Hospice as Experienced by LTC Nurses and Their Perception of Resident Experiences.

Objectives: This study utilized qualitative methods to better understand long-term care (LTC) nursing staff's experience with hospice services and their perceptions of resident choice to utilize hospice services, as well as understand differences LTC nurses have experienced in regards to resident deaths.

Methods: Interpretative Phenomenological Analysis (IPA) was utilized to extract themes and subthemes from 10 interviews that occurred with LTC nursing staff. Content analysis was also utilized to extract one noteworthy concept, which was a comparison of two resident deaths, with and without the utilization of hospice services.

Exploring Staff Clinical Knowledge and Practice with LGBT Residents in Long-Term Care: A Grounded Theory of Cultural Competency and Training Needs.

Objectives: Existing literature shows that LGBT residents are likely to face suboptimal care in LTC facilities due to prejudice and discriminatory policies. The aim of this project was to assess the LGBT cultural competency of staff working in LTC facilities, identify their current training needs, and develop a framework for understanding LGBT cultural competency among LTC staff and providers.

Methods: This grounded theory study comprised data from focus groups of interdisciplinary staff from three LTC facilities.

The "We Care" program for long-term care: providing family members with support following the death of a loved one.

Although bereavement programs in hospice and palliative care settings are known to produce positive outcomes for family members after the death of a loved one, currently there is a clear lack of services offered through long-term care (LTC) facilities, where older adults often reside prior to their death. The purpose of the present article is to present an initial bereavement program called We Care that focused on providing additional support for family members who experience a death of a loved one while in a LTC facility. Goals for the program include: 1) providing ongoing contact with the family for 1 year, and 2) offering a bereavement group.

Staff perceptions of same-gender sexual contacts in long-term care facilities.

An ongoing fear in the gay and lesbian community is that long-term care (LTC) facilities may not be sensitive to their needs. In the present study, 218 LTC staff members responded to one of three vignettes in which resident sexual contact was observed, with only the gender of the characters changing, to create different gender pairings. Results suggested that staff rated male-male and female-female pairings more negatively than heterosexual intimacy.

The underreporting gap in aggressive incidents from geriatric patients against certified nursing assistants.

Staff in the health care industry experience workplace aggression at a much higher rate than the general workforce. However, a large proportion of aggressive incidents go unreported, and the source of many of these incidents is patients. This study investigates aggressive incidents from patients against certified nursing assistants (CNAs; n = 76) in a sample of six geriatric care facilities.