Racial Disparities in Care Interactions and Clinical Outcomes in Black Versus White Nursing Home Residents With Dementia.
| Autor: | Resnick B; University of Maryland School of Nursing, Baltimore (Drs Resnick and Galik and Ms Ellis); and Pennsylvania State University, University Park (Drs Haitsma, Kolanowski, Boltz, and Behrens and Ms Eshraghi)., Van Haitsma K, Kolanowski A, Galik E, Boltz M, Ellis J, Behrens L, Eshraghi K |
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| Jazyk: | angličtina |
| Zdroj: | Journal of nursing care quality [J Nurs Care Qual] 2022 Jul-Sep 01; Vol. 37 (3), pp. 282-288. Date of Electronic Publication: 2021 Nov 12. |
| DOI: | 10.1097/NCQ.0000000000000606 |
| Abstrakt: | Background: With the increase in Black nursing home residents, racial and ethnic disparities in quality of care have been raised. Purpose: The purpose of this study was to evaluate racial disparities in care and outcomes over 12 months. Methods: This was a secondary data analysis using data from the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia study. A total of 553 residents, 24% Black residents and 76% White residents, from 55 nursing homes were included. Results: Differences favoring Black resident were noted in agitation, quality of life, inclusion of person-centered care approaches in care plans, and fewer falls and hospitalizations. Differences in quality-of-care interactions favored White residents. There were no differences in depression, resistiveness to care, function, pain, or transfers to the emergency department. Conclusions: Disparities in clinical outcomes were small and generally favored Black versus White residents except for quality-of-care interactions. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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