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The Gerontologist 1993 33(5):667-674; doi:10.1093/geront/33.5.667
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© 1993 The Gerontological Society of America

A Primary Care Nursing Model in Long-Term Care Facilities: Evaluation of Impact on Affect, Behavior, and Socialization1

Jeanne Teresi, EdD, PhD2, Douglas Holmes, PhD3, Esther Benenson, RN, EdD, Executive Director4, Charlene Monaco, BA5, Virginia Barrett, RN, DPH6, Mildred Ramirez, PhD5 and Mary Jane Koren, MD7

2 Hebrew Home for the Aged at Riverdale; Columbia University Center for Geriatrics and Gerontology; New York State Department of Mental Health and Community Research Applications
3 Hebrew Home for the Aged at Riverdale; Community Research Applications
4 Flushing Manor Nursing Home
5 Hebrew Home for the Aged at Riverdale
6 Hebrew Home for the Aged at Riverdale and Columbia University School of Nursing
7 New York University, Wagner Graduate School of Public Health


  Abstract

A primary care model of delivery of nursing aide care was implemented and evaluated in one small, rural nursing home and one large, urban facility. Experimental unit residents received primary care consisting of permanent assignment of nursing aide, a team approach and enhanced communication. The urban experimental residents improved significantly in behavior and affect as measured across several sources, while the comparison group declined or remained the same. Significant improvements in behavior and social activities were observed among the experimental rural nursing home residents as contrasted with the comparison group after implementation of primary care nursing. It was concluded that primary care nursing as applied to nursing attendants in long-term care is beneficial to residents in terms of decreasing disturbed behavior and improved affect.

Keywords: Primary care nursing, Nursing attendant, Long-term care, Behavior, Affect

1 This study was funded by the New York State Department of Health, Bureau of Long-Term Care


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