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A Pilot Study Exploring Treatment Burden in a Skilled Nursing Population

Schreiner, Nathanial, PhD, MBA, RN1; Daly, Barbara, PhD, RN, FAAN1

doi: 10.1097/rnj.0000000000000169
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Purpose This study aimed to measure treatment burden in adults diagnosed with multiple chronic conditions transitioning from a skilled nursing facility to home.

Design Prospective, two-time point, cohort design utilizing convenience sampling from one skilled nursing facility in Northeast, Ohio.

Methods Seventy-four men and women participated answering self-report questions measuring treatment burden at two time points: prior to discharge and 30 days after discharge.

Results t-test analysis determined treatment burden was not statistically different between time points (p > .05). Multivariate analysis explained 23% of treatment burden’s variance, with the severity of multiple chronic conditions and the presence of a caregiver predicting treatment burden (p < .05).

Conclusion Findings were contrary to our hypothesis of this population being at risk for high treatment burden.

Clinical Relevance Moderate, fluctuating levels of treatment burden suggest that it is possible to estimate demands of treatment prior to discharge from the skilled nursing facility to better inform discharge planning.

1 Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA

Correspondence: Nathanial Schreiner, Frances Payne Bolton School of Nursing, Case Western Reserve University, 2120 Cornell Rd., Cleveland, OH 44106. E-mail:

Cite this article as: Schreiner, N., & Daly, B. (2018). A pilot study exploring treatment burden in a skilled nursing population. Rehabilitation Nursing, 00(0), 00–00. doi:10.1097/rnj.0000000000000169

© 2019 Association of Rehabilitation Nurses.
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