 3011. Les résidents avaient principalement plus de 85 ans, étaient des femmes, et souffraient d’une démence liée à l’âge. Nous avons comparé le soutien et les services connexes des établissements et les caractéristiques des résidents par province, par les modèles du propriétaire-gérant, et par le nombre d’unités dans une installation. Nous avons également constaté que les établissements publics ont tendance à s’occuper des résidents ayant des caractéristiques plus exigeants : notamment, la déficience cognitive, un comportement aggressif, et l’incontinence. Aucune tendance claire n’a été observée reliant le nombre d’unités dans un établissement aux caractéristiques des résidents.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2013 

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Footnotes

*

Funding for this study was provided by the Canadian Institutes of Health Research (CIHR) (MOP #53107). Carole Estabrooks is supported by a CIHR Canada Research Chair in Knowledge Translation. The authors also acknowledge the Translating Research in Elder Care (TREC) team for its contributions to this study. The TREC Team at the time of the study included the following: Carole A. Estabrooks (PI); investigators: Greta G. Cummings, Lesley Degner, Sue Dopson, Heather Laschinger, Kathy McGilton, Verena Menec, Debra Morgan, Peter Norton, Joanne Profetto-McGrath, Jo Rycroft-Malone, Malcolm Smith, Norma Stewart, and Gary Teare; decision makers: Caroline Clarke, Gretta Lynn Ell, Belle Gowriluk, Lori Lamont, Sue Neville, Corinne Schalm, Donna Stelmachovich, Gina Trinidad, Juanita Tremeer, and Luana Whitbread; collaborators: David Hogan, Chuck Humphrey, Michael Leiter, and Charles Mather; special advisors: Judy Birdsell, Phyllis Hempel (deceased), Dorothy Pringle (chair, Scientific Advisory Committee), and Jack Williams.

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