11 Dec 2022

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Skilled Nursing Documentation in Long-Term Care

Format: APA

Academic level: College

Paper type: Annotated Bibliography

Words: 721

Pages: 2

Downloads: 0

Kaasalainen, S., Wickson-Griffiths, A., Akhtar-Danesh, N., Brazil, K., Donald, F., Martin-

Misener, R., ... & Dolovich, L. (2016). The effectiveness of a nurse practitioner-led pain management team in long-term care: A mixed methods study. International Journal of Nursing Studies, 62, 156-167.

From the article, it is crucial to undertake in research to explore pain management innovations, particularly when considering increased rates of pain in long-term care (LTC) environments. It suggests that nurse practitioners operating under an inter-professional model would have the capacity for addressing pain under-management in LTCs. The paper evaluates the effectiveness associated with the implementation of clinical practice behaviors, such as documentation of pain assessments and quality of practices aimed at prescribing pain medication. It recruits 345 LTC residents from six LRC homes. It reveals that documenting effectiveness of pain interventions plays a crucial role in managing instances of pain. I would recommend the source based on how it advocates the need for documentation to facilitate in effective pain management and other conditions.

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Kruse, C. S., Mileski, M., Alaytsev, V., Carol, E., & Williams, A. (2015). Adoption factors

associated with electronic health record among long-term care facilities: a systematic review. BMJ Open, 5(1), e006615.

The article stipulates that the Health Information Technology for Economic and Clinical Health (HITECH) Act led to the development of incentives that guided the adoption of electronic health records (EHRs) for certain healthcare organizations, although long term care (LTC) facilities do not qualify for the incentives. The paper argues that LTCs would realize benefits by adopting EHRs, although limited studies exist. The study conducts searches from 22 academic journals acquired from CINAHAL, EBSCO Host, and Google Scholar. It reveals that barriers and facilitators exist for EHR adoption in LTC facilities, with facilitators including error reduction and information access while the barriers comprise of user perceptions, initial costs, and implementation challenges. I would recommend the source since it shows the advantages EHRs would contribute to documentation processes in healthcare organizations and nurse practitioners when dealing with diverse patient conditions.

Kruse, C. S., Mileski, M., Vijaykumar, A. G., Viswanathan, S. V., Suskandla, U., &

Chidambaram, Y. (2017). Impact of electronic health records on long-term care facilities: systematic review. JMIR Medical Informatics, 5(3), e35.

The study reveals that long-term care (LTC) facilities are crucial in the healthcare sector since they offer care to the fastest rising population group. Nevertheless, the reliance on electronic health records (EHRs) in LTC facilities fails to rhyme with other healthcare industry areas. The major reason revolves around the care institutions not eligible for incentives that the Meaningful Use program offers. The article studies a sample of 28 papers from MEDLINE, PubMed, and CINAHL databases. It argues that implementing HER systems in LCT facilities would play a crucial role in boosting care quality. The program should be implemented, utilized, and maintained appropriately. I would recommend the source based on how it reveals the effectiveness of documentation in facilitating effective decision-making.

Lum, H., Obafemi, O., Dukes, J., Nowels, M., Samon, K., & Boxer, R. S. (2017). Use of medical

orders for scope of treatment for heart failure patients during postacute care in skilled nursing facilities. Journal of the American Medical Directors Association, 18(10), 885-890.

The article stipulates that people with heart failure having been hospitalized as well as admitted to skilled nursing facilities face increased cases of death and re-hospitalization. It targets illustrating the care preferences among patients having heart failure admitted to skilled nursing facilities for rehabilitation depending on Medical Orders for Scope of Treatment (MOST) documentation. It also aims at evaluating the goal-concordant case depending on MOST documentation, hospitalization, and emergence department. It studies patients in 35 skilled nursing facilities between 2014 and 2016. From the study, around 75 percent of patients having heart failure admitted to skilled nursing facilities portray care preferences documented utilizing MOST form while 95 percent received goal-concordant care preferences, which their documentation relying on skilled nursing facilities admission. I would recommend the source since it reveals the relevance of documentation in understanding the patients’ needs, especially those with heart failure.

Tuinman, A., de Greef, M. H., Krijnen, W. P., Paans, W., & Roodbol, P. F. (2017). Accuracy of

documentation in the nursing care plan in long-term institutional care. Geriatric Nursing, 38(6), 578-583.

According to the article, the nursing personnel who work in long-term care institutions attend to patients with growing cases of severe cognitive and physical limitations. Exchanging information concerning the health status of the patients requires accurate nursing documentation to ensure patients remain safe. The article evaluates accuracy of documentation in 197 care plans related to live care facilities that deliver care during the long term. Inadequacies emerged in description of the care needs of the patients and stated nursing diagnoses together with progress and outcome reports. Investing in resources, improving nurses’ reasoning skills, and implementing professional standards would boost nursing documentation quality. I would recommend the resource since it reveals the weaknesses in documentation and the ideal ways of documenting patient outcomes.

References

Kaasalainen, S., Wickson-Griffiths, A., Akhtar-Danesh, N., Brazil, K., Donald, F., Martin-

Misener, R., ... & Dolovich, L. (2016). The effectiveness of a nurse practitioner-led pain management team in long-term care: A mixed methods study. International Journal of Nursing Studies, 62, 156-167.

Kruse, C. S., Mileski, M., Alaytsev, V., Carol, E., & Williams, A. (2015). Adoption factors

associated with electronic health record among long-term care facilities: a systematic review. BMJ Open, 5 (1), e006615.

Kruse, C. S., Mileski, M., Vijaykumar, A. G., Viswanathan, S. V., Suskandla, U., &

Chidambaram, Y. (2017). Impact of electronic health records on long-term care facilities: systematic review. JMIR Medical Informatics, 5 (3), e35.

Lum, H., Obafemi, O., Dukes, J., Nowels, M., Samon, K., & Boxer, R. S. (2017). Use of medical

orders for scope of treatment for heart failure patients during postacute care in skilled nursing facilities. Journal of the American Medical Directors Association, 18 (10), 885-890.

Tuinman, A., de Greef, M. H., Krijnen, W. P., Paans, W., & Roodbol, P. F. (2017). Accuracy of

documentation in the nursing care plan in long-term institutional care. Geriatric Nursing, 38 (6), 578-583.

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StudyBounty. (2023, September 15). Skilled Nursing Documentation in Long-Term Care .
https://studybounty.com/skilled-nursing-documentation-in-long-term-care-annotated-bibliography

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