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Health screening practices in rural long-term care facilities.

Susan D Bassett1, Tish Smyer

  • 1College of Nursing, South Dakota State University, P. O. Box 2275, Brookings, SD 57007, USA. Susan_Bassett@sdstate.edu

Journal of Gerontological Nursing
|April 25, 2003
PubMed
Summary

Health screening practices, including cancer screenings, are not adequately implemented in long-term care facilities in a rural Midwestern state. This highlights a gap in care for older adults, necessitating improved nursing education on guidelines.

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Area of Science:

  • Gerontology
  • Public Health
  • Nursing Education

Background:

  • Older adults, both in the community and long-term care (LTC) facilities, are not receiving adequate health screenings.
  • Existing literature indicates a deficit in recommended health screening practices for this demographic.
  • This study focuses on specific cancer screening practices within rural LTC settings.

Purpose of the Study:

  • To assess the knowledge of American Cancer Society (ACS) guidelines among Directors of Nursing (DONs) in rural LTC facilities.
  • To determine the existence of written policies for recommended health screenings.
  • To evaluate the implementation of these health screening practices within these facilities.

Main Methods:

  • A questionnaire was distributed to DONs in 41 LTC facilities in a rural Midwestern state.

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  • The survey ascertained knowledge of ACS guidelines, facility policies, and screening implementation.
  • A response rate of 73% (30 facilities) was achieved.

    • Main Results:

    • A significant finding was the lack of implementation of ACS-recommended health screening practices in the studied rural LTC facilities.
    • This aligns with findings from studies conducted in more urbanized areas.
    • The study did not find generalizable results beyond the specific rural state.

    Conclusions:

    • There is a critical gap in the provision of recommended health screenings for residents in rural LTC facilities.
    • Nursing continuing education focused on ACS guidelines is crucial for improving screening practices in LTC.
    • Further research may be needed to explore barriers and facilitators to implementation in these settings.