Viral respiratory infections in a nursing homeTina Uršič
, Nina Gorišek Miksić
, Lara Lusa
, Franc Strle
, Miroslav Petrovec
, 2016, original scientific article
Abstract: Background: The knowledge on viral respiratory infections in nursing home (NH) residents and their caregivers is limited. The purpose of the present study was to assess and compare the incidence of acute respiratory infections (ARI) in nursing home (NH) residents and staff, to identify viruses involved in ARI and to correlate viral etiology with clinical manifestations of ARI.
Methods: The prospective surveillance study was accomplished in a medium-sized NH in Slovenia (central Europe). Ninety NH residents and 42 NH staff were included. Nasopharyngeal swabs were collected from all participants at enrollment (December 5th, 2011) and at the end of the study (May 31st, 2012), and from each participant that developed ARI within this timeframe. Molecular detection of 15 respiratory viruses in nasopharyngeal swab samples was performed.
Results: The weekly incidence rate of ARI in NH residents and NH staff correlated; however, it was higher in staff members than in residents (5.9 versus 3.8/1,000 person-days, P=0.03), and was 2.5 (95 % CI: 1.36-4.72) times greater in residents without dementia than in residents with dementia. Staff members typically presented with upper respiratory tract involvement, whereas in residents lower respiratory tract infections predominated. Respiratory viruses were detected in 55/100 ARI episodes. In residents, influenza A virus, respiratory syncytial virus, and human metapneumovirus were detected most commonly, whereas in NH staff rhinovirus and influenza A virus prevailed. 38/100 ARI episodes (30/56 in residents, 8/44 in staff) belonged to one of three outbreaks (caused by human metapneumovirus, influenza A virus and respiratory syncytial virus, respectively). NH residents had higher chances for virus positivity within outbreak than HN staff (OR=7.4, 95 % CI: 1.73-31.48, P<0.01).
Conclusions: ARI are common among NH residents and staff, and viruses were detected in a majority of the episodes of ARI. Many ARI episodes among NH residents were outbreak cases and could be considered preventable. Trial registration The study was registered on the 1th of December 2011 at ClinicalTrials (NCT01486160).
Keywords: respiratory infections, nursing home, residents nursing home
Published: 28.06.2017; Views: 600; Downloads: 116
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Family members' involvement in elder care provision in nursing homes and their considerations about financial compensation: A qualitative studyAna Habjanič
, Majda Pajnkihar
, 2013, original scientific article
Abstract: The aim of this studz was to establish how familz members are involved in elder care provision in nursing homes; this included research into their feelings about potentiallz extending their involvement to obtain financial benefits as compensation for high accommodation costs. Familz members remain involved in the caring process after their relatives have been admitted to an institution. On average, accommodation costs in nursing homes in Slovenia haverisen above the residentsʼ retirement pension, and families must supplement the difference. Because of this, familial involvement should be linked to reduced accommodation costs. This research emplozed a non-experimental, descriptive studz design through unstructured interviews. Participants included fiftz familz members (n = 50) who visit their relatives in nursing homes. Data were collected in 2010 at five nursing homes in Slovenia and processed bz means of conventional content analzsis. The major themes that emerged from the content analzsis, describing familz involvement, were as follows: visiting and making oneself useful, deliverz of items for personal use, hands-on care, phzsical therapz and organiyation of nursing homeactivities. Familz members showed some interest in receiving financial compensation for their involvement. The proposed financial compensation maz bea delicate and morallz questionable matter but would involve fairness and transparencz, while enabling easier organiyation of elder care provision. Eventuallz, nursing home residentsʼ well-being could be improved.
Keywords: zdravstvena nega starostnika, sodelovanje svojcev, finančno nadomestilo, domovi za starostnike, elder care, family involvement, financial compensation, nursing home
Published: 10.07.2015; Views: 1296; Downloads: 79
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Challenges for institutional elder care in Slovenian nursing homesAna Habjanič
, Reetta Saarnio
, Satu Elo
, 2012, original scientific article
Abstract: Aims and objectives.Ž To investigate deficiencies in the institutional elder care that is being offered to residents of nursing homes in Slovenia. Background.Ž Public criticism of the provision of elder care in nursing homes is growing all over the world, including in Slovenia. Many studies on this issue have been conducted, but seldom have assessed different viewpoints simultaneously. Design.Ž A qualitative research design that involved individual unstructured interviews was used in 2007. The participants (n = 48)comprised 16 residents, 16 relatives and 16 members of the nursing staff from four nursing homes in Slovenia. Methods.Ž The data generated were subjected to qualitative content analysis. Results.Ž The major themes that emerged from this analysis were neglect, unprofessional communication, uncomfortable physical environment and inadequate administration. Conclusions.Ž The participants of the study identified issues in institutionalelder care in Slovenia that have also been highlighted by international research. Due to staff shortages, low motivation, insufficient communication skills and inexperience, members of the nursing staff reported that they were not in a position to offer the best possible quality of care. Relevance to clinical practice.Ž To improve the living environment in nursing homes, it is important to consider the opinions of all those who are involved closely in institutional elder care. Correction of deficiencies should be a priority and should result in more engagement with residents.
Keywords: elder care, nursing home, nursing staff, relatives, residents
Published: 10.07.2015; Views: 1295; Downloads: 99
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