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Research Studies is a compilation of published research articles funded by 大象APPor authored by 大象APPresearchers.

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1 to 2 of 2 Research Studies Displayed
Temkin-Greener H, Guo W, McGarry B
Serious mental illness in assisted living communities: association with nursing home placement.
The objectives of this retrospective cohort study were to assess prevalence of serious mental illness (SMI) alone and co-occurring with Alzheimer disease and related dementias (ADRD), and to examine association between permanent nursing home (NH) placement and SMI among residents with and without ADRD. Medicare beneficiaries in assisted living were followed to track NH placement. Data was taken from the Medicare Enrollment Database, Beneficiary Summary File, Minimum Data Set, and a national directory of state-licensed assisted living communities. More than half the residents had a diagnosis of SMI. Individuals with schizophrenia and bipolar disorder had significantly lower probability of NH placement. Placement risk was greater for residents with ADRD, increasing for those who also had schizophrenia or bipolar disorder. The authors concluded that these finding suggested that assisted living facilities may not be well prepared to care for residents with schizophrenia or bipolar disorder.
AHRQ-funded; HS026893.
Citation: Temkin-Greener H, Guo W, McGarry B . Serious mental illness in assisted living communities: association with nursing home placement. J Am Med Dir Assoc 2024 May; 25(5):917-22. doi: 10.1016/j.jamda.2024.02.015..
Keywords: Elderly, Behavioral Health, Nursing, Long-Term Care
Huff NR, Chimowitz H, DelPico MA
The consequences of emotionally evocative patient behaviors on emergency nurses' patient assessments and handoffs: an experimental study using simulated patient cases.
The purpose of this experimental vignette research study was to explore the impact of emotionally evocative patient behavior and mental illness on 130 emergency nurses' emotions, patient assessments, testing advocacy, and written handoffs. The researchers asked the nurses to complete four multimedia computer-simulated patient encounters in which patient behavior (irritable vs. calm) and mental illness (present vs. absent) were purposely varied. The nurses recorded their emotions and clinical evaluations, recommended diagnostic tests, and provided written handoffs. The study found that the nurses experienced greater negative emotions (anger, unease) and reported decreased engagement when evaluating patients demonstrating irritable (vs. calm) behavior. Nurses also considered patients with irritable (vs. calm) behavior as more likely to exaggerate their pain and as poorer historians, and as less likely to cooperate, return to work, and recover. Nurses' handoffs were more likely to include negative descriptions of patients with irritable (vs. calm) behavior and exclude specific clinical information. The existence of mental illness increased unease and sadness and lead to nurses being less likely to recommend a needed test for a correct diagnosis.
AHRQ-funded; HS025752.
Citation: Huff NR, Chimowitz H, DelPico MA . The consequences of emotionally evocative patient behaviors on emergency nurses' patient assessments and handoffs: an experimental study using simulated patient cases. Int J Nurs Stud 2023 Jul; 143:104507. doi: 10.1016/j.ijnurstu.2023.104507..
Keywords: Emergency Department, Behavioral Health, Nursing, Workflow

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