{"title":"Reminder: Nursing Practice Informs and Shapes Research and Policy.","authors":"Terry Fulmer, Jennie Chin Hansen","doi":"10.3928/19404921-20241211-01","DOIUrl":"https://doi.org/10.3928/19404921-20241211-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"2-3"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015927","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":"Development and Validation of a Predictive Model for Fall Risk in Pre-Frail Older Adults.","authors":"Haiyan Jing, Peiying Song, Ziqing Yan, Yupeng Su, Yulan Chen, Bijuan Liang, Wenxuan Kong, Liping Cheng","doi":"10.3928/19404921-20241211-05","DOIUrl":"https://doi.org/10.3928/19404921-20241211-05","url":null,"abstract":"<p><strong>Purpose: </strong>To develop a predictive model for fall risk in pre-frail older adults, providing a basis for early identification and prevention of falls among this population.</p><p><strong>Method: </strong>This was a multicenter prospective cohort study. A total of 473 pre-frail older adults were included, 335 as the training set and 142 as the test set. Univariate and stepwise binary logistic regression analyses were conducted to identify the relationship between pre-frail and fall risk and establish the frailty risk prediction nomogram. The nomogram was constructed based on the results of logistic regression. The model assessment relied on the receiver operating characteristic (ROC) curve, Hosmer-Lemeshow test, calibration curves, and decision curve analysis.</p><p><strong>Results: </strong>Fall incidence rate among pre-frail older adults within 6 months was 13.63%. The final fall risk prediction model identified that sex, history of falls in the past year, visual impairment, increased nocturia, and fear of falling are the most critical risk factors for falls in pre-frail older adults. The model exhibited good accuracy in the testing set, with an area under the ROC curve of 0.825 (95% confidence interval [0.736, 0.914]).</p><p><strong>Conclusion: </strong>Pre-frail older adults have a higher incidence of falls. The logistic regression model constructed in this study shows promising predictive capabilities and can be used as a screening tool to identify pre-frail older adults at high risk of falls in clinical practice. We anticipate that this model will assist clinical nurses in enhancing the efficiency of fall prevention efforts and reducing the incidence of falls among pre-frail older adults. [<i>Research in Gerontological Nursing, 18</i>(1), 29-39.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"29-39"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015843","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}
Shandra D Burton, Olimpia Paun, Todd Ruppar, Lynn Mohr, Chuka N Emezue, Sarah L Szanton
{"title":"Resilience in Black/African American Partner Caregivers of Persons With Alzheimer's Disease and Related Dementias.","authors":"Shandra D Burton, Olimpia Paun, Todd Ruppar, Lynn Mohr, Chuka N Emezue, Sarah L Szanton","doi":"10.3928/19404921-20241211-04","DOIUrl":"https://doi.org/10.3928/19404921-20241211-04","url":null,"abstract":"<p><strong>Purpose: </strong>To explore cultural factors related to resilience among Black/African American Alzheimer's disease and related dementias (ADRD) partner caregivers.</p><p><strong>Method: </strong>This study used a qualitative design. An adapted Resilience Framework informed the in-depth interviews with 10 Black/African American ADRD partner caregivers.</p><p><strong>Results: </strong>Four major themes emerged: <i>Unfolding Process of ADRD Discovery</i>, <i>Resilience is Multifaceted in Caregiving</i>, <i>Resilience is an Adaptive Process</i>, and <i>Cultural Heritage Shapes Caregivers' Resilience Experiences</i>. The major themes include a total of 18 subthemes.</p><p><strong>Conclusion: </strong>Findings provide an in-depth understanding of how race, ethnicity, and cultural positive adaptive factors influence resilience among diverse ADRD partner caregivers. [<i>Research in Gerontological Nursing, 18</i>(1), 21-28.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"21-28"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015928","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":"Response to the Annual Review: Comprehensive Dementia Care Models: State of the Science and Future Directions.","authors":"Pamela Z Cacchione","doi":"10.3928/19404921-20241211-03","DOIUrl":"https://doi.org/10.3928/19404921-20241211-03","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"17-19"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015929","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}
Komal Patel Murali, Joan G Carpenter, Ann Kolanowski, Andrea Gilmore Bykovskyi
{"title":"Comprehensive Dementia Care Models: State of the Science and Future Directions.","authors":"Komal Patel Murali, Joan G Carpenter, Ann Kolanowski, Andrea Gilmore Bykovskyi","doi":"10.3928/19404921-20241211-02","DOIUrl":"10.3928/19404921-20241211-02","url":null,"abstract":"<p><p>The rising prevalence of Alzheimer's disease and Alzheimer's disease-related dementias has led to renewed public discourse and policy changes in response to the care needs of persons living with dementia and their care partners. Comprehensive dementia care models are central to many recent policy initiatives, most notably the Centers for Medicare & Medicaid Services Guiding an Improved Dementia Experience model. Gerontological nursing research is uniquely positioned to design and lead research investigating the effectiveness of these initiatives, as well as the dissemination and scaling of existing comprehensive dementia care models. The current Annual State of the Science Review provides an overview of the current state of comprehensive dementia care models in the United States and relevant policies. Challenges and opportunities for nursing education, research, and implementation across the translational research continuum are also outlined. [<i>Research in Gerontological Nursing, 18</i>(1), 7-16.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"7-16"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015842","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}
Justine S Sefcik, Martha C Coates, Darina V Petrovsky, Amy Glasofer, Safiyyah Okoye, Daniel T Vader, Reneé H Moore, Zachary G Baker, Kris Pui Kwan Ma, Zahra Rahemi, Juanita-Dawne R Bacsu, Matthew Lee Smith, Rose Ann DiMaria-Ghalili
{"title":"Factors Associated With Outdoor Frequency Among U.S. Community-Dwelling Medicare Beneficiaries: A Cross-Sectional Study.","authors":"Justine S Sefcik, Martha C Coates, Darina V Petrovsky, Amy Glasofer, Safiyyah Okoye, Daniel T Vader, Reneé H Moore, Zachary G Baker, Kris Pui Kwan Ma, Zahra Rahemi, Juanita-Dawne R Bacsu, Matthew Lee Smith, Rose Ann DiMaria-Ghalili","doi":"10.3928/19404921-20241211-06","DOIUrl":"10.3928/19404921-20241211-06","url":null,"abstract":"<p><strong>Purpose: </strong>Despite the benefits of outdoor activity in older adults, a paucity of research explores factors associated with the frequency of older adults going outdoors. The aim of the current study was to investigate if factors of cognitive status, physical performance, and neighborhood characteristics were associated with outdoor frequency among older adults.</p><p><strong>Method: </strong>This cross-sectional study used National Health and Aging Trends Study data to characterize outdoor frequency among Medicare beneficiaries by participant demographics, health, and neighborhood characteristics, and estimated relationships between participant factors and outdoor frequency.</p><p><strong>Results: </strong>The sample included 3,368 participants. The majority (51.6%) were aged 75 to 84 years and female (57.2%). Most (60.4%) participants went outside daily. Probable dementia, physical limitations, and presence of street disorder and sidewalk continuity were associated with decreased outdoor frequency.</p><p><strong>Conclusion: </strong>Research is needed to develop interventions addressing neighborhood conditions and promoting outdoor activity among older adults living with dementia and physical limitations. [<i>Research in Gerontological Nursing, 18</i>(1), 40-52.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"18 1","pages":"40-52"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015770","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}
Daniel Liebzeit, Kristin K Phillips, Robert V Hogikyan, Christine T Cigolle, Neil B Alexander
{"title":"A Pilot Home-Telehealth Program to Enhance Functional Ability, Physical Performance, and Physical Activity in Older Adult Veterans Post-Hospital Discharge.","authors":"Daniel Liebzeit, Kristin K Phillips, Robert V Hogikyan, Christine T Cigolle, Neil B Alexander","doi":"10.3928/19404921-20241105-01","DOIUrl":"10.3928/19404921-20241105-01","url":null,"abstract":"<p><strong>Purpose: </strong>To test a pilot home-telehealth program to enhance functional ability, physical performance, and objective physical activity in Veterans after hospital discharge.</p><p><strong>Method: </strong>A physical activity trainer and multidisciplinary team supported the progression of rehabilitation goals via a 6-month home exercise program. Pilot program feasibility, including recruitment, retention, reasons for early withdrawal, differences between those who did and did not complete the program, and completion of outcome measures are reported. Outcomes include changes in functional ability, physical performance, and physical activity (using actigraphy) from baseline to endpoint.</p><p><strong>Results: </strong>Twenty-one of 45 Veterans enrolled did not complete the 6-month program. No baseline differences were found comparing completers and non-completers. The majority of completers (<i>n</i> = 24) were White men with a mean age of 74 years (<i>SD</i> = 8 years, range = 64 to 93 years) and included those with no (<i>n</i> = 8), mild (<i>n</i> = 13), and moderate (<i>n</i> = 3) cognitive impairment. Although there were borderline improvements in functional ability and physical performance from baseline to endpoint, mean steps per day increased from 2,206 (<i>SD</i> = 1,780) to 3,888 (<i>SD</i> = 2,895) (<i>p</i> = 0.04).</p><p><strong>Conclusion: </strong>The pilot home-telehealth program is feasible and may address declines in function and activity observed during hospital-to-home transitions, including among those with cognitive impairment. [<i>Research in Gerontological Nursing, 17</i>(6), 271-279.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 6","pages":"271-279"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717732","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}
Jeffrey T Boon, Keela Herr, Terrah Foster Akard, Mary S Dietrich, Cathy A Maxwell
{"title":"Development of an Exploratory Dementia Family Caregiver Pain Assessment Survey.","authors":"Jeffrey T Boon, Keela Herr, Terrah Foster Akard, Mary S Dietrich, Cathy A Maxwell","doi":"10.3928/19404921-20241106-02","DOIUrl":"https://doi.org/10.3928/19404921-20241106-02","url":null,"abstract":"<p><strong>Purpose: </strong>To develop an exploratory survey measuring family caregiver use of elements of pain assessment in people living with dementia (PLWD).</p><p><strong>Method: </strong>A survey development process was conducted: Phase 1 (item development), Phase 2 (content validity), and Phase 3 (face validity).</p><p><strong>Results: </strong>A set of survey questions was developed, and their wording modified after review by experts in survey question writing. Content experts rated the exploratory questions as having item content validity indices (I-CVI) from 0.25 to 1. Questions were further tested with a sample of family caregivers (<i>N</i> = 10) who supported face validity and content validity for questions with a low I-CVI. The final survey has eight quantitative and two free-text questions.</p><p><strong>Conclusion: </strong>This survey can be used for exploratory purposes to describe pain assessment by family caregivers of PLWD; however, further validation is needed for uses beyond exploratory work. [<i>Research in Gerontological Nursing, 17</i>(6), 308-316.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 6","pages":"308-316"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717736","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":"Factors Related to the Prevalence of Pressure Ulcers Among Residents in Korean Nursing Homes.","authors":"Sun Ok Jung, Eun Jeong Min, Juh Hyun Shin","doi":"10.3928/19404921-20241105-02","DOIUrl":"https://doi.org/10.3928/19404921-20241105-02","url":null,"abstract":"<p><strong>Purpose: </strong>Pressure ulcers (PUs) are serious health outcomes for nursing home (NH) residents and are considered important nursing sensitive quality indicators, as professional nursing care can prevent PUs. The purpose of the current study was to investigate related factors of PUs for NH residents.</p><p><strong>Method: </strong>A cross-sectional design was used. From August 27, 2021, to March 25, 2022, data were collected from 51 NHs in Korea. Facility, nurse staffing, and resident characteristics were selected as independent variables. The response variable was the number of residents with PUs in the 3 months following admission in each NH.</p><p><strong>Results: </strong>We used sparse logistic regression to analyze the data. Mean number of residents with PUs per NH was 1.12 (<i>SD</i> = 2.13). When RNs' hours per resident day increased by 1 hour, the number of residents with PUs decreased 0.011 times (<i>p</i> = 0.046). When the ratio of grade 1 residents in each NH increased 1%, the odds of residents with PUs increased 13% (<i>p</i> = 0.036).</p><p><strong>Conclusion: </strong>Providing high-quality, nursing sensitive care is an essential factor to decrease PUs for NH residents. Providing sufficient RN care is urgently necessary to develop solutions to preventable health conditions for these individuals. [<i>Research in Gerontological Nursing, 17</i>(6), 281-290.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 6","pages":"281-290"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717738","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}