Journal article
Can a Nursing Home Psychotropic Reduction Project be Successfully Implemented in Assisted Living?
Journal of applied gerontology, Vol.40(9), pp.1071-1079
09/01/2021
DOI: 10.1177/0733464820948328
PMID: 32772612
Abstract
The objective of this study was to compare implementation of a psychotropic medication reduction project across two types of residential long-term care settings: nursing homes (NH) and assisted living (AL) facilities. Fifteen NHs and 14 AL facilities from within a single corporate chain participated in the psychotropic medication reduction project. Using a comparative case study approach, we conducted in-person and telephone interviews with 62 staff members from participating NH and AL facilities to investigate the experience of project implementation. Project implementation within the more institutional NH model produced dramatic changes in residents' lives and medication use. Conversely, changes made in the AL environment appeared to have less impact on resident medication use and resident-centric narratives, and AL staff identified numerous barriers to implementation. Identifying methods to monitor processes and outcomes of care without increasing the regulatory burden of AL facilities may increase transferability of quality improvement efforts across settings.
Details
- Title: Subtitle
- Can a Nursing Home Psychotropic Reduction Project be Successfully Implemented in Assisted Living?
- Creators
- Kathleen Abrahamson - Purdue University West LafayetteHeather Davila - VA Boston Healthcare SystemLaura Kirk - University of MinnesotaGerman Alarcon Garavito - Purdue University West LafayetteChristine Mueller - University of Minnesota
- Resource Type
- Journal article
- Publication Details
- Journal of applied gerontology, Vol.40(9), pp.1071-1079
- Publisher
- Sage
- DOI
- 10.1177/0733464820948328
- PMID
- 32772612
- ISSN
- 0733-4648
- eISSN
- 1552-4523
- Number of pages
- 9
- Grant note
- Minnesota Department of Human Services 5R18HS018464 / Agency for Healthcare Research and Quality; United States Department of Health & Human Services; Agency for Healthcare Research & Quality
- Language
- English
- Date published
- 09/01/2021
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984359561702771
Metrics
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