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Geriatric Nursing

Alicia Curtin, Diane C Martins, Donna Schwartz-Barcott
Access to mental health services for older Hispanic adults is limited and often older Hispanic adults must rely on their own resources in dealing with mental health issues. The aim of this study was to understand how older Hispanic immigrants cope mental health issues (e.g. stress, anxiety, and/or depression). A qualitative, descriptive approach was used to interview 17 older Hispanic immigrants from Guatemala, Dominican Republic and Colombia. Interviews were audio recorded, transcribed and translated verbatim by bilingual research assistants...
August 11, 2018: Geriatric Nursing
Joyce W Tam, Maureen Schmitter-Edgecombe
Research demonstrated that aging services technologies (ASTs) can reduce caregiver burden. However, ASTs are underutilized by caregivers due to poor awareness. This study evaluated the effectiveness of a video-based educational program to increase caregiver AST knowledge among 43 caregivers. Paired sample t-tests showed positive change in AST knowledge, stigma, and intention to engage in AST activities post-program. Caregivers endorsed highly positive AST views pre- and post-program without statistically significant change...
August 7, 2018: Geriatric Nursing
Dr Ee-Yuee Chan, Ms Leting Isabella Hong, Ms Ying-Hua Grace Tan, Wei-Ling Chua
Maximizing the functional ability of older patients through participation in physical activities during hospitalization could prevent functional decline. This study describes nurses' perceptions of facilitators and barriers to hospitalized older patients' physical activity participation in an acute Asian setting. An exploratory qualitative study employing thematic analysis was used. Semi-structured, audio recorded, focus group interviews on 30 nurses from a hospital in Singapore, were conducted until data saturation...
August 6, 2018: Geriatric Nursing
Pei-Shiun Chang, Ariana M Chao, Myoungock Jang, Yvonne Y F Lu
Intervention fidelity has important implications for the reliability and validity of a study. Despite the widely reported health benefits of Qigong exercise interventions, the quality of intervention fidelity is less clear. The purpose of this paper is to use a valid intervention fidelity assessment tool to evaluate how intervention fidelity has been addressed in five areas-design, training, delivery, receipt, and enactment-in Qigong randomized controlled studies. A total of 86 articles were drawn from CINAHL, PubMed, AMED, and Scopus, and 32 were selected for the review...
August 6, 2018: Geriatric Nursing
Whitney L Mills, Jun Ying, Mark E Kunik
Veterans Affairs nursing homes (Community Living Centers; CLCs) have largely shifted focus to providing short-term rehabilitative care, preferring longer-term care to be provided in contract nursing homes or at home. The goal of this retrospective cohort study is to identify resident characteristics associated with longer length of stay using the CLC Minimum Data Set (n = 35,114). Length of stay was defined as three groups: short (<90 days), moderate (91-365 days), and long (beyond 365 days). Residents who remained beyond 90 days were more likely to be black and to have a diagnosis of Alzheimer's disease, dementia, or schizophrenia, lived in another facility prior to admission, had a financial power of attorney, and had greater dependence in activities of daily living...
July 24, 2018: Geriatric Nursing
Chanhee Kim, Hana Ko
Given South Korea's rapidly aging population, mental health and quality of life (QoL) in older adults are increasingly becoming important. Self-compassion (SC), defined as extending compassion to oneself in times of suffering, has been found to have associations with positive mental health outcomes. This study was performed to examine associations between self-compassion and mental health symptoms, sleep disturbance, life satisfaction, and health-related quality of life (HR-QoL) among older Korean adults. The participants in this cross-sectional study included 203 older Korean adults aged 65 and over...
July 24, 2018: Geriatric Nursing
Abby Parish, Jennifer Kim, Kanah May Lewallen, Sally Miller, Janet Myers, Robbie Panepinto, Cathy A Maxwell
A growing body of evidence indicates that biological aging or frailty is a determinant of health-related outcomes, however, frailty is likely poorly understood and under-recognized by the public-at-large. Using Whittemore and Knafl's methodology, we aimed to conduct an integrative review of research on public knowledge and perceptions of aging and frailty, and to create a conceptual model of our findings. Twenty-three studies are presented. The conceptual model suggests that culture, knowledge of aging, and stereotypes influence adults' beliefs and perceptions...
June 14, 2018: Geriatric Nursing
Sheryl A Emmerling, Kim Schafer Astroth, Myoung Jin Kim, Wendy M Woith, Mary J Dyck
Numerous factors contribute to hospital readmissions of older adults. The role social capital may play in preventing hospital readmissions is unknown. The aim of this descriptive, cross-sectional study was to determine if levels of personal social capital differ in two groups of patients aged 65 and older, those readmitted to the hospital within 30 days of discharge and those not readmitted. Participants in this study (N = 106) were community-dwelling older adults discharged from 11 hospitals in the Midwestern United States...
June 13, 2018: Geriatric Nursing
Kerry J Jordan, Pao-Feng Tsai, Seongkum Heo, Shasha Bai, Deborah Dailey, Cornelia Beck, Lindsey Butler
The study aim was to describe the feasibility of conducting a coaching training intervention on use of level of assistance strategies for Certified Nursing Assistants (CNAs) in nursing homes. CNAs received either traditional or coaching training. Feasibility of coaching training was evaluated by determining: acceptability, through use of a Post-Intervention Evaluation Form; fidelity, by adherence to protocol; recruitment and retention, by ease of obtaining the sample and retention rates; and ability to randomize within each home without contamination...
June 13, 2018: Geriatric Nursing
Ewerton Naves Dias, José Vitor da Silva, José Luís Pais-Ribeiro, Teresa Martins
The objective was to evaluate the metric properties of the List of Advanced Activities of the Daily Living. A study quantitative was conducted. The sample comprised 200 older adults from the city of Pouso Alegre, Brazil. The following instruments were employed: 1- Questionnaire sociodemographic and health; 2- Vitor Quality of Life Scale for the Elderly (VITOR QLSE); and 3 - List of Advanced Activities in Daily Life - AAVDs. It was verified through the exploratory factorial analysis that the list possesses three denominated domains of Activities of Leisure, Social Activities and Productive Activities...
June 13, 2018: Geriatric Nursing
Betsy Seah, Yanika Kowitlawakul, Ying Jiang, Emily Ang, Srinivasan Chokkanathan, Wenru Wang
Healthy ageing is a multi-dimensional concept which appertains to all older adults. This study reviewed the intervention characteristics, intervention content and effectiveness of multi-dimensional healthy ageing interventions (MHAIs) addressing physical, mental and social health among independent community-dwelling older adults. A search was conducted in PubMed, CINAHL, Embase, Scopus, and PsycINFO for studies published from Jan 2007 to October 2016. 18 publications were included, accounting for 15 studies...
June 13, 2018: Geriatric Nursing
Shirley Musich, Shaohung S Wang, Luke Slindee, Sandra Kraemer, Charlotte S Yeh
Our primary objective was to determine the prevalence and characteristics of high dose opioid users among older adults. Study populations included adults ≥65 years with: 1) 12-month continuous medical plan enrollment; and 2) at least 2 opioid prescriptions with a cumulative day supply ≥15 days. Opioid users were categorized as high dose >120 milligram morphine equivalents (MME) per day or lower dose ≤120 MMEs per day. Among eligible insureds, 3% (N = 7616) were identified as high dose opioid users...
June 11, 2018: Geriatric Nursing
John Alexander Harris, John Engberg, Nicholas George Castle
The objective of this study is to examine how increasing body mass index (BMI) among nursing home residents affects the amount of staffing assistance needed for activities of daily living (ADL). We analyzed 1,627,141 US nursing home residents reported in the 2013 Minimum Data Set in seven BMI categories, from underweight (BMI < 18.5 kg/m2 ) to obesity Class IIIB (≥50 kg/m2 ). Logistic regression models estimated the odds of nursing home-reported need for extensive (≥2 staff member) assistance needed for ADLs...
June 5, 2018: Geriatric Nursing
Janice D Crist, Mary Lee Montgomery, Alice Pasvogel, Linda R Phillips, Evangeline M Ortiz-Dowling
The purposes of this study were to examine the relationships among knowledge of and confidence in health care services (HHCS), acculturation, characteristics of family caregivers of Mexican descent, and differences by caregivers' relationship (spouse or adult child). A sample of Mexican-descent older adults and their caregivers was recruited (n = 74 dyads) in Arizona. Each participant completed questionnaires on knowledge, confidence, and acculturation. There were moderate but significant associations among higher Anglo Orientation with Knowledge and with Confidence...
June 4, 2018: Geriatric Nursing
Michelle L Oppert, Valerie J O'Keeffe, David Duong
The current study describes aged care workers' interpretation of the concept of person-centred care; and identifies the barriers that exist to impede its practice, and the facilitators that encourage person-centred care practice. Data were collected from interviews with aged care workers from two residential aged care facilities providing both high and low care for residents with and without physical and psychological issues based in Australia. Data were analysed to identify and explore categories of meaning for barriers and facilitators...
May 30, 2018: Geriatric Nursing
Yu-Nu Wang, Wen-Chuin Hsu, Pei-Shan Yang, Grace Yao, Yi-Chen Chiu, Sien-Tsong Chen, Tzu-Hsin Huang, Yea-Ing Lotus Shyu
Many family caregivers are also employed full- or part-time and are known to be affected by job demands. This study explored the mediating effect of job demands on the relationship between caregiving demands and caregiver health outcomes in primary family caregivers of older persons with dementia in Taiwan (N = 214). A cross-sectional design using a self-completed structured questionnaire was implemented. Structural equation modeling analyses showed that job demands partially mediated the relationship between caregiving demands and caregiver health outcomes...
May 30, 2018: Geriatric Nursing
Haya M Almalag, Huda Alzahrani, Fawaz Al-Hussain, Abdulaziz Alsemari, Edward B De Vol, Manal Rashed Almarzouqi, Yazed S AlRuthia
The aim of this prospective questionnaire-based cross-sectional study was to examine whether the new generation of Antiepileptic drugs (AEDs) with higher acquisition cost generate lower adverse effects than the old AEDs among a sample of 102 Arabic-speaking older adults (60 years of age or older) with seizure disorders. The mean scores of the Arabic version of the Liverpool Adverse Events Profile (LAEP), which assessed the adverse effects of the AEDs, did not differ between patients taking the old and new generations of AEDs...
May 30, 2018: Geriatric Nursing
Theresa Thoma-Lürken, Michel H C Bleijlevens, Monique A S Lexis, Jan P H Hamers
Detecting practical problems of persons with dementia (PwD) experience at home, and advising them on solutions to facilitate aging in place are complex and challenging tasks for nurses and case managers. In this two group randomized, controlled laboratory experiment, the efficacy of a decision support application aiming to increase nurses' and case managers' confidence in clinical judgment and decision-making was tested. The participants (N = 67) assessed a case of a PwD within the problem domains: self-reliance, safety and informal care, and provided suggestions for possible solutions...
May 29, 2018: Geriatric Nursing
Scott E Wilks, Wanda R Spurlock, Sandra C Brown, Bettina C Teegen, Jennifer R Geiger
Research shows African Americans at greater risk of developing Alzheimer's disease (AD) compared to the Caucasian population, suggesting African American AD caregivers are rising in numbers at a greater rate than Caucasian counterparts. Over a decade ago, an article in Geriatric Nursing revealed spiritual well-being differences among these caregiver groups. The purpose of this study was a quasi-follow-up, utilizing a larger caregiver sample to test spiritual support as a moderator via a risk-and-resilience framework...
May 25, 2018: Geriatric Nursing
Tamilyn Bakas, Debi Sampsel, Jahmeel Israel, Ameya Chamnikar, Barbara Bodnarik, John Greer Clark, Megan Gresham Ulrich, Dieter Vanderelst
The purpose of this study was to test feasibility of the Telehealth Community Health Assistance Team (T-CHAT), a nurse-led intervention delivered through a telepresence robot designed to promote healthy independent living among older adults. Using a quasi-experimental design, 21 older adults were divided into a T-CHAT group (n = 11) or a waitlist control group (n = 10). The T-CHAT group received 3 weekly health coaching sessions from a nurse practitioner student through the telepresence robot. Data trends were analyzed using two-way repeated measures analysis of covariance (ANCOVA) with baseline values as co-variates; effect sizes using partial eta squared (η2 )...
May 24, 2018: Geriatric Nursing
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