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Regulation and Mindful Resident Care in Nursing Homes
Colón-Emeric, Cathleen S.
Qualitative health research
Regulatory oversight is intended to improve the health outcomes of nursing home residents, yet evidence suggests that regulations can inhibit mindful staff behaviors that are associated with effective care. We explored the influence of regulations on mindful staff behavior as it relates to resident health outcomes, and offer a theoretical explanation of why regulations sometimes enhance mindfulness and other times inhibit it. We analyzed data from an in-depth, multiple case study including field notes, interviews, and documents collected in 8 nursing homes. We completed a conceptual/thematic description using the concept of mindfulness to reframe the observations. Shared facility mission strongly impacted staff perceptions of the purpose and utility of regulations. In facilities with a resident-centered culture, regulations increased mindful behavior, whereas in facilities with a cost-focused culture, regulations reduced mindful care practices. When managers emphasized the punitive aspects of regulation we observed a decrease in mindful practices in all facilities.
case studies; nursing homes; nursing; administration; nursing homes; older people
Nutrition and the Cancer Survivor: Evidence to Guide Oncology Nursing Practice
Seminars in oncology nursing
To conduct a systematic review of scientific reports related to diet and cancer survivorship that have been published since the 2006 American Cancer Society’s Guide for Informed Choices on Nutrition and Physical Activity During and After Cancer Treatment and to integrate these findings into a consistent message that can be delivered by nurses in hopes of improving the health and well-being of cancer survivors.
Cancer survivors represent a growing population at high risk for recurrence and other co-morbidities. Evidence continues to accumulate regarding the importance of weight management, and a healthful diet (plant-based, low saturated fat) in improving the overall health and promoting disease-free and overall survival in this population
Implications for Nursing Practice
Cancer survivors are eager for nutrition information and nurses are well-positioned to guide them regarding the importance of weight management and healthy food choices.
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