The teaching nursing home program. Outcomes of care.
Increased patient acuity, relative absence of professional providers, and isolation of nursing homes from the mainstream of health care precipitated the initiation of Teaching Nursing Home Programs (TNHP). The Robert Wood Johnson Foundation TNHP provided funding for 11 schools of nursing in collaboration with 12 nursing homes for the purpose of upgrading clinical care in nursing homes, creating an environment supportive of education, and promoting clinical research. A complete evaluation of a TNHP requires consideration of outcome, process, and structure. Quality of care and professional decision making are discussed as two of four areas by which TNHPs were evaluated.
Mezey
M D
MD
Ralston-Penn Center for Care, Education, and Research for Older Adults, School of Nursing, University of Pennsylvania, Philadelphia.
Lynaugh
J E
JE
D015400:Clinical Nursing Research / Q000592:standards; D003657:Decision Making; D004506:Education, Nursing / Q000592:standards*; D006707:Homes for the Aged / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D008134:Long-Term Care / Q000592:standards; D009720:Nurse Clinicians / Q000193:education; D015402:Nursing Education Research / Q000592:standards; D015403:Nursing Evaluation Research / Q000592:standards; D009735:Nursing Homes / Q000458:organization & administration* / Q000592:standards; D010043:Outcome and Process Assessment, Health Care; D011785:Quality Assurance, Health Care