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Provider Staffing Effect on a Decision Aid Intervention

Author

Listed:
  • Mary Ersek
  • Justine S. Sefcik
  • Feng-Chang Lin
  • Tae Joon Lee
  • Robin Gilliam
  • Laura C. Hanson

Abstract

This study examined the association between Nurse Practitioner (NP) and Physician Assistant (PA) staffing in nursing homes and the effect of a decision aid regarding feeding options in dementia on the frequency of surrogate-provider discussions and on surrogates’ decisional conflict. We compared these outcomes for facilities that had no NPs/PAs, part-time-only NP/PA staffing, and full-time NP/PA staffing. The sample included 256 surrogate decision makers from 24 nursing homes. The decision aid was associated with significant increases in discussion rates in facilities with part-time or no NP/PA staffing (26% vs. 51%, p

Suggested Citation

  • Mary Ersek & Justine S. Sefcik & Feng-Chang Lin & Tae Joon Lee & Robin Gilliam & Laura C. Hanson, 2014. "Provider Staffing Effect on a Decision Aid Intervention," Clinical Nursing Research, , vol. 23(1), pages 36-53, February.
    • Handle: RePEc:sae:clnure:v:23:y:2014:i:1:p:36-53
    DOI: 10.1177/1054773812470840
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    References listed on IDEAS

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    1. Annette M. O'Connor & Dawn Stacey & Michael J. Barry & Nananda F. Col & Karen B. Eden & Vikki Entwistle & Valerie Fiset & Margaret Holmes-Rovner & Sara Khangura & Hilary Llewellyn-Thomas & David R. Ro, 2007. "Do Patient Decision Aids Meet Effectiveness Criteria of the International Patient Decision Aid Standards Collaboration? A Systematic Review and Meta-analysis," Medical Decision Making, , vol. 27(5), pages 554-574, September.
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