Lynn Greenleaf Brown, Pamela R Short, Adelia Grabowsky
{"title":"Screening Tools for Alcohol Use Disorder Among Older Adults: A Scoping Review.","authors":"Lynn Greenleaf Brown, Pamela R Short, Adelia Grabowsky","doi":"10.3928/00989134-20240916-02","DOIUrl":"10.3928/00989134-20240916-02","url":null,"abstract":"<p><strong>Purpose: </strong>As the number of older adults increases, the volume of alcohol-related problems among the older adult population also rises. The purpose of the current scoping review was to summarize and disseminate research findings related to screening for alcohol use disorder (AUD) in older adults (aged ≥60 years) and determine if research gaps exist in the current literature.</p><p><strong>Method: </strong>The concepts of older adults, screening tools, AUD, and instrument evaluation were searched in Medline, APA PsycINFO, and CINAHL. After eligibility criteria were established, screening was completed using Covidence software. Data extracted from each study included the instrument used, method of evaluation, and findings.</p><p><strong>Results: </strong>Seven studies remained after screening. None of the studies took place in the United States. The Alcohol Use Disorders Identification Test and related variations were used most often and were found to be adequate for detecting at-risk drinking among older adults. In addition, some studies suggested lower screening limits for older adults.</p><p><strong>Conclusion: </strong>As the percentage of older adults engaging in risky or hazardous drinking patterns grows, there is an increased need for AUD screening using a reliable tool. Current research is limited; more research is needed regarding which tools perform best in various settings, as well as how to interpret instrument results for older adults. [<i>Journal of Gerontological Nursing, 50</i>(11), 21-28.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"21-28"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307881","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}
Laura G Wallace, Katherine N Menon, Emmanuel E Garcia Morales, John J Shin, Elizabeth R Kolberg, Clarice Myers, Jennifer A Deal, Nicholas S Reed
{"title":"Perceptions of Health Care Provider Interactions Among Medicare Beneficiaries With Hearing Trouble and the Role of an Accompanying Companion.","authors":"Laura G Wallace, Katherine N Menon, Emmanuel E Garcia Morales, John J Shin, Elizabeth R Kolberg, Clarice Myers, Jennifer A Deal, Nicholas S Reed","doi":"10.3928/00989134-20240918-02","DOIUrl":"10.3928/00989134-20240918-02","url":null,"abstract":"<p><strong>Purpose: </strong>Hearing trouble (HT) impairs communication with health care providers (HCPs) and may lead to negative care experiences that impact health outcomes. The current study aimed to examine how HT influences patient perceptions of provider interactions and whether having an accompanying companion during health care visits modifies perceptions of provider interactions.</p><p><strong>Method: </strong>This cross-sectional study analyzed 9,104 responses from the 2016 Medicare Current Beneficiary Survey.</p><p><strong>Results: </strong>Compared to beneficiaries without HT, those with HT had greater odds of negative perceptions of HCP interactions. Beneficiaries with HT had greater odds of disagreeing with positive statements about care, including provider competence, provider cares to check everything, provider response, and provider rarely in a hurry. Having an accompanying companion during health care visits was not found to significantly modify perceptions of interactions.</p><p><strong>Conclusion: </strong>Findings suggest HT is a modifiable factor impacting health care communication. Implementing simple accommodation strategies in clinical practice can improve nursing care for older adults with HT. [<i>Journal of Gerontological Nursing, 50</i>(11), 29-35.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"29-35"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307880","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}
Nahida Akter, Diane Berish, Allison R Heid, Karen J Eshraghi, Kimberly Van Haitsma
{"title":"Association of Nursing Home Residents' Demographic and Clinical Attributes and Nursing Home Characteristics With Self-Reported Ratings of Nursing Home Satisfaction.","authors":"Nahida Akter, Diane Berish, Allison R Heid, Karen J Eshraghi, Kimberly Van Haitsma","doi":"10.3928/00989134-20241014-02","DOIUrl":"https://doi.org/10.3928/00989134-20241014-02","url":null,"abstract":"<p><strong>Purpose: </strong>The current study explored the association of nursing home (NH) residents' demographic and clinical attributes and NH characteristics with resident-reported satisfaction with NH communities.</p><p><strong>Method: </strong>Pearson correlations and multiple linear regression were used to test the association of demographic and clinical attributes of residents and NH characteristics with resident-reported NH satisfaction with 197 NH residents from 28 NHs.</p><p><strong>Results: </strong>Correlational analysis and regressions indicated an association among residents' demographic and clinical characteristics, NH characteristics, and self-reported NH satisfaction. Higher age, higher education, and race (minority status) were associated with greater resident-reported NH satisfaction. Greater NH staffing and for-profit ownership status were associated with less NH satisfaction. Greater resident depressive symptoms and dressing assistance were associated with lower resident-reported NH satisfaction.</p><p><strong>Conclusion: </strong>Administrators and staff should look beyond NH characteristics and consider their residents' diverse personal characteristics to create an environment that promotes satisfaction and well-being. [<i>Journal of Gerontological Nursing, 50</i>(11), 6-12.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 11","pages":"6-12"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545834","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}
Holly Ann Meyer, Danya Kiydal, Kyle Siefert, Erin Clark, Amour Cornelius Dondi, Dania M Abu-Alhaija, Kermit G Davis, Gordon Lee Gillespie
{"title":"Workplace Violence and Worker Well-Being: A Preliminary Cross-Sectional Study.","authors":"Holly Ann Meyer, Danya Kiydal, Kyle Siefert, Erin Clark, Amour Cornelius Dondi, Dania M Abu-Alhaija, Kermit G Davis, Gordon Lee Gillespie","doi":"10.3928/00989134-20240830-01","DOIUrl":"10.3928/00989134-20240830-01","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the prevalence of workplace violence (WPV) in home health care and long-term care facilities (LTCFs) and explore the relationship between WPV and worker well-being.</p><p><strong>Method: </strong>A cross-sectional survey was conducted with health care workers in an agency that provided care in homes or LTCFs. Six measures of worker well-being were collected: satisfaction with work and life, work-related rumination, work/family conflict, burnout, and turnover intention. Surveys also assessed type and frequency of WPV.</p><p><strong>Results: </strong>Seventeen participants completed surveys. Verbal abuse by patients was the most often experienced type of WPV. Employees who reported experiencing WPV had higher burnout and lower satisfaction with work and life.</p><p><strong>Conclusion: </strong>WPV routinely occurs in home health care and LTCFs and appears to be related to worker well-being. Facility managers who can control WPV will likely impact the well-being of employees. [<i>Journal of Gerontological Nursing, 50</i>(11), 44-52.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"44-52"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307882","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":"Adding a Mobility Champion to an Existing Progressive Mobility Protocol: An Evidence-Based Initiative.","authors":"Gwen Redler, Karen Bauce","doi":"10.3928/00989134-20240918-04","DOIUrl":"10.3928/00989134-20240918-04","url":null,"abstract":"<p><strong>Purpose: </strong>This evidence-based initiative assessed the effect of adding a mobility champion to an existing progressive mobility protocol on functional decline in hospitalized older adults as evidenced by recommended discharge to home versus an inpatient rehabilitation facility.</p><p><strong>Method: </strong>Older adults admitted from home to a 47-bed medical-surgical telemetry unit who were assessed as ambulatory, either independently or with assistance (Level 5), and with a progressive mobility order in the electronic health record were included in the initiative. Patient care associates who volunteered to be mobility champions were trained how to safely ambulate patients.</p><p><strong>Results: </strong>Patients who worked with a mobility champion were less likely to be referred to inpatient rehabilitation post discharge for further care due to functional decline.</p><p><strong>Conclusion: </strong>Mobility has a critical role in the maintenance of hospitalized older adults' functional abilities and is a determinate of their post discharge disposition. [<i>Journal of Gerontological Nursing, 50</i>(11), 37-43.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"37-43"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307877","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}
Ashley Shield, Vittoria Romano, Sian M Robinson, Miles D Witham
{"title":"Describing Community-Based Nurses' Knowledge, Attitudes, and Practices in the Nutritional Care of Older Adults: Results of a UK Survey.","authors":"Ashley Shield, Vittoria Romano, Sian M Robinson, Miles D Witham","doi":"10.3928/00989134-20240918-01","DOIUrl":"10.3928/00989134-20240918-01","url":null,"abstract":"<p><strong>Purpose: </strong>To ascertain current nutritional knowledge and training needs of community-based nurses caring for older adults in the United Kingdom.</p><p><strong>Method: </strong>A descriptive cross-sectional, anonymized, online survey of nurses' knowledge, attitudes, and practices related to older adults' nutrition was developed. Community-based nurses working with older adults in the United Kingdom were recruited via social media and convenience sampling.</p><p><strong>Results: </strong>Responses were received from 194 community-based nurses. Nutritional care was seen as a multidisciplinary responsibility by 62% of participants. Most undertook nutrition screening (93%), were confident in providing nutritional advice (83%), and ease of identifying those in need (88%) was high. However, some aspects of nutritional knowledge were less complete, including recommended daily intakes of protein (60% unsure) and fiber (52% unsure).</p><p><strong>Conclusion: </strong>High confidence in delivering nutritional advice contrasted with uncertainty around some aspects of nutritional knowledge, suggesting opportunities to improve training on the nutritional needs of older adults. [<i>Journal of Gerontological Nursing, 50</i>(11), 13-19.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":" ","pages":"13-19"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307878","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":"Experiences of Family Caregivers of Older Adults With Dementia in Korea During the COVID-19 Pandemic: A Qualitative Analysis.","authors":"Eun Same Joh, Yun-Jung Choi","doi":"10.3928/00989134-20240916-01","DOIUrl":"https://doi.org/10.3928/00989134-20240916-01","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the experiences of family caregivers of older adults with dementia in Korea during the coronavirus disease 2019 pandemic.</p><p><strong>Method: </strong>In-depth interviews were conducted with eight family caregivers of older adults with dementia from September to October 2021. Collected data were analyzed using Giorgi's phenomenological methodology.</p><p><strong>Results: </strong>Four themes were derived: <i>A Rough Journey With Worry</i>, <i>A Desolate Life in a Disconnected World</i>, <i>Frustration Due to Health Deterioration</i>, and <i>Looking Toward the Future Despite Heavy Responsibility</i>.</p><p><strong>Conclusion: </strong>This study is meaningful as it increases our understanding of the experiences and needs of individuals with dementia and their family caregivers, and results can assist in finding ways to help them cope with their difficulties during future pandemic situations. [<i>Journal of Gerontological Nursing, 50</i>(10), 42-48.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 10","pages":"42-48"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372035","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}
Ellen Munsterman, Sandra Petersen, Patricia Newcomb
{"title":"Use of Socially Assistive Robots to Improve Outcomes Among Hospitalized Older Adults With Dementia: A Pilot Randomized Trial.","authors":"Ellen Munsterman, Sandra Petersen, Patricia Newcomb","doi":"10.3928/00989134-20240912-04","DOIUrl":"10.3928/00989134-20240912-04","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the use of the PARO robotic pet seal for hospitalized older adults with dementia and compare the effects of PARO use with visits by a human on various outcomes, including physical restraint use, psychotropic medications, bedside sitters, and delirium.</p><p><strong>Method: </strong>Complete data for 38 participants were analyzed using Mann-Whitney U and chi-square tests.</p><p><strong>Results: </strong>Participants interacting with PARO spent less time in their interactions; however, they received fewer psychotropic medications and had fewer instances of delirium than those who interacted with human visitors only.</p><p><strong>Conclusion: </strong>Aspects of hospitalization may limit the time an older adult can sustain attention or be free from interruption; however, short, repeated visits with PARO may affect the development of delirium and decrease use of medications to alter behavior in the hospital setting. [<i>Journal of Gerontological Nursing, 50</i>(10), 11-16.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 10","pages":"11-16"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372041","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}
MoonKi Choi, Jin Seon Kim, Chan Young Park, YeJin Choi, Tejin Yoon, Juyeon Bae
{"title":"Feasibility of Whole-Body Resistance Training With Social Support Reinforcement for Older Adults Living Alone: A Mixed-Methods Pilot Study.","authors":"MoonKi Choi, Jin Seon Kim, Chan Young Park, YeJin Choi, Tejin Yoon, Juyeon Bae","doi":"10.3928/00989134-20240913-01","DOIUrl":"https://doi.org/10.3928/00989134-20240913-01","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the feasibility and acceptability of progressive whole-body resistance training with social support reinforcement for older adults living alone.</p><p><strong>Method: </strong>This mixed methods single-group pilot study examined an intervention provided over 3 nonconsecutive days per week for 12 weeks. We evaluated quantitative data on recruitment, uptake, retention, and adherence, and measured pretest and posttest outcome scores on body composition, physical function, and psychosocial health. We conducted a focus group interview to collect qualitative data on participants' perspectives.</p><p><strong>Results: </strong>Seven participants (five women and two men) completed the program (attendance rate = 88.9%). Physical function and psychosocial health improved, but soft lean and skeletal muscle mass decreased. Five themes emerged from the qualitative data.</p><p><strong>Conclusion: </strong>Results support the feasibility and benefits of this intervention program for older adults living alone despite challenges with recruitment and uptake. [<i>Journal of Gerontological Nursing, 50</i>(10), 34-41.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 10","pages":"34-41"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372037","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}
Jacques-Alexis Nkodo, Wassim Gana, Camille Debacq, Amal Aïdoud, Vincent Camus, Victoire Leroy, Bertrand Fougère
{"title":"Support for Nursing Home Caregivers During the COVID-19 Pandemic: A Review.","authors":"Jacques-Alexis Nkodo, Wassim Gana, Camille Debacq, Amal Aïdoud, Vincent Camus, Victoire Leroy, Bertrand Fougère","doi":"10.3928/00989134-20240912-06","DOIUrl":"https://doi.org/10.3928/00989134-20240912-06","url":null,"abstract":"<p><strong>Purpose: </strong>To review support systems for nursing home caregivers (NHCGs) that were implemented during the first year of the coronavirus disease 2019 (COVID-19) pandemic.</p><p><strong>Method: </strong>Database searches in PubMed, ScienceDirect, and CINAHL resulted in five publications.</p><p><strong>Results: </strong>Studies differed in design, interventions, and outcomes. An urgent eye movement desensitization and reprocessing protocol was feasible and effective among nurses in services highly mobilized during the acute phase of the pandemic. The \"self-help plus\" psychological intervention was not associated with significant reductions in anxiety or posttraumatic symptoms but prompted exploration of non-specific factors influencing its effectiveness. The Extension for Community Healthcare Outcomes in Long-Term Care of the Elderly virtual program increased confidence among NHCGs. Self-compassion training was associated with positive changes for certified nursing assistants. Weekly debriefing sessions implemented at one hospital highlighted pathogenic and salutogenic factors.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic had a marked psychosocial impact on NHCGs and necessitated targeted interventions. Despite their limitations, these promising studies provided insights into potential support avenues. Policy considerations should stress the pivotal role of advanced practice nurses in shaping supportive work environments. Future research should focus on robust assessments of the efficacy of psychosocial interventions for NHCGs facing ongoing challenges posed by the pandemic, and even recurrent viral epidemics. [<i>Journal of Gerontological Nursing, 50</i>(10), 24-33.].</p>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 10","pages":"24-33"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372040","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}