{"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":"14 1","pages":""},"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}
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":"10 1","pages":""},"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}
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":"<p>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. [<i>Research in Gerontological Nursing, xx</i>(x), xx–xx.]</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 1","pages":""},"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}
{"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":"<p><strong>Purpose: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>After the 3-month intervention, there were significant improvements in general cognitive function (<i>p</i> = 0.046), attention (<i>p</i> = 0.009), delayed recall (<i>p</i> = 0.015), and social function (<i>p</i> = 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.</p><p><strong>Conclusion: </strong>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. [<i>Research in Gerontological Nursing, 17</i>(2), 65-79.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"65-79"},"PeriodicalIF":1.1,"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}
Terry Fulmer, Glenna S Brewster Glasgow, Heather M Young
{"title":"Remembering Claire M. Fagin.","authors":"Terry Fulmer, Glenna S Brewster Glasgow, Heather M Young","doi":"10.3928/19404921-20240229-01","DOIUrl":"10.3928/19404921-20240229-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 2","pages":"54-56"},"PeriodicalIF":1.1,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177656","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":"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":"<p><strong>Purpose: </strong>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.</p><p><strong>Method: </strong>A scoping review was conducted, which resulted in 19 research studies meeting inclusion criteria.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Further resilience research is necessary to inform development of public policies, programs, and interventions tailored to the unique needs of ADRD partner caregivers. [<i>Research in Gerontological Nursing, 17</i>(2), 99-108.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"99-108"},"PeriodicalIF":1.1,"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}
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":"<p><strong>Purpose: </strong>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).</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>These findings stress the importance of targeted interventions to improve emotion regulation and reduce avoidance coping in ADRD caregivers, ultimately enhancing their well-being. [<i>Research in Gerontological Nursing, 17</i>(2), 81-90.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"17 2","pages":"81-90"},"PeriodicalIF":1.1,"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}
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":"<p><strong>Purpose: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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. [<i>Research in Gerontological Nursing, 17</i>(2), 57-64.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"57-64"},"PeriodicalIF":1.1,"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}
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":"<p><strong>Purpose: </strong>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.</p><p><strong>Method: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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. [<i>Research in Gerontological Nursing, 17</i>(2), 92-97.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":" ","pages":"92-97"},"PeriodicalIF":1.1,"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}