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Journal of Gerontological Nursing

Güneş Koru, Dari Alhuwail, Onimi Jademi, Uchenna Uchidiuno, Robert J Rosati
Achieving better fall risk management is an integral component of quality home care. The current qualitative study uncovers the challenges and opportunities of home health agencies (HHAs) in achieving better fall risk management. A secondary document analysis was adopted to learn from rich contextual information in fall incident reports recorded in a HHA. Poor engagement of patients and caregivers was a contributing factor in many fall incidents. Patients often fell as a result of not understanding or accepting their physical limitations...
April 19, 2018: Journal of Gerontological Nursing
Mary M Murphy
Identifying older adults with heart failure at risk for hospital readmission is challenging, and risk prediction models may be improved with inclusion of telehealth factors. In the current study, demographic, clinical, telehealth, and use data for emergency department (ED) presentations, hospitalizations, and length of stay (LOS) were collected from the records of 187 Veterans with heart failure participating in a 90-day Care Coordination Home Telehealth program between September 2007 and September 2013. Heart failure-related ED visits were 17...
March 29, 2018: Journal of Gerontological Nursing
Kalisha Bonds, Karen S Lyons
Dementia is a predominant problem in older adults, affecting African American individuals at higher rates than other ethnic groups; yet, African American older adults use fewer formal services. To identify factors influencing formal service use by African American individuals with dementia and their caregivers, an integrative review of the literature was performed using four databases from 1990 to July 2017. Fourteen articles (nine quantitative, five qualitative) describing formal service use were included in the review...
June 1, 2018: Journal of Gerontological Nursing
Meihua Ji, Susan M Sereika, Jeffrey M Rohay, Judith A Erlen
Limited research exists assessing problem-solving capabilities among caregivers of individuals with memory loss using a validated instrument. To address this gap, the current study evaluated the psychometric properties of the Problem Solving Inventory (PSI) using data at baseline and 8 weeks from a randomized controlled trial among caregivers (N = 78) of community-dwelling individuals with memory loss. Participants were mainly White (85.9%), female (71.8%), and on average age 66.5. Cronbach's alphas ranged from 0...
June 1, 2018: Journal of Gerontological Nursing
(no author information available yet)
No abstract text is available yet for this article.
June 1, 2018: Journal of Gerontological Nursing
Jing Wang
No abstract text is available yet for this article.
June 1, 2018: Journal of Gerontological Nursing
Jeanne A Teresi, Mildred Ramírez, Terry Fulmer, Julie Ellis, Stephanie Silver, Jian Kong, Joseph P Eimicke, Gabriel Boratgis, Rhoda Meador, Mark S Lachs, Karl Pillemer
Resident-to-resident elder mistreatment (R-REM) occurs frequently in long-term services and support settings. The purpose of the current study was to evaluate the effect of a R-REM training program for nursing and other frontline staff on resident falls and injuries in a cluster randomized trial of units within four nursing homes. Interview and observational data from a sample of 1,201 residents (n = 600 and n = 601 in the usual care and intervention groups, respectively) and staff were collected at baseline and 6 and 12 months...
June 1, 2018: Journal of Gerontological Nursing
Wendy L Mohlman, Kara Dassel, Katherine P Supiano, Michael Caserta
In previous work, the current researchers examined attitudes and experiences of certified nursing assistants (CNAs) providing end-of-life (EOL) care in an assisted living facility (ALF). Results showed that 70% of participating CNAs felt unprepared to provide EOL care, largely due to not having received prior EOL care education within their schools or workplaces. Therefore, the goal of the current study was to implement and evaluate EOL and postmortem education to ALF CNAs. A focus group of 14 CNAs within an ALF was provided EOL education pertaining to the physiological and psychological changes observed in patients nearing EOL and postmortem care...
June 1, 2018: Journal of Gerontological Nursing
Elena O Siegel, Kristen Bettega, Debra Bakerjian, Suzanne Sikma
Nursing homes use team nursing, with minimal RN presence, leaving the majority of direct care to licensed practical/vocational nurses (LPNs/LVNs) and unlicensed assistive personnel (UAP), including medication aides. The current article describes challenges faced by nursing home directors of nursing (DONs) leading and managing a team nursing approach, including consideration of scope of practice, delegation and supervision regulations, and related policy implications. A secondary data analysis was performed of qualitative data from a study to develop and test DON guidelines for delegation in nursing home practice...
June 1, 2018: Journal of Gerontological Nursing
Debra Saliba
No abstract text is available yet for this article.
May 1, 2018: Journal of Gerontological Nursing
Cindy Jones, Wendy Moyle
No abstract text is available yet for this article.
May 1, 2018: Journal of Gerontological Nursing
Kathleen H Dever
Nurse managers (NMs) in long-term care supervise health care services for individuals with high acuity levels and numerous comorbidities. There is minimal research identifying NMs' skills and competencies as unit leaders within the long-term care environment. The current mixed-methods study identified NMs' leadership skills and competencies. Nineteen NMs with ≥5 years' long-term care management experience completed the Nurse Manager Inventory Tool and were individually interviewed. They rated their clinical skills at the competent level and their financial/strategic management skills at the novice level...
May 1, 2018: Journal of Gerontological Nursing
Jason W Stull, Cydney C Hoffman, Timothy Landers
Pets are encountered in nursing homes and although they provide health benefits to individuals, they are also a source of health risks. The current study aimed to determine the frequency and types of animals in nursing homes, perceived benefits, and content of policies addressing health risks. Ninety-five administrators from unique nursing homes in Ohio completed an online survey addressing perceived benefits and risks of animals and policies in place. Animals were permitted in 99% of nursing homes, with dogs (95%), cats (85%), birds (71%), fish (55%), and farm animals (40%) most frequently reported...
May 1, 2018: Journal of Gerontological Nursing
Donna M Fick, Sharon K Inouye, Caroline McDermott, Wenxiao Zhou, Long Ngo, Jackie Gallagher, Jane McDowell, Janice Penrod, Jonathan Siuta, Thomas Covaleski, Edward R Marcantonio
The feasibility and acceptability of a two-step screening protocol for delirium identification was pilot tested. Step 1, a screening tool, comprises two items: "Please tell me the day of the week," and "Please tell me the months of the year backwards starting with December." If either/both items are incorrect, Step 2, a 3-minute diagnostic assessment, follows. Trained researchers enrolled 24 hospitalized older adults and identified 22% to be delirious after a reference standard assessment...
May 1, 2018: Journal of Gerontological Nursing
Munira Wells, Connie Kartoz
Extended healthy life spans are a relatively recent phenomenon that increase the amount of time families spend with older adults in non-caregiving roles. As the emphasis of health care moves to population health and health prevention, nurses caring for older adults must be knowledgeable about this family life stage. To learn more about the lived experience of non-caregiving adult children, 16 non-caregiving adult children were interviewed. The purpose of the current article is to share what needs non-caregiving adult children have from the health care system as they obtain care for themselves and accompany their parent for health care visits...
May 1, 2018: Journal of Gerontological Nursing
Mary S Beck, Mindy Doscher
The current study described RN and patient care technician (PCT) communication in centralized and hybrid decentralized workstation designs using hands-free communication technology and infrared locator badge technology to facilitate communication. New construction of an oncology unit provided the opportunity to compare staff communication in two different workstation designs. Observations and questionnaires compared nurse and PCT communication in the two-unit designs. Descriptive statistics were used to analyze the differences...
April 1, 2018: Journal of Gerontological Nursing
Lisa Huang, Jazmin Turner, Nicole J Brandt
The older adult population continues to steadily increase. Largely attributed to longer life spans and aging of the Baby Boomer generation, continued growth of this population is expected to affect a multitude of challenging public health concerns. Specifically, falls in older adults are prevalent but overlooked concerns. Health care providers are well-positioned to provide valuable interventions in this aspect. An interdisciplinary, team-based approach of health care providers is required to maximize falls prevention through patient-centered and collaborative care...
April 1, 2018: Journal of Gerontological Nursing
Nikki Eller, Basia Belza
No abstract text is available yet for this article.
April 1, 2018: Journal of Gerontological Nursing
Elizabeth Halifax, Christine Miaskowski, Margaret Wallhagen
Pain is a significant problem for nursing home residents, yet its assessment is complex. Certified nursing assistants (CNAs) spend significant time with residents, but their role in understanding residents' pain is largely unexplored. The current qualitative grounded theory study analyzed interviews with 16 CNAs who described their experiences caring for residents in pain. Findings revealed how CNAs understood, recognized, interpreted, and responded to residents' pain. CNAs were found to differentiate between pain that they considered normal (everyday pain) and new pain judged significant enough to report to licensed nurses...
April 1, 2018: Journal of Gerontological Nursing
Ying-Ling Jao, Jacqueline Mogle, Kristine Williams, Caroline McDermott, Liza Behrens
Apathy is prevalent in individuals with dementia. Lack of responsiveness to environmental stimulation is a key characteristic of apathy. The Person-Environment Apathy Rating (PEAR) scale consists of environment and apathy subscales, which allow for examination of environmental impact on apathy. The interrater reliability of the PEAR scale was examined via real-time observation. The current study included 45 observations of 15 long-term care residents with dementia. Each participant was observed at three time points for 10 minutes each...
April 1, 2018: Journal of Gerontological Nursing
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