Sofía García-Sanjuán, Antonio Esteve-Ríos, Manuel Fernández-Alcántara, María Valero-Soriano
{"title":"Experience of Operating Room Health Care Providers in the Management of Patients With Dementia.","authors":"Sofía García-Sanjuán, Antonio Esteve-Ríos, Manuel Fernández-Alcántara, María Valero-Soriano","doi":"10.3928/19404921-20230301-02","DOIUrl":"https://doi.org/10.3928/19404921-20230301-02","url":null,"abstract":"<p><p>The management of hospitalized patients with dementia is more complicated compared to patients without dementia, specifically in the surgery ward. The aim of the current study was to explore the experiences of operating room health care providers in the management of patients with dementia. A descriptive qualitative study was designed. Twenty semi-structured interviews were conducted with surgical professionals. Content analysis was performed. Four main themes emerged: <i>Communication Issues</i>, <i>Experience-Based Protocol</i>, <i>Emotions</i>, and <i>Perceived Needs</i>. Health care providers in a surgical ward face numerous challenges when attending to patients with dementia and tend to use strategies based on their own experience due to lack of specific action protocols. Therefore, specific training of the surgical team and protocols are needed to ensure quality care. [<i>Research in Gerontological Nursing, 16</i>(3), 125-133.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 3","pages":"125-133"},"PeriodicalIF":1.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9944647","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}
Murad H Taani, Julie Ellis, Christopher Okunseri, Kathryn L Wagner
{"title":"Oral Care Among Older Adults in Assisted Living Facilities.","authors":"Murad H Taani, Julie Ellis, Christopher Okunseri, Kathryn L Wagner","doi":"10.3928/19404921-20230515-01","DOIUrl":"https://doi.org/10.3928/19404921-20230515-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 3","pages":"106-107"},"PeriodicalIF":1.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9593695","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":"Social Connection and Lifestyle Factors Associated With Happiness in Urban Older Adults in China: A Cross-Sectional Study With a Community Sample.","authors":"Jianghong Liu, Sini Li, Xuhan Yan, Junxin Li, Qiuzi Sun, Hua Mei, Hengyi Rao","doi":"10.3928/19404921-20230405-01","DOIUrl":"https://doi.org/10.3928/19404921-20230405-01","url":null,"abstract":"<p><p>The current cross-sectional study aimed to investigate social connection and lifestyle factors associated with happiness in urban older adults in mainland China. A total of 709 community-dwelling older adults aged 60 to 99 years completed a comprehensive survey covering demographics, happiness, cognition, lifestyle, sleep, nutrition, and social connections. Samples were divided by age into two groups for analysis: young-old (aged 60 to 69 years) and old-old (aged 70 to 99 years). Social connection factors, including relationships with friends and spouse and use of social media applications, were important predictors for happiness in people in their 60s. Lifestyle factors, including nutritional status and extent of physical activity, were associated with happiness in old-old adults. Sleep quality predicted happiness for both age groups. Living with children and happiness were not significant for either age group. Results suggest that social connection and lifestyle are important factors in promoting happy and healthy successful aging in urban older adults in China. [<i>Research in Gerontological Nursing, 16</i>(3), 147-160.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 3","pages":"147-160"},"PeriodicalIF":1.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9643029","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}
Qing He, Daniel Keith, Dawn O Eckhoff, Chanhyun Park, Boon Peng Ng
{"title":"Accessibility and Utilization of Telehealth Services During the COVID-19 Pandemic Among Medicare Beneficiaries by Diabetes Status.","authors":"Qing He, Daniel Keith, Dawn O Eckhoff, Chanhyun Park, Boon Peng Ng","doi":"10.3928/19404921-20230301-01","DOIUrl":"https://doi.org/10.3928/19404921-20230301-01","url":null,"abstract":"<p><p>Due to the influence types of telehealth services (i.e., phone and/or video) can have on patient care and outcomes, we sought to examine factors associated with the types of telehealth services offered and used among Medicare beneficiaries. We analyzed the Medicare Current Beneficiary Survey COVID-19 Public Use File (<i>N</i> = 1,403 and <i>N</i> = 2,218 for individuals with and without diabetes, respectively) and performed multinomial logit models to examine factors (e.g., sociodemographics, comorbidities, digital access/knowledge) associated with types of telehealth services offered and used among beneficiaries aged ≥65 years by diabetes status. Medicare beneficiaries seemed to prefer using telehealth via phone than video. Regardless of diabetes status, having not previously participated in video or voice calls or conferencing can be a barrier to telehealth being offered and used via video for beneficiaries. For older adults with diabetes, disparities in accessibility of telehealth via video by income and languages spoken other than English were observed. [<i>Research in Gerontological Nursing, 16</i>(3), 134-146.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 3","pages":"134-146"},"PeriodicalIF":1.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9944650","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}
Dottington Fullwood, Sydney Means, Zachary L Stickley, Marie-Carmelle Elie-Turenne, Diana J Wilkie
{"title":"Improvement Opportunities for PAINReportIt<sup>®</sup> Delivered on a Wireless Tablet: Rated by Black Older Men With Low Back Pain.","authors":"Dottington Fullwood, Sydney Means, Zachary L Stickley, Marie-Carmelle Elie-Turenne, Diana J Wilkie","doi":"10.3928/19404921-20230405-03","DOIUrl":"10.3928/19404921-20230405-03","url":null,"abstract":"<p><p>Health care professionals and researchers can implement technology to improve older adults' acceptability of providing health information and to better include older adults in sharing information with health providers. However, older adults' engagement with technology remains low. This study focused on 60 Black older men (mean age = 70 years, <i>SD</i> = 6 years) with low back pain who completed the 13-item Computer Acceptability Scale after using the PAINReportIt<sup>®</sup> software on an Apple iPad<sup>®</sup>. On average, the sample found it acceptable to use PAINReportIt<sup>®</sup> software to share their pain or discomfort but that this was no replacement for oral dialogue with their health care provider. These findings contribute valuable information about the acceptability of using technology and indicate potential opportunities to improve PAINReportIt<sup>®</sup> software. Community interventions with acceptable tablet devices can offer new insight into collecting pain or discomfort data in populations with low presence in clinical research studies. [<i>Research in Gerontological Nursing, 16</i>(3), 108-114.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 3","pages":"108-114"},"PeriodicalIF":1.6,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10754271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9643033","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}
Barbara J Stewart, Karen S Lyons, Mark C Hornbrook, Shirin O Hiatt, Maureen O'Keeffe-Rosetti, Jonathan Fields, Patricia G Archbold
{"title":"How Concurrent Services Obscured Detection of Intervention Benefits: Part 2: Secondary Analysis of the PREP Trial for Frail Older Adults and Family Caregivers.","authors":"Barbara J Stewart, Karen S Lyons, Mark C Hornbrook, Shirin O Hiatt, Maureen O'Keeffe-Rosetti, Jonathan Fields, Patricia G Archbold","doi":"10.3928/19404921-20230220-03","DOIUrl":"10.3928/19404921-20230220-03","url":null,"abstract":"<p><p>Family caregivers frequently use health and social services to support their caregiving. In evaluating care-giving interventions, however, researchers rarely examine the influences of such concurrent services on intervention effectiveness. In this Part 2 secondary analysis of data from the Oregon Health & Science University/Kaiser Permanente Northwest Region Family Care Study, we examined the moderating influences of concurrent services on intervention effectiveness. The Family Care Study was a randomized controlled trial to evaluate the preparedness, skill, enrichment, and predictability (PREP) intervention with caregivers of frail older adults referred for skilled home health. Compared with control caregivers receiving usual home health care (<i>n</i> = 103), PREP intervention caregivers (<i>n</i> = 104) reported greater improvements in family care (effect size, <i>d</i> = 0.58). We conducted follow-up analyses to determine whether PREP was differentially effective depending on whether dyads received concurrent Social Health Maintenance Organization (SHMO) services, concurrent hospice services, or neither. In the 55% of dyads not receiving SHMO or hospice, we found that PREP's effects were large compared to usual care (<i>d</i> = 1.16, <i>p</i> < 0.001). PREP's effects were not significant for dyads receiving concurrent SHMO or hospice services. Results highlight the strong benefits of hospice for control dyads, but reveal difficulties in evaluating intervention effectiveness when dyads receive concurrent services. [<i>Research in Gerontological Nursing, 16</i>(2), 71-83.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 2","pages":"71-83"},"PeriodicalIF":1.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9262562","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":"The Gifts Who Keep on Giving.","authors":"Heather M Young, Kathleen C Buckwalter","doi":"10.3928/19404921-20230220-01","DOIUrl":"https://doi.org/10.3928/19404921-20230220-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 2","pages":"55-56"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9269833","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}
Ariz Amoroso Guzman, Mary-Lynn Brecht, Lynn V Doering, Paul M Macey, Janet C Mentes
{"title":"Social Media Use and Depression in Older Adults: A Systematic Review.","authors":"Ariz Amoroso Guzman, Mary-Lynn Brecht, Lynn V Doering, Paul M Macey, Janet C Mentes","doi":"10.3928/19404921-20230220-05","DOIUrl":"https://doi.org/10.3928/19404921-20230220-05","url":null,"abstract":"<p><p>Social media has become an integral part of everyday life and revolutionized how older adults communicate and interact with others. The aim of the current review was to identify and synthesize quantitative studies addressing the potential relationship between social media use and depression in older adults. Medline, CINAHL, and PsycINFO databases were used to identify studies performed up to July 2020. Keywords identified were <i>depression</i>, <i>social media use</i>, and <i>older adults</i>. A nuanced relationship was revealed between social media use and depression in older adults. There were noted differences in the conceptualization of social media use. The reviewed studies lacked exploration of structural characteristics, examination of content, and quality of interactions in older adults' social media use. Health variables, social factors, and age cohort differences could influence the relationship between social media use and depression. Further studies are needed to enhance the understanding and explore the benefits and potential disadvantages of social media use in older adults. [<i>Research in Gerontological Nursing, 16</i>(2), 97-104.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 2","pages":"97-104"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9269840","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}
Carla M Hagen, Patricia G Archbold, Lois L Miller, Barbara G Valanis, Mark C Hornbrook, Maureen O'Keeffe-Rosetti, Shirin O Hiatt, Barbara J Stewart
{"title":"How Tailoring Led to Variation in Care Issues, Dosage, and Outcomes: Part 1: Secondary Analysis of the PREP Trial for Frail Older Adults and Family Caregivers.","authors":"Carla M Hagen, Patricia G Archbold, Lois L Miller, Barbara G Valanis, Mark C Hornbrook, Maureen O'Keeffe-Rosetti, Shirin O Hiatt, Barbara J Stewart","doi":"10.3928/19404921-20230220-02","DOIUrl":"10.3928/19404921-20230220-02","url":null,"abstract":"<p><p>In family caregiving interventions for adults with health problems, tailoring has become the norm. Studies that evaluate tailored interventions, however, have rarely included intentional variation in dosage or explored the dosage-outcome association. In this Part 1 secondary analysis, we examine dosage and outcomes in intervention families (<i>N</i> = 116) who participated in the Oregon Health & Science University/Kaiser Permanente Northwest Region Family Care Study. The Family Care Study was a randomized controlled trial to evaluate the preparedness, skill, enrichment, and predictability (PREP) intervention with caregiving families of frail older adults referred for skilled home health. Tailoring of PREP began with assessment by the PREP nurse. Families then identified and selected care-related issues to work on with their PREP nurse; family needs and preferences guided the number and timing of nurse visits and calls. Families selected a median of 3 (range = 0 to 10) care-related issues in five categories: direct care (chosen by 57% of families), transitions (40%), caregiver strain and health (40%), arranging care (33%), and enrichment (22%). The number of issues strongly predicted number of PREP nurse visits and calls, whereas nurse visits in turn predicted caregivers' reports of improved family care and usefulness of home health assistance, highlighting the importance of visits for achieving outcomes. [<i>Research in Gerontological Nursing, 16</i>(2), 57-70.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 2","pages":"57-70"},"PeriodicalIF":1.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9269838","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}
Kristine Williams, Carissa K Coleman, Maria Hein, Clarissa Shaw, Yelena Perkhounkova, Tim Beachy
{"title":"Promoting Elderspeak Awareness: Adapting Changing Talk Online Communication Education for Adult Day Services Staff.","authors":"Kristine Williams, Carissa K Coleman, Maria Hein, Clarissa Shaw, Yelena Perkhounkova, Tim Beachy","doi":"10.3928/19404921-20230220-04","DOIUrl":"10.3928/19404921-20230220-04","url":null,"abstract":"<p><p>Communication is fundamental for dementia care across long-term services and support (LTSS) settings. Education increasing nursing home (NH) staff awareness of person-centered communication has reduced staff elderspeak communication and reduced resistiveness to care of residents with dementia. The current study tested the Changing Talk Online (CHATO) education with adult day services (ADS) staff to identify strategies for adaptation for other LTSS settings. Three dementia-specific ADS sites participated in the CHATO education program. Participants completed knowledge assessment, communication ratings, and confidence ratings on providing care pre- and post-CHATO; a program evaluation; and rated their intention to use skills in practice. Findings were compared to an earlier study of CHATO in NHs. Focus groups evaluated feasibility, applicability, and directions for tailoring. Mean scores on the Changing Talk Scale knowledge test increased by 15 percentage points (<i>p</i> < 0.001). Confidence in providing dementia care scores also increased (<i>p</i> = 0.037). The mean Modified Diffusion of Innovation scale score was 2.2, similar to that in NHs, indicating intent to use skills; and program evaluation was positive. Focus group participants reported CHATO was valuable and recommended incorporating scenarios specific to ADS care. [<i>Research in Gerontological Nursing, 16</i>(2), 85-94.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 2","pages":"85-94"},"PeriodicalIF":1.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10037668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9269837","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}