Research in Gerontological Nursing最新文献

Missing at Random or Not?: Evidence on Pain in Black Older Adults With Dementia and Their Caregivers. 随机失踪与否？黑人老年痴呆症患者及其护理者的疼痛证据。

IF 1.1 4区医学

Research in Gerontological Nursing Pub Date : 2024-07-01 DOI: 10.3928/19404921-20240628-01

Staja Q Booker, Sheria Robinson-Lane, Karen Moss, Fayron Epps, Janiece Taylor

引用次数: 0

Family Caregivers' Needs in Long-Term Care Facilities: A Descriptive Qualitative Study. 长期护理机构中家庭护理人员的需求：描述性定性研究。

IF 1.1 4区医学

Research in Gerontological Nursing Pub Date : 2024-07-01 Epub Date: 2023-06-20 DOI: 10.3928/19404921-20240614-01

Yumiko Iwasaki, Hiroki Fukahori, Akemi Okumura-Hiroshige, Ikuko Sakai, Shuichi Inoue, Tomoko Sugiyama, Katsumi Nasu, Hirofumi Ogawara

{"title":"Family Caregivers' Needs in Long-Term Care Facilities: A Descriptive Qualitative Study.","authors":"Yumiko Iwasaki, Hiroki Fukahori, Akemi Okumura-Hiroshige, Ikuko Sakai, Shuichi Inoue, Tomoko Sugiyama, Katsumi Nasu, Hirofumi Ogawara","doi":"10.3928/19404921-20240614-01","DOIUrl":"10.3928/19404921-20240614-01","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the needs of family caregivers (FCs) and how these are addressed in long-term care facilities (LTCFs).</p><p><strong>Method: </strong>A descriptive qualitative study was performed, using semi-structured interviews with 23 FCs from seven LTCFs in Japan.</p><p><strong>Results: </strong>Inductive content analysis revealed three main themes: <i>Coexistent Needs Related to Residents' and FCs' Own Well-Being</i>, <i>Means by Which FCs Promote Residents' and Their Own Well-Being</i>, and <i>Managing Conflicting Needs by Prioritizing and Compromising</i>. FCs recognized that their needs relate to the well-being of residents and themselves, and both needs coexist. To address these multifaceted needs, FCs engaged in various activities while seeking support. However, limited availability of means often made it challenging to meet multiple needs simultaneously, leading FCs to manage these conflicting needs by prioritizing or compromising.</p><p><strong>Conclusion: </strong>The current study underscores the significance of comprehensive support that simultaneously addresses FCs' conflicting needs, rather than approaching each need separately. [<i>Research in Gerontological Nursing, 17</i>(4), 177-187.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447566","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

Implementation of MOVIN by a Nurse-Led Clinical Team: A Multiple Methods Evaluation Using the RE-AIM Framework. 由护士领导的临床团队实施 MOVIN：使用 RE-AIM 框架的多种方法评估。

IF 1.1 4区医学

Research in Gerontological Nursing Pub Date : 2024-07-01 DOI: 10.3928/19404921-20240621-02

Barbara King, Mary Hook, Roger Brown, Jane Mahoney, Linsey Steege

{"title":"Implementation of MOVIN by a Nurse-Led Clinical Team: A Multiple Methods Evaluation Using the RE-AIM Framework.","authors":"Barbara King, Mary Hook, Roger Brown, Jane Mahoney, Linsey Steege","doi":"10.3928/19404921-20240621-02","DOIUrl":"https://doi.org/10.3928/19404921-20240621-02","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the implementation of MOVIN, a multicomponent mobility intervention, by a nurse-led team and measure the effectiveness on unit-level outcomes.</p><p><strong>Method: </strong>A pragmatic quasi-experimental study was conducted on an inpatient adult medical unit. Evaluation was guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Interviews with 13 organizational partners were conducted to understand barriers and facilitators to adoption. Thematic analysis was used to analyze the data. Quantitative data to determine effectiveness on distance of patient ambulation and percent of patients ambulated by nursing staff were analyzed using an interrupted time series.</p><p><strong>Results: </strong>A significant increase in total weekly distances for patient ambulation and percent of patients ambulated by nursing staff occurred between preintervention, intervention, and postintervention periods. Themes for adoption included: <i>Value</i>, <i>Immediate Feedback</i>, <i>Inclusive Implementation</i>, <i>Resource Needs</i>, and <i>Lack of Organizational Evidence</i>. The nurse-led team demonstrated high fidelity to maintaining the core components of MOVIN.</p><p><strong>Conclusion: </strong>A nurse-led team can successfully launch a multicomponent mobility intervention and sustain impact. RE-AIM supported assessments of key partners at multiple organizational levels, capturing critical unit level outcomes. Multiple methods for data collection and analysis yielded rich results to inform future dissemination of MOVIN. [<i>Research in Gerontological Nursing, 17</i>(4), 189-201.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762490","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 Longitudinal Study on the Relationship Between Family Size and Instrumental Activities of Daily Living: The Masking Effect of Depressive Symptoms. 家庭规模与日常生活工具性活动之间关系的纵向研究：抑郁症状的掩蔽效应

IF 1.1 4区医学

Research in Gerontological Nursing Pub Date : 2024-07-01 DOI: 10.3928/19404921-20240626-01

Shiping Gu, Xinnan Du, Sangsang Li, Dan Han, Yunyi Wu, Jie Zhao, Mei Zhang, Jing Wang

{"title":"A Longitudinal Study on the Relationship Between Family Size and Instrumental Activities of Daily Living: The Masking Effect of Depressive Symptoms.","authors":"Shiping Gu, Xinnan Du, Sangsang Li, Dan Han, Yunyi Wu, Jie Zhao, Mei Zhang, Jing Wang","doi":"10.3928/19404921-20240626-01","DOIUrl":"https://doi.org/10.3928/19404921-20240626-01","url":null,"abstract":"<p><strong>Purpose: </strong>According to use and disuse theory, the decreasing size of families in China may have a considerable influence on older adults' health. However, research on the associations among family size, depression, and instrumental activities of daily living (IADL) in this population is limited. Thus, the current study examined the role of depression on the impact of family size on IADL and explored the differences between urban and rural areas.</p><p><strong>Method: </strong>Mediation analyses were performed with data from 7,290 older adults aged ≥60 years from the Harmonized China Health and Retirement Longitudinal Study in 2011, 2013, 2015, and 2018, using stepwise regression and bootstrap methods.</p><p><strong>Results: </strong>Family size had a positive impact on IADL limitations of older adults (0.29, <i>p</i> < 0.01), and the masking effects of depressive symptoms had a partial effect of family size on older adults' IADL. However, these effects only exist in rural areas.</p><p><strong>Conclusion: </strong>Providing emotional support through psychological counseling and guiding caregivers to provide moderate care support is crucial, particularly in rural areas, for alleviating depressive symptoms due to changes in family size and maintaining independent living skills among older adults. [<i>Research in Gerontological Nursing, 17</i>(4), 165-175.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762489","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

Prevalence and Outcomes of Cognitive Frailty Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis. 居住在社区的老年人认知能力衰弱的发生率和结果：系统回顾与元分析》。

IF 1.1 4区医学

Research in Gerontological Nursing Pub Date : 2024-07-01 DOI: 10.3928/19404921-20240621-01

Yixiong Zhang, Haozhi Xia, Xing Jiang, Qiuling Wang, Lili Hou

{"title":"Prevalence and Outcomes of Cognitive Frailty Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.","authors":"Yixiong Zhang, Haozhi Xia, Xing Jiang, Qiuling Wang, Lili Hou","doi":"10.3928/19404921-20240621-01","DOIUrl":"https://doi.org/10.3928/19404921-20240621-01","url":null,"abstract":"<p><strong>Purpose: </strong>To systematically review the available evidence regarding the prevalence and outcomes of cognitive frailty-a clinical syndrome characterized by the combination of physical frailty and cognitive impairment, without dementia-in community-dwelling older adults.</p><p><strong>Method: </strong>The following databases were searched: PubMed, Web of Science, Embase, EBSCO, Cochrane Central Register of Controlled Trials, ProQuest, CNKI, Wanfang, VIP, and CBMdisc (inception to October 2, 2023).</p><p><strong>Results: </strong>Twenty-four studies were included (<i>N</i> = 62,169) reporting a median prevalence of cognitive frailty among community-dwelling older adults of 12.2%. Frailty with cognitive impairment was independently associated with increased all-cause mortality (adjusted 8-year hazard ratio [HR] = 2.6, 95% confidence interval [CI] [2.05, 3.30]). There was evidence of increased risk of 3-year mortality for frailty (adjusted HR = 1.92, 95% CI [1.26, 2.93]) and prefrailty (adjusted HR = 1.79, 95% CI [1.33, 2.41]) with cognitive impairment. There was also evidence of increased risk of dementia for frailty (adjusted 24-month HR = 6.19, 95% CI [2.74, 13.99]; adjusted 4-year HR = 4.98, 95% CI [2.17, 11.41]) and prefrailty (adjusted 4-year HR = 5.21, 95% CI [2.95, 9.20]; adjusted 5-year HR = 14.5, 95% CI [1.68, 125.1]) with cognitive impairment. Activities of daily living (ADL) dependence was more frequent in individuals with cognitive impairment and frailty (adjusted 4-year odds ratio = 5.6, 95% CI [2.13, 14.72]).</p><p><strong>Conclusion: </strong>Of community-dwelling older adults, 12.2% have cognitive frailty as well as increased risk of all-cause mortality, dementia, and ADL dependence. Further studies on prevention and treatment of cognitive frailty is warranted. Health care providers should formulate specific interventions to decrease the impact of cognitive frailty. [<i>Research in Gerontological Nursing, 17</i>(4), 202-212.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762492","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

Nursing Home Workers' Experience During the COVID-19 Pandemic. 养老院工作人员在 COVID-19 大流行期间的经历。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-05-01 DOI: 10.3928/19404921-20240423-02

Rachel Kunkle, Haolin Xu, Laine E Thomas, Laura E Webb, Emily C O'Brien, Carol Reynolds Geary

{"title":"Nursing Home Workers' Experience During the COVID-19 Pandemic.","authors":"Rachel Kunkle, Haolin Xu, Laine E Thomas, Laura E Webb, Emily C O'Brien, Carol Reynolds Geary","doi":"10.3928/19404921-20240423-02","DOIUrl":"https://doi.org/10.3928/19404921-20240423-02","url":null,"abstract":"<p><strong>Purpose: </strong>To understand nursing home workers' experience during the coronavirus disease 2019 (COVID-19) pandemic and investigate the prevalence of health-related quality of life, emotional distress, job satisfaction, and the impact of the pandemic.</p><p><strong>Method: </strong>The Healthcare Worker Exposure Response and Outcomes (HERO) Registry served as the data source for this descriptive cross-sectional analysis. Recruitment was conducted nationally. Eligible nursing home workers (<i>N</i> = 1,409) enrolled in the study online, self-reported demographic and employment characteristics, and completed electronic surveys.</p><p><strong>Results: </strong>Nursing home workers reported overall good physical health, frequent depressive symptoms, burnout, and a high prevalence of feeling tired, stressed, having trouble sleeping, and feeling worried. Age and race were found to be positively associated with the impact of the pandemic.</p><p><strong>Conclusion: </strong>Findings demonstrate the difficulties and challenges nursing home workers faced during the COVID-19 pandemic. Future research needs to evaluate the relationships among nursing home workers' roles, mental health, depressive symptoms, and prevalence of burnout with a larger, more diverse sample. [<i>Research in Gerontological Nursing, 17</i>(3), 131-140.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181445","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

Reconceptualizing Limited English Proficiency: Achieving Person-Centered Care for Diverse Persons Living With Dementia Through Language. 重新认识英语能力有限：通过语言为不同的痴呆症患者提供以人为本的护理。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-05-01 DOI: 10.3928/19404921-20240423-01

Moroni Fernandez Cajavilca, Tina Sadarangani

引用次数: 0

Relationship Between Square Dancing and Meaning in Life Among Older Adults: Examining an Age-Based Moderation Model. 广场舞与老年人生活意义之间的关系：研究基于年龄的调节模型

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-05-01 Epub Date: 2024-04-18 DOI: 10.3928/19404921-20240423-03

Liang-Chih Chang, John Dattilo, Fei-Hsin Huang

{"title":"Relationship Between Square Dancing and Meaning in Life Among Older Adults: Examining an Age-Based Moderation Model.","authors":"Liang-Chih Chang, John Dattilo, Fei-Hsin Huang","doi":"10.3928/19404921-20240423-03","DOIUrl":"https://doi.org/10.3928/19404921-20240423-03","url":null,"abstract":"<p><strong>Purpose: </strong>Square dancing may help older adults experience meaning in life (MIL). However, it remains unclear how square dancing facilitates MIL. To address this question, we examined whether participation frequency, transcendent experiences, and social support correlated positively with MIL, and whether age moderated the correlation between transcendent experiences and MIL.</p><p><strong>Method: </strong>We studied 268 older adults using in-person surveys to collect data on age, participation frequency, transcendent experiences, social support, and MIL. We analyzed data using hierarchical regression.</p><p><strong>Results: </strong>High frequency of participation and high levels of transcendent experiences and social support simultaneously predicted high levels of MIL, and age decreased the positive relationship between transcendent experiences and MIL.</p><p><strong>Conclusion: </strong>Based on the hierarchical regression results, we recommend strategies to increase older adults' MIL by providing square dancing opportunities; working with them to improve square dancing skills that facilitate transcendent experiences; and guiding them in seeking sources of social support. [<i>Research in Gerontological Nursing, 17</i>(3), 141-147.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181475","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

Factors Contributing to Well-Being in Japanese Community-Dwelling Older Adults Who Experienced Spousal Bereavement 经历过丧偶之痛的日本社区居住老年人的幸福因素

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-04-10 DOI: 10.3928/19404921-20240403-01

Kazuko Muroya, LLM, RN, Yasuko Tabuchi, PhD, RN, Yuki Kumagai, PhD, PHN, Maiko Sakamoto, PhD, Tsukasa Tajima, PhD

{"title":"Factors Contributing to Well-Being in Japanese Community-Dwelling Older Adults Who Experienced Spousal Bereavement","authors":"Kazuko Muroya, LLM, RN, Yasuko Tabuchi, PhD, RN, Yuki Kumagai, PhD, PHN, Maiko Sakamoto, PhD, Tsukasa Tajima, PhD","doi":"10.3928/19404921-20240403-01","DOIUrl":"https://doi.org/10.3928/19404921-20240403-01","url":null,"abstract":"<section><h3>Purpose:</h3><p>Providing support for older adults after spousal bereavement is crucial for psychological recovery through the grieving process and for promoting a healthy and happy remainder of life. The current study aimed to understand factors influencing well-being among Japanese community-dwelling older adults who experienced spousal bereavement by evaluating how their roles and activities affected their psychological well-being following the loss.</p></section><section><h3>Method:</h3><p>We conducted a cross-sectional, anonymous, self-administered questionnaire survey of 332 older adults who had experienced death of a spouse in later adulthood.</p></section><section><h3>Results:</h3><p>Identified factors that affected well-being after spousal loss were sex, ability to go out without assistance from others, long duration since spousal loss, having a hobby, and adopting a life-oriented approach to cope with bereavement. Well-being following spousal loss was influenced by participants' activities and roles.</p></section><section><h3>Conclusion:</h3><p>Findings of the current study provide potentially valuable suggestions for surviving spouses and their supporters when coping with grief following spousal loss. [<i>Research in Gerontological Nursing, xx</i>(x), xx–xx.]</p></section>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140602748","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

Cross-Cultural Comparison of Older Adults' Emotional Responses Toward Death: A Pilot Study 老年人对死亡的情绪反应的跨文化比较：试点研究

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-04-10 DOI: 10.3928/19404921-20240402-01

Bothaina Hussein Hassan, PhD, RN, Manuel Fernández-Alcántara, PhD, María Paz García-Caro, PhD, RN, Nashwa Ibrahim, PhD, RN, Rasha Salah Eweida, PhD, RN

{"title":"Cross-Cultural Comparison of Older Adults' Emotional Responses Toward Death: A Pilot Study","authors":"Bothaina Hussein Hassan, PhD, RN, Manuel Fernández-Alcántara, PhD, María Paz García-Caro, PhD, RN, Nashwa Ibrahim, PhD, RN, Rasha Salah Eweida, PhD, RN","doi":"10.3928/19404921-20240402-01","DOIUrl":"https://doi.org/10.3928/19404921-20240402-01","url":null,"abstract":"<section><h3>Purpose:</h3><p>The current study reports preliminary findings from a pilot sample that sought to compare the emotional responses of older adults toward death in Egyptian and Spanish cultures.</p></section><section><h3>Method:</h3><p>A cohort of 90 eligible older adults from Egypt and Spain were recruited using a cross-sectional descriptive design.</p></section><section><h3>Results:</h3><p>Egyptian participants recorded a significantly higher score in approaching acceptance of death compared to their Spanish counterparts (mean = 21.57, <i>SD</i> = 9.4 and mean = 13.51, <i>SD</i> = 7.11, respectively). Post-hoc test showed there were differences in levels of valence (F[1,86] = 23.88, <i>p</i> < 0.001), indicating that older adults in Spain perceived such images as more unpleasant compared to Egyptian older adults. A significant difference related to death attitude profile scale was noted between Egyptian and Spanish older adults.</p></section><section><h3>Conclusion:</h3><p>Egyptian and Spanish older adults demonstrated different attitudes toward death in addition to differences in death anxiety and depression. This preliminary study validates the importance of developing effective nursing strategies to lessen anxiety and fear about death. [<i>Research in Gerontological Nursing, xx</i>(x), xx–xx.]</p></section>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140586769","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