Improving the Quality of Care of Long-Stay Nursing Home Residents in France

Journal of the American Geriatrics Society
Yves RollandPhilipe de Souto Barreto

Abstract

The aim of the Impact d'une démarche QUAlité sur l'évolution des pratiques et le déclin fonctionnel des Résidents en Établissement d'hébergement pour personnes âgées dépendantes (IQUARE) study was to examine the effects of a global intervention comprising professional support and education for nursing home (NH) staff on quality indicators (QIs) and functional decline and emergency department (ED) transfers of residents. One hundred seventy-five NHs in France (a total of 6,275 residents randomly selected from NHs) volunteered and were enrolled in a nonrandomized controlled multicenter individually customize trial with 18-month follow-up. NHs were allocated to a quality audit and feedback intervention (control group: 90 NHs, 3,258 residents) or to the quality audit and feedback intervention plus collaborative work meetings between a hospital geriatrician and NH staff (experimental group: 85 NHs, 3,017 residents). At the NH level, prevalence of assessment of kidney function, cognitive function, risk of pressure ulcers, behavioral disturbances, depression, pain, weight measurement, and transfer to the ED were recorded. Ability to perform basic activities of daily living was assessed at the resident level. At baseline, NH QIs were g...Continue Reading

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Citations

Jan 28, 2017·Journal of the American Medical Directors Association·Clarisse Laffon de MazièresYves Rolland
Dec 1, 2017·Dementia·Julia GilbertKarleen Gwinner
May 3, 2018·The Journal of Nutrition, Health & Aging·K H PitkäläT E Strandberg
Mar 27, 2019·Journal of the American Geriatrics Society·Philippe GirardYves Rolland
Oct 3, 2018·The Journal of Nutrition, Health & Aging·S SourdetY Rolland
May 29, 2020·European Geriatric Medicine·Kamal El HaddadYves Rolland
Apr 4, 2021·International Journal of Environmental Research and Public Health·Soo-Kyoung LeeDong Eun Jang
May 9, 2021·Journal of the American Medical Directors Association·Yves RollandPhilipe De Souto Barreto
Nov 26, 2018·Journal of the American Medical Directors Association·Vincent GuionYves Rolland
Aug 30, 2020·Journal of the American Medical Directors Association·Kate H MagidCari Levy
Jul 17, 2021·PloS One·Candyce HamelBrian Hutton

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