Nursing Homes
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subject area of
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A Clinical Pathway for Treating Pneumonia in the Nursing Home: Part I: The Nursing Perspective Academic Article
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A Clinical Pathway for Treating Pneumonia in the Nursing Home: Part II: The Administrators’ Perspective and How It Differs From Nurses’ Views Academic Article
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A Comparison of Model-Building Strategies for Lower Respiratory Tract Infection in Long-Term Care Academic Article
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A Feasibility Study of a Multifaceted Walking Intervention to Maintain the Functional Mobility, Activities of Daily Living, and Quality of Life of Nursing Home Residents With Dementia Academic Article
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A Higher Proportion of Home Care Recipients Experience Nonhip Fractures Than Long-Term Care Residents Academic Article
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A Randomized Trial of Quality Assurance in Nursing Homes Academic Article
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A Scoping Review of Strategies for the Prevention of Hip Fracture in Elderly Nursing Home Residents Academic Article
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A cost-benefit analysis of peer coaching for overhead lift use in the long-term care sector in Canada Academic Article
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A cross-sectional survey assessing the preparedness of the long-term care sector to respond to the COVID-19 pandemic in Ontario, Canada Academic Article
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A family carer decision support intervention for people with advanced dementia residing in a nursing home: a study protocol for an international advance care planning intervention (mySupport study) Academic Article
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A longitudinal study looking at and beyond care recipient health as a predictor of long term care home admission Academic Article
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A mixed methods study of the work patterns of full-time nurse practitioners in nursing homes Academic Article
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A psychological approach to learning causal networks Academic Article
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A systematic review of the effectiveness of advanced practice nurses in long‐term care Academic Article
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A team-based approach to warfarin management in long term care: A feasibility study of the MEDeINR electronic decision support system Academic Article
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Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial Academic Article
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Accommodation for Elderly Persons in Newly Industrializing Countries: The Hong Kong Experience Academic Article
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Acute care inpatients with long-term delayed-discharge: evidence from a Canadian health region Academic Article
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Air Cystoscopy is Superior to Water Cystoscopy for the Diagnosis of Active Hematuria Academic Article
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An amantadine hydrochloride dosing program adjusted for renal function during an influenza outbreak in elderly institutionalized patients. Academic Article
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An interdisciplinary knowledge translation intervention in long-term care: Study protocol for the vitamin D and osteoporosis study (ViDOS) pilot cluster randomized controlled trial Academic Article
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Antibiotic Use in Long-Term–Care Facilities: Many Unanswered Questions Academic Article
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Antibiotic prescribing and associated diarrhoea: a prospective cohort study of care home residents Academic Article
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Antibody Responses 3-5 Months Post-Vaccination with mRNA-1273 or BNT163b2 in Nursing Home Residents Academic Article
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Antibody Responses to Third-Dose mRNA Vaccines in Nursing Home and Assisted Living Residents Academic Article
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Assessing Satisfaction with Care in Long-Term Care Homes: Current and Best Practices Academic Article
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Assessment of Adherence to Renal Dosing Guidelines in Long-Term Care Facilities Academic Article
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Assessment of Psychotropic Drug Prescribing Among Nursing Home Residents in Ontario, Canada, During the COVID-19 Pandemic Academic Article
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Association Between Dementia Care Programs in Assisted Living Facilities and Transitions to Nursing Homes in Ontario, Canada: A Population-Based Cohort Study Academic Article
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Association Between Nursing Home Crowding and COVID-19 Infection and Mortality in Ontario, Canada Academic Article
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BABEL (Better tArgeting, Better outcomes for frail ELderly patients) advance care planning: a comprehensive approach to advance care planning in nursing homes: a cluster randomised trial Academic Article
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Barriers to Physical Activity and Restorative Care for Residents in Long-Term Care: A Review of the Literature Academic Article
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Barriers to physical activity and restorative care for residents in long-term care: a review of the literature. Academic Article
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COVID-19 excess mortality among long-term care residents in Ontario, Canada Academic Article
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Care home design for people with dementia: What do people with dementia and their family carers value? Academic Article
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Causes of Death after a Hospitalization with AKI Academic Article
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Challenges in Assessing Nursing Home Residents with Advanced Dementia for Suspected Urinary Tract Infections Academic Article
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Challenges in implementing an advance care planning programme in long-term care Academic Article
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Changes in physical functioning in institutionalized older adults Academic Article
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Chronic disease management models in nursing homes: a scoping review Academic Article
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Clinical Comorbidities and Transitions Between Care Settings Among Residents of Assisted Living Facilities: A Repeated Cross-Sectional Study Academic Article
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Clinical Complexity and Use of Antipsychotics and Restraints in Long-Term Care Residents with Parkinson’s Disease Academic Article
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Clinical characteristics associated with the onset of delirium among long-term nursing home residents Academic Article
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Clinical factors associated with recent medical care visits in nursing homes: a multi-site cross-sectional study Academic Article
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Combination of the Probiotics Lacticaseibacillus rhamnosus GG and Bifidobacterium animalis subsp. lactis, BB-12 Has Limited Effect on Biomarkers of Immunity and Inflammation in Older People Resident in Care Homes: Results From the Probiotics to Reduce Infections iN CarE home reSidentS Randomized, Controlled Trial Academic Article
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Comfort Care Rounds: A Staff Capacity-Building Initiative in Long-Term Care Homes Academic Article
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Comorbidity Burden and Health Services Use in Community-Living Older Adults with Diabetes Mellitus: A Retrospective Cohort Study Academic Article
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Competing crises: COVID‐19 countermeasures and social isolation among older adults in long‐term care Academic Article
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Conceptualizing the dynamics of workplace stress: a systems-based study of nursing aides Academic Article
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Condition-Specific Pamphlets to Improve End-of-life Communication in Long-term Care: Staff Perceptions on Usability and Use Academic Article
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Correlates of Opioid Use Among Ontario Long-Term Care Residents and Variation by Pain Frequency and Intensity: A Cross-sectional Analysis Academic Article
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Cost-effectiveness of a nurse practitioner-family physician model of care in a nursing home: controlled before and after study Academic Article
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Could a policy of provision of hip protectors to elderly nursing home residents result in cost savings in acute hip fracture care? The case of Ontario, Canada Academic Article
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Creating Bridges Between Researchers and Long-Term Care Homes to Promote Quality of Life for Residents Academic Article
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DNA methylation patterns are related to co-morbidity status and circulating C-reactive protein levels in the nursing home elderly Academic Article
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Developing country-specific questions about end-of-life care for nursing home residents with advanced dementia using the nominal group technique with family caregivers Academic Article
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Developing evidence-based guidance for assessment of suspected infections in care home residents Academic Article
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Development and validation of the Fracture Risk Scale (FRS) that predicts fracture over a 1-year time period in institutionalised frail older people living in Canada: an electronic record-linked longitudinal cohort study Academic Article
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Development of Minimum Criteria for the Initiation of Antibiotics in Residents of Long-Term–Care Facilities: Results of a Consensus Conference Academic Article
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Diabetes care in rest homes in Christchurch, New Zealand Academic Article
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Diagnostic data for neurological conditions in interRAI assessments in home care, nursing home and mental health care settings: a validity study Academic Article
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Did the Long-Term Care Physician Workforce Change During the Pandemic? Describing MRP Trends in Ontario, Canada Academic Article
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Digoxin prescribing for heart failure in elderly residents of long-term care facilities. Academic Article
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Do Residents Need All Their Medications? A Cross-Sectional Survey of RNs' Views on Deprescribing and the Role of Clinical Pharmacists Academic Article
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Do assisted living facilities that offer a dementia care program differ from those that do not? A population-level cross-sectional study in Ontario, Canada Academic Article
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Dreams that lie in tatters: the changing fortunes of nurses who left the British NHS to own and run residential homes for elderly people Academic Article
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Easing the transition: sSupport for the new graduate nurse in long-term care. Academic Article
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Economic (gross cost) analysis of systematically implementing a programme of advance care planning in three Irish nursing homes Academic Article
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Education in long-term care for family medicine residents: description of an integrated program. Academic Article
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Effect of Probiotic Use on Antibiotic Administration Among Care Home Residents Academic Article
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Effect of a Clinical Pathway to Reduce Hospitalizations in Nursing Home Residents With Pneumonia Academic Article
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Effect of a multifaceted intervention on number of antimicrobial prescriptions for suspected urinary tract infections in residents of nursing homes: cluster randomised controlled trial Academic Article
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Effective Chronic Disease Interventions in Nursing Homes: A Scoping Review Based on the Knowledge-to-Action Framework Academic Article
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Effects of Tongue Strength Training on Mealtime Function in Long-Term Care Academic Article
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Efficiency of Institutional Long Term Care and Annual Demands for Placement Academic Article
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Epidemiology of community- and nursing home-acquired pneumonia in older adults Academic Article
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Estimating the prevalence of renal insufficiency in seniors requiring long-term care Academic Article
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Ethical issues experienced by healthcare workers in nursing homes Academic Article
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Ethical issues in nursing home palliative care: a cross-national survey Academic Article
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Evaluating the Effect of COVID-19 Pandemic Lockdown on Long-Term Care Residents’ Mental Health: A Data-Driven Approach in New Brunswick Academic Article
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Evaluation of Placement and Coordination of Geriatric Services Using a Health Program Evaluation Grid Academic Article
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Evaluations by staff, residents, and community seniors of patronizing speech in the nursing home: Impact of passive, assertive, or humorous responses. Academic Article
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Evaluative perceptions of patronizing speech addressed to elders. Academic Article
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Evidence-Based Clinical Pathways To Manage Urinary Tract Infections in Long-Term Care Facilities: A Qualitative Case Study Describing Administrator and Nursing Staff Views Academic Article
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Examining the “Potentially Preventable Emergency Department Transfer” Indicator Among Nursing Home Residents Academic Article
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Exemplars in Long-Term Care during COVID-19: The Importance of Leadership Academic Article
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Experiences of Informal Caregivers of Older Adults Transitioned From Nursing Homes to the Community Through the Money Follows the Person Demonstration Academic Article
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Exploration of the acceptability and usability of advance care planning tools in long term care homes Academic Article
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Exploring Variation in Rates of Polypharmacy Across Long Term Care Homes Academic Article
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Factors associated with acute care use among nursing home residents dying of cancer: a population-based study Academic Article
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Fall Risk Care Processes in Nursing Home Facilities Academic Article
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Feasibility Study of a Systematic Approach for Discontinuation of Multiple Medications in Older Adults Academic Article
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Food security: Who is being excluded? A case of older people with dementia in long-term care homes Academic Article
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For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths Academic Article
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Frequency of Neglect and Its Effect on Mortality in Long-Term Care before and during the COVID-19 Pandemic Academic Article
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From Cruddiness to Catastrophe: COVID-19 and Long-term Care in Ontario Academic Article
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HEALTH-RELATED QUALITY OF LIFE MEASURE BASED ON THE MINIMUM DATA SET Academic Article
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Heart Failure Management in Nursing Homes: A Scoping Literature Review Academic Article
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Heart Failure–Related Mortality and Hospitalization in the Year Following Admission to a Long-Term Care Facility: The Geriatric Outcomes and Longitudinal Decline in Heart Failure (GOLD-HF) Study Academic Article
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Hip protectors decrease hip fracture risk in elderly nursing home residents: a Bayesian meta-analysis Academic Article
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Identifying Research Priorities in Long Term Care Homes Academic Article
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Identifying educational needs in end-of-life care for staff and families of residents in care facilities Academic Article
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Immune Biomarkers Predictive of Respiratory Viral Infection in Elderly Nursing Home Residents Academic Article
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Immunogenicity of Varicella Vaccine and Immunologic Predictors of Response in a Cohort of Elderly Nursing Home Residents Academic Article
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Immunosenescence and Vaccination in Nursing Home Residents Academic Article
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Immunosenescence in the nursing home elderly Academic Article
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Impact of a Public Policy Restricting Staff Mobility Between Nursing Homes in Ontario, Canada During the COVID-19 Pandemic Academic Article
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Implementation of an interprofessional communication and collaboration intervention to improve care capacity for heart failure management in long-term care Academic Article
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Implementing a Knowledge Translation Intervention in Long-Term Care: Feasibility Results From the Vitamin D and Osteoporosis Study (ViDOS) Academic Article
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Improving Family Presence in Long-Term Care during the COVID-19 Pandemic Academic Article
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Improving Food and Fluid Intake for Older Adults Living in Long-Term Care: A Research Agenda Academic Article
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Inadequate fluid intake in long term care residents: prevalence and determinants Academic Article
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Increasing Influenza Immunization for Long-Term Care Facility Staff Using Quality Improvement Academic Article
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Infection Management and Multidrug-Resistant Organisms in Nursing Home Residents With Advanced Dementia Academic Article
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Influenza Vaccination and Decisional Conflict among Regulated and Unregulated Direct Nursing Care Providers in Long-Term–Care Homes Academic Article
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Inspection Reports: The Canary in the Coal Mine Academic Article
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Interdisciplinary staff perceptions of advance care planning in long-term care homes: a qualitative study Academic Article
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Intermittent antipsychotic medication and mortality in institutionalized older adults: A scoping review Academic Article
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Interobserver Reliability of Radiologists’ Interpretations of Mobile Chest Radiographs for Nursing Home–Acquired Pneumonia Academic Article
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Interventions that support major life transitions in older adulthood: a systematic review Academic Article
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Investigation of a severe SARS-CoV-2 outbreak in a long-term care home early in the pandemic Academic Article
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Knowledge and perceived competence among nurses caring for the dying in long-term care homes Academic Article
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Long-Term Care in the St. John's Region: Impact of Single Entry and Prediction of Bed Need Academic Article
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Low Use of Oral Anticoagulant Prescribing for Secondary Stroke Prevention Academic Article
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Making the Most of Mealtimes (M3): protocol of a multi-centre cross-sectional study of food intake and its determinants in older adults living in long term care homes Academic Article
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Malnutrition and Dysphagia in Long-Term Care: A Systematic Review Academic Article
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Management considerations in the care of elderly heart failure patients in long-term care facilities Academic Article
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Management of heart failure in Canadian long-term care facilities. Academic Article
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Managing Heart Failure in Long-Term Care: Recommendations from an Interprofessional Stakeholder Consultation Academic Article
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Managing Heart Failure in the Long-Term Care Setting Academic Article
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Meaningful connections in dementia end of life care in long term care homes Academic Article
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Measuring the well-being of people with dementia living in formal care settings: The use of Dementia Care Mapping Academic Article
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Medical Care Delivery in U.S. Nursing Homes: Current and Future Practice Academic Article
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Medication management for nurses working in long-term care. Academic Article
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Modification of the Risk of Mortality from Pneumonia with Oral Hygiene Care Academic Article
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Moral Geographies of Restraint in Nursing Homes Academic Article
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Multifaceted intervention to Reduce Antimicrobial Prescribing in Care Homes: a process evaluation of a UK-based non-randomised feasibility study Academic Article
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Namaste care delivered by caregivers of community‐dwelling older adults with moderate to advanced dementia: A mixed methods study protocol Academic Article
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Neighbourhood Team Development to promote resident centred approaches in nursing homes: a protocol for a multi component intervention Academic Article
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Non-hip, non-spine fractures drive healthcare utilization following a fracture: the Global Longitudinal Study of Osteoporosis in Women (GLOW) Academic Article
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Nurses' Perception and Comfort Level with Diabetes Management Practices in Long-Term Care Academic Article
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Nurses' perceptions of and satisfaction with the medication administration system in long-term-care homes. Academic Article
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Nurses’ Perceptions around Providing Palliative Care for Long-Term Care Residents with Dementia Academic Article
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Nursing Home Resident Admission Characteristics and Potentially Preventable Emergency Department Transfers Academic Article
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Nursing Home Residents andEnterobacteriaceaeResistant to Third-Generation Cephalosporins Academic Article
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Nursing home crowding and its association with outbreak-associated respiratory infection in Ontario, Canada before the COVID-19 pandemic (2014–19): a retrospective cohort study Academic Article
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Nursing home-acquired pneumonia: an emergency department treatment algorithm Academic Article
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On the outside looking in: nurses in gerontology: a qualitative descriptive study of the lived experiences of older women with depression living in long-term care. Academic Article
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One Way Out? A Multistate Transition Model of Outcomes After Nursing Home Admission Academic Article
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Optimizing antibiotics in residents of nursing homes: protocol of a randomized trial Academic Article
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Optimizing the role of the nurse practitioner to improve pain management in long-term care. Academic Article
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Osteoporosis Prescribing in Long-Term Care: Impact of a Provincial Knowledge Translation Strategy Academic Article
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PILOTING A RENAL DRUG ALERT SYSTEM FOR PRESCRIBING TO RESIDENTS IN LONG-TERM CARE Academic Article
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Pain prevalence and pain treatments for residents in oregon nursing homes Academic Article
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Palliative Care Models in Long-Term Care: A Scoping Review Academic Article
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Patronizing the Old: How Do Younger and Older Adults Respond to Baby Talk in the Nursing Home? Academic Article
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Performance Improvement in the Long-Term–Care Setting Building on the Foundation of Infection Control Academic Article
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Physician Practice in Ontario Nursing Homes: Defining Physician Commitment Academic Article
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Physician Views on the Resident Assessment Instrument for Home Care Information Exchange Academic Article
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Pneumococcal Immunization in Older Adults: Implications for the Long-Term–Care Setting Academic Article
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Pneumonia and Lower Respiratory Infections in Nursing Home Residents: Predictors of Hospitalization and Mortality Academic Article
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Pneumonia care and the nursing home: a qualitative descriptive study of resident and family member perspectives Academic Article
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Pneumonia in Nursing Homes and Long-Term Care Facilities Academic Article
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Pneumonia in the elderly Academic Article
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Policy issues in the private health sector: Examples from long-term care in the U.K. Academic Article
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Positioning Clinical Nurse Specialists and Nurse Practitioners as Change Champions to Implement a Pain Protocol in Long-Term Care Academic Article
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Predicting Future Health Transitions Among Newly Admitted Nursing Home Residents With Heart Failure Academic Article
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Prevalence and Determinants of Poor Food Intake of Residents Living in Long-Term Care Academic Article
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Prevalence and Risk Factors of Breathlessness Across Canada: A National Retrospective Cohort Study in Home Care and Nursing Home Populations Academic Article
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Prevalence and predictors of influenza vaccination in long-term care homes: a cross-national retrospective observational study Academic Article
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Prevalence and treatment of pain in older adults in nursing homes and other long-term care institutions: a systematic review. Academic Article
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Preventing venous thromboembolism in long-term care residents: Cautious advice based on limited data Academic Article
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Probiotics for Antibiotic-Associated Diarrhoea (PAAD): a prospective observational study of antibiotic-associated diarrhoea (including Clostridium difficile-associated diarrhoea) in care homes Academic Article
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Probiotics to Prevent Respiratory Infections in Nursing Homes: A Pilot Randomized Controlled Trial Academic Article
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Problems With Advance Care Planning Processes and Practices in Nursing Homes Academic Article
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Promoting uptake of influenza vaccination among health care workers: a randomized controlled trial Academic Article
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Provisional Educational Needs of Health Care Providers in Palliative Care in Three Nursing Homes in Ontario Academic Article
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Qualitative analysis of a virtual research meeting summarises expert-based strategies to promote hydration in residential care during COVID-19 and beyond Academic Article
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Quality and methods of developing practice guidelines Academic Article
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Quality of Care for Residents Dying in Ontario Long-Term Care Facilities: Findings from a Survey of Directors of Care Academic Article
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Quality of anticoagulation and use of warfarin-interacting medications in long-term care: A chart review Academic Article
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Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis Academic Article
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Quasi-experimental evaluation of a multifaceted intervention to improve quality of end-of-life care and quality of dying for patients with advanced dementia in long-term care institutions Academic Article
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Raising the Bar for Physicians Practicing in Nursing Homes: The Path to Sustainable Improvement Academic Article
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Rates of health services use among residents of retirement homes in Ontario: a population-based cohort study Academic Article
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Relations between Immigrant Care Workers and Older Persons in Home and Long-Term Care Academic Article
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Relationships between work outcomes, work attitudes and work environments of health support workers in Ontario long-term care and home and community care settings Academic Article
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Reliability of a Standardized Mini-Mental State Examination compared with the traditional Mini-Mental State Examination Academic Article
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Reliability of nonlocalizing signs and symptoms as indicators of the presence of infection in nursing-home residents Academic Article
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Renal impairment and medication use among psychogeriatric inpatients. Academic Article
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Risk Factors for Pneumonia and Other Lower Respiratory Tract Infections in Elderly Residents of Long-term Care Facilities Academic Article
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Risk Factors for Resistance to Antimicrobial Agents among Nursing Home Residents Academic Article
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Risk factors for outbreaks of SARS-CoV-2 infection at retirement homes in Ontario, Canada: a population-level cohort study Academic Article
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Role of the nurse practitioner in providing palliative care in long-term care homes Academic Article
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Sequence of Functional Loss and Recovery in Nursing Homes Academic Article
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Serum C-Reactive Protein and Congestive Heart Failure as Significant Predictors of Herpes Zoster Vaccine Response in Elderly Nursing Home Residents Academic Article
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Setting up a clinical trial in care homes: challenges encountered and recommendations for future research practice Academic Article
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Setting up a mobile dental practice within your present office structure. Academic Article
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Stakeholder Opinions on a Transformational Model of Pain Management in Long-term Care Academic Article
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Successful knowledge translation intervention in long-term care: final results from the vitamin D and osteoporosis study (ViDOS) pilot cluster randomized controlled trial Academic Article
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Surveillance for outbreaks of respiratory tract infections in nursing homes. Academic Article
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Systematic Implementation of an Advance Directive Program in Nursing Homes Academic Article
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The Association Between Nursing Home Resident Characteristics and Transfers to the Emergency Department: A Population-Level Retrospective Cohort Study Thesis
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The Last Word: Family Members’ Descriptions of End-of-Life Care in Long-Term Care Facilities Academic Article
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The Use of Color in the Environment of the Elderly to Enhance Function Academic Article
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The Use of Goal Attainment Scaling in a Geriatric Care Setting Academic Article
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The Use of Hip Protectors in Long-Term Care Facilities: A Survey of Nursing Home Staff Academic Article
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The Use of Mobility Devices Among Institutionalized Older Adults Academic Article
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The association between alcohol use and long-term care placement among older Canadians: A 14-year population-based study Academic Article
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The associations between staffing hours and quality of care indicators in long-term care Academic Article
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The determinants of home and nursing home death: a systematic review and meta-analysis Academic Article
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The effects of a Namaste care program on quality of life: A pilot study in Iranian women with late-stage Alzheimer's disease Academic Article
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The effects of acute care hospitalization on health and cost trajectories for nursing home residents: A matched cohort study Academic Article
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The ethics of mandatory vaccination against influenza for health care workers Academic Article
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The frequency of interleukin-1β-producing monocytes is significantly associated with varicella-zoster responses of nursing home residents Academic Article
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The impact of the mySupport advance care planning intervention on family caregivers’ perceptions of decision-making and care for nursing home residents with dementia: pretest–posttest study in six countries Academic Article
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The need for holistic management of behavioral disturbances in dementia Academic Article
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The relationship between caregivers’ perceptions of end-of-life care in long-term care and a good resident death Academic Article
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The role of unregulated care providers in managing heart failure patients in long‐term care facilities Academic Article
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The social organization of a sedentary life for residents in long-term care Academic Article
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The teaching nursing home: development of a Canadian model. Academic Article
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Two Nursing Home Outbreaks of Respiratory Infection withLegionella sainthelensi Academic Article
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T‐Cell Phenotypes Predictive of Frailty and Mortality in Elderly Nursing Home Residents Academic Article
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Understanding Critical Barriers to Implementing a Clinical Information System in a Nursing Home Through the Lens of a Socio-Technical Perspective Academic Article
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Use of Oseltamivir During Influenza Outbreaks in Ontario Nursing Homes, 1999â2000 Academic Article
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Use of physical restraints and their relationship to medication use in patients in four different institutional settings. Academic Article
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Use of the interRAI CHESS Scale to Predict Mortality among Persons with Neurological Conditions in Three Care Settings Academic Article
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Using a self-directed workbook to support advance care planning with long term care home residents Academic Article
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Using focus groups to explore caregiver transitions and needs after placement of family members living with dementia in 24-hour care homes Academic Article
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Variation in Mortality Rates Among Long-Term Care Facilities for Residents With Lower Respiratory Tract Infection Academic Article
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Virtual Reality Experience Intervention May Reduce Responsive Behaviors in Nursing Home Residents with Dementia: A Case Series Academic Article
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What Are Staff Perceptions About Their Current Use of Emergency Departments for Long-Term Care Residents at End of Life? Academic Article
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What Should a Case-Finding Tool for Dysphagia in Long Term Care Residents With Dementia Look Like? Academic Article
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What are the differences among occupational groups related to their palliative care-specific educational needs and intensity of interprofessional collaboration in long-term care homes? Academic Article
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Zanamivir Use During Transmission of Amantadine-Resistant Influenza A in a Nursing Home Conference Paper
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eLearning, Knowledge Brokering, and Nursing Academic Article
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‘Airplanes are flying nursing homes’: geographies in the concepts and locales of gerontological nursing practice Academic Article