Journal of gerontological nursing最新文献_第9页

Nurses' Provision of Sexual and Reproductive Health to Community-Dwelling Older Adults: An Integrative Review. 护士为居住在社区的老年人提供性健康和生殖健康服务：综合评论》。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2024-10-01 DOI: 10.3928/00989134-20240912-05

Salima Siraj, Sherry Dahlke

{"title":"Nurses' Provision of Sexual and Reproductive Health to Community-Dwelling Older Adults: An Integrative Review.","authors":"Salima Siraj, Sherry Dahlke","doi":"10.3928/00989134-20240912-05","DOIUrl":"https://doi.org/10.3928/00989134-20240912-05","url":null,"abstract":"Purpose: To explore barriers and facilitators to nurses' provision of sexual and reproductive health (SRH) care to community-dwelling older adults.Method: An integrative literature review was performed using Whittemore and Knafl's method. Three databases were searched for research conducted between 2012 and 2023, and the Mixed Methods Appraisal Tool was used to determine the quality of included studies.Results: Nine studies were ultimately included for analysis, and themes were Barriers to SRH Care and Facilitators of SRH Care. Barriers to SRH Care included: nurses' lack of knowledge about older adults' sexual health, discomfort discussing sexual topics, age-related stereotypes regarding older adults' sexuality, and older adults' lack of knowledge of and reluctance to discuss sexuality and sexual health issues. Facilitators of SRH Care included: gender of health care provider, nursing education on effective communication strategies, encouraging open dialogue to challenge ageist perceptions, and sexual education for older adults.Conclusion: Findings underscore the impact of stigma and negative ageist assumptions on whether discussions about SRH occur between nurses and older adults. There is a need for comprehensive education for nurses and older adults about SRH to recognize sexual health needs and promote open and constructive conversations. Moreover, research about how to best facilitate older adults' SRH is needed. [Journal of Gerontological Nursing, 50(10), 17-23.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 10","pages":"17-23"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372039","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}

引用次数: 0

Feasibility of Fall-Risk Detection in Older Adults: Real-World Use of Sensor Data With Machine Learning. 老年人跌倒风险检测的可行性：传感器数据与机器学习的实际应用。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2024-10-01 DOI: 10.3928/00989134-20240912-03

Matthew Farmer, Kimberly R Powell

{"title":"Feasibility of Fall-Risk Detection in Older Adults: Real-World Use of Sensor Data With Machine Learning.","authors":"Matthew Farmer, Kimberly R Powell","doi":"10.3928/00989134-20240912-03","DOIUrl":"https://doi.org/10.3928/00989134-20240912-03","url":null,"abstract":"Purpose: To use machine learning techniques with sensor data to predict fall risk in older adults aging in place.Method: We tested the feasibility of using anomaly detection on a dataset comprising 315 days of continuous unobtrusive sensor data obtained from a single participant to predict fall risk within a 10-day window. Predictions were validated with performance metrics, including accuracy, F1 score, and receiver operating characteristic-area under curve (ROC-AUC), using actual falls documented in the electronic health record.Results: The model resulted with accuracy = 0.96 (95% confidence interval [CI] [0.94, 0.99]), F1 = 0.78 (95% CI [0.73, 0.83]), and ROC-AUC = 0.89 (95% CI [0.85, 0.93]).Conclusion: The application of anomaly detection on sensor data may provide a timely and valid indication of fall risk in older adults within a 10-day window. Further research and validation are warranted to confirm these findings and expand the scope of application in the domain of older adult care and health care support. [Journal of Gerontological Nursing, 50(10), 7-10.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 10","pages":"7-10"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372036","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}

引用次数: 0

Gerontological Nurses' Civic Duty: Impact of November's Election on Rural Health and Older Adults. 老年学护士的公民责任：11 月大选对农村健康和老年人的影响。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2024-10-01 DOI: 10.3928/00989134-20240912-02

Olivia C Rubio, Donna M Fick

引用次数: 0

Assessing Delirium Severity in Dementia: Item Development and Psychometric Validation for a Delirium Severity Instrument. 评估痴呆症的谵妄严重程度：谵妄严重程度工具的项目开发和心理测量验证。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2024-09-01 DOI: 10.3928/00989134-20240809-06

Tammy Hshieh, Dena Schulman-Green, Tamara G Fong, Eran Metzger, Franchesca Arias, Benjamin Helfand, Ed Marcantonio, Eva Schmitt, Patricia Tabloski, Rich N Jones, Sharon K Inouye

{"title":"Assessing Delirium Severity in Dementia: Item Development and Psychometric Validation for a Delirium Severity Instrument.","authors":"Tammy Hshieh, Dena Schulman-Green, Tamara G Fong, Eran Metzger, Franchesca Arias, Benjamin Helfand, Ed Marcantonio, Eva Schmitt, Patricia Tabloski, Rich N Jones, Sharon K Inouye","doi":"10.3928/00989134-20240809-06","DOIUrl":"10.3928/00989134-20240809-06","url":null,"abstract":"Purpose: Despite the importance of measuring delirium severity in patients with Alzheimer's disease and related dementias (ADRD), no validated instrument currently exists. Our goal was to generate items for use in such an instrument.Method: An interdisciplinary expert panel developed items to assess seven domains and 21 subdomains of delirium severity. Nursing experts provided input on items.Results: Experts achieved consensus on 21 items, including best respondents for each item, and appropriate look-back periods. Nursing experts emphasized the need for educating nursing staff and obtaining information from caregivers.Conclusion: Careful, nuanced identification of distinguishing features is key for generating items for measuring delirium severity in persons with ADRD. Once developed, engaging nurses will be essential to facilitate adoption and relevance of the tool. [Journal of Gerontological Nursing, 50(9), 24-30.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 9","pages":"24-30"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080501","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}

引用次数: 0

Preventing Prescribing Cascades: Ensuring Medication Safety for Older Adults. 防止处方串联：确保老年人用药安全。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2024-09-01 DOI: 10.3928/00989134-20240809-03

Robert G Wahler, Courtney L Olbrich, Lisa M McCarthy

{"title":"Preventing Prescribing Cascades: Ensuring Medication Safety for Older Adults.","authors":"Robert G Wahler, Courtney L Olbrich, Lisa M McCarthy","doi":"10.3928/00989134-20240809-03","DOIUrl":"10.3928/00989134-20240809-03","url":null,"abstract":"Purpose: To define prescribing cascades (PCs) and provide tools to identify PCs, including the most common PCs described in the literature. PCs lead to the accumulation of medications prescribed to older adults, disproportionately affecting those who often have additional health care complexities, such as multiple chronic conditions and multiple transitions of care.Method: Review of recent research efforts to identify and describe evolving clinical practice interventions to detect and reverse PCs.Results: Clinicians can contribute to mitigating PCs through better understanding of how PCs occur in practice. Armed with this knowledge, clinical team members can implement proposed strategies and techniques to engage in primary and secondary prevention of PCs.Conclusion: Ultimately, PCs are a culprit of preventable medication harm. Several tools are presented, which are initiated through maintaining a high index of suspicion for PCs in the evaluation of a new symptom presentation by older patients. [Journal of Gerontological Nursing, 50(9), 7-11.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 9","pages":"7-11"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080557","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}

引用次数: 0

Recruitment Strategies for a Technology-Based Fall Risk Assessment Research Study Among Community-Dwelling Older Adults During a Global Pandemic. 在全球大流行期间，基于技术的社区老年人跌倒风险评估研究的招募策略。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2024-09-01 DOI: 10.3928/00989134-20240809-05

Eunice Oladepe Ojo, Ladda Thiamwong

{"title":"Recruitment Strategies for a Technology-Based Fall Risk Assessment Research Study Among Community-Dwelling Older Adults During a Global Pandemic.","authors":"Eunice Oladepe Ojo, Ladda Thiamwong","doi":"10.3928/00989134-20240809-05","DOIUrl":"10.3928/00989134-20240809-05","url":null,"abstract":"Purpose: To describe successful strategies for the recruitment of diverse community-dwelling older adults for a technology-based fall risk assessment research study during the global coronavirus disease 2019 pandemic.Method: In this cross-sectional study, 124 adults aged ≥60 years agreed to participate. We used several recruitment strategies, including social media platforms, local community centers, flyers, contacting key persons, word of mouth, and contacting participants from previous research projects.Results: Targeted and personalized strategies for recruitment, including contacting a key community leader (52.4%, n = 65) and communication with friends and family members (46.7%, n = 58), were the most successful. One (0.8%) participant was recruited from a prior research project. In contrast, individuals were not recruited from posted flyers and social media.Conclusion: Recruitment can be improved with word of mouth and contacting key persons, such as community leaders, which can be achieved by building a trusted relationship between researchers and community leaders. [Journal of Gerontological Nursing, 50(9), 18-23.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 9","pages":"18-23"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11382612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080558","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}

引用次数: 0

Appropriateness of Nursing Home to Emergency Department Transitional Care for Older Adults With Dementia: A Scoping Review. 痴呆症老年人从疗养院到急诊科过渡护理的适宜性：范围审查。

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2024-09-01 DOI: 10.3928/00989134-20240809-08

Huiting Wang, Keigo Takiue, Xiaoji Liu, Eriko Koujiya, Yasushi Takeya, Miyae Yamakawa

{"title":"Appropriateness of Nursing Home to Emergency Department Transitional Care for Older Adults With Dementia: A Scoping Review.","authors":"Huiting Wang, Keigo Takiue, Xiaoji Liu, Eriko Koujiya, Yasushi Takeya, Miyae Yamakawa","doi":"10.3928/00989134-20240809-08","DOIUrl":"10.3928/00989134-20240809-08","url":null,"abstract":"Purpose: To systematically identify knowledge patterns and gaps in the appropriateness of nursing home (NH) to emergency department (ED) transitional care for older adults with dementia.Method: A systematic search of multiple information sources was performed from July to August 2023 using predesigned search strategies.Results: From 13 articles, 54 identified pieces of specific care evidence were grouped into six major care domains: (1) Resource Support for Assessing Transfer Needs and Patient Status; (2) Resource Support, Shared Decision Making, and Early Advance Care Planning; (3) Standardized Multimodal Information Transfer; (4) Designated ED and NH Transition Coordinators; (5) Enhanced Interfacility Collaboration; and (6) Appropriate Transitional Care Education, Research, and Policy Beyond the Transfer Interface.Conclusion: A comprehensive, consensus-based body of evidence is lacking. Despite person-centered, standardized, and professional resources supporting transitional care, reorienting NH cultural models remains unclear. Gaps include evidence tailored to diverse participants and contexts. Thus, a focus on policies, education, and research is required. [Journal of Gerontological Nursing, 50(9), 37-45.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 9","pages":"37-45"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080500","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}

引用次数: 0

A Hint of Ginger. 一丝姜味

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2024-08-01 DOI: 10.3928/00989134-20240711-01

Meredith Kazer

引用次数: 0

Effects of Proprioceptive Neuromuscular Facilitation Technique on Balance Function and Muscle Health in Older Adults With High Fall Risk. 感觉神经肌肉促进技术对高跌倒风险老年人平衡功能和肌肉健康的影响

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2024-08-01 DOI: 10.3928/00989134-20240702-03

Xianmei Xiong, Jiejin Zang, Chunfeng Zhu, Wei Wei, Ping Wang, Jianjun Wang, Qunfang Gao

{"title":"Effects of Proprioceptive Neuromuscular Facilitation Technique on Balance Function and Muscle Health in Older Adults With High Fall Risk.","authors":"Xianmei Xiong, Jiejin Zang, Chunfeng Zhu, Wei Wei, Ping Wang, Jianjun Wang, Qunfang Gao","doi":"10.3928/00989134-20240702-03","DOIUrl":"10.3928/00989134-20240702-03","url":null,"abstract":"Purpose: Older adults frequently encounter health challenges, such as impaired balance and muscle health, which increase risk of falls. The current study investigated the effectiveness of the proprioceptive neuromuscular facilitation (PNF) technique in improving balance and muscle health among older adults with high fall risk.Method: A total of 160 older adults with high fall risk were randomized into control and intervention groups. Over 6 months, the control group received standard interventions, while the intervention group received the same interventions and additional PNF training.Results: Both groups demonstrated improvements in balance function over time, with the intervention group exhibiting significant improvements in Berg Balance Scale scores, Timed Up and Go test times, and 30-Second Chair Stand Test counts (p < 0.05). Bone density significantly increased in the intervention group compared to the control group (p < 0.05), although no substantial differences in lower limb muscle mass were observed. Satisfaction rates were higher and fall incidents fewer in the intervention group.Conclusion: The PNF technique is effective in enhancing balance function and muscle health in older adults with high fall risk, demonstrating potential in reducing fall risk and improving quality of life among older adults. [Journal of Gerontological Nursing, 50(8), 37-44.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 8","pages":"37-44"},"PeriodicalIF":1.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860019","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}

引用次数: 0

Walking Interventions and Sleep Quality of Persons Living With Dementia and Their Family Caregivers: Effects of Different Walking Companions. 步行干预与痴呆症患者及其家庭照顾者的睡眠质量：不同步行同伴的影响

IF 1.1 4区医学

Journal of gerontological nursing Pub Date : 2024-08-01 DOI: 10.3928/00989134-20240703-01

Yen-Hua Shih, Ya-Ping Yang, Hui-Chen Chao, Hua-Tsen Hsiao, Jing-Jy Wang

{"title":"Walking Interventions and Sleep Quality of Persons Living With Dementia and Their Family Caregivers: Effects of Different Walking Companions.","authors":"Yen-Hua Shih, Ya-Ping Yang, Hui-Chen Chao, Hua-Tsen Hsiao, Jing-Jy Wang","doi":"10.3928/00989134-20240703-01","DOIUrl":"https://doi.org/10.3928/00989134-20240703-01","url":null,"abstract":"Purpose: To examine the effect of walking interventions on sleep quality of persons with dementia (PWD) and their caregivers (dyads), and how different companions affect results.Method: Forty-five dyads were divided into three groups: a control group and two experimental groups (one with a care attendant, one with a family caregiver). The two experimental groups engaged in 120 minutes of walking per week for 24 weeks.Results: A significant improvement in sleep quality was observed among PWD in the family caregiver group (Wald χ2 = 4.55, p = 0.033), whereas there was no improvement in the care attendant group. A slight improvement in sleep quality of family caregivers was also found.Conclusion: Findings suggest the importance of creating individualized walking activity plans for dyads, incorporating trust and rapport-building strategies to improve sleep quality. [Journal of Gerontological Nursing, 50(8), 46-56.].","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"50 8","pages":"46-56"},"PeriodicalIF":1.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860023","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}

引用次数: 0