journal
MENU ▼
Read by QxMD icon Read
search

Journal of Gerontological Nursing

journal
https://www.readbyqxmd.com/read/29596711/through-the-eyes-of-nurse-managers-in-long-term-care-identifying-perceived-competencies-and-skills
#1
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...
March 29, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29596710/telehealth-factors-for-predicting-hospital-length-of-stay
#2
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
https://www.readbyqxmd.com/read/29596709/leadership-in-nursing-homes-directors-of-nursing-aligning-practice-with-regulations
#3
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...
March 29, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29596708/health-benefits-and-risks-of-pets-in-nursing-homes-a-survey-of-facilities-in-ohio
#4
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...
March 29, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29596707/pilot-study-of-a-two-step-delirium-detection-protocol-administered-by-certified-nursing-assistants-physicians-and-registered-nurses
#5
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...
March 29, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29437185/certified-nursing-assistants-understanding-of-nursing-home-residents-pain
#6
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...
February 13, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29437184/real-time-observation-of-apathy-in-long-term-care-residents-with-dementia-reliability-of-the-person-environment-apathy-rating-scale
#7
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...
February 13, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29437183/ask-the-right-questions-what-do-non-caregiving-adult-children-need-from-health-care-providers
#8
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...
February 13, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29437182/videoconferencing-for-management-of-heart-failure-an-integrative-review
#9
Karen Bauce, Deborah B Fahs, Janene Batten, Robin Whittemore
Heart failure (HF) is a chronic disease associated with poor prognosis, poor quality of life (QOL), and high medical costs among older adults. Monitoring symptoms, interpreting symptoms, and decision making are self-care skills required for effective HF management. Telemonitoring (TM) is increasingly used to reduce incidence of symptom exacerbation leading to rehospitalization. An integrative review was performed to describe the efficacy of TM interventions that include videoconferencing (VC) on the HF outcomes of hospital service s use, self-care, and QOL...
February 13, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29617035/effects-of-patient-care-unit-design-and-technology-on-nurse-and-patient-care-technician-communication
#10
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
https://www.readbyqxmd.com/read/29617034/interdisciplinary-collaboration-in-medication-related-falls-prevention-in-older-adults
#11
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
https://www.readbyqxmd.com/read/29617031/addressing-alzheimer-s-disease-in-asian-american-and-pacific-islander-older-adults-an-action-guide-for-service-providers
#12
EDITORIAL
Nikki Eller, Basia Belza
No abstract text is available yet for this article.
April 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29355879/influence-of-teamwork-on-health-care-workers-perceptions-about-care-delivery-and-job-satisfaction
#13
Sherry Dahlke, Sarah Stahlke, Robin Coatsworth-Puspoky
The aim of the current study was to examine the nature of teamwork in care facilities and its impact on the effectiveness of care delivery to older adults and job satisfaction among health care workers. A focused ethnography was conducted at two care facilities where older adults reside. Analysis of interviews with 22 participants revealed perceptions of teamwork and understandings about facilitators of and barriers to effective teamwork. Participants indicated that team relationships impacted care provided and job satisfaction...
April 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29470587/new-geriatrics-legislation-promises-a-better-present-and-future-for-us-all-as-we-age
#14
Debra Saliba
No abstract text is available yet for this article.
March 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29470586/implications-of-the-care-act-for-latino-caregivers
#15
Billy A Caceres, Adriana Perez
The Caregiver Advise, Record, Enable (CARE) Act has the potential to make a positive impact in the lives of Latino older adults and their caregivers. As Latino individuals are the fastest growing older adult population, the number of Latino families and caregivers is also expected to grow, particularly among those providing care for someone with Alzheimer's disease or other dementias. Caregiving has been considered a culturally embedded value among Latino individuals. Although few studies have focused on caregiving in this population, those that exist suggest that Latino caregivers struggle to find bilingual and bicultural support and information and show higher levels of distress and health disparities...
March 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29470583/virtual-reality-check-are-you-ready
#16
EDITORIAL
Nathan Dreesmann
No abstract text is available yet for this article.
March 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29355877/emergency-department-use-by-community-dwelling-individuals-with-dementia-in-the-united-states-an-integrative-review
#17
Lauren J Hunt, Lorinda A Coombs, Caroline E Stephens
As part of the National Plan to Address Alzheimer's Disease, reducing potentially avoidable emergency department (ED) use by individuals with dementia has been identified as a component of enhancing the quality and efficiency of care for this population. To help inform the development of interventions to achieve this goal, an integrative review was conducted to: (a) compare rates and reasons for ED visits by community-dwelling individuals with and without dementia, considering also the effect of dementia subtype and severity; and (b) identify other risk factors for increased ED use among community-dwelling individuals with dementia...
March 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29378075/evidence-based-practice-guideline-delirium
#18
Patricia Finch Guthrie, Shelley Rayborn, Howard K Butcher
Delirium is a common cause of morbidity and mortality in hospitalized older adults often superimposed on dementia. Older patients with delirium are more likely than other populations to develop hospital-acquired infections, pressure ulcers, and immobility and nutritional issues, as well as to have increased health care costs, longer hospital stays, and long-term care following discharge. Interventions that prevent or mitigate the effects of delirium while promoting recovery are essential for caring for hospitalized older patients...
February 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29378072/person-centered-care-for-lgbt-older-adults
#19
EDITORIAL
Rabbi Erica Steelman
No abstract text is available yet for this article.
February 1, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28990634/understanding-end-of-life-decision-making-terminology-among-african-american-older-adults
#20
Karen O Moss, Nancy L Deutsch, Patricia J Hollen, Virginia G Rovnyak, Ishan C Williams, Karen M Rose
The purpose of the current study was to examine understanding of end-of-life (EOL) decision-making terminology among family caregivers of African American older adults with dementia. This qualitative descriptive study was part of a larger mixed-methods study from which a subset of caregivers (n = 18) completed interviews. Data were analyzed using descriptive statistics and content analyses guided by methods of qualitative analysis. Caregiver interpretation of EOL decision-making terminology varied between associations before and/or after death...
February 1, 2018: Journal of Gerontological Nursing
journal
journal
26431
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"