Research in Gerontological Nursing最新文献_第10页

The Source of Purchased Medications and Its Impact on Medication Mistakes and Hospitalizations. 外购药品来源及其对用药错误和住院的影响。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-03-01 DOI: 10.3928/19404921-20220131-02

Martha C Coates, Janeway Granche, Justine S Sefcik, Rose Ann DiMaria-Ghalili

{"title":"The Source of Purchased Medications and Its Impact on Medication Mistakes and Hospitalizations.","authors":"Martha C Coates, Janeway Granche, Justine S Sefcik, Rose Ann DiMaria-Ghalili","doi":"10.3928/19404921-20220131-02","DOIUrl":"https://doi.org/10.3928/19404921-20220131-02","url":null,"abstract":"Older adults self-administer prescribed medication regimens to treat chronic diseases, which can lead to mismanagement, medication-related harm, and hospitalization. Using the National Health and Aging Trends Study (NHATS) dataset, we examined the extent to which the medication source could impact the occurrence of self-reported medication mistakes and hospitalizations in community-dwelling adults aged ≥65 years who managed medications independently (N = 3,899). The majority (65%) picked up medications, 18% had medications delivered, and 17% used both methods. Compared to those picking up their medications, those using delivery only were less likely to have a hospital stay (odds ratio [OR] = 0.61, 95% confidence interval [CI] [0.51, 0.94]) but had no difference in odds of medication mistakes (OR = 1.13, 95% CI [0.57, 2.23]). Those using both methods were more likely to report hospital stays (OR = 1.43, 95% CI [1.11, 1.85]) and medication mistakes (OR = 1.65, 95% CI [1.00, 2.73]). Health care providers should consider medication source when assessing older adults' ability to safely self-manage medications. [Research in Gerontological Nursing, 15(2), 69-75.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 2","pages":"69-75"},"PeriodicalIF":1.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9205362/pdf/nihms-1807676.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10809120","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: 1

The Intersections of Structural Racism and Ageism in the Time of COVID-19: A Call to Action for Gerontological Nursing Science. 2019冠状病毒病时期结构性种族主义和年龄歧视的交叉点:老年护理科学的行动呼吁。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-01-01 DOI: 10.3928/19404921-20211209-03

Sheria G Robinson-Lane, Laura Block, Barbara J Bowers, Pamela Z Cacchione, Andrea Gilmore-Bykovskyi

{"title":"The Intersections of Structural Racism and Ageism in the Time of COVID-19: A Call to Action for Gerontological Nursing Science.","authors":"Sheria G Robinson-Lane, Laura Block, Barbara J Bowers, Pamela Z Cacchione, Andrea Gilmore-Bykovskyi","doi":"10.3928/19404921-20211209-03","DOIUrl":"https://doi.org/10.3928/19404921-20211209-03","url":null,"abstract":"The health consequences of systemic racism and ageism have received growing attention as the coronavirus disease 2019 pandemic has illuminated long-standing inadequacies and injustices that are structurally engrained in our health systems. The current State of the Science Commentary addresses the intersecting influences of systemic racism and ageism, and other \"-isms\" that conspire to create disparate health outcomes for older adults from historically excluded and marginalized backgrounds. We focus specifically on the long-term care sector as a representative microcosm of structural inequities, while recognizing that these unjust barriers to health are widespread, endemic, and pervasive. We present a call to action for gerontological nursing science to engage deeply and robustly in these realities, and the ethical and scientific imperative they present to ensure that all older adults encounter just conditions for maximizing their health and well-being. [Research in Gerontological Nursing, 15(1), 6-13.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 1","pages":"6-13"},"PeriodicalIF":1.6,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856583/pdf/nihms-1778298.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10819421","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: 6

A Psychometric Analysis of the 20-item Revised University of California Los Angeles Loneliness Scale Among Korean Older Adults Living Alone. 20项加州大学洛杉矶分校修订的韩国独居老年人孤独感量表的心理测量分析。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2021-11-01 Epub Date: 2021-10-04 DOI: 10.3928/19404921-20210924-03

Chiyoung Lee, Belong Cho, Qing Yang, Sun Ju Chang, So-Im Ryu, Eun-Young Noh, Yeon-Hwan Park

{"title":"A Psychometric Analysis of the 20-item Revised University of California Los Angeles Loneliness Scale Among Korean Older Adults Living Alone.","authors":"Chiyoung Lee, Belong Cho, Qing Yang, Sun Ju Chang, So-Im Ryu, Eun-Young Noh, Yeon-Hwan Park","doi":"10.3928/19404921-20210924-03","DOIUrl":"https://doi.org/10.3928/19404921-20210924-03","url":null,"abstract":"The current study aimed to explore the factor structure of the Korean version of the Revised University of California Los Angeles loneliness scale for the Korean older adult population. Analyses were based on a cross-sectional cohort of 1,041 community-dwelling older adults (age ≥65 years) living alone in one Korean city. Exploratory factor analysis (EFA) was conducted to determine the underlying structure of the scale, and confirmatory factor analysis (CFA) was used to ascertain the validity of the outcomes. For reliability, Cronbach's alpha was computed. Based on EFA and CFA results, a two-factor structure was found. The first factor reflected \"intimate loneliness\" and the second \"relational loneliness.\" Derived factors demonstrated satisfactory reliability (>0.8). The two factors of loneliness identified in this study could be considered when attempting to treat loneliness among older adults. Nevertheless, future studies should confirm the findings of this study and evaluate aspects of validity beyond factorial validity to further support the conceptual separation of the two identified factors. [Research in Gerontological Nursing, 14(6), 305-316.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"14 6","pages":"306-316"},"PeriodicalIF":1.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39486264","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: 5

Changes in Physical and Cognitive Function Predict Sedentary Behavior in Older Adults With Mild Cognitive Impairment. 身体和认知功能的变化可预测轻度认知障碍老年人的久坐行为。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2021-11-01 DOI: 10.3928/19404921-20211021-01

Mary Elizabeth Bowen, Beatrice Gaynor, Lorraine J Phillips

{"title":"Changes in Physical and Cognitive Function Predict Sedentary Behavior in Older Adults With Mild Cognitive Impairment.","authors":"Mary Elizabeth Bowen, Beatrice Gaynor, Lorraine J Phillips","doi":"10.3928/19404921-20211021-01","DOIUrl":"https://doi.org/10.3928/19404921-20211021-01","url":null,"abstract":"The current longitudinal study examined the influence of cognitive and lower extremity function on sedentary behavior continuously over 6 months in community-dwelling older adults with mild cognitive impairment (MCI). Multilevel models examined Montreal Cognitive Assessment (MoCA) change scores and the Short Physical Performance Battery (SPPB) on percent time in sedentary behavior among 17 older adults with MCI (50 to 74 observations for analysis). Sedentary behavior was measured daily and averaged monthly using wrist-worn actigraphy. Each 1-unit decrease in MoCA score was associated with an increase of 2 percentage points in sedentary behavior (p ≤ 0.01). In addition, each 1-unit decrease in chair stand score (lower extremity strength) was associated with an increase of 5 percentage points in sedentary behavior (p ≤ 0.01). Older adults experiencing cognitive decline and concurrent changes in lower extremity strength had the sharpest increase in sedentary behavior. Findings suggest lower body strengthening interventions may reduce sedentary behavior time and subsequently preserve physical functioning in this vulnerable population. [Research in Gerontological Nursing, 14(6), 285-291.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"14 6","pages":"285-291"},"PeriodicalIF":1.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646532","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: 1

Navigating Research in a Pandemic: Implications for Publication. 在大流行中导航研究:对出版物的影响。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2021-11-01 DOI: 10.3928/19404921-20211103-01

Heather M Young, Janice F Bell

引用次数: 0

New Problems and Iatrogenic Events Among Older Adults in the First 30 Days of Post-Acute Rehabilitation. 老年人急性康复后前30天的新问题和医源性事件。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2021-11-01 Epub Date: 2021-10-04 DOI: 10.3928/19404921-20210924-02

Michelle Simpson, Christine R Kovach

引用次数: 0

Understanding Nursing Home Residents' Lives Through the Lens of Selection, Optimization, and Compensation Theory. 从选择、优化与补偿理论的视角看养老院居民的生活。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2021-11-01 Epub Date: 2021-10-04 DOI: 10.3928/19404921-20210924-04

Amanda M Runyan, Louis J Medvene, Carissa K Coleman, Anthony DiLollo

{"title":"Understanding Nursing Home Residents' Lives Through the Lens of Selection, Optimization, and Compensation Theory.","authors":"Amanda M Runyan, Louis J Medvene, Carissa K Coleman, Anthony DiLollo","doi":"10.3928/19404921-20210924-04","DOIUrl":"https://doi.org/10.3928/19404921-20210924-04","url":null,"abstract":"The current study examined the importance of personal goals to residents; assessed whether goal-related behavior was associated with mental health factors (i.e., depression, experiential avoidance, and quality of life); and explored residents' use of selection, optimization, and compensation (SOC) strategies. Interviews were conducted with eight residents at a nursing home along with paper-and-pencil measures of mental health factors. Transcripts were coded first for goal content and subsequently analyzed using an exploratory qualitative method. Most residents (five of eight) denied having goals. Experiential avoidance and depression were significantly negatively correlated with goal content; quality of life was significantly positively correlated with goal content. Eleven themes derived from exploratory analysis suggest SOC processes were important in residents' lives. The study demonstrated the relevance of SOC for residents' quality of life. The potential for developing person-centered interventions to evoke implicit goals and facilitate attainment is discussed. [Research in Gerontological Nursing, 14(6), 277-284.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"14 6","pages":"277-284"},"PeriodicalIF":1.6,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39486267","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

Animal-Assisted Interventions for Dementia: A Systematic Review. 动物辅助干预痴呆:系统综述。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2021-11-01 Epub Date: 2021-10-04 DOI: 10.3928/19404921-20210924-01

Jennifer R Babka, Kari R Lane, Rebecca A Johnson

引用次数: 4

Qualitative Insights into the Working Conditions of Personal Support Workers in Long-Term Care in the Context of a Person-Centered Communication Training Intervention. 以人为本的沟通训练干预下长期照护中个人支持工作者工作状况的质性洞察

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2021-09-01 Epub Date: 2021-07-22 DOI: 10.3928/19404921-20210708-01

Marie Y Savundranayagam, Susan Maureen Docherty-Skippen, Shalane R Basque

{"title":"Qualitative Insights into the Working Conditions of Personal Support Workers in Long-Term Care in the Context of a Person-Centered Communication Training Intervention.","authors":"Marie Y Savundranayagam, Susan Maureen Docherty-Skippen, Shalane R Basque","doi":"10.3928/19404921-20210708-01","DOIUrl":"https://doi.org/10.3928/19404921-20210708-01","url":null,"abstract":"The current study reports on qualitative insights into the working conditions of personal support workers (PSWs) in long-term care (LTC) homes within the context of a person-centered communication training intervention. PSWs (N = 39) employed at one of four LTC homes in southwestern Ontario, Canada, participated in a series of 1-hour focus groups before, during, and after a 2-week person-centered communication training program for formal caregivers of persons living with dementia (PLWD). Textual data from focus group conversations were coded and organized into themes following an interpretive description research design. Three overarching themes emerged related to the working conditions of PSWs in LTC: (1) dementia care is complex, (2) there is a lack of trained staff to provide person-centered dementia care, and (3) residents' families are not appropriately situated in residents' care circles. Four overarching themes emerged related to the impact of those working conditions: (a) PSW occupational burnout, (b) poor resident care, (c) frustrated and disengaged families, and (d) PSW job attrition. These findings offer LTC employers and administrators opportunities to ameliorate working conditions to better support person-centered dementia care. [Research in Gerontological Nursing, 14(5), 245-253.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"14 5","pages":"245-253"},"PeriodicalIF":1.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39208270","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: 3

Integration of Health Information Technology and Promotion of Personhood in Family-Centered Dementia Care: Intervention Trial. 在以家庭为中心的失智症照护中整合健康资讯科技与提升人格:干预试验。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2021-09-01 DOI: 10.3928/19404921-20210825-02

Ellen L Brown, Nicole Ruggiano, Lisa Roberts, Peter J Clarke, Debra Lee Davis, Marc Agronin, David S Geldmacher, Monica Strauss Hough, Mariateresa Teri H Muñoz, C Victoria Framil, Xin Yang

{"title":"Integration of Health Information Technology and Promotion of Personhood in Family-Centered Dementia Care: Intervention Trial.","authors":"Ellen L Brown, Nicole Ruggiano, Lisa Roberts, Peter J Clarke, Debra Lee Davis, Marc Agronin, David S Geldmacher, Monica Strauss Hough, Mariateresa Teri H Muñoz, C Victoria Framil, Xin Yang","doi":"10.3928/19404921-20210825-02","DOIUrl":"https://doi.org/10.3928/19404921-20210825-02","url":null,"abstract":"Alzheimer's disease and related dementias (ADRD) often result in communication deficits that can lead to negative health outcomes as well as complications for caregiving and clinical care. Although augmentative and alternative communication (AAC) devices have demonstrated efficacy in assisting persons living with dementia (PLWD) in communicating, few devices offer customization for the person's care preferences (e.g., clothing, food, activities) or are designed for integration into clinical care and caregiving. To address this issue, our research team is developing a novel electronic AAC prototype with a touchscreen to promote communication and personhood for PLWD. The current article describes the development of this technology and uses the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 Statement to describe the clinical trial that is planned to test its efficacy.Targets: PLWD and their care partners.Intervention description: Use of AAC Plus to promote communication and personhood for PLWD.Mechanisms of action: AAC Plus will provide PLWD and care partners a way to communicate PLWD's daily preferences and provide clinical data for health care providers.Outcomes: Determine whether enhanced communication of daily preferences of PLWD will improve quality of life of PLWD and their care partners.Trial registration: ClinicalTrials.gov Identifier: NCT04571502 (Date of registration October 1, 2020). [Research in Gerontological Nursing, 14(5), 225-234.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"14 5","pages":"225-234"},"PeriodicalIF":1.6,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9012346/pdf/nihms-1792462.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39432017","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: 1