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Geriatric Nursing

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https://www.readbyqxmd.com/read/28228246/engaging-patients-with-heart-failure-into-the-design-of-health-system-interventions-impact-on-research-methods
#1
Robin P Newhouse, Meg Johantgen, Sue A Thomas, Nina M Trocky, Cheryl Dennison-Himmelfarb, Jooyoung Cheon, Wanda Miller, Tracy Gray, Robin Pruitt
The purpose of this study was to engage patients with heart failure (HF) to assess if changes are needed in a research study design, methods and outcomes when transferring interventions used in urban/community hospitals to rural hospital settings. A qualitative structured interview was conducted with eight patients with a diagnosis of HF admitted to two rural hospitals. Patients validated the study design, measures and outcomes, but identified one area that should be added to the study protocol, symptom experience...
February 19, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28189336/measurement-of-nurses-attitudes-and-knowledge-regarding-acute-care-older-patients-psychometrics-of-the-opacs-us-combined-with-the-kop-q
#2
Jeroen Dikken, Jita G Hoogerduijn, Mary D Lagerwey, Lillie Shortridge-Baggett, Sharon Klaassen, Marieke J Schuurmans
In clinical practice, identifying positive and negative attitudes toward older patients is very important to improve quality of care provided to them. The Older People in Acute Care Survey - United States (OPACS-US) is an instrument measuring hospital nurses attitudes regarding older patients. However, psychometrics have never been assessed. Furthermore, knowledge being related to attitude and behavior should also be measured complementing the OPACS-US. The purpose of this study was to assess structural validity and reliability of the OPACS-US and assess whether the OPACS-US can be complemented with the Knowledge about Older Patients-Quiz (KOP-Q)...
February 9, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28169038/a-growing-need-hiv-education-in-long-term-care
#3
Kaitlin Siou, Maureen Mahan, Rod Cartagena, Soo Chan Carusone
As people living with HIV (PLHIV) age, knowledge of HIV and the associated care of those aging with HIV will become an increasingly important component of education for long-term care (LTC) providers. This descriptive study piloted two different approaches to distribute narrative-based HIV educational videos. Four LTC facilities were assigned to receive the videos to implement 'as usual' or to receive the videos in addition to blended learning sessions where the videos were shown with facilitated discussion with a nurse educator and a PLHIV...
February 3, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28139262/preventing-elder-abuse-and-neglect-in-geriatric-institutions-solutions-from-nursing-care-providers
#4
Tenzin Wangmo, Karin Nordström, Reto W Kressig
This study explores how and why abuse and neglect occurs in geriatric institutions and presents practical prevention measures. Exploratory qualitative interviews were carried out with purposive sample of 23 nursing staff members. They were recruited from different institutions caring for older patients in the north-western region of Switzerland. These interviews were analyzed using thematic analysis. Participating nursing staff members reported several factors pertaining to the care provider, the older patient, and the institution that precipitated abuse and neglect...
January 27, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28126194/family-caregiving-updates-from-the-field
#5
Mary Beth Happ
No abstract text is available yet for this article.
January 23, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28110874/patient-centered-care-we-are-definitely-not-there-yet
#6
EDITORIAL
Barbara Resnick
No abstract text is available yet for this article.
January 19, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28108046/rules-of-performance-in-the-nursing-home-a-grounded-theory-of-nurse-cna-communication
#7
Connie Madden, Margaret Clayton, Heather E Canary, Gail Towsley, Kristin Cloyes, Dale Lund
This study offers an initial theoretical understanding of nurse-CNA communication processes from the perspectives of nurses and CNAs who are providing direct care to residents in nursing homes. A grounded theory approach provided an understanding of nurse-CNA communication process within the complexities of the nursing home setting. Four themes (maintaining information flow, following procedure, fostering collegiality, and showing respect) describe the "rules of performance" that intertwine in nuanced relationships to guide nurse-CNA communication processes...
January 17, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28104288/reducing-the-pain-in-pain-management
#8
Richard G Stefanacci, Albert Riddle
No abstract text is available yet for this article.
January 16, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28089317/attitudes-perceptions-and-experiences-of-mealtimes-among-residents-and-staff-in-care-homes-for-older-adults-a-systematic-review-of-the-qualitative-literature
#9
Ross Watkins, Victoria A Goodwin, Rebecca A Abbott, Amy Backhouse, Darren Moore, Mark Tarrant
Addressing problems associated with malnutrition in care home residents has been prioritized by researchers and decision-makers. This review aimed to better understand factors that may contribute to malnutrition by examining the attitudes, perceptions and experiences of mealtimes among care home residents and staff. Five databases were searched from inception to November 2015: Medline, Embase, PsychINFO, AMED, and the Cochrane Database. Forward and backward citation checking of included articles was conducted...
January 12, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28089217/the-impact-of-inadequate-health-literacy-on-patient-satisfaction-healthcare-utilization-and-expenditures-among-older-adults
#10
Stephanie MacLeod, Shirley Musich, Stephen Gulyas, Yan Cheng, Rifky Tkatch, Diane Cempellin, Gandhi R Bhattarai, Kevin Hawkins, Charlotte S Yeh
Inadequate health literacy (HL) is associated with impaired healthcare choices leading to poor quality-of-care. Our primary purpose was to estimate the prevalence of inadequate HL among two populations of AARP(®) Medicare Supplement insureds: sicker and healthier populations; to identify characteristics of inadequate HL; and to describe the impact on patient satisfaction, preventive services, healthcare utilization, and expenditures. Surveys were mailed to insureds in 10 states. Multivariate regression models were used to identify characteristics and adjust outcomes...
January 11, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28063685/dental-care-practices-and-oral-health-training-for-professional-caregivers-in-long-term-care-facilities-an-interdisciplinary-approach-to-address-oral-health-disparities
#11
Richie Kohli, Sandra Nelson, Samantha Ulrich, Tony Finch, Karen Hall, Eli Schwarz
The objectives of this study were to: 1) Assess and analyze the knowledge and attitudes of caregivers towards dental care for older adults in long-term care facilities; and 2) Train administrators, medical staff, and caregivers in the oral health competencies necessary to provide daily oral health care for residents of Assisted Living Communities in Oregon. Our results indicate that although the majority of caregivers felt comfortable with regard to their oral health background and daily activities, they expressed a need for additional training in several areas...
January 4, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28062167/cms-guidance-on-nursing-home-resident-privacy-and-staff-conduct-related-to-photographs-and-audio-video-recordings
#12
Howard L Sollins
No abstract text is available yet for this article.
January 3, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28062166/latent-classes-of-caregiver-relationships-with-patients-workplace-violence-implications
#13
Ha Do Byon, Carla L Storr, Jane Lipscomb
The bonds and relationships that direct care workers in the home setting (DCWHs) develop with their elderly or disabled home care patients may put them at risk for patient violence. This study used a data-driven approach, latent class analysis, to identify distinct underlying patterns of DCWH-patient relationships and then assessed how DCWH-patient class membership was associated with patient violence. This study analyzed survey data obtained from 964 DCWHs working in two not-for-profit home care agencies. Four classes of DCWH-patient relationships emerged: Non-familial (40% of the sample), Overly Concerned (14%); Boundary-keeping (22%), and Overly Involved (24%)...
January 3, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28057357/experiences-of-health-care-for-older-people-who-need-support-to-live-at-home-a-systematic-review-of-the-qualitative-literature
#14
Anna Gregory, Shylie Mackintosh, Saravana Kumar, Carol Grech
Perceived experiences of health care for older people who need support to live at home can illuminate areas needing improvement in quality of care, and guide towards better ways to support ageing populations to live at home. This systematic review synthesized findings from the qualitative literature about perceived experiences of health care for older people who need support to live at home, from the perceptions of older people, carers and health providers. Searches of electronic databases and eligibility screening produced 46 included studies for review...
January 2, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/28041638/the-use-of-acupuncture-in-patients-with-parkinson-s-disease
#15
Fung Kei Cheng
Parkinson's disease, a progressive neuro-degeneration of multiple systems damaging motor and non-motor functions, affects individual and societal dimensions negatively. In addition to standard treatments, complementary and alternative medicine has been adopted, in which acupuncture, a traditional Chinese medical practice by needle penetration at specific stimulation points (acupoints) along the body, indicates positive outcomes in this illness. Apart from offering an overview of using acupuncture in Parkinson's disease, this literature review analyses the effects of acupuncture on Parkinson's-induced physical symptoms and mental problems such as slow movements, stiffness, constipation, and sleep disorders...
December 29, 2016: Geriatric Nursing
https://www.readbyqxmd.com/read/27964972/why-older-adults-may-decline-offers-of-post-acute-care-services-a-qualitative-descriptive-study
#16
Justine S Sefcik, Ashley Z Ritter, Emilia J Flores, Rebecca H Nock, Jo-Ana D Chase, Christine Bradway, Sheryl Potashnik, Kathryn H Bowles
The most common post-acute care (PAC) services available to patients after hospital discharge include home care, skilled nursing facilities, nursing homes, inpatient rehabilitation, and hospice. Patients who need PAC and receive services have better outcomes, however almost one-third of those offered services decline. Little research exists on PAC decision-making and why patients may decline services. This qualitative descriptive study explored the responses of thirty older adults to the question: "Can you, from the patient point of view, tell me why someone would not want post hospital care?" Three themes emerged...
December 10, 2016: Geriatric Nursing
https://www.readbyqxmd.com/read/27964971/outbreak-of-g2p-4-rotavirus-gastroenteritis-in-a-retirement-community-brazil-2015-an-important-public-health-risk
#17
Adriana Luchs, Geraldine Madalosso, Audrey Cilli, Simone Guadagnucci Morillo, Sandra Regina Martins, Karen Aparecida Farias de Souza, Gislene Mitsue Namiyama, Cláudia Regina Gonçalves, Rita de Cássia Compagnoli Carmona, Maria do Carmo Sampaio Tavares Timenetsky
The present study described a group A rotavirus (RVA) outbreak in an age-care facility in Brazil, using epidemiologic and molecular diagnostic methods. A descriptive clinical, epidemiological and environmental investigation was conducted. Stool samples were collected and screened for RVA, Norovirus (NoV), Enteric Adenovirus 40/41 (AdV 40/41) and Astrovirus (AstV) using ELISA, RT-PCR, qRT-PCR, electron microscopy and sequencing methods. Outbreak occurred during 26th-29th October, 2015; 28 individuals affected (22 residents; 6 staff)...
December 10, 2016: Geriatric Nursing
https://www.readbyqxmd.com/read/27956058/us-and-dutch-nurse-experiences-with-fall-prevention-technology-within-nursing-home-environment-and-workflow-a-qualitative-study
#18
Ann E Vandenberg, Bert-Jan van Beijnum, Vera G P Overdevest, Elizabeth Capezuti, Theodore M Johnson
Falls remain a major geriatric problem, and the search for new solutions continues. We investigated how existing fall prevention technology was experienced within nursing home nurses' environment and workflow. Our NIH-funded study in an American nursing home was followed by a cultural learning exchange with a Dutch nursing home. We constructed two case reports from interview and observational data and compared the magnitude of falls, safety cultures, and technology characteristics and effectiveness. Falls were a high-magnitude problem at the US site, with a collectively vigilant safety culture attending to non-directional audible alarms; falls were a low-magnitude problem at the NL site which employed customizable, infrared sensors that directed text alerts to assigned staff members' mobile devices in patient-centered care culture...
December 9, 2016: Geriatric Nursing
https://www.readbyqxmd.com/read/27939028/the-role-of-nursing-staff-in-the-activities-of-daily-living-of-nursing-home-residents
#19
Mirre den Ouden, Nienke O Kuk, Sandra M G Zwakhalen, Michel H C Bleijlevens, Judith M M Meijers, Jan P H Hamers
The aim of this cross-sectional study was to explore the role of nursing staff in residents' activities. Nursing home residents (n = 723) were observed in their wards, randomly five times for one minute between 7 a.m. and 11 p.m. Resident's (in)activity and the role of nursing staff or others in this activity were recorded. Roles were defined as 'taking over the activity', 'giving support', or 'supervision'. Nurse observers were interviewed to obtain insight into their observation-experiences. Residents were observed in activities of daily living in 31% of all 3282 observations, and inactive in 57%...
December 7, 2016: Geriatric Nursing
https://www.readbyqxmd.com/read/27912905/effects-of-aromatherapy-on-agitation-and-related-caregiver-burden-in-patients-with-moderate-to-severe-dementia-a-pilot-study
#20
Tugce Turten Kaymaz, Leyla Ozdemir
We examined the effects of aromatherapy on agitation in patients with dementia and evaluated related caregiver burden. Patients and their caregivers from two hospitals in Turkey were selected and divided into an intervention group (n = 14) and a control group (n = 14). Patients were stratified according to their dementia phase and intake of antipsychotic medication. The intervention group received aromatherapy via massage and inhalation at home for 4 weeks. The control group received no intervention. Data were collected using the Neuropsychiatric Inventory (NPI), the Cohen-Mansfield Agitation Inventory (CMAI) and the Zarit Burden Interview (ZBI)...
November 29, 2016: Geriatric Nursing
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