Nancy Innella, Bryan Pilkington, Sherry A Greenberg
{"title":"Undergraduate nursing students' responses to an end-of-life educational session.","authors":"Nancy Innella, Bryan Pilkington, Sherry A Greenberg","doi":"10.1080/02701960.2022.2089981","DOIUrl":"10.1080/02701960.2022.2089981","url":null,"abstract":"<p><p>End-of-life care is an important component of healthcare students' education. The purpose of this study was to explore nursing students' perspectives of end-of-life decision-making and end-of-life care following an ethics session during the 2020-2021 academic year. A qualitative study was performed. Thirty-six undergraduate nursing students in their junior year at a private, Catholic university located in the northeast United States participated. Two nursing faculty and one bioethicist conducted an educational session on end-of-life care developed with a focus on decision-making, autonomy and dignity while employing debate pedagogy as a teaching modality. Following the session, the students were given a letter of solicitation with a link to a Qualtrics survey with four open ended questions related to end-of-life care. Four main themes, as being perceived by students, were discovered: decision-making, autonomy, the nurses' role, and the interprofessional team as important components of end-of-life care. Implications for future research include debate pedagogy as a method to teach end-of-life care and ethical decision-making as well as quantitative research or mixed methods with larger sample sizes and across health professions.</p>","PeriodicalId":46431,"journal":{"name":"GERONTOLOGY & GERIATRICS EDUCATION","volume":"1 1","pages":"602-612"},"PeriodicalIF":1.6,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42691050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Terri Harvath, Jennifer Mongoven, Kathryn Sexson, Kristen Bettega
{"title":"Development of competencies to strengthen support for caregivers and enhance their capacity to provide care.","authors":"Terri Harvath, Jennifer Mongoven, Kathryn Sexson, Kristen Bettega","doi":"10.1080/02701960.2022.2083117","DOIUrl":"10.1080/02701960.2022.2083117","url":null,"abstract":"<p><p>Nearly 53 million family caregivers in the United States provide care to older adults, performing tasks ranging from meal preparation and grocery shopping, to wound care and medication management. While caregivers are critical to the health care system, they are not adequately supported to serve in this role. Successfully integrating family caregivers into the health care team and supporting their health and well-being is a public health priority and should be a focus for clinical education programs. To address this gap, the Family Caregiving Institute at the Betty Irene Moore School of Nursing at UC Davis developed the Interprofessional Family Caregiving Competencies as a framework to guide the development of curricula to enhance health care providers' skills, knowledge, and abilities in family caregiving. Twenty-one competencies are categorized within the following four domains: the nature of family caregiving; family caregiving identification and assessment; providing family-centered care; and the context of family caregiving.</p>","PeriodicalId":46431,"journal":{"name":"GERONTOLOGY & GERIATRICS EDUCATION","volume":"1 1","pages":"523-527"},"PeriodicalIF":1.6,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41427360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing diversity, equity, and inclusion in quantitative studies of age and life course.","authors":"Jessica Kelley-Moore, Roland Thorpe","doi":"10.1080/02701960.2023.2248712","DOIUrl":"10.1080/02701960.2023.2248712","url":null,"abstract":"","PeriodicalId":46431,"journal":{"name":"GERONTOLOGY & GERIATRICS EDUCATION","volume":" ","pages":"503-512"},"PeriodicalIF":1.6,"publicationDate":"2023-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B Josea Kramer, Nancy T Weintraub, Regina A Richter-Lagha
{"title":"Infusing geriatrics in Indian Health Service general primary care clinics: Extending VA workforce development training.","authors":"B Josea Kramer, Nancy T Weintraub, Regina A Richter-Lagha","doi":"10.1080/02701960.2022.2056735","DOIUrl":"https://doi.org/10.1080/02701960.2022.2056735","url":null,"abstract":"<p><p>As federal partners, the Veterans Health Administration (VA) and the Indian Health Service (IHS) agreed to share resources, such as education. The VA Geriatric Scholars Program, a workforce development program, provides one of its training programs on team-based primary care of elders to clinicians working in IHS and Tribal Health Programs. The practical impact of that training is described. A mixed methods approach was applied to the course's evaluation survey at five clinics in the Northwestern Plains, Southwest, Pacific Coast, and Alaska. Quantitative approaches assessed participants' self-reported intention to improve recognition and assessment of common geriatric syndromes. A qualitative approach applied to open-ended text responses revealed intensions to improve team-based care. Among the 51 respondents in our sample, we found significant improvements in self-reported ability to recognize previously unfamiliar potential risks to elders' health and safety, t(49) = 8.0233, p < .001, as well as increased comfort with conducting geriatric assessments and increased confidence in interprofessional team-based communication. Improvements to team-based care included enhanced clinical skills, organizational factors and the need to train additional employees. This evaluation demonstrates the value of sharing resources among federal partners and its value for participants in IHS and Tribal Health Programs.</p>","PeriodicalId":46431,"journal":{"name":"GERONTOLOGY & GERIATRICS EDUCATION","volume":"44 3","pages":"354-363"},"PeriodicalIF":1.6,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9684372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christine L Sheppard, Ariane S Massie, Laura Kadowaki, Kim Thériault, Andrea Rochon, Tia Rogers-Jarrell
{"title":"Building a national network of student leaders in gerontology: Reflections on the student representative program.","authors":"Christine L Sheppard, Ariane S Massie, Laura Kadowaki, Kim Thériault, Andrea Rochon, Tia Rogers-Jarrell","doi":"10.1080/02701960.2022.2033975","DOIUrl":"https://doi.org/10.1080/02701960.2022.2033975","url":null,"abstract":"<p><p>The Canadian Association on Gerontology's Student Connection facilitates a national Student Representative program to promote the field of gerontology at local post-secondary institutions. Student Representatives are expected to host professional development and networking events on their campus to bring together students interested in the field of aging. Student-run groups help foster interest in aging-related careers and research, yet few studies explore how these groups are developed and sustained. As part of this quality improvement project, we examined (1) who participates as a Student Representative; (2) why students choose to participate in the program; and (3) how Student Representatives fulfil their role (including barriers and facilitators). We conclude with a discussion of the challenges that the Student Connection's executive committee has faced supporting this national network and identify opportunities to further enhance the program. Practical implications to support student engagement and promote sustainability of student-driven aginginterest groups are outlined.</p>","PeriodicalId":46431,"journal":{"name":"GERONTOLOGY & GERIATRICS EDUCATION","volume":"44 3","pages":"413-428"},"PeriodicalIF":1.6,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9696445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Selena E Washington, Theodore K Malmstrom, Emma Bottin, Emily Cler, Devita T Stallings, Marla Berg-Weger
{"title":"Perceptions and knowledge of older adults: An analysis of interprofessional education and medically underserved populations.","authors":"Selena E Washington, Theodore K Malmstrom, Emma Bottin, Emily Cler, Devita T Stallings, Marla Berg-Weger","doi":"10.1080/02701960.2022.2067152","DOIUrl":"https://doi.org/10.1080/02701960.2022.2067152","url":null,"abstract":"<p><p>This study explored an academic Interprofessional Geriatric Case Competition (IGCC) experience with a focus on medically underserved populations. Our aims were to assess: the perceptions of and knowledge of older adult populations; and the overall IPE (Interprofessional Education) experience of the IGCC participants. A multi-method study approach was used, the Facts on Aging Quiz assessed knowledge and the Carolina Opinions on Care of Older Adults (COCOA) assessed perceptions. A qualitative thematic approach was utilized to explore the themes of the IPE experience. There was a moderate correlation (0.37, p < .001) between perception and knowledge data of the respondents (N = 94), current professionals (54%) and enrolled students (46%). The three emerged themes were as follows: interprofessional/holistic practice; culturally responsive/older adult centered practice; and the impact of Covid-19. The implementation of IPE that centers medically underserved populations has the potential to: enhance students learning, influence the quality of care, and provide pathways to working within these specific populations.</p>","PeriodicalId":46431,"journal":{"name":"GERONTOLOGY & GERIATRICS EDUCATION","volume":"44 3","pages":"480-494"},"PeriodicalIF":1.6,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9692652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel B Kaplan, Barbara Silverstone, Keith Chan, Amanda Spishak-Thomas, Chris Herman, Joan Levy Zlotnik
{"title":"NASW's Supervisory Leaders in Aging: One-year practice change outcomes of an innovative training program for social work supervisors.","authors":"Daniel B Kaplan, Barbara Silverstone, Keith Chan, Amanda Spishak-Thomas, Chris Herman, Joan Levy Zlotnik","doi":"10.1080/02701960.2022.2028260","DOIUrl":"https://doi.org/10.1080/02701960.2022.2028260","url":null,"abstract":"<p><p>Social work supervision addresses professional development, staff support, and management of direct service workers. It is important in aging-services settings because of the impacts of complex and evolving biopsychosocial forces in clients' lives. This article presents findings of the Supervisory Leaders in Aging (SLA) study based on data available one-year post completion. SLA is a 30-hour certificate program for supervisors from aging-services settings addressing best practices in supervision of gerontological practice. The study compares participants' self-assessment of use of supervisory best practices before attending a 3-month workshop series and at two times following graduation. This article reports findings from the analysis of data provided by 114 out of 129 supervisors who completed the program. Participants increased the frequency of use of best practices at both three and 12 months after graduation. These increases were conceptually meaningful and statistically significant among participants who were low users of best practices prior to the program. SLA has led to significant adoption and maintenance of supervisory best practices among participating social work supervisors and especially among those who have not previously adopted routine use of best practices. The interactive small-group learning activities of SLA's educational model should be promoted and the curriculum of best practices should be further refined and tested as SLA is implemented in other communities.</p>","PeriodicalId":46431,"journal":{"name":"GERONTOLOGY & GERIATRICS EDUCATION","volume":"44 3","pages":"364-379"},"PeriodicalIF":1.6,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9696452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jeffrey J Gregg, Rachel L Rodriguez, Priyanka S Mehta, B Josea Kramer, Christine E Gould
{"title":"Enhancing specialty training in geropsychology competencies: An evaluation of a VA Geriatric Scholars Program advanced topics workshop.","authors":"Jeffrey J Gregg, Rachel L Rodriguez, Priyanka S Mehta, B Josea Kramer, Christine E Gould","doi":"10.1080/02701960.2022.2069764","DOIUrl":"https://doi.org/10.1080/02701960.2022.2069764","url":null,"abstract":"<p><p>There is a growing need for psychologists with specialized training in geriatric mental health competencies. The Geriatric Scholars Program for Psychologists (GSP-P) was created to address this shortage within a large integrated healthcare system. In 2019, GSP-P piloted an advanced workshop designed to enhance expertise in geriatric mental health competencies among graduates of its foundational competencies core course. The workshop included 3.5 days of expert-led seminars regarding the biopsychosocial needs of older adults with chronic medical illness and was followed by completion of an individualized learning plan. This paper describes the evaluation of the course using a mixed methods with data collected prior to the workshop, immediately post-workshop, and six months post-workshop. Results indicated enthusiasm for the workshop, significant improvements in four geropsychology domains on the Pikes Peak Geropsychology Knowledge and Skill Assessment Tool, and benefit from completion of the independent learning plans. Our findings demonstrate that continued enhancement of geropsychology competencies through advanced coursework is feasible and improves knowledge and skill, particularly when combined with individualized learning plans.</p>","PeriodicalId":46431,"journal":{"name":"GERONTOLOGY & GERIATRICS EDUCATION","volume":"44 3","pages":"329-338"},"PeriodicalIF":1.6,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10068456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer J Severance, Lesca Hadley, Traci Butler Carroll, Jessica Hartos, Janice A Knebl
{"title":"Quality improvement for age-friendly care: An experiential model for instructing medical students in system-based practice.","authors":"Jennifer J Severance, Lesca Hadley, Traci Butler Carroll, Jessica Hartos, Janice A Knebl","doi":"10.1080/02701960.2022.2069763","DOIUrl":"https://doi.org/10.1080/02701960.2022.2069763","url":null,"abstract":"<p><p>Early learning experiences in quality improvement (QI) can prepare medical students for practice in complex health systems and can improve processes of care for various groups, including older adult patients with multiple chronic conditions. We applied the Institute for Healthcare Improvement (IHI) Age-Friendly Health Systems 4Ms framework to a twelve-week geriatrics-focused QI project for third-year medical students training in rural medicine. Students (<i>N</i> = 40) conducted their projects at primary care practice sites and focused on the identified needs of older adult patients within the 4Ms framework areas of Mobility, Mentation, Medication, and What Matters. Students completed evaluation surveys to rate the usefulness of training and to self-assess knowledge and skills using five-point Likert-type items. Students (<i>n</i> = 23) reported increased knowledge and skills in conducting QI activities and improved understanding of the importance of improving processes and patient care. Such projects for QI training can support competency development in systems-based practice while also implementing practice frameworks for improving processes and patient care, such as the use of Age-Friendly practices and resources within a health care setting.</p>","PeriodicalId":46431,"journal":{"name":"GERONTOLOGY & GERIATRICS EDUCATION","volume":"44 3","pages":"495-501"},"PeriodicalIF":1.6,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10068457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kelly Cheung, Peter Tamura, Zeeshan Malik, Jason Lin, John Cyrus, Chuck Alexander, Sarah Hobgood
{"title":"Barriers and motivators to specializing in geriatrics and strategies for recruitment: Scoping review.","authors":"Kelly Cheung, Peter Tamura, Zeeshan Malik, Jason Lin, John Cyrus, Chuck Alexander, Sarah Hobgood","doi":"10.1080/02701960.2022.2078814","DOIUrl":"10.1080/02701960.2022.2078814","url":null,"abstract":"<p><p>While the barriers to specializing in geriatrics are known, motivators behind why medical trainees choose geriatrics are not as well understood. It is also unknown if recruitment strategies in the literature address these barriers and motivators. The aim of this systematic scoping review is to examine the current literature on recruitment strategies alongside motivators and barriers for specializing in geriatrics. Eligible articles for this scoping review either focused on motivators or barriers among trainees (medical students, resident-physicians, fellows) or recruitment strategies. A scoping search was conducted in MEDLINE, Embase, CINAHL, and PsychINFO. Data was extracted on article characteristics and themes. 88 of 2064 articles were eligible and included. Personal fulfillment emerged as the most common theme for motivators, contrary to prior studies that cite positive role modeling. Financial disincentive remained the most common barrier, followed by limited exposure and \"futile\" practice. Promising interventions beyond financial compensation include defining geriatrics better, emphasizing the high job satisfaction rates, increasing clinical exposure for medical students, and additional funding for academic centers to recruit academic geriatricians. Policymakers and medical educators should consider multiple strategies that target the motivators, as well as the barriers to pursuing geriatrics.</p>","PeriodicalId":46431,"journal":{"name":"GERONTOLOGY & GERIATRICS EDUCATION","volume":"44 3","pages":"396-412"},"PeriodicalIF":0.8,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9696457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}