Research in Gerontological Nursing最新文献_第2页

Ready or Not: A Conceptual Model of Organizational Readiness for Embedded Pragmatic Dementia Research 准备好了吗？嵌入式务实痴呆症研究组织准备就绪程度的概念模型

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-04-10 DOI: 10.3928/19404921-20240403-02

Marie Boltz, PhD, GNP-BC, FGSA, FAAN, Kimberly Van Haitsma, PhD, FGSA, Rosa R. Baier, MPH, Justine S. Sefcik, PhD, RN, Nancy A. Hodgson, PhD, RN, Ying-Ling Jao, PhD, RN, FGSA, Ann Kolanowski, PhD, RN, FGSA, FAAN

{"title":"Ready or Not: A Conceptual Model of Organizational Readiness for Embedded Pragmatic Dementia Research","authors":"Marie Boltz, PhD, GNP-BC, FGSA, FAAN, Kimberly Van Haitsma, PhD, FGSA, Rosa R. Baier, MPH, Justine S. Sefcik, PhD, RN, Nancy A. Hodgson, PhD, RN, Ying-Ling Jao, PhD, RN, FGSA, Ann Kolanowski, PhD, RN, FGSA, FAAN","doi":"10.3928/19404921-20240403-02","DOIUrl":"https://doi.org/10.3928/19404921-20240403-02","url":null,"abstract":"The National Institute on Aging Alzheimer's Disease/Alzheimer's Disease and Related Dementias Research Implementation Milestones emphasize the need for implementation research that maximizes up-take and scale-up of evidence-based dementia care practices across settings, diverse populations, and disease trajectories. Organizational readiness for implementation is a salient consideration when planning and conducting embedded pragmatic trials, in which interventions are implemented by provider staff. The current article examines the conceptual and theoretical underpinnings of organizational readiness for implementation and the operationalization of this construct. We offer a preliminary conceptual model for explicating and measuring organizational readiness and describe the unique characteristics and demands of implementing evidence-based interventions targeting persons with dementia and/or their care partners. [Research in Gerontological Nursing, xx(x), xx–xx.]","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":"140612458","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

Remembering Claire M. Fagin. 缅怀克莱尔-M-费金

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-03-01 DOI: 10.3928/19404921-20240229-01

Terry Fulmer, Glenna S Brewster Glasgow, Heather M Young

引用次数: 0

Effects of Multicomponent Exercise on Community-Dwelling Older Adults With Mild Cognitive Impairment. 多成分运动对社区居住的轻度认知障碍老年人的影响。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-03-01 Epub Date: 2024-01-29 DOI: 10.3928/19404921-20240112-02

Jun Zhang, Chao Yang, Yujie Pan, Li Wang

{"title":"Effects of Multicomponent Exercise on Community-Dwelling Older Adults With Mild Cognitive Impairment.","authors":"Jun Zhang, Chao Yang, Yujie Pan, Li Wang","doi":"10.3928/19404921-20240112-02","DOIUrl":"10.3928/19404921-20240112-02","url":null,"abstract":"Purpose: To explore the effects of a group-based multicomponent exercise program on general cognitive functioning, depression, and social functioning in community-dwelling older adults with mild cognitive impairment (MCI) and whether the effects can be maintained.Method: Fifty older adults with MCI were conveniently recruited from two communities in the study area and randomly assigned to the intervention group or control group. The intervention group received three sessions of 60-minute, multicomponent exercise per week for 3 months, plus MCI-related health education. The control group only received MCI-related health education. Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment Beijing Version (MoCA-BJ) were used to assess general cognitive function. The Functional Activities Questionnaire (FAQ) and Geriatric Depression Scale (GDS-30) were used to evaluate participants' social function and depression, respectively. Participants' exercise intensity was assessed using the Category Ratio Scale.Results: After the 3-month intervention, there were significant improvements in general cognitive function (p = 0.046), attention (p = 0.009), delayed recall (p = 0.015), and social function (p = 0.011) in the intervention group compared with the control group. However, after 3-month postintervention follow up, no significant differences in MMSE, MoCA-BJ, GDS-30, and FAQ scores were noted between groups.Conclusion: The 3-month multicomponent exercise program improved general cognitive function and social functioning in community-dwelling older adults with MCI. However, there was no evidence that these benefits lasted for another 3 months after stopping the exercise program. [Research in Gerontological Nursing, 17(2), 65-79.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576718","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

Partner Caregiver Resilience: A Scoping Review. 伴侣照顾者的复原力：范围审查。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-03-01 Epub Date: 2024-02-14 DOI: 10.3928/19404921-20240206-01

Shandra D Burton, Sarah H Ailey, Olimpia Paun

{"title":"Partner Caregiver Resilience: A Scoping Review.","authors":"Shandra D Burton, Sarah H Ailey, Olimpia Paun","doi":"10.3928/19404921-20240206-01","DOIUrl":"10.3928/19404921-20240206-01","url":null,"abstract":"Purpose: Caring for older adults with Alzheimer's disease and related dementias (ADRD) is a significant challenge for partner caregivers (i.e., committed, married, or cohabiting individuals). Understanding partner caregivers' needs is crucial to promote their well-being during the disease trajectory. The concept of resilience may help explain how ADRD partner caregivers manage in the face of significant challenges. The purpose of the current scoping review was to synthesize the qualitative evidence of the level of resilience among partner caregivers of persons with ADRD.Method: A scoping review was conducted, which resulted in 19 research studies meeting inclusion criteria.Results: Findings were grouped by significant aspects of resilience as reflected in the studies reviewed, including risk and protective factors, partner caregivers' characteristics, and challenges and facilitators of resilience. Knowledge, skills, and access to social, psychological, and emotional support are needed to foster partner caregiver resilience.Conclusion: Further resilience research is necessary to inform development of public policies, programs, and interventions tailored to the unique needs of ADRD partner caregivers. [Research in Gerontological Nursing, 17(2), 99-108.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139747751","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

Emotion Regulation, Coping Strategies, and Hazardous Drinking Among Family Caregivers of People With Alzheimer's Disease and Related Dementias. 阿尔茨海默病及相关痴呆症患者家庭照顾者的情绪调节、应对策略和危险饮酒。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-03-01 DOI: 10.3928/19404921-20240229-02

Jessica Andrea Hernandez Chilatra, Wesley R Browning, Mustafa Yildiz, Tami P Sullivan, Carolyn E Pickering

{"title":"Emotion Regulation, Coping Strategies, and Hazardous Drinking Among Family Caregivers of People With Alzheimer's Disease and Related Dementias.","authors":"Jessica Andrea Hernandez Chilatra, Wesley R Browning, Mustafa Yildiz, Tami P Sullivan, Carolyn E Pickering","doi":"10.3928/19404921-20240229-02","DOIUrl":"10.3928/19404921-20240229-02","url":null,"abstract":"Purpose: The current study investigated hazardous drinking and alcohol use disorders among 453 family caregivers of individuals living with Alzheimer's disease and related dementias (ADRD).Method: We examined the prevalence of hazardous drinking and its relationship with emotion regulation and coping strategies (problem-solving, social support, and avoidance) using data from the first wave of a longitudinal study on daily ADRD caregiving experiences. A binary logistic regression model was performed to predict the relationship between potential risk factors and hazardous drinking.Results: Findings revealed that 18.1% of ADRD caregivers screened positive for hazardous drinking based on the Alcohol Use Disorders Identification Test-Consumption. Caregivers experiencing greater difficulties in emotion regulation and greater reliance on avoidance as a coping strategy were at higher risk of screening positive for hazardous drinking.Conclusion: These findings stress the importance of targeted interventions to improve emotion regulation and reduce avoidance coping in ADRD caregivers, ultimately enhancing their well-being. [Research in Gerontological Nursing, 17(2), 81-90.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177655","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

Reliability and Validity of the Minimum Data Set 3.0 Standardized Self-Care and Mobility Data Elements Among Long-Stay Nursing Home Residents. 最低数据集 3.0 标准化自理能力和行动能力数据元素在长期住院疗养院住户中的可靠性和有效性。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-03-01 Epub Date: 2024-01-29 DOI: 10.3928/19404921-20240112-01

Molly Marino, Anne Deutsch, Tracy Kline, Alice Smith, Qinghua Li, Jenny Beizer, Tara McMullen

{"title":"Reliability and Validity of the Minimum Data Set 3.0 Standardized Self-Care and Mobility Data Elements Among Long-Stay Nursing Home Residents.","authors":"Molly Marino, Anne Deutsch, Tracy Kline, Alice Smith, Qinghua Li, Jenny Beizer, Tara McMullen","doi":"10.3928/19404921-20240112-01","DOIUrl":"10.3928/19404921-20240112-01","url":null,"abstract":"Purpose: To assess the reliability and validity of a subset of the Minimum Data Set (MDS) 3.0 Section GG data elements (i.e., standardized self-care, mobility) among 147 long-stay nursing home residents in seven nursing homes in five states.Method: Trained clinicians assessed residents' functional abilities using select Section GG items and Section G activities of daily living items. We examined the reliability and construct validity of the data using Cronbach's alpha, correlations between Section G and Section GG items, confirmatory factor analysis (CFA), and Rasch measurement analysis.Results: We observed acceptable internal consistency values for all (0.98), self-care (0.93), and mobility (0.98) standardized items. Correlations between conceptually related Section G and Section GG items ranged from -0.53 to -0.84. CFA findings found acceptable values for all fit indices. Rasch analysis showed most items had acceptable fit statistics, except for the easiest and most difficult activities.Conclusion: These findings establish the feasibility of data collection, internal consistency reliability, and construct validity of the selected Section GG items among long-stay nursing home residents. Use of the same standardized data elements in post-acute and long-term care populations can support improved coding of function and enhance our understanding of resident functioning. [Research in Gerontological Nursing, 17(2), 57-64.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576751","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 Nurse-Led Algorithm for Diagnosing Urinary Tract Infection in Homebound Older Adults. 以护士为主导的居家老年人尿路感染诊断算法。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-03-01 Epub Date: 2024-02-14 DOI: 10.3928/19404921-20240206-02

Maria D Mendoza De la Garza, Natalie F Mohammad, Molly J DiTommaso, Angie L Bicknese, Kirsten B Kaffine, Brandon P Verdoorn

{"title":"A Nurse-Led Algorithm for Diagnosing Urinary Tract Infection in Homebound Older Adults.","authors":"Maria D Mendoza De la Garza, Natalie F Mohammad, Molly J DiTommaso, Angie L Bicknese, Kirsten B Kaffine, Brandon P Verdoorn","doi":"10.3928/19404921-20240206-02","DOIUrl":"10.3928/19404921-20240206-02","url":null,"abstract":"Purpose: We designed a nurse-led algorithm to standardize urinary tract infection (UTI) diagnosis for older adults receiving home-based medical care. Aims of this pilot quality improvement study were to reduce the frequency of empiric antibiotic therapy initiated without a urinalysis and urine culture (UA/UC) first being obtained, reduce antibiotic use without a concomitant increase in emergency department (ED) visits or hospital admissions, and ensure stakeholders' satisfaction with algorithm use.Method: A nurse-led diagnostic algorithm was designed and pilot-tested to address challenges and standardize diagnosis of UTI in a population of homebound older adults.Results: In pre/post data analysis, algorithm implementation was associated with improved frequency of obtaining UA/UC before empiric antibiotic therapy was initiated, but the overall rate of antibiotic use for UTI did not decrease. No increase in ED or hospital admissions was identified.Conclusion: Use of a diagnostic algorithm for UTI among homebound older adults was associated with reduced frequency of empiric antibiotic initiation for suspected UTI without a UA/UC first being obtained. More rigorous study is needed to confirm and expand on these findings. [Research in Gerontological Nursing, 17(2), 92-97.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730989","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 the UMove Mobility Program to Promote Safe Patient Mobility and Reduce Falls in the Hospital Setting. 实施UMove流动计划，以促进患者安全流动并减少医院环境中的跌倒。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-01-01 Epub Date: 2023-10-20 DOI: 10.3928/19404921-20231013-01

Chris L Wells, Barbara Resnick, Rachel McPherson, Katherine Frampton

{"title":"Implementation of the UMove Mobility Program to Promote Safe Patient Mobility and Reduce Falls in the Hospital Setting.","authors":"Chris L Wells, Barbara Resnick, Rachel McPherson, Katherine Frampton","doi":"10.3928/19404921-20231013-01","DOIUrl":"10.3928/19404921-20231013-01","url":null,"abstract":"The purpose of the current quality improvement (QI) project was to implement the UMove Early Mobility Program to engage patients in safe out of bed (OOB) activities and reduce falls, specifically focusing on toileting-related falls, during the hospital stay. Eight nursing units implemented the UMove program, including the UMove Mobility Screen (UMove MS), to select strategies to reduce toileting-related falls while increasing mobility. De-identified, unit-based data were collected from hospital reports. Nursing had a 95% documentation compliance rate for the UMove MS, and OOB activities and ambulation were documented at 50% and 57%, respectively. There was no statistical difference found in reducing toileting-related falls or sustaining increased OOB activities across the 15-month QI project. Toileting-related falls approached significance with a rate reduction from 1.77 pre-implementation to 0.23 at 6 months and no toileting-related falls at 12 months. Despite no significant findings, there is evidence that clinical changes occurred with nurses assessing and promoting mobility, while implementing strategies to reduce toileting-related falls. [Research in Gerontological Nursing, 17(1), 19-29.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163714","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

2023 Reviewers. 2023 评审员。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-01-01 DOI: 10.3928/19404921-20231204-01

引用次数: 0

Grandmothers as Primary Caregivers for Their Grandchildren in Uganda: Challenges Faced and Potential for a Sustainable Livelihood Intervention. 乌干达的祖母作为其孙子女的主要照顾者：可持续生计干预面临的挑战和潜力。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2024-01-01 Epub Date: 2023-10-20 DOI: 10.3928/19404921-20231013-02

Schola N Matovu, Lee Ellington, Melissa Watt, Noeline Nakasujja, Heather M Young

{"title":"Grandmothers as Primary Caregivers for Their Grandchildren in Uganda: Challenges Faced and Potential for a Sustainable Livelihood Intervention.","authors":"Schola N Matovu, Lee Ellington, Melissa Watt, Noeline Nakasujja, Heather M Young","doi":"10.3928/19404921-20231013-02","DOIUrl":"10.3928/19404921-20231013-02","url":null,"abstract":"Global drivers of health, such as poverty, climate change, and public health crises, pose significant impact on many vulnerable groups, such as grandmother-caregivers (GMCs). Engaging community partners in this problem could help in understanding salient issues and devising solutions to alleviate the challenges faced by GMCs. The purpose of the current study was to engage community members in rural Uganda in identifying challenges experienced by GMCs and explore the potential for a sustainable livelihood for this population. We used a community-engaged ethnographic methodology for our qualitative study, which was informed by the Sustainable Livelihood Framework. Themes emerged in two domains: GMC Challenges and Potential for Sustainable Livelihoods and Intervention Recommendations. The challenges experienced by GMCs are multifaceted as are the potential solutions. Our findings have the potential to inform community development interventions that support the livelihoods and well-being of GMCs in Uganda and similar settings. [Research in Gerontological Nursing, 17(1), 43-52.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163689","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