Theses and Dissertations at Montana State University (MSU)
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Item Improving communication and patient outcomes with SBAR at a skilled nursing facility: a quality improvement project(Montana State University - Bozeman, College of Nursing, 2023) Westphal, Mackenzie Sue; Chairperson, Graduate Committee: Margaret HammerslaBackground: Improving patient outcomes depends on high-quality communication among healthcare providers. The aim of this project is to improve communication between geriatric providers and a skilled nursing facility during after-hour phone calls. Local Problem: Geriatric providers expressed concerns about inadequate communication during after-hours phone calls from a Medicare-Medicaid-certified skilled nursing facility. Methods: This quality improvement project utilized the Plan-Do-Study-Act method to create sustainable change. Communication was quantified by establishing 11 key elements of SBAR created based on the Agency for Healthcare Quality and Research TeamSTEPPS curriculum and provider preferences. A needs assessment was conducted to determine baseline data and identify gaps in communication. Phone audits and surveys were used to collect data. Interventions: The Agency for Healthcare Quality and Research's TeamSTEPPS curriculum provided the foundation to create a facility specific SBAR training for staff. The inperson training included a presentation, sample SBAR reports, and resources to reference. Results: The SBAR training at the skilled nursing facility resulted in 10% increase in average SBAR components reported to providers. There was an increase in SBAR elements reported in the Situation, Assessment, and Recommendation categories. There was not a significant change in provider satisfaction, staff satisfaction, or staff confidence. Several residents were unnecessarily transferred to the hospital and received interventions that could have been performed at the facility. Conclusions: SBAR can improve communication between geriatric providers and nursing staff during after-hour calls. Improving communication in skilled nursing facilities is vital to quality patient outcomes and reducing preventable hospitalizations.Item A descriptive study of an aged population over ninety in nursing homes in Montana(Montana State University - Bozeman, College of Professional Schools, 1971) Jourdonais, LaVerne WallaceItem Relationships of personal control to health and well-being among nursing home residents(Montana State University - Bozeman, College of Nursing, 1996) Waldron, Jocelynn RobertaItem Perceptions, thoughts, and feelings of rural nursing home residents associated with relocation to a nursing home(Montana State University - Bozeman, College of Nursing, 1994) Daniels, Bonnie SueItem Caregiving behaviors of families who place an elderly relative in a nursing home(Montana State University - Bozeman, College of Nursing, 2002) Walton, Cynthia JoyItem The social and emotional needs of the geriatric patient in a nursing home(Montana State University - Bozeman, College of Nursing, 1976) Ward, Karen TeresaItem Knowledge of late-life depression among staff in long-term care facilities(Montana State University - Bozeman, College of Nursing, 2005) Pullen, Julie Marie; Chairperson, Graduate Committee: Vonna BranamIn summary, the graying of America is anticipated to dramatically increase the incidence and prevalence of depression in this country. This is due, in part, to the burgeoning aging population of baby-boomers. Baby-boomers are predicted to experience depression at higher rates than prior generations. More beds in long-term care facilities will be required to meet the demands of increased numbers of elders who will need nursing care at some point during their older years. Many of these patients will be admitted for depression, and many others will be depressed upon their relocation to the residential setting. Long-term care staff will need satisfactory knowledge of late-life depression in order to accurately assess and treat their elder patients. Therefore, the purpose of this study is to assess knowledge of depression among staff in long-term care facilities.