Journal of gerontological nursing最新文献

{"title":"Older Adults' Metaphorical Perceptions of Aging in Turkey","authors":"Ayşe Gülay Şahan, PhD, Asli Kilavuz, PhD, MD","doi":"10.3928/00989134-20240416-05","DOIUrl":"https://doi.org/10.3928/00989134-20240416-05","url":null,"abstract":"<section><h3>Purpose:</h3><p>To determine older adults' metaphorical perceptions of the concept of aging.</p></section><section><h3>Method:</h3><p>Participants in this qualitative study comprised 57 older adults as determined using convenience and criterion sampling methods. Data were obtained using a personal data form and the metaphor form and analyzed with descriptive and content analysis techniques.</p></section><section><h3>Results:</h3><p>Fifty-seven metaphors were identified within three themes: 24 within <i>Mental Aspect</i>, 18 within <i>Physical Aspect</i>, and 15 within <i>Psychosocial Aspect</i>.</p></section><section><h3>Conclusion:</h3><p>The fact that most metaphors appeared within the <i>Mental Aspect</i> theme was interpreted as an indication that participants felt the effects of aging more in the mental dimension. Results of the research show that aging is perceived as experience and accumulation mentally, as inadequacy physically, and as the end or loneliness psychosocially. [<i>Journal of Gerontological Nursing, 50</i>(5), 27–34.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"11 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140834671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience in Aging: An Interdisciplinary Approach From Childhood to Adulthood","authors":"Donna M. Fick, PhD, GCNS-BC, AGSF, FGSA, FAAN","doi":"10.3928/00989134-20240319-01","DOIUrl":"https://doi.org/10.3928/00989134-20240319-01","url":null,"abstract":"&lt;h2&gt;Introduction&lt;/h2&gt;&lt;p&gt;&lt;i&gt;One thing I have learned about revision is that sometimes I need to go back in order to move forward. Sometimes I need to return to those earlier versions—one, two, three—to find the spark that drove me to the page in the first place. What can I excavate from those earlier versions? What necessary fire can I restore to the present iteration?&lt;/i&gt;&lt;/p&gt;&lt;span&gt;&lt;i&gt;(Smith, 2020, p. 10).&lt;/i&gt;&lt;/span&gt;&lt;p&gt;As an editor, this quote speaks to me about writing and life, and recently came to my thoughts while attending a conference on resilience. It reminds me that our earlier lives and iterations of who we were and what we experience impact us as we age.&lt;/p&gt;&lt;p&gt;Are there individualized paths to resilience? What is common about resilience versus other concepts and what is unique? How do childhood risk factors, including victimization and trauma, impact aging? What about those individuals who show extreme resilience to early life adversity? How does that impact resilience as we age? How do we support resilience across the lifespan? How do we address diversity and equity in resilience? How do we integrate genetics into resilience and what is the clinical utility of current tools? Can caregiving be a positive factor for resilience?&lt;/p&gt;&lt;p&gt;These are just a few of the questions that were pondered at the recent Bench-to-Bedside Conference Series: Stress Tests and Biomarkers of Resilience held on March 3–5, 2024, supported by the National Institute on Aging and the American Geriatrics Society (AGS). I was honored to attend as part of my role as AGS President and as a National Institutes of Health–funded nurse scientist investigating delirium and delirium in persons with dementia. My own work in persons with delirium and dementia focuses on knowing the person to understand the disease and wellness and emphasizes looking for resilience and observing and documenting the strengths of older adults and persons with disabilities (Fick, 2022).&lt;/p&gt;&lt;p&gt;This was the second conference in a series of three led by resilience researchers across disciplines from pediatrics to geriatrics, psychology, genetics, sociology, epidemiology, neurology, nursing, and others. The first conference in 2022 explored commonalities and differences among the frameworks of resilience most commonly used in aging research in the three domains of resilience: physical, cognitive, and psychosocial. A meeting summary was published in the August issue of the &lt;i&gt;Journal of the American Geriatrics Society&lt;/i&gt; (Abadir et al., 2023). Themes of the first conference included underlying contributors to resilience, the dynamic nature of resilience throughout the life span, and the role of resilience in health equity. Although participants did not agree on a single definition of “resilience(s),” they identified common and unique features of resilience to add to a definition. The first conference led to multiple recommendations, including new longitudinal studies of the impact of exposures to stres","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"39 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prescribing Benzodiazepines and Opioids and Clinical Characteristics Associated With 30-Day Hospital Return in Patients Aged ≥75 Years: Secondary Data Analysis","authors":"Juyoung Park, PhD, MSW, Gabriella Engstrom, PhD, RN, Joseph G. Ouslander, MD","doi":"10.3928/00989134-20240312-02","DOIUrl":"https://doi.org/10.3928/00989134-20240312-02","url":null,"abstract":"<section><h3>Purpose:</h3><p>The current study compared prevalence of opioid or benzodiazepine (BZD) prescription and co-prescription of opioids and BZD at discharge and return to a community hospital within 30 days, as well as identified clinical characteristics associated with hospital return in patients aged ≥75 years.</p></section><section><h3>Method:</h3><p>A secondary analysis of a database created during implementation of the Safe Transitions for At Risk Patients program at a 400-bed community teaching hospital in south Florida was conducted. Multivariable logistic regression analyses were performed to identify significant demographic and clinical characteristics associated with return to the hospital within 30 days of discharge.</p></section><section><h3>Results:</h3><p>A total of 24,262 participants (52.6% women) with a mean age of 85.3 (<i>SD</i> = 6.42) years were included. More than 20% in each central nervous system prescription group (i.e., opioids only, BZD only, opioids and BZD) returned to the hospital within 30 days of discharge. Demographic and chronic conditions (e.g., congestive heart failure, chronic obstructive pulmonary disease, diabetes) and poly-pharmacy were significant factors of a 30-day return to the hospital.</p></section><section><h3>Conclusion:</h3><p>Findings highlight the importance of hospital nurses' role in identifying high-risk patients, educating patients and caregivers, monitoring them closely, communicating with primary care physicians and specialists, and conducting intensive follow up via telephone to avoid 30-day rehospitalization. [<i>Journal of Gerontological Nursing, 50</i>(4), 25–33.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"36 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' Perceptions of Telemonitoring Devices to Reduce Falls Among Hospitalized Patients: A Literature Review","authors":"Britt McNamara, MSN, RN","doi":"10.3928/00989134-20240311-01","DOIUrl":"https://doi.org/10.3928/00989134-20240311-01","url":null,"abstract":"<section><h3>Purpose:</h3><p>Technological advances have led to the adoption of telemonitoring devices for fall prevention. Multiple previous studies looked at the effectiveness of these devices. However, few studies looked at nursing staff perceptions of the technology. The current integrated literature review examined factors that influence nurses' and nursing staff's acceptance of telemonitoring technology for fall prevention.</p></section><section><h3>Method:</h3><p>Three databases (CINAHL, Embase, and PubMed) were searched from January 2010 through September 2023. Study themes were analyzed, and study quality was appraised. Thirteen articles were identified and analyzed.</p></section><section><h3>Results:</h3><p>Nurses' perceptions included positive, negative, and mixed views of tele-monitoring technology. Key factors influencing staff perceptions of telemonitoring technology include the effectiveness of the technology at improving patient safety, its ease of use, and the degree to which staff felt supported by nursing leadership and hospital administration.</p></section><section><h3>Conclusion:</h3><p>Findings demonstrate the importance of involving nurses in decisions regarding implementation of new technology. [<i>Journal of Gerontological Nursing, 50</i>(4), 6–10.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"35 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140577632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do-Not-Hospitalize Orders in Assisted Living Facilities: Direct Care Workers' Perspectives","authors":"Alanna Dancis, DNP, AGPCNP","doi":"10.3928/00989134-20240311-02","DOIUrl":"https://doi.org/10.3928/00989134-20240311-02","url":null,"abstract":"<section><h3>Purpose:</h3><p>To gather sufficient qualitative data to create an intervention that would prevent direct care workers (DCWs) from sending residents with do-not-hospitalize (DNH) orders to the hospital.</p></section><section><h3>Method:</h3><p>This was a qualitative study with eight participants that included a descriptive survey followed by semi-structured interviews.</p></section><section><h3>Results:</h3><p>DCWs were unfamiliar with DNH orders and their thinking on end-of-life care was binary (hospice or hospital) and protocol driven. However, supportive leaders were able to help DCWs problem-solve these complicated scenarios. Results were mixed on whether having a RN on site was helpful.</p></section><section><h3>Conclusion:</h3><p>DCWs may benefit from having access to a nurse with palliative care experience when making decisions about residents with DNH orders. [<i>Journal of Gerontological Nursing, 50</i>(4), 11–15.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"212 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dementia-Related Disparities in Adult Day Centers: Results of a Bivariate Analysis","authors":"Jonelle Bofao, MPH, Marissa Bergh, BSN, RN, Amy Zheng, Tina Sadarangani, PhD, RN, ANP-BC, GNP-BC","doi":"10.3928/00989134-20240313-01","DOIUrl":"https://doi.org/10.3928/00989134-20240313-01","url":null,"abstract":"<section><h3>Purpose:</h3><p>Adult day services (ADS) are a valuable resource for people living with Alzheimer's disease and Alzheimer's disease and related dementias (AD/ADRD) and serve a large population of late-life immigrants, often with limited English proficiency (LEP). This secondary data analysis examined potential disparities in diagnosis, dementia severity, medical complexity, and dementia-related behavioral problems in persons with AD/ADRD with LEP within the ADS setting.</p></section><section><h3>Method:</h3><p>The current study used data from TurboTAR, the electronic health record for ADS in California. Bivariate analyses were conducted to examine differences in clinical management for those with and without LEP.</p></section><section><h3>Results:</h3><p>Of 3,053 participants included in the study, 42.3% had LEP. Participants with LEP had higher rates of emergency department use and medication mismanagement. However, due to non-standard data collection, there was a significant amount of missing data on language preference (38.1%) and race/ethnicity (46.5%). Although these findings suggest LEP may play a role in the clinical management of persons with AD/ADRD in ADS, missing data caused by lack of standardized collection compromise the results.</p></section><section><h3>Conclusion:</h3><p>It is essential to improve data collection practices in ADS on language, race, and ethnicity to help identify health disparities and promote equitable care for marginalized older adults. [<i>Journal of Gerontological Nursing, 50</i>(4), 42–47.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"24 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Motoric Cognitive Risk Syndrome Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis","authors":"Shan Jiang, MM, RN, Ruitong Guan, MPH, RN, Caixia Guo, MSN, RN, Chunyan Wei, MSN, RN","doi":"10.3928/00989134-20240312-01","DOIUrl":"https://doi.org/10.3928/00989134-20240312-01","url":null,"abstract":"<section><h3>Purpose:</h3><p>To systematically review the prevalence of motoric cognitive risk syndrome (MCR) among community-dwelling older adults and provide evidence-based support for policymakers planning health and social care policies.</p></section><section><h3>Method:</h3><p>Web of Science, PubMed, and Cochrane Library databases were searched for cross-sectional, prospective cohort, or population-based longitudinal studies of community-dwelling older adults aged ≥60 years with MCR from inception of the database through December 18, 2021.</p></section><section><h3>Results:</h3><p>Seventeen studies were included. Pooled prevalence of MCR was found to be 10% (95% confidence interval [8%, 12%], I² = 98.4%). Results of a subgroup analysis revealed a combined prevalence of MCR of 8.2% in males and 9.2% in females. Pooled prevalence of MCR was 9.7% in Asia and 10.2% in other regions.</p></section><section><h3>Conclusion:</h3><p>Prevalence of MCR in community-dwelling older adults is high. Our research may improve the epidemiological understanding of MCR, draw attention to older adults with MCR, and thus promote research of MCR and the formulation of relevant public health policies. With early identification and intervention of MCR, cognitive function can be improved, and the onset of dementia can be delayed or prevented. [<i>Journal of Gerontological Nursing, 50</i>(4), 16–24.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"6 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Staff Training to Support Communication for Older Adults With Untreated Hearing Loss in Care Settings","authors":"Sara K. Mamo, AuD, PhD, Kara A. Wheeler, AuD, Katherine Garrity, BS","doi":"10.3928/00989134-20240313-02","DOIUrl":"https://doi.org/10.3928/00989134-20240313-02","url":null,"abstract":"<section><h3>Purpose:</h3><p>The current quasi-experimental study aimed to develop and evaluate a virtual staff training on age-related hearing loss at a care organization for older adults.</p></section><section><h3>Method:</h3><p>Training included the use of affordable headset amplifiers and a hands-on activity in which hearing loss was simulated. Staff were encouraged to offer amplifiers to assist in communication given the high prevalence of untreated hearing loss among older adults and the increased communication difficulty that results from mask-wearing.</p></section><section><h3>Results:</h3><p>Quantitative results (<i>N</i> = 51) from the pre/post questionnaire suggest that staff members gained knowledge about hearing loss and communication through the training session. Qualitative data over the 6-month post training suggest that some older adults had not only improved speech understanding but also improved quality of interactions with staff. The main reasons for not using the amplifiers were that staff would forget they had access to the amplifiers or the older adult would refuse to use the device.</p></section><section><h3>Conclusion:</h3><p>This article highlights successes of the training as well as ideas for future trainings suggested by staff members. A key finding was the need to identify a core group of staff members who would be charged with facilitating use of personal amplification for older adults in the organization. In addition, providing multiple brief trainings over time was suggested to improve adoption of good communication practices among staff. [<i>Journal of Gerontological Nursing, 50</i>(4), 48–56.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"44 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Trajectories of Skilled Nursing Facility Patients With Alzheimer's Disease and Related Dementias: Evidence for Practicing Nurses","authors":"Mark Toles, PhD, RN, Cameron Ulmer, BSN, RN, Jennifer Leeman, DrPH, MPH, MDiv","doi":"10.3928/00989134-20240312-03","DOIUrl":"https://doi.org/10.3928/00989134-20240312-03","url":null,"abstract":"<section><h3>Purpose:</h3><p>Older adults with Alzheimer's disease and related dementias (ADRD) are at high risk for acute medical problems and their health trajectories frequently include hospital admission and care in a skilled nursing facility (SNF). Their health trajectories after SNF discharge are poorly understood. Therefore, in the current study, we sought to describe health trajectories and factors associated with hospital read-missions for older adults with ADRD during the 30 days following SNF discharge.</p></section><section><h3>Method:</h3><p>We conducted a secondary analysis of data from a clinical trial of transitional care of older adults with transitions from SNF to home and assisted living. A multiple case study design was used in the analysis of the health trajectories of 49 SNF patients with ADRD, 51% discharged from SNF to their own home, 34% discharged to a family member's home, and 15% transferred to assisted living.</p></section><section><h3>Results:</h3><p>Within 30 days of discharge, 20% of patients with ADRD experienced new or recurrent acute needs and hospital readmission.</p></section><section><h3>Conclusion:</h3><p>Our findings suggest the need for nursing interventions to support patients with ADRD during care transitions, such as focusing care on the patient–caregiver dyad, providing transitional care, referring patients for palliative care consultation, and conducting nurse-led research to improve care transitions of these patients and their caregivers. [<i>Journal of Gerontological Nursing, 50</i>(4), 34–41.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"52 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140588480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Experience of Social Isolation Among Chinese American Older Adults Through a Constructivist Lens.","authors":"Yanjing Liang, Basia Belza, Sarah Iribarren","doi":"10.3928/00989134-20240207-01","DOIUrl":"10.3928/00989134-20240207-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 3","pages":"3-5"},"PeriodicalIF":1.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139990205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}