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Natural forces are likely to sustain global dispersal of organisms as small and abundant as bacteria [115], but the increased mobility of humans and the simultaneous worldwide increase of high care facilities is likely to have accelerated the dispersal of these MDR epidemic strains.
The facilities included one low care facility, six high care facilities, and eight mixed "ageing in place" facilities with 44 100 beds.
It is also predicted that staff from high care facilities will have greater awareness and knowledge than those from low care and community care facilities because of their greater exposure to care recipients with multiple physical health issues.
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Predictors of knowledge were: higher age, higher educational status and working in a high care facility.
The main predictors of knowledge of the mental/physical health link were higher age, higher educational status and working in a high care facility.
Similarly, higher educational status and being exposed to those with higher care needs (working in a high care facility) were related to increased knowledge of the depression/physical health link as predicted.
Because the models with OPAL data found that no high-level care facilities had high admission rates, all high-level care facilities were excluded from facility selection.
The concept of selecting only high-use facilities, once the number had been reduced by removing high-level care facilities, and some declined to participate, meant that to recruit 36 facilities, 12 in each DHB region, some mid-ranked facilities had to be recruited.
The incidence of emergency calls made after instructions from a custodian or supervisor was high in facilities where the call was placed by a member of staff; it was highest in care facilities and lowest in public facilities other than educational institutions.
In the present study, univariate analysis revealed that the incidence of prior disability was higher in care facilities than in other public facilities.
It has also been reported that the incidence of bystander CPR is higher in care facilities than in other public facilities [17].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com