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Research in Gerontological Nursing

Janet S Pohl, Barbara B Cochrane, Karen G Schepp, Nancy F Woods
A longitudinal secondary analysis of 2 years of data from the National Health and Aging Trends Study was undertaken to determine the extent to which social isolation predicts falls in older adults. Social isolation during Year 1 (baseline) was operationalized as a multiple-indicator measure based on Social Network Index participation domains. Falling during the previous year was self-reported using Year 2 data. Logistic regression models revealed social isolation significantly predicted falls (odds ratio [OR] = 1...
March 1, 2018: Research in Gerontological Nursing
Christine R Kovach, Crystal-Rae Evans, Lisa Sattell, Kimberly Rosenau, Sandeep Gopalakrishnan
Mindfulness interventions have been beneficial for healthy adults and individuals experiencing a stressful medical or mental health diagnosis. The purposes of the current study were to: (a) determine feasibility of mindfulness for older adults in long-term residential settings, and (b) examine differences in outcomes between a mindfulness and cognitive activity. The current study is the first mindfulness study to include individuals in moderate and severe stages of dementia, and included 36 individuals with a range of cognitive abilities...
March 1, 2018: Research in Gerontological Nursing
Christina R Whitehouse, Nancy C Sharts-Hopko, Suzanne C Smeltzer, David A Horowitz
The aim of the current study was to compare outcomes for older adults with type 2 diabetes mellitus and obesity following participation in a transitional care intervention that included diabetes self-management education (DSME) and homecare. The three groups analyzed comprised an inpatient DSME plus homecare group (n = 35); an inpatient DSME only group (n = 100); and a group who received usual care (n = 45). Outcomes of interest included rehospitalization rates and hemoglobin A1C (A1C) for up to 1-year post hospital discharge...
March 1, 2018: Research in Gerontological Nursing
Judith G Huis In Het Veld, Renate Verkaik, Berno van Meijel, Paul-Jeroen Verkade, Wendy Werkman, Cees M P M Hertogh, Anneke L Francke
The current article discusses how and by whom family caregivers want to be supported in self-management when managing changes in behavior and mood of relatives with dementia and whether family caregivers consider eHealth a useful tool for self-management support. Four asynchronous online focus groups were held with 32 family caregivers of individuals with dementia. Transcripts of the online focus groups were analyzed using qualitative thematic analysis. Family caregivers need support from professionals or peers in the form of (a) information about dementia and its symptoms, (b) tips and advice on managing changes in behavior and mood, (c) opportunities to discuss experiences and feelings, and (d) appreciation and acknowledgement of caregiving...
March 1, 2018: Research in Gerontological Nursing
Chikako Ikegami, Katsumasa Ota
Nurses working at general hospitals face difficulties in providing dementia care. The current study examined aged care nurses' dementia care practices in the hospital setting and developed a dementia care checklist that nurses can use to review their own care practice. A self-administered questionnaire was given to 676 participants; responses were collected from 595 participants. Exploratory factor analysis identified six factors (e.g., patient understanding prompted by concern and interest for the patient, respect for patients' voluntary behavior, early detection of abnormalities) among the questionnaire's 28 items...
February 13, 2018: Research in Gerontological Nursing
Youn-Jung Son, Eun Ji Seo
Depressive symptoms and physical frailty have been reported to be predictive of adverse outcomes in individuals with heart failure (HF). Depressive symptoms could be a predisposing factor of physical frailty in older adults. Despite the high prevalence of HF, few studies on the relationship between these two factors have been performed in older adults with HF. To identify the relationship between depressive symptoms and physical frailty in HF, 190 older adults with HF were recruited from an outpatient clinic at a tertiary hospital in South Korea...
February 13, 2018: Research in Gerontological Nursing
Julie Lamure, Marlène Chevalier, Pascal Rathelot, Françoise Mignolet, Isabelle Precheur
Frail older adults often experience swallowing disorders, prompting nursing staff to crush tablets, open capsules, and mix drugs into their meals or gelled water. However, crushing drugs can lead to pharmacological and gustatory problems. As crushed drugs can stay in prolonged contact with oral microbial biofilm, the current study aimed to investigate their antimicrobial properties. Crushed drugs were diluted in 1 mL of isotonic water and assayed in vitro for: (a) growth inhibition of five bacterial strains and Candida albicans by the diffusion method; (b) inhibition of Streptococcus salivarius and C...
February 13, 2018: Research in Gerontological Nursing
Diana L Sturdevant, Christine A Mueller, Kathleen C Buckwalter
Nursing home culture change (NHCC) aims to change the way care is provided in nursing homes. Valid and reliable measures are needed to evaluate the impact of NHCC on outcomes. The current systematic review provides an overview of instruments designed to measure NHCC and criteria for others to evaluate and choose instruments according to their own purpose. Ten instruments were identified that measure NHCC on an organizational level. Lack of development description hindered their assessment, and studies examining the relationship between NHCC and outcomes are rare...
January 16, 2018: Research in Gerontological Nursing
Jaroslava Zimmermann, Holger Pfaff
In Germany, there is no empirical evidence regarding the relationship between nurse staffing levels and care outcomes in nursing homes. The current study explored differences in nurse staffing levels between facilities with and without resident weight loss. The analyses were conducted at the facility level (N = 166) and involved weight loss assessment of 8,665 residents. Separate models for residents with and without cognitive impairment were computed. The regression analyses showed that nursing facilities where no weight loss occurred among residents without cognitive impairment had a lower number of residents per RN and additional care staff...
January 1, 2018: Research in Gerontological Nursing
Lenette M Jones, Karen O Moss, Kathy D Wright, Marie-Anne Rosemberg, Cheryl Killion
The prevalence of hypertension is highest among African American women, who often occupy caregiving roles. The purpose of the current study is to describe intergenerational caregiving and communication themes that emerged during focus groups with African American older adult women (mean age = 73 years) on information sharing and self-management of hypertension. Thematic analysis revealed two overarching themes: Caregiving Responsibilities and Improving the Health of Younger Generations. Women wanted to help younger generations better manage their blood pressures...
January 1, 2018: Research in Gerontological Nursing
Helen M Farrar, Judith Kulig, Janet Sullivan-Wilson
Amish older adults represent a growing and understudied population whose current health practices, interactions with health care systems outside of their community, and care needs are unknown. Limited research exists on why, when, and how Amish older adults and their caregivers experience health care services outside of their family and community. The purpose of the current study was to describe and explore the perspectives of Amish caregivers caring for older adults and their experiences with health care services outside of their community...
January 1, 2018: Research in Gerontological Nursing
Gordana Dermody, Christine R Kovach
Hospitalized older adults who do not receive sufficient mobility are more likely to sustain negative health outcomes, including higher rates of mortality and institutionalization. Accordingly, the purpose of the current secondary data analysis was to examine the nurse-promoted mobility of hospitalized older adults and the association between nurses' barriers and nurse-promoted mobility. In addition, the relationship among patient severity of illness, proxy levels for function, and nurse-promoted mobility was examined...
January 1, 2018: Research in Gerontological Nursing
Ann K Cashion, Patricia A Grady
No abstract text is available yet for this article.
January 1, 2018: Research in Gerontological Nursing
Susan G Dorsey, Barbara M Resnick, Cynthia L Renn
Chronic pain has become a public health epidemic based on the number of Americans affected and its associated health care costs. Unfortunately, there are few efficacious treatments to manage chronic pain and as the population of older adults and centenarians who are at high risk for chronic pain continues to grow, the chronic pain epidemic will continue to worsen unless new therapeutic strategies are discovered. In the current era of precision medicine, there is a major emphasis being placed on the use of self-management and omics to discover new therapeutic targets and design treatment strategies that are tailored to the individual patient...
January 1, 2018: Research in Gerontological Nursing
Christine Bradway, Holly C Felix
No abstract text is available yet for this article.
January 1, 2018: Research in Gerontological Nursing
Kerry Jean Jordan, Pao-Feng Tsai, Seongkum Heo, Shasha Bai, Deborah Dailey, Cornelia K Beck, Lindsey M Butler, Rachel L Greenwood
The purpose of the current study was to identify initial effects of a coaching training intervention using Level of Assistance (LoA) strategies compared with traditional lecture techniques on the appropriateness of LoA use by certified nursing assistants (CNAs) and independence of dressing of nursing home residents with dementia. Seventeen CNA-resident dyads participated in this pilot randomized controlled trial (RCT). Control and experimental group CNAs received a 25-minute traditional lecture. Experimental group CNAs also underwent three coaching sessions over 4 weeks...
November 1, 2017: Research in Gerontological Nursing
Amadeus Lešnik, Nejc Piko, Danica Železnik, Sebastjan Bevc
Dehydration in older adults is an important clinical problem associated with more comorbidities, longer hospital stays, and higher mortality rates. However, in daily clinical practice, no single gold standard marker of hydration status in older adults is available. The aim of the current study was to define the fluid balance status in older adults residing in institutional care or the home. Four hundred ten patients (192 from institutional care and 218 from home care) 65 and older from the region of lower Styria (Slovenia) were included in the study...
November 1, 2017: Research in Gerontological Nursing
Linda M Tate, Pao-Feng Tsai, Mallikarjuna Rettiganti, Reid D Landes, Leanne L Lefler, Keneshia Bryant-Moore
Exercise is one of the most important health behaviors to reduce and prevent the severity of many chronic diseases. The purpose of the current study was to determine if adding temporal discounting (TD) would affect the predictability of the Theory of Planned Behavior (TPB) in exercising among older adults. One hundred thirty-seven older adults were recruited from 11 churches in rural Arkansas using a cross-sectional design. Information regarding participants' exercise behavior, constructs of the TPB, TD rates, and demographics was collected...
November 1, 2017: Research in Gerontological Nursing
Heather M Young, Theresa Harvath
No abstract text is available yet for this article.
November 1, 2017: Research in Gerontological Nursing
Joel G Anderson, Carol E Rogers, Ann Bossen, Ingelin Testad, Karen M Rose
Mind-body therapies frequently derive from Eastern philosophies and are becoming increasingly popular. These therapies, such as meditation, yoga, tai chi, qigong, biofield therapies, and guided imagery, have many reported benefits for improving symptoms and physiological measures associated with various chronic diseases. However, clinical research data concerning the effectiveness of these practices in individuals with dementia have not been evaluated using a synthesis approach. Thus, an integrative review was conducted to evaluate studies examining the efficacy of mind-body therapies as supportive care modalities for management of symptoms experienced by individuals with dementia...
November 1, 2017: Research in Gerontological Nursing
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