PMID: 8954382Oct 1, 1996Paper

OBRA '87: has it resulted in better quality of care?

Journal of Gerontological Nursing
K D MarekJ W Krejci

Abstract

This study examines perspectives of a broad group of nursing home employees, regulators, advocates, and professional associations to describe progress made since the 1990 implementation of the Nursing Home Reform legislation (OBRA '87) and to determine whether the legislation is perceived as affecting positive change for nursing home residents. Interviews were conducted with 59 residents and 132 professional and non-professional staff in six states. Important quality of care issues of resident rights, resident dignity, restraint use, resident assessment, as well as perspectives of residents themselves are explored. In general, OBRA '87 is viewed as positive, with all groups of respondents indicating that residents have benefited from it. They identify the focus on resident rights as the most important accomplishment. Empowerment of residents through involvement in care decisions is noted by many as an important achievement. Many conclude that quality of care has improved and restraint use has decreased. The MDS is a useful tool from the standpoint of nursing home staff and regulators. This appraisal sharply contrasts their opinions about the Preadmission Screening and Resident Review (PASARR) screening tool. We believe that PAS...Continue Reading

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Citations

Mar 11, 2000·Journal of Gerontological Nursing·R J Coccia, E A Cameron
Mar 16, 2001·Journal of Gerontological Nursing·P W Vap, T Dunaye
Jun 20, 2002·Journal of Gerontological Nursing·Mary Ellen Wurzbach
Feb 21, 2009·Journal of Gerontological Nursing·Juh Hyun Shin, Yvonne Scherer
Dec 1, 1996·Journal of Gerontological Nursing·K D MarekJ W Krejci
Nov 19, 2011·Journal of the American Geriatrics Society·Math J M GulpersJan P H Hamers
Jan 11, 2013·Journal of the American Geriatrics Society·Math J M GulpersJan P H Hamers
Feb 27, 2010·BMC Geriatrics·Math J M GulpersJan P H Hamers
Feb 14, 2015·Zeitschrift für Gerontologie und Geriatrie·Markus Anliker, Guido Bartelt
Feb 22, 2002·Clinical Nurse Specialist CNS·B KennedyC A Williams
Feb 28, 2006·Journal of the American Medical Directors Association·Gina BravoPierre-Michel Roy
May 28, 1998·The Journal of Nursing Administration·C R Kovach, J W Krejci
Jun 4, 2005·The Gerontologist·Paul StoleeJohn W Feightner
Apr 25, 2003·Journal of Palliative Medicine·Mary Ersek, Sarah A Wilson
Apr 14, 2006·International Journal of Health Care Finance and Economics·Virender KumarWilliam E Encinosa
Apr 14, 2004·Journal of Nursing Care Quality·Jane E Bostick

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