James D Brightman, Kworweinski Lafontant, Jethro Raphael M Suarez, Jennifer M Crook, Ladda Thiamwong
{"title":"Comparing Sleep Quality, Duration, and Efficiency Among Low-Income Community-Dwelling Older Adults With and Without Physical Disabilities.","authors":"James D Brightman, Kworweinski Lafontant, Jethro Raphael M Suarez, Jennifer M Crook, Ladda Thiamwong","doi":"10.3928/00989134-20240618-03","DOIUrl":"10.3928/00989134-20240618-03","url":null,"abstract":"<p><strong>Purpose: </strong>Physical disabilities may exacerbate the natural decline in sleep quality that occurs with aging. In the current study, we assessed sleep quality and medicinal sleep aid use among 87 community-dwelling older adults with (<i>n</i> = 24) and without (<i>n</i> = 63) physical disabilities.</p><p><strong>Method: </strong>Sleep quality, duration, and efficiency were assessed subjectively with the Pittsburgh Sleep Quality Index. Sleep duration and efficiency were objectively measured with actigraphy. Participants self-reported medicinal sleep aid use.</p><p><strong>Results: </strong>Significant group differences were observed in sleep duration measured objectively (<i>p</i> = 0.01) and subjectively (<i>p</i> = 0.04). No other group differences were observed for sleep factors (<i>p</i> > 0.05) or medicinal sleep aid use (<i>p</i> = 0.41).</p><p><strong>Conclusion: </strong>Findings show that physical disability may be a factor in sleep duration; however, physical disability was not found to be associated with worsened sleep perception or greater reliance on medicinal sleep aids. Future research should consider longer objective actigraphy assessment windows and explore potential subgroup differences in sex and race/ethnicity. [<i>Journal of Gerontological Nursing, 50</i>(7), 12-18.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 7","pages":"12-18"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Knowledge Is Power: Protect Older Adults Against High and Sustained Heat Events.","authors":"Erica K Husser, Erin Kitt-Lewis","doi":"10.3928/00989134-20240618-01","DOIUrl":"https://doi.org/10.3928/00989134-20240618-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 7","pages":"3-5"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498173","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":"Research Presentations Focused on Ground-Breaking Work Improving Health, Independence, and Quality of Life As We Age at the 2024 AGS Virtual Annual Scientific Meeting.","authors":"Mark A Supiano","doi":"10.3928/00989134-20240618-08","DOIUrl":"https://doi.org/10.3928/00989134-20240618-08","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 7","pages":"51-52"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498175","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":"Function-Focused Care for Cognitive Impairment Training Among Formal Caregivers in Long-Term Care Facilities in Taiwan: A Cluster Randomized Controlled Trial.","authors":"Su-Hsien Chang, Ching-Len Yu, Ming-Han Chiang","doi":"10.3928/00989134-20240618-07","DOIUrl":"10.3928/00989134-20240618-07","url":null,"abstract":"<p><strong>Purpose: </strong>To examine behavior changes among formal caregivers in Taiwanese long-term care facilities (LTCFs) after receiving training in function-focused care for cognitive impairment (FFC-CI).</p><p><strong>Method: </strong>The current study was a clustered randomized controlled trial. Formal caregivers (i.e., RNs and nursing assistants) (<i>N</i> = 98) from four LTCFs were randomly assigned to experimental or control groups. Training was based on four components of FFC-CI. Data were collected four times within 9 months using five observational outcome measurements: Self-Efficacy for Restorative Care (SERCS), Outcome Expectations for Restorative Care Scale (OERCS), Restorative Care Knowledge Scale (RCKS), Restorative Care Behavior Checklist (RCBC), and Job Attitude Scale (JAS).</p><p><strong>Results: </strong>Statistically significant changes were noted in each activity of restorative care behavior among the four observational measurements. Results also indicated that job satisfaction was a statistically significant main effect for the experimental group; however, SERCS, OERCS, and RCKS scores were not statistically significant.</p><p><strong>Conclusion: </strong>To eliminate gaps between translating research outcomes to clinical practice, this study applied a theory-based caring model for caregivers to improve knowledge and skills in caring for older adults with dementia. Caregivers who received training in FFC-CI not only had higher job satisfaction but could also provide specific FFC activities for residents during their daily care. [<i>Journal of Gerontological Nursing, 50</i>(7), 42-50.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 7","pages":"43-50"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498172","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":"Assessing the Potential of Technology to Describe Resident and Staff Interactions in Assisted Living Facilities.","authors":"Carolyn Sun, Caitlin Burke","doi":"10.3928/00989134-20240618-02","DOIUrl":"https://doi.org/10.3928/00989134-20240618-02","url":null,"abstract":"<p><strong>Purpose: </strong>Falls are a significant financial burden and health hazard for residents in assisted living facilities (ALFs). However, limited capacity to observe residents has hindered understanding of resident-staff interactions within rooms. The current study aimed to describe nurse-resident interactions using data from a remote technology combining computer vision and staff location tracking.</p><p><strong>Method: </strong>Eighty-three staff working at an urban ALF with 215 residents were trained at the initiation of the study. Remote surveillance devices were installed in 32 residences and staff and resident interactions were tracked over 170 days.</p><p><strong>Results: </strong>Staff visited residents an average of 20.7 times per day for short durations (mean = 1.08 minutes). Urgent alert response times averaged 3.0 minutes, with faster response times through the mobile application (mean = 2.7 minutes) compared to in-person (mean = 3.3 minutes) response.</p><p><strong>Conclusion: </strong>By better understanding staff activity patterns in ALFs, this study has the potential to improve fall prevention and care for residents in ALFs. [<i>Journal of Gerontological Nursing, 50</i>(7), 7-11.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 7","pages":"7-11"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141498168","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":"Artificial Intelligence and Technology for AD/ADRD and Healthy Aging: The NIA-Funded A2 Collective.","authors":"Pamela Z Cacchione","doi":"10.3928/00989134-20240502-01","DOIUrl":"https://doi.org/10.3928/00989134-20240502-01","url":null,"abstract":"","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 6","pages":"4-5"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179815","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}
Susanny J Beltran, Jennifer Wagner, Lainey Dorris, Vivian J Miller
{"title":"Navigating the Storm: Challenges and Career Implications for Nursing Home Administrators in the Wake of COVID-19.","authors":"Susanny J Beltran, Jennifer Wagner, Lainey Dorris, Vivian J Miller","doi":"10.3928/00989134-20240502-04","DOIUrl":"https://doi.org/10.3928/00989134-20240502-04","url":null,"abstract":"<p><strong>Purpose: </strong>Nursing homes were at the epicenter of the coronavirus disease 2019 (COVID-19) pandemic and continue to experience its effects, including staffing shortages. Although various studies have described the experiences of frontline staff, less has been published about the experiences of those in administrative positions. The current study explored factors impacting nursing home administrators' (NHAs) perceived preparedness, day-to-day operational challenges and needs, and career outlook in the context of the COVID-19 pandemic.</p><p><strong>Method: </strong>A cross-sectional online survey was administered via Qualtrics<sup>®</sup>, comprising demographic and facility-level questions and eight open-ended questions. Qualitative content and thematic analysis were used to code the text for themes describing administrator perceptions.</p><p><strong>Results: </strong>NHAs (<i>N</i> = 60) described feeling unprepared, experiencing disruptions of day-to-day operations, and witnessing a decrease in resident well-being. NHAs also expressed a decrease in their own well-being due to COVID-19. Many NHAs expressed wanting to, planning to, or actively working toward leaving their role due to the consequences of COVID-19.</p><p><strong>Conclusion: </strong>As nursing homes continue to face staffing shortages, supporting those in the role of administrator becomes of urgent importance, as this role directly impacts staff and resident well-being. [<i>Journal of Gerontological Nursing, 50</i>(6), 17-24.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 6","pages":"17-24"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179851","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":"Age-Friendly Health Systems 4Ms: Implementing Medication Management in Hamad Medical Corporation, Qatar.","authors":"Mostafa ElAwady, Hanadi AlHamad, Sameer Valappil, Asma Abbas, Mani Chandran, Pravija Talapan Manikoth, Manju Mathew, Nowar Daoud Burghol, Fady Abdelaziz, Ali AbdAlSattar, Ayman Kanaan, Mohammed Atif, Mohamad Qassem, Novica Icic, Nicole J Brandt","doi":"10.3928/00989134-20240502-03","DOIUrl":"https://doi.org/10.3928/00989134-20240502-03","url":null,"abstract":"<p><strong>Purpose: </strong>To implement the Age-Friendly Health Systems (AFHS) 4Ms framework, focusing on Medication and its impact on Mobility, Mentation, and What Matters, within Hamad Medical Corporation in Qatar.</p><p><strong>Method: </strong>A quality improvement approach was used to implement, extend, and sustain the AFHS 4Ms framework at Hamad Medical Corporation. The Medication \"M\" was described as the use case to illustrate the impact of high-risk medications on Mobility, Mentation, and What Matters, using an evidence-based, interdisciplinary approach.</p><p><strong>Results: </strong>Implementation of the AFHS 4Ms framework revealed success in aligning multidisciplinary teams to prioritize patient-centered care and caregiver engagement. Through this collaboration, a process map, modified medication screening tool, documentation templates, and educational efforts were developed.</p><p><strong>Conclusion: </strong>Applying the AFHS 4Ms framework into health care settings is crucial to improve the care of older adults. Medication management is a cornerstone, involving interdisciplinary team input during screening and act phases to ensure proper medication prescribing and use in older adults. [<i>Journal of Gerontological Nursing, 50</i>(6), 6-9.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 6","pages":"6-9"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179813","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}
Gang Wu, Ping Liu, Jing Zhang, Dan Li, Ju Yang, Jiai Yan, Yiran Liu, Jing Sun, Yingyu Wang, Yanping Xia, Feng Zhang
{"title":"Cognitive Function and Medication Adherence in Older Adults With H-Type Hypertension: The Mediating Effect of Metamemory.","authors":"Gang Wu, Ping Liu, Jing Zhang, Dan Li, Ju Yang, Jiai Yan, Yiran Liu, Jing Sun, Yingyu Wang, Yanping Xia, Feng Zhang","doi":"10.3928/00989134-20240503-03","DOIUrl":"https://doi.org/10.3928/00989134-20240503-03","url":null,"abstract":"<p><strong>Purpose: </strong>Medication adherence in adults with H-type hypertension plays a crucial role in lowering blood pressure and treating complications. Cognitive function has been identified as a significant influencing factor for medication adherence, whereas excessive levels of homocysteine can impair cognitive function. Metamemory, which is influenced by cognitive function, also affects medication adherence. However, the complex relationship among these factors remains poorly understood among adults with H-type hypertension. Therefore, we hypothesize that metamemory serves as a mediator for the impact of cognitive function on medication adherence.</p><p><strong>Method: </strong>A total of 232 adults with H-type hypertension were enrolled to provide cognitive function scores, metamemory scores, and medication adherence rates.</p><p><strong>Results: </strong>A pairwise correlation exists among cognitive function, metamemory, and medication adherence. Metamemory partially mediates (57.5%) the relationship between cognitive function and medication adherence.</p><p><strong>Conclusion: </strong>Our findings suggest that interventions targeting improvements in metamemory may enhance medication adherence among individuals with H-type hypertension. [<i>Journal of Gerontological Nursing, 50</i>(6), 44-52.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 6","pages":"44-52"},"PeriodicalIF":1.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141179826","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}