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Related Experiment Videos

The Minimum Data Set bedfast quality indicator: differences among nursing homes.

Barbara M Bates-Jensen1, Cathy A Alessi, Mary Cadogan

  • 1Multicampus Program in Geriatric Medicine, School of Medicine, University of California, Los Angeles, CA, USA. batesjen@ucla.edu

Nursing Research
|July 22, 2004
PubMed
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Nursing homes with higher rates of bedfast residents spent more time in bed, but provided more activity care. Most residents spent at least 17 hours daily in bed, indicating a need for better nursing home mobility care.

Area of Science:

  • Gerontology
  • Nursing Home Care
  • Quality Indicators

Background:

  • Excessive time in bed negatively impacts physical conditioning and functioning in nursing home residents.
  • Lack of practice guidelines exists for managing in-bed times for nursing home residents.
  • The Minimum Data Set (MDS) bedfast prevalence quality indicator is available but underutilized for managing resident in-bed time.

Purpose of the Study:

  • Compare nursing homes with high vs. low MDS bedfast prevalence scores.
  • Assess differences in resident activity, mobility care, and time spent in bed.
  • Determine if residents spending more time in bed differ functionally from those spending less time.

Main Methods:

  • Cohort design utilizing medical records, resident interviews, and direct observation.

Related Experiment Videos

  • Comparison of 15 nursing homes (451 residents).
  • Data collected on proportion of bedfast residents, time in bed, activity frequency, and mobility care process indicators.

    • Main Results:

    • Higher prevalence nursing homes had significantly more time in bed (43% vs. 34%) and a higher proportion of residents in bed >22 hours/day (18% vs. 8%).
    • All nursing homes underestimated the number of bedfast residents.
    • Residents in higher prevalence homes showed more activity and received more walking assistance.

    Conclusions:

    • The MDS bedfast quality indicator identifies homes with more time in bed but doesn't reflect activity/mobility care differences.
    • Higher prevalence homes provided better activity and mobility care.
    • Further research on activity/mobility care and bedfast outcomes is needed; nurses should monitor resident time in bed.