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Biomedical subjects

R M Leinbach

Publications and source records attributed to R M Leinbach.

6 recordsLinked to original sources
PubMed1995

Training needs of infection control professionals in long-term care facilities in Virginia.

BACKGROUND: Infection control professionals from area long-term care facilities contacted us and asked for help in securing infection control training. To determine whether there was sufficient statewide need to warrant University activity, we conducted a needs assessment. METHOD: An eight-page questionnaire was mailed to 220 infection control professionals in nursing homes statewide. The instrument focused on training needs and also on training accessibility issues. Ninety-nine completed questionnaires were returned for a 41% response rate. RESULTS: The infection control professionals who responded came from a representative group of long-term care facilities throughout the state. Ninety-three percent indicated that they were "very interested" or "interested" in a series of sessions addressing a wide variety of long-term care infection control topics. Ninety-nine percent of the respondents indicated that it was "extremely important" or "important" for any such training to focus specifically on long-term care facilities. CONCLUSIONS: Considerable need for infection control training was expressed by infection control professionals in Virginia long-term care facilities. Such training must be relevant to long-term care facilities and should meet accessibility requirements.

Attitude of Health Personnel↗
PubMed1988

Differences in need among the rural and urban aged: statistical versus practical significance.

Needs assessment data from two states are analyzed to determine if there are differences between rural and urban older persons. Five different definitions of "rural" are utilized. A test of statistical significance is used to determine if differences exist and a measure of association is used to determine how strong the relationships are between residence and need. It is concluded that, with the exception of one rural definition within one state, there are residential differences in need. However, those differences are so small as to have limited practical significance in the public policy arena.

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PubMedDate not supplied

Self-report of oral health services provided by nurses'aides in nursing homes.

PURPOSE: The purpose of this investigation was to identify the oral healthcare role of nurses' aides in nursing homes. Nurses' aides were asked to report what preventive and referral oral health services they provided, factors that encourage and discourage performance of these services, and their perceived knowledge of oral hygiene care procedures. METHODS: A random sample of 40% (n = 14) of nursing home facilities in southeastern Virginia was selected. A 14-item questionnaire was administered to 121 nurses' aides employed at 11 of these nursing home facilities during April, May, and June of 1991. Frequency and percentages were analyzed for discrete, nominally, and ordinally scaled data. RESULTS: Eleven of the 14 nursing homes selected agreed to participate, representing 32% of the nursing homes in the southeastern region of Virginia. Ninety-eight out of 121 questionnaires were completed and analyzed. Nurses' aides in nursing home facilities typically reported providing preventive oral health services such as mouthrinsing (71%), toothbrushing (63%), and denture cleaning procedures (37%) for nursing home residents. The majority of nurses' aides indicated that patient cooperativeness was a major factor that encouraged (71%) or discouraged (88%) the performance of oral health services. Aides typically reported suspicious and abnormal findings detected in residents' mouths to the nurse in charge of the shift (97 5). The majority of nurses' aides rated their knowledge of mouthrinses for residents with teeth (99%), denture cleaning (99%), toothbrushing (97%), fluoride mouthrinses for residences with teeth (90%), mouth checks for residents with teeth (91%), and flossing (61%) as adequate or excellent. However, a large percentage of nurses' aides rated their knowledge of saliva substitutes (45%) and flossing (39%) as poor. CONCLUSION: This study indicated that nurses' aides generally provide daily oral hygiene services to nursing home residents. Thus, the role of the dental hygienist should be to outline specific educational and curricular guidelines and conduct training programs for nurses' aides and to develop instructional materials to be used in nursing homes. Future dental hygiene graduates must be prepared to meet the needs of oral hygiene education for nurses' aides.

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