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Research in Gerontological Nursing

Tina R Sadarangani, Komal Patel Murali
Older adult immigrants are often socially isolated and vulnerable to poor health. Adult day service (ADS) centers could potentially facilitate social integration and address their long-term health care needs. The current review (a) identifies barriers to and facilitators of ADS use among immigrants, (b) explores how ADS programs impact older adult immigrants' health and well-being, and (c) isolates the most effective culturally based components of ADS programs. An integrative review was conducted using Whittemore and Knafl's methodology...
July 10, 2018: Research in Gerontological Nursing
Jed Montayre, Jasmine Montayre, Sandra Thaggard
Older adults from culturally and linguistically diverse (CALD) backgrounds are increasingly identified within mainstream aging populations. However, few studies have focused on CALD older adults' views and experiences in long-term care facilities (LTCFs). The current integrative review aimed to achieve a contemporary understanding through synthesized evidence from studies focusing on CALD older adults in mainstream LTCFs. Two major categories were identified-Views About LTCFs, which included two subcategories: (a) the last stop and no other choice and (b) reasons for admission or transfer; and Experiences of Living in LTCFs, which also included two subcategories: (a) desire to remain connected to personal routines and (b) maintaining identity through native language...
July 10, 2018: Research in Gerontological Nursing
Youn-Jung Son, Eun Ji Seo
Atrial fibrillation (AF) is more prevalent in older adults than other populations and affects health-related quality of life (HRQoL). However, few studies have investigated HRQoL and clinical factors in older adults with AF. The aim of the current cross-sectional study was to describe HRQoL using an AF-specific QoL instrument and identify factors influencing HRQoL in Korean older adults with AF. Data from 205 patients diagnosed with AF in a tertiary hospital were analyzed. Patients' mean age was 74.24 years and 43...
May 16, 2018: Research in Gerontological Nursing
Suyong Jeong, Hanna Choi, Seok Hyun Gwon, Jeongeun Kim
The objective of the current pilot study was to determine whether nurse-led telephone counseling improves health behavior, self-care, and physiological indices for low-income older adults using a telemonitoring system. The control group (n = 15) was provided with weekly health education only, and the intervention group (n = 20) was given additional telephone support by nurses. At baseline and 8 weeks, data on health and self-care behaviors were collected using a self-reported questionnaire, and blood pressure and fasting blood glucose levels were assessed...
May 16, 2018: Research in Gerontological Nursing
Liang-Chih Chang
The current study examined the main and interaction effects of leisure self-determination and two leisure social support types (emotional and instrumental) on stress in nursing home residents. A total of 139 nursing home residents (mean age = 79.4 years) in Taichung City, Taiwan, were recruited. Data were collected using face-to-face surveys, which included measures of leisure self-determination, leisure emotional support, leisure instrumental support, and stress. Data were analyzed using a hierarchical regression analysis...
May 16, 2018: Research in Gerontological Nursing
Christine R Kovach, Julie L Ellis, Rachel F Schiffman
No abstract text is available yet for this article.
May 1, 2018: Research in Gerontological Nursing
Elizabeth Beattie, Elaine Fielding, Maria O'Reilly, Deborah Brooks, Margaret MacAndrew, Judy McCrow
Many health and social care research studies report difficulties recruiting sufficient numbers of participants, adding to time and money expenditures and potentially jeopardizing the generalizability of findings. The current article reports the effectiveness and resource requirements of recruitment strategies used in nine dementia-related studies conducted in Australia. Articles, notices, or advertisements in targeted specialist newsletters were the most cost-effective method of recruitment. The use of service providers to aid recruitment yielded mixed results, but was lengthy in terms of research time...
May 1, 2018: Research in Gerontological Nursing
Ju Young Shin, Ryan T Pohlig, Barbara Habermann
The purpose of the current study was to test the feasibility of using the Patient-Reported Outcomes Measurement Information System (PROMIS® ) measures to assess change in self-reported health status for dyads of individuals with advanced Parkinson's disease (PD) and their caregivers. Fifteen dyads (N = 30) participated and took 11 PROMIS measures. The measures showed good reliability (all Cronbach's alphas > 0.82). Dyads reported worse health status than the PROMIS reference groups at baseline and 6-month follow up...
May 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...
May 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...
May 1, 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...
May 1, 2018: Research in Gerontological Nursing
Yousef Ayatollahi, Xibei Liu, Ali Namazi, Mohammad Jaradat, Takashi Yamashita, Jay J Shen, Yong-Jae Lee, Soumya Upadhyay, Sun Jung Kim, Ji Won Yoo
The current study evaluated risk factors of early hospital readmission in geriatric patients with acute heart failure (HF) and analyzed 2,279 consecutively hospitalized older adults with decompensated HF from November 2013 to October 2014 across 15 U.S. hospitals. The eTracker-HF was designed to make risk factors known to treating clinicians in electronic health records. Multilevel multivariate logistic regression was applied to examine the association between risk factors and all-cause and HF 30-day readmission rates...
April 9, 2018: Research in Gerontological Nursing
Christine R Kovach
No abstract text is available yet for this article.
March 1, 2018: 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
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
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...
March 1, 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...
March 1, 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...
March 1, 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
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