Research in Gerontological Nursing最新文献_第8页

Strategic Recommendations for Higher Quality Nursing Home Care in the United States: The NASEM Report. 美国高质量养老院护理的战略建议:NASEM报告。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-11-01 DOI: 10.3928/19404921-20220927-01

Gregory L Alexander, Jasmine Travers, Colleen Galambos, Marilyn Rantz, Betty Ferrell, David Stevenson

引用次数: 0

Process of Advance Care Planning in Nursing Home Settings: An Integrative Literature Review. 疗养院环境中预先护理计划的过程:综合文献回顾。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-11-01 DOI: 10.3928/19404921-20220930-04

Rachel Muthui, Olimpia Paun

引用次数: 1

Nursing Staff Perceptions of Outcomes Related to Honoring Residents' "Risky" Preferences. 护理人员对结果的认知与尊重居民的“风险”偏好有关。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-11-01 Epub Date: 2022-10-10 DOI: 10.3928/19404921-20220930-01

Liza L Behrens, Marie Boltz, Mark Sciegaj, Ann Kolanowski, Joanne Roman Jones, Anju Paudel, Kimberly Van Haitsma

{"title":"Nursing Staff Perceptions of Outcomes Related to Honoring Residents' \"Risky\" Preferences.","authors":"Liza L Behrens, Marie Boltz, Mark Sciegaj, Ann Kolanowski, Joanne Roman Jones, Anju Paudel, Kimberly Van Haitsma","doi":"10.3928/19404921-20220930-01","DOIUrl":"10.3928/19404921-20220930-01","url":null,"abstract":"Nursing homes (NHs) are challenged to consistently deliver person-centered care (PCC), or care based on residents' values and preferences. NH staff associate certain resident preferences with risk. However, there are limited evidence-based person-centered risk management strategies to assist NH staff with risky resident preferences. The purpose of the current study was to explore NH staff perceptions of health and safety outcomes associated with honoring NH residents' risky preferences to inform intervention development. This descriptive, qualitative study used sequential focus groups and content analysis, revealing that nursing staff perceive negative and positive outcomes for staff and residents when seeking to honor residents' risky preferences. This finding is supported by three themes: Potential Harms to Staff, Potential Harms to Residents, and Positive Shared Outcomes. These results contribute a set of nurse-driven quality of life and quality of care outcomes for NH staff and residents associated with PCC delivery in NHs. [Research in Gerontological Nursing, 15(6), 271-281.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 6","pages":"271-281"},"PeriodicalIF":1.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10189806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9486577","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

Testing the Reliability and Validity of the Revised Care Plan Checklist for Evidence of Person-Centered Care Approaches for Behavioral and Psychological Symptoms of Distress in Persons With Dementia. 检验以人为本的护理方法对痴呆症患者行为和心理困扰症状的证据的修订护理计划清单的信度和效度。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-11-01 DOI: 10.3928/19404921-20220930-03

Caroline Madrigal, Barbara Resnick, Karen Eshraghi, Jeanette Ellis, Ann Kolanowski, Kimberly Van Haitsma

{"title":"Testing the Reliability and Validity of the Revised Care Plan Checklist for Evidence of Person-Centered Care Approaches for Behavioral and Psychological Symptoms of Distress in Persons With Dementia.","authors":"Caroline Madrigal, Barbara Resnick, Karen Eshraghi, Jeanette Ellis, Ann Kolanowski, Kimberly Van Haitsma","doi":"10.3928/19404921-20220930-03","DOIUrl":"https://doi.org/10.3928/19404921-20220930-03","url":null,"abstract":"The Checklist for Evidence of Person-Centered Care Approaches for Behavioral and Psychological Symptoms of Distress (BPSD) in Care Plans was developed to assess the person-centeredness of care plans for nursing home residents living with behavioral and psychological symptoms associated with dementia. The purpose of the current study was to evaluate the reliability and validity of a revised version of the Checklist. Data from a larger randomized clinical trial testing the implementation of the Evidence of Integration Triangle for BPSD were used. One hundred seventy-nine care plans for 103 residents were examined. Descriptive statistics, Rasch analysis, and inter-rater reliability were used. The Checklist demonstrated evidence of inter-rater reliability and validity based on model fit and acceptable INFIT and OUTFIT statistics. This study serves as pilot work for future Checklist use and validation efforts on a larger scale. Findings encourage a discourse on the inclusion of BPSD and person-centered approaches in care plans for those living with dementia. [Research in Gerontological Nursing, 15(6), 303-311.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 6","pages":"303-311"},"PeriodicalIF":1.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10710708","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

Validation and Comparison of Three Short Depression Screening Tools Among Chinese Community-Dwelling Older Adults. 三种短期抑郁筛查工具在中国社区老年人中的验证和比较。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-11-01 DOI: 10.3928/19404921-20220929-01

Xiaoxia Qiao, Lili Ji, Huaxin Si, Yaru Jin, Yanhui Bian, Wenyu Wang, Qinqin Liu, Jiaqi Yu, Cuili Wang

{"title":"Validation and Comparison of Three Short Depression Screening Tools Among Chinese Community-Dwelling Older Adults.","authors":"Xiaoxia Qiao, Lili Ji, Huaxin Si, Yaru Jin, Yanhui Bian, Wenyu Wang, Qinqin Liu, Jiaqi Yu, Cuili Wang","doi":"10.3928/19404921-20220929-01","DOIUrl":"https://doi.org/10.3928/19404921-20220929-01","url":null,"abstract":"The current study validated and compared three short Geriatric Depression Scales (GDS), including the GDS-5, D'Ath GDS-4, and van Marwijk GDS-4, among 917 Chinese community-dwelling older adults. The GDS-5, D'Ath GDS-4, and van Marwijk GDS-4 presented satisfactory accuracy against the GDS-15 (area under the curve [AUC] = 0.872 to 0.952), and the GDS-5 and D'Ath GDS-4 had better accuracy than the van Marwijk GDS-4. Satisfactory accuracy (AUC = 0.842 to 0.979) for the three scales was also observed across subgroups by age, sex, education, cognitive function, and multimorbidity. The GDS-5 but not D'Ath GDS-4 and van Marwijk GDS-4 retained a 2-point optimal cutoff for depressive symptoms across subgroups. The GDS-5 (average inter-item correlation coefficient [AIIC] = 0.233) and the D'Ath GDS-4 (AIIC = 0.171) but not van Marwijk GDS-4 (AIIC = 0.128) had acceptable internal consistency. Three scales had stable test-retest reliability within a 1- to 2-week interval (intraclass correlation coefficient = 0.670 to 0.885). The GDS-5 is an accurate and reliable depression screening tool with an invariable optimal cutoff among Chinese community-dwelling older adults. The variable optimal cutoffs for the D'Ath GDS-4 and van Marwijk GDS-4 across subgroups may limit their applicability in this population. [Research in Gerontological Nursing, 15(6), 283-291.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 6","pages":"283-291"},"PeriodicalIF":1.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10710711","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: 2

"Please Don't Forget Us": A Descriptive Qualitative Study of Caregivers of Older Adults With Alzheimer's Disease and Related Dementias During the COVID-19 Pandemic. “请不要忘记我们”:对COVID-19大流行期间阿尔茨海默病和相关痴呆症老年人护理人员的描述性定性研究

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-09-01 DOI: 10.3928/19404921-20220829-01

Kathy C Richards, Kavita Radhakrishnan, Katherine Carroll Britt, Andrea Vanags-Louredo, Eunice Park, Nalaka S Gooneratne, Liam Fry

{"title":"\"Please Don't Forget Us\": A Descriptive Qualitative Study of Caregivers of Older Adults With Alzheimer's Disease and Related Dementias During the COVID-19 Pandemic.","authors":"Kathy C Richards, Kavita Radhakrishnan, Katherine Carroll Britt, Andrea Vanags-Louredo, Eunice Park, Nalaka S Gooneratne, Liam Fry","doi":"10.3928/19404921-20220829-01","DOIUrl":"https://doi.org/10.3928/19404921-20220829-01","url":null,"abstract":"The current descriptive qualitative study explored the perceived impact of the coronavirus disease 2019 pandemic on sleep disturbances and nighttime agitation; the reported use of antipsychotics and other sedating medications; and the overall well-being of older adults with Alzheimer's disease and related dementias (ADRD) and their caregivers. One investigator conducted in-depth, phone interviews with caregivers of nursing home residents with ADRD (four family caregivers [FCs], three nurse practitioners [NPs]) and seven FCs of older adults with ADRD who lived with them at home. Caregivers described multiple sleep disturbances. Nighttime agitation symptoms were perceived to continue or worsen, and sedating medications and nonpharmacological interventions were required. Adverse impacts on reported well-being were significant, and impacts were grouped into emotional, social, and physical themes. Caregivers said, \"Please don't forget us,\" and requested telehealth support for those at home and technology and human resources for nursing homes to reduce adverse impacts. [Research in Gerontological Nursing, 15(5), 217-228.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 5","pages":"217-228"},"PeriodicalIF":1.6,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7a/ce/nihms-1893218.PMC10187068.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9472997","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: 2

Experiences of Sleep Problems Among Older Korean Immigrants. 韩国老年移民的睡眠问题经历。

IF 1.1 4区医学

Research in Gerontological Nursing Pub Date : 2022-07-01 Epub Date: 2022-05-27 DOI: 10.3928/19404921-20220518-01

Yeonsu Song, Gery W Ryan, Diane Lee, Haesook Kim, Jennifer L Martin, B Josea Kramer, Ron D Hays, Sarah E Choi

{"title":"Experiences of Sleep Problems Among Older Korean Immigrants.","authors":"Yeonsu Song, Gery W Ryan, Diane Lee, Haesook Kim, Jennifer L Martin, B Josea Kramer, Ron D Hays, Sarah E Choi","doi":"10.3928/19404921-20220518-01","DOIUrl":"10.3928/19404921-20220518-01","url":null,"abstract":"Despite poor sleep among older adults, little is known about the sleep habits of older immigrants living in the United States. The current pragmatic qualitative descriptive study explored sleep among older Korean immigrants, using a focus group with six participants and individual phone interviews with 22 Korean immigrants aged ≥60 years. Transcripts were coded to identify underlying themes. Several thematic categories were identified under six domains: daytime function, getting ready for bed, falling asleep, awakenings during sleep, going back to sleep, and seeking advice from peers. Unhealthy sleep behaviors were found during daytime and bedtime, particularly among those who were retired/unemployed or living alone. Seeking advice from peers was common but none of the advice helped participants sleep. Sleep education programs in Korean-speaking communities can be used to target those who are socially isolated and may benefit older Korean immigrants with sleep difficulties. [Research in Gerontological Nursing, 15(4), 193-202.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 4","pages":"193-202"},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9355790/pdf/nihms-1826044.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9730922","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: 0

Relationships Among Perception of Cognitive Function, Diabetes Self-Management, and Glucose Variability in Older Adults: A Mixed Methods Study. 老年人认知功能感知、糖尿病自我管理和血糖变异性之间的关系:一项混合方法研究。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-06-17 DOI: 10.3928/19404921-20220609-02

H. Cuevas, Elizabeth M. Heitkemper, Bilal Haque

{"title":"Relationships Among Perception of Cognitive Function, Diabetes Self-Management, and Glucose Variability in Older Adults: A Mixed Methods Study.","authors":"H. Cuevas, Elizabeth M. Heitkemper, Bilal Haque","doi":"10.3928/19404921-20220609-02","DOIUrl":"https://doi.org/10.3928/19404921-20220609-02","url":null,"abstract":"The aim of the current study was to explore relationships among perceived cognitive function, glucose variability, and self-management in older adults with type 2 diabetes mellitus (T2DM). A mixed methods design was used with data from: (a) questionnaires on perceived cognitive function and diabetes self-management; (b) continuous glucose monitoring (CGM) reports; and (c) semi-structured interviews. Thirty adults with T2DM (47% female; mean age = 68.5 [SD = 5.2] years) participated. Those who exercised more days per week had more stable glucose. Those who reported fewer days of diet adherence had more hypoglycemia. Participants who reported higher levels of memory dissatisfaction exhibited higher levels of glucose variability. Findings point to the potential of glucose variability as a target to reduce the effect of diabetes on cognitive function. Instruction in recognition of glucose patterns found via CGM can be integrated into self-management education to improve self-management and subsequent glucose control and cognitive function. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"44 1","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83021639","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: 4

Predictors of Acute Care Transfers From Skilled Nursing Facilities: Recommendations for Preventing Unnecessary Hospitalization. 急性护理从熟练护理机构转移的预测因素:预防不必要住院的建议。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-06-17 DOI: 10.3928/19404921-20220609-01

A. Antony, J. Champion

引用次数: 0

Predicting 31- to 60-Day Heart Failure Rehospitalization Among Older Women. 预测老年妇女31- 60天心力衰竭再住院

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-05-27 DOI: 10.3928/19404921-20220518-03

Carolyn B. Sue-Ling, N. Jairath

{"title":"Predicting 31- to 60-Day Heart Failure Rehospitalization Among Older Women.","authors":"Carolyn B. Sue-Ling, N. Jairath","doi":"10.3928/19404921-20220518-03","DOIUrl":"https://doi.org/10.3928/19404921-20220518-03","url":null,"abstract":"The current study sought to identify social, hemodynamic, and comorbid risk factors associated with 31-to 60-day heart failure (HF) rehospitalization in African American and Caucasian older (aged >65 years) women. A non-equivalent, case-control, quantitative design study using secondary data analysis of medical records from a local community hospital in the Southeast region of the United States was performed over a 3-year period. Relationships between predictor variables and the outcome variable, 31- to 60-day HF rehospitalization, were explored. The full model containing all predictors was not able to distinguish between predictors (χ2[21, N = 188] = 35.77, p = 0.12). However, a condensed model showed that body mass index (BMI) level 1 (<25 kg/m2), BMI level 2 (>25 and <30 kg/m2), age 75 to 80 years, and those taking lipid-lowering agents were significant predictors. Subtype of HF (reduced or preserved) and race did not predict HF rehospitalization within the specified time period. Multiple comorbid risk factors failed to consistently predict rehospitalization, which may reflect dated HF-specific approaches and therapies. Future studies should evaluate contributions of current targeted post-discharge methods or therapies. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"171 1","pages":"1-13"},"PeriodicalIF":1.6,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87036046","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