Nursing homes: a health-promoting or dependency-promoting environment?
Health promotion and disease prevention in nursing homes (NHs) are important but highly neglected issues. This study compares the care of residents in 2 proprietary NHs (a dependency-promoting environment) with the care of residents on a hospice unit at a government-owned facility (a health-promoting environment). Inadequate staffing, supervision, and education contributed to the lack of health promotion and ultimately a low quality of care. The care in proprietary NHs, however, must be examined within the context of NH corporations, a multibillion dollar profit-making industry. When making profits is a priority, it is challenging for staff to provide quality care.
Kayser-Jones
Jeanie
J
Department of Physiological Nursing, School of Nursing and Medical Anthropology Program, School of Medicine, University of California, San Francisco, CA 94143, USA. jeanie.kayser-jones@nursing.ucsf.edu
D000368:Aged; D000369:Aged, 80 and over; D004032:Diet; D015444:Exercise; D005260:Female; D006293:Health Promotion; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D008297:Male; D009735:Nursing Homes / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration