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[PMID]:28143618
[Au] Autor:Liu JY; Ma KW
[Ad] Endereço:Centre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong. Justina.liu@polyu.edu.hk.
[Ti] Título:The psychometric properties of the Chinese version-reintegration to normal living index (C-RNLI) for identifying participation restriction among community-dwelling frail older people.
[So] Source:BMC Geriatr;17(1):41, 2017 Jan 31.
[Is] ISSN:1471-2318
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The Reintegration to Normal Living Index (RNLI) was developed to measure reintegration to normal living after major traumas/illnesses. Its psychometric properties remain unknown when used to measure participation restriction under the World Health Organization's International Classification of Functioning, Disability, and Health (WHO-ICF) framework. This study examines the psychometric properties of the Chinese version-RNLI to measure WHO-ICF participation restriction among community-dwelling pre-frail and frail older people. METHODS: A cross-sectional study was conducted in community and day-care centres in Hong Kong between May 2015 and January 2016. Through face-to-face interviews, information was collected on the participants' demographic background, medical history, frailty status, depressive mood, functional performance in daily activities, and participation restriction. The internal consistency, test-retest reliability, and construct and convergent validity of the C-RNLI were assessed. RESULTS: Two hundred and ninety-nine pre-frail or frail community-dwelling older people with a mean age of 79.53 were recruited. A confirmatory factor analysis showed that the C-RNLI has a two-factor structure comprised of "participation in physical activities" and "participation in social events". The test-retest coefficient was 0.71. The Cronbach's alpha of the total C-RNLI score, and those of the factors "participation in physical activities" and "participation in social events" were 0.88, 0.82 and 0.84, respectively. Pre-frail older people had significantly higher scores for the factors "participation in physical activities" (z = -5.05, <0.01) and "participation in social events" (z = -6.04, p < 0.01) than frail older people. Older people from community centres had significantly higher scores for the factors "participation in physical activities" (z = -4.48, <0.01) and "participation in social events" (z = -4.03, p < 0.01) than older people from day-care centres. The factors "participation in physical activities" and "participation in social events" of the C-RNLI were significantly convergent with depressive mood (r = -0.25 and r = -0.39, respectively) and functional performance in daily activities (r = 0.28 and r = 0.45, respectively). CONCLUSIONS: The C-RNLI is a two-factor structured scale with acceptable level of reliability and validity to measure WHO-ICF participation restriction among community-dwelling pre-frail and frail older people.
[Mh] Termos MeSH primário: Centros-Dia de Assistência à Saúde para Adultos/tendências
Grupo com Ancestrais do Continente Asiático/psicologia
Idoso Fragilizado/psicologia
Vida Independente/psicologia
Vida Independente/tendências
Qualidade de Vida/psicologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Pessoas com Deficiência/psicologia
Análise Fatorial
Feminino
Hong Kong/epidemiologia
Seres Humanos
Masculino
Meia-Idade
Psicometria
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170613
[Lr] Data última revisão:
170613
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170202
[St] Status:MEDLINE
[do] DOI:10.1186/s12877-017-0424-5


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[PMID]:28061887
[Au] Autor:Moorhouse P; Theou O; Fay S; McMillan M; Moffatt H; Rockwood K
[Ad] Endereço:Division of Geriatric Medicine, Dalhousie University, Veterans' Memorial Building, 5955 Veterans memorial Lane, Halifax, Nova Scotia, B3H2E1, Canada. Paige.Moorhouse@nshealth.ca.
[Ti] Título:Treatment in a Geriatric Day Hospital improve individualized outcome measures using Goal Attainment Scaling.
[So] Source:BMC Geriatr;17(1):9, 2017 Jan 07.
[Is] ISSN:1471-2318
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Evidence regarding outcomes in the Geriatric Day Hospital (GDH) model of care has been largely inconclusive, possibly due to measurement issues. This prospective cohort study aims to determine whether treatment in a GDH could improve individualized outcome measures using goal attainment scaling (GAS) and whether improvements are maintained 6-months post-discharge. METHODS: A total of 469 outpatients admitted to a Canadian Geriatric Day Hospital, between December 2008 and June 2011, were included in the analysis (81.1 ± 6.7 years, 66.3% females); a smaller cohort of 121 patients received a follow-up phone call 6 months following discharge. Baseline, discharge and 6 month post-discharge observer-rated measures of mobility, cognition, and function were completed using GAS. Traditional psychometric measures were also captured. RESULTS: The mean number of goals set was 1.6 (SD 0.8) and patients set goals in the following domains: 88% mobility or falls reduction; 18% optimization of home supports; 17% medication optimization;12% cognition; 8% increasing social engagement; and 5% optimization of function. Total GAS was the most responsive measure to change with 86% of patients improving at discharge; mobility goals were the most likely to be achieved. Six-month GAS scores remained significantly higher than GAS scores on admission. Those who had more goals were more likely to improve during GDH admission (OR 1.49, CI 1.02-2.19) but this association was not seen 6 months after discharge. CONCLUSIONS: This study demonstrated short- and long-term effectiveness of GDH in helping patients achieve individualized outcome measures using GAS.
[Mh] Termos MeSH primário: Hospital Dia
Avaliação de Resultados (Cuidados de Saúde)
Planejamento de Assistência ao Paciente
[Mh] Termos MeSH secundário: Atividades Cotidianas
Centros-Dia de Assistência à Saúde para Adultos
Idoso
Idoso de 80 Anos ou mais
Canadá
Feminino
Metas
Seres Humanos
Masculino
Alta do Paciente
Estudos Prospectivos
Psicometria
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170108
[St] Status:MEDLINE
[do] DOI:10.1186/s12877-016-0397-9


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[PMID]:27594544
[Au] Autor:Kim JP; Yang J
[Ad] Endereço:Department of Nursing, Jinju Health College, Jinju, South Korea.
[Ti] Título:Effectiveness of a community-based program for suicide prevention among elders with early-stage dementia: A controlled observational study.
[So] Source:Geriatr Nurs;38(2):97-105, 2017 Mar - Apr.
[Is] ISSN:1528-3984
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to develop a small-group-focused suicide prevention program for elders with early-stage dementia and to assess its effects. This was a quasi-experimental study with a control group pretest-posttest design. A total of 62 elders diagnosed with early-stage dementia who were receiving care services at nine daycare centers in J City Korea participated in this study. The experimental group participated in the suicide prevention program twice a week for 5 weeks with a pretest and two posttests The developed suicide prevention program had a significant effect on the perceived health status, social support, depression, and suicidal ideation of elders with early-stage dementia. Nurses should integrate risk factors such as depression and protective factors such as health status and social support into a suicide prevention program. This community-based program in geriatric nursing practice can be effective in preventing suicide among elders with early-stage dementia.
[Mh] Termos MeSH primário: Demência/psicologia
Avaliação de Programas e Projetos de Saúde
Distribuição Espacial da População
Suicídio/prevenção & controle
[Mh] Termos MeSH secundário: Centros-Dia de Assistência à Saúde para Adultos/organização & administração
Idoso
Idoso de 80 Anos ou mais
Depressão/epidemiologia
Feminino
Enfermagem Geriátrica/métodos
Nível de Saúde
Seres Humanos
Masculino
Desenvolvimento de Programas
República da Coreia/epidemiologia
Fatores de Risco
Apoio Social
[Pt] Tipo de publicação:CONTROLLED CLINICAL TRIAL; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160906
[St] Status:MEDLINE


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[PMID]:27347874
[Au] Autor:Hultqvist J; Markström U; Tjörnstrand C; Eklund M
[Ad] Endereço:a Department of Health Sciences, Occupational Therapy and Occupational Science , Lund University , Lund , Sweden.
[Ti] Título:Programme characteristics and everyday occupations in day centres and clubhouses in Sweden.
[So] Source:Scand J Occup Ther;24(3):197-207, 2017 May.
[Is] ISSN:1651-2014
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Meaningful everyday occupations are important for mental health and recovery and are provided by both community-based day centres (DCs) and clubhouses. It is unknown, however, if any of the two has more recovery-promoting features. OBJECTIVE: This nine-month longitudinal study compared DC and clubhouses, concerning the users' perceptions of unit and programme characteristics, and aspects of everyday occupations in terms of engagement and satisfaction. Stability over time in these respects, as well as motivation for participation and relationships with occupational engagement and satisfaction, were explored. METHODS: Participants from 10 DCs (n = 128) and 5 clubhouses (n = 57) completed self-report instruments. RESULTS: DC attendees rated lower levels on two organizational factors; choice and ability to influence decisions, and the unit's social network. Motivation showed to be an important factor for perceived occupational engagement, which did not differ between the two groups. DC attendees were more satisfied with their everyday occupations at baseline, but that factor increased more in the clubhouse group and there was no group difference at follow-up. The unit and programme characteristics and occupational engagement showed stability over time. DISCUSSION: Clubhouses seemed more advantageous and DC services may consider developing users' opportunities for choice and decision-making, and peer support.
[Mh] Termos MeSH primário: Centros-Dia de Assistência à Saúde para Adultos
Centros Comunitários de Saúde Mental/organização & administração
Terapia Ocupacional/psicologia
Ocupações
[Mh] Termos MeSH secundário: Estudos Transversais
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Transtornos Mentais/reabilitação
Meia-Idade
Motivação
Satisfação Pessoal
Autorrelato
Inquéritos e Questionários
Suécia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160628
[St] Status:MEDLINE
[do] DOI:10.1080/11038128.2016.1200669


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[PMID]:27912852
[Au] Autor:Grøn L
[Ad] Endereço:KORA, Danish Institute for Local and Regional Government Research, Copenhagen, Denmark. Electronic address: logr@kora.dk.
[Ti] Título:Old age and vulnerability between first, second and third person perspectives. Ethnographic explorations of aging in contemporary Denmark.
[So] Source:J Aging Stud;39:21-30, 2016 Dec.
[Is] ISSN:1879-193X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This paper is based on an ethnographic fieldwork aimed at exploring ethnographically how vulnerability in old age is perceived and experienced in contemporary Denmark. The fieldwork showed remarkable differences between two phases of the fieldwork: the first addressing vulnerability from the "outside" through group interviews with professionals, leaders and older people who were not (yet) vulnerable; and the second from the "inside" through more in depth fieldwork with older people who in diverse ways could be seen as vulnerable. After a short introduction to anthropological and social gerontological literature on characteristics of "Western" aging: medicalization, successful, healthy and active aging, I present findings from both phases of this ethnographic fieldwork arguing that the ethnographic approach reveals the composite and complex nature of vulnerability in old age and the constant interactions between first, second and third person perspectives. Through these methodological and analytical moves a complex and empirically tenable understanding of vulnerability in old age has emerged which 1. moves beyond rigid dichotomies that have characterized the study of old age, 2. integrates individual experience, social interaction and the structural and discursive context into the analysis, and 3. reveals the complex interplay between vulnerability and agency in diverse situations and settings of old age.
[Mh] Termos MeSH primário: Envelhecimento
Atitude Frente à Saúde
Renda
Marginalização Social
Apoio Social
Populações Vulneráveis
[Mh] Termos MeSH secundário: Centros-Dia de Assistência à Saúde para Adultos
Idoso
Idoso de 80 Anos ou mais
Antropologia Cultural
Dinamarca
Serviços de Assistência Domiciliar
Instituição de Longa Permanência para Idosos
Seres Humanos
Relações Interpessoais
Medicalização
Percepção
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170322
[Lr] Data última revisão:
170322
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161204
[St] Status:MEDLINE


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[PMID]:27654233
[Au] Autor:Williams C; Tappen R; Wiese L; Newman D; Corbett M; Pinos S; Curtis B; Murray B
[Ad] Endereço:Florida Atlantic University, Christine E Lynn College of Nursing. Electronic address: cwill154@fau.edu.
[Ti] Título:Stress in Persons with Dementia: Benefits of a Memory Center Day Program.
[So] Source:Arch Psychiatr Nurs;30(5):531-8, 2016 Oct.
[Is] ISSN:1532-8228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Most persons with dementia are cared for by family members who are so overwhelmed that their mental and physical health declines. Adult day care programs (ADC) are growing in number to meet caregivers' needs for respite but little is known about their effect on enrollee mental health. We examined mental health of enrollees (stress, anxiety, mood, emotions) and arousal (blood pressure and salivary cortisol) from day program enrollment to 3 months following enrollment. Results showed significant decreases in morning cortisol level at 1 and 3 months (p=.047). Perceived stress decreased at 1 and 3 months measured by Perceived Stress Scale (p=.03) and Index of Clinical Stress (p=.01). Results provide support for ADC as a stress-reducing environment for individuals with mild to moderate cognitive impairment. Future studies should be conducted to examine which elements of ADC are beneficial.
[Mh] Termos MeSH primário: Centros-Dia de Assistência à Saúde para Adultos
Demência/psicologia
Pacientes/psicologia
Estresse Psicológico/prevenção & controle
[Mh] Termos MeSH secundário: Ansiedade/prevenção & controle
Pressão Sanguínea/fisiologia
Cuidadores/psicologia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:160923
[St] Status:MEDLINE


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[PMID]:27499374
[Au] Autor:Shahbazi M; Foroughan M; Rahgozar M; Roghani RS
[Ad] Endereço:Aging Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
[Ti] Título:Effects of adult day care services on disability in older persons: Evaluation of a designed service package in Iran.
[So] Source:J Rehabil Med;48(8):719-724, 2016 Oct 05.
[Is] ISSN:1651-2081
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess the effects of a rehabilitation service package designed by the State Welfare Organization of Iran for adult day care centres on the disability of older clients. METHODS: A case-control study, with 46 older participants in the case group and 46 participants, matched for level of disability, in a control group. The World Health Organization Disability Assessment Schedule 2 was used to collect data at 4 time-points: baseline and 2, 4, and 6 months later. Data were analysed using repeated-measures analysis of variation. RESULTS: The rehabilitation service package had significant effects on the disability scores of older users of day care services. The disability scores significantly changed within the subjects (p = 0.010) and between the 2 groups (p < 0.001). Within-subjects effects in all 6 domains ("understanding and communication" (p = 0.002), "getting around" (p = 0.046), "self-care" (p < 0.001), "getting along with people" (p < 0.001), "life activity" (p < 0.001) and "participation" (p < 0.001)) and between-subjects effects, in all except the "self-care" domain, showed significant differences during the 6-month study period (p = 0.003, p < 0.001, p <0.001, p < 0.001, and p < 0.001, respectively). CONCLUSION: The adult day care service package may have a positive role in decreasing measures of disability among older persons over a 6-month period.
[Mh] Termos MeSH primário: Centros-Dia de Assistência à Saúde para Adultos/estatística & dados numéricos
Pessoas com Deficiência/reabilitação
[Mh] Termos MeSH secundário: Centros-Dia de Assistência à Saúde para Adultos/métodos
Idoso
Idoso de 80 Anos ou mais
Estudos de Casos e Controles
Avaliação da Deficiência
Feminino
Seres Humanos
Irã (Geográfico)
Masculino
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170104
[Lr] Data última revisão:
170104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160809
[St] Status:MEDLINE
[do] DOI:10.2340/16501977-2115


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[PMID]:27430257
[Au] Autor:Carey TA; Schouten K; Wakerman J; Humphreys JS; Miegel F; Murphy S; Arundell M
[Ad] Endereço:Centre for Remote Health, PO Box 4066, Alice Springs, Northern Territory, 0871, Australia. tim.carey@flinders.edu.au.
[Ti] Título:Improving the quality of life of palliative and chronic disease patients and carers in remote Australia with the establishment of a day respite facility.
[So] Source:BMC Palliat Care;15:62, 2016 Jul 18.
[Is] ISSN:1472-684X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In the Northern Territory (NT) there is a lack of respite services available to palliative care patients and their families. Indigenous people in the NT suffer substantially higher rates of poorly controlled chronic disease and premature mortality associated with poor heath than the Australian population as a whole. The need for a flexible, community based, culturally appropriate respite service in Alice Springs was identified and, after the service had been operating for 10 months, a qualitative evaluation was conducted to investigate the experiences of people involved in the use and operation of the service. METHODS: Semi-structured interviews were conducted with patients, carers, referrers, and stakeholders. A total of 20 people were interviewed. Interpretative Phenomenological Analysis was used inductively to analyse the transcripts. Two case studies are also described which illustrate in greater detail the impact the respite service has had on people's lives. RESULTS: From the semi-structured interviews, two superordinate themes along with a number of sub themes were developed. The two superordinate themes described both "The Big Picture" considerations as well as the pragmatics of "Making the Service Work". The sub themes highlighted issues such as being stuck at home and the relief that respite provided. The case studies poignantly illustrate the difference the respite service made to the quality of life of two patients. DISCUSSION: The findings clearly indicate an improvement in quality of life for respite patients and their carers. The respite service enabled improved care coordination of chronic and complex patients as well as improved medication compliance and symptom management. As a result of this evaluation a number of recommendations to continue and improve the service are provided.
[Mh] Termos MeSH primário: Cuidadores/psicologia
Doença Crônica/psicologia
Cuidados Paliativos/organização & administração
Qualidade de Vida
Cuidados Intermitentes/organização & administração
[Mh] Termos MeSH secundário: Centros-Dia de Assistência à Saúde para Adultos/organização & administração
Centros-Dia de Assistência à Saúde para Adultos/normas
Atitude Frente à Saúde
Doença Crônica/terapia
Hospital Dia
Assistência à Saúde/organização & administração
Assistência à Saúde/normas
Serviços de Saúde do Indígena/organização & administração
Serviços de Saúde do Indígena/normas
Seres Humanos
Northern Territory
Cuidados Paliativos/normas
Cuidados Intermitentes/normas
Saúde da População Rural
Doente Terminal/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160720
[St] Status:MEDLINE
[do] DOI:10.1186/s12904-016-0136-1


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[PMID]:27155968
[Au] Autor:Olsen C; Pedersen I; Bergland A; Enders-Slegers MJ; Ihlebæk C
[Ad] Endereço:Section for Public Health Science, Department of Landscape, Architecture and Spatial Planning, Norwegian University of Life Sciences, Ås, Norway. Electronic address: christine.olsen@nmbu.no.
[Ti] Título:Effect of animal-assisted activity on balance and quality of life in home-dwelling persons with dementia.
[So] Source:Geriatr Nurs;37(4):284-91, 2016 Jul-Aug.
[Is] ISSN:1528-3984
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: Purpose of the study was to examine if animal-assisted activity with a dog (AAA) in home-dwelling persons with dementia (PWDs) attending day-care centers would have an effect on factors related to risk of fall accidents, with balance (Berg balance scale) and quality of life (Quality of Life in Late-stage Dementia) as main outcome. The project was conducted as a prospective and cluster-randomized multicenter trial with a follow-up. 16 adapted day-care centers recruited respectively 42 (intervention group) and 38 (control group with treatment as usual) home-dwelling PWDs. The intervention consisted of 30 min sessions with AAA led by a qualified dog handler twice a week for 12 weeks in groups of 3-7 participants. The significant positive effect on balance indicates that AAA might work as a multifactorial intervention in dementia care and have useful clinical implication by affecting risk of fall. TRIAL REGISTRATIONS: ClinicalTrial.gov; NCT02008630.
[Mh] Termos MeSH primário: Terapia Assistida por Animais/métodos
Demência/terapia
Vida Independente/psicologia
Qualidade de Vida/psicologia
[Mh] Termos MeSH secundário: Centros-Dia de Assistência à Saúde para Adultos
Idoso
Idoso de 80 Anos ou mais
Animais
Depressão/prevenção & controle
Depressão/psicologia
Cães
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160509
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


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[PMID]:27124009
[Ti] Título:QuickStats: Distribution of Long-Term Care Staffing* Hours,(†) by Staff Member Type and Sector - United States, 2014.
[So] Source:MMWR Morb Mortal Wkly Rep;65(16):428, 2016 Apr 29.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In 2014, aides provided more hours of care in the major sectors of long-term care than the other staffing types shown. Aides accounted for 60% of all staffing hours in nursing homes, compared with licensed practical or vocational nurses (21%), registered nurses (13%), activities staff members (5%), and social workers (2%). Aides accounted for 75% of all staffing hours in residential care communities, in contrast to activities staff members (11%), registered nurses (7%), licensed practical or vocational nurses (6%), and social workers (1%). In adult day services centers, aides provided 41% of all staffing hours, followed by activities staff members (32%), registered nurses (12%), licensed practical or vocational nurses (9%), and social workers (6%).
[Mh] Termos MeSH primário: Assistência de Longa Duração/organização & administração
Admissão e Escalonamento de Pessoal/estatística & dados numéricos
[Mh] Termos MeSH secundário: Centros-Dia de Assistência à Saúde para Adultos/organização & administração
Seres Humanos
Auxiliares de Enfermagem/estatística & dados numéricos
Casas de Saúde/organização & administração
Recursos Humanos de Enfermagem/estatística & dados numéricos
Instituições Residenciais/organização & administração
Assistentes Sociais/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160429
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6516a7



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde