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Improving resident outcomes with GAPN organization level interventions.

Kathleen Krichbaum1, Valinda Pearson, Kay Savik

  • 1School of Nursing, University of Minnesota, USA.

Western Journal of Nursing Research
|March 23, 2005
PubMed
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This study enhanced nursing care in long-term care facilities (LTCFs) by adding organizational-level interventions. These interventions significantly improved depression scores and outcomes for residents.

Area of Science:

  • Gerontology
  • Nursing Science
  • Healthcare Quality Improvement

Background:

  • Long-term care facilities (LTCFs) face challenges in managing complex resident conditions.
  • A two-tiered nursing intervention model was previously developed to address these issues.
  • The first tier focused on direct care and staff training by gerontological advanced practice nurses (GAPNs).

Purpose of the Study:

  • To evaluate the effectiveness of the second tier of interventions in a two-tiered nursing model.
  • To assess the impact of organization-level (OL) interventions on resident outcomes, specifically depression.

Main Methods:

  • The study implemented a second tier of OL interventions, including GAPN participation in quality assurance committees and problem-solving teams.
  • These OL interventions were added to the existing direct care and staff training protocols.

Related Experiment Videos

  • Resident depression scores and their trajectories were analyzed following the implementation of OL interventions.

    • Main Results:

    • The addition of OL interventions led to significant improvements in resident depression scores.
    • A significant positive trajectory in depression outcomes was observed in residents within the LTCF utilizing OL interventions.
    • Previous findings from the first tier showed improvements in incontinence, pressure ulcers, and aggression.

    Conclusions:

    • Organization-level interventions, when added to direct care and staff training, are effective in improving depression outcomes in LTCF residents.
    • The integration of GAPNs into quality assurance and problem-solving processes enhances the overall quality of care.
    • This two-tiered model demonstrates a comprehensive approach to improving resident well-being in long-term care settings.