Research in Gerontological Nursing最新文献_第9页

A Fresh Look at the Nursing Home Workforce Crisis: Transforming Nursing Care Delivery Models. 重新审视养老院劳动力危机:转变护理服务模式。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2023-01-01 DOI: 10.3928/19404921-20230104-01

Elena O Siegel, Ann M Kolanowski, Barbara J Bowers

{"title":"A Fresh Look at the Nursing Home Workforce Crisis: Transforming Nursing Care Delivery Models.","authors":"Elena O Siegel, Ann M Kolanowski, Barbara J Bowers","doi":"10.3928/19404921-20230104-01","DOIUrl":"https://doi.org/10.3928/19404921-20230104-01","url":null,"abstract":"The current State of the Science Commentary focuses on workforce challenges in the nursing home (NH) setting that lie within the purview of professional nursing-what professional nurses can do to promote high-quality person-centered care within a context of existing resources-individually and broadly across the collective profession. Historically, three models of care delivery have characterized the way in which nursing care is organized and delivered in different settings: primary nursing, functional nursing, and team nursing. Based on the existing evidence, we call for scientific leadership in the redesign, testing, and implementation of a nursing care delivery model that operationalizes relationship-centered team nursing. This integrative model incorporates successful evidence-based approaches that have the potential to improve quality of care, resident quality of life, and staff quality of work life: clear communication, staff empowerment, coaching styles of supervision, and family/care partner involvement in care processes. In addition to the needed evidence base for NH care delivery models, it is imperative that educational programs incorporate content and clinical experiences that will enable the future nursing workforce to fill the leadership gap in NH care delivery. [Research in Gerontological Nursing, 16(1), 5-13.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 1","pages":"5-13"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9325690","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: 3

Comparing the Effects of Virtual Reality and Home Chair-Based Exercises on Balance, Daily Living Activities, and Loneliness Among Older Adults With Balance Disorders. 比较虚拟现实和基于家庭椅子的锻炼对老年人平衡、日常生活活动和孤独感的影响。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2023-01-01 DOI: 10.3928/19404921-20230105-02

Fatemeh Shirazi, Noorolla Zahdyan Nasab, Azita Jaberi

{"title":"Comparing the Effects of Virtual Reality and Home Chair-Based Exercises on Balance, Daily Living Activities, and Loneliness Among Older Adults With Balance Disorders.","authors":"Fatemeh Shirazi, Noorolla Zahdyan Nasab, Azita Jaberi","doi":"10.3928/19404921-20230105-02","DOIUrl":"https://doi.org/10.3928/19404921-20230105-02","url":null,"abstract":"The current quasi-experimental study aimed to compare the effects of virtual reality (VR) and home chair-based (HCB) exercises on balance, daily living activities, and loneliness among older adults (N = 90) with balance disorders living in nursing homes. Participants were assigned to three groups: (a) VR exercises, (b) HCB exercises, and (c) routine nursing home programs. Findings indicated that VR and HCB exercises significantly increased participants' balance and daily living activities compared to routine programs (p < 0.001). However, there was no clinical difference among groups regarding Berg Balance Scale and Barthel Index scores. Main effect of time regarding loneliness mean score (p = 0.991) was not significant among groups. The minimal detectable change pre-set standard for loneliness also showed no significant clinical difference. Exercise had no significant impact on loneliness; however, it had a positive role in improving balance and daily living activities, with no significant difference between VR and HCB exercises. Further studies are recommended to evaluate adherence to such exercises. [Research in Gerontological Nursing, 16(1), 33-42.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 1","pages":"33-42"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9325691","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

Perceived Hearing Impairment in a Rural Community. 农村社区的感知听力障碍。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2023-01-01 DOI: 10.3928/19404921-20230104-04

Debra L Schutte, Elizabeth S Jenuwine, Thomas Templin, Brian C Schutte

{"title":"Perceived Hearing Impairment in a Rural Community.","authors":"Debra L Schutte, Elizabeth S Jenuwine, Thomas Templin, Brian C Schutte","doi":"10.3928/19404921-20230104-04","DOIUrl":"https://doi.org/10.3928/19404921-20230104-04","url":null,"abstract":"CoSAGE Community Advisory and Ethics Committee; Age-related hearing impairment yields many negative outcomes, including alterations in mental health, functional impairments, and decreased social engagement. The purpose of the current study was to examine perceived hearing impairment and its relationship with person-centered outcomes among adults in a rural community setting. A cross-sectional, descriptive correlational design was used. Survey packets of validated instruments were distributed following all weekend services at a rural community church; 72 completed surveys were returned (26% response rate). Descriptive and inferential statistics, including Spearman's rank correlations (rs), were used to address the study aims. Mean age of participants was 54 years (SD = 17 years), 58% were female, and 97% attended church regularly. Thirty-one percent of respondents reported moderate to severe hearing impairment. Perceived hearing impairment was associated with more depressive symptoms (rs = 0.24, p = 0.052), poorer attentional function (rs = -0.29, p = 0.016), and decreased quality of life in the mental health domain (rs = -0.21, p = 0.081). Findings expand evidence supporting the relationship between hearing and person-centered outcomes, including a functional measure of cognition. These results serve as a foundation for the design of a community-driven, church-based hearing health intervention. [Research in Gerontological Nursing, 16(1), 21-32.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"16 1","pages":"21-32"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9325695","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

Use of Exploratory Graph Analysis in Inspecting the Dimensionality of the Revised University of California Los Angeles (R-UCLA) Loneliness Scale Among Older Adults. 用探索性图分析检验加州大学洛杉矶分校(R-UCLA)老年人孤独感量表的维度。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2023-01-01 DOI: 10.3928/19404921-20230104-03

Chiyoung Lee, Yeon-Hwan Park, Belong Cho

引用次数: 1

The Relationship Between Dual Filial Piety and Caregiver Burden Among Arab Family Caregivers in Israel. 以色列阿拉伯家庭照顾者双重孝道与照顾者负担的关系。

IF 1.6 4区医学

Research in Gerontological Nursing Pub Date : 2022-11-01 DOI: 10.3928/19404921-20220930-02

Rabia Khalaila

{"title":"The Relationship Between Dual Filial Piety and Caregiver Burden Among Arab Family Caregivers in Israel.","authors":"Rabia Khalaila","doi":"10.3928/19404921-20220930-02","DOIUrl":"https://doi.org/10.3928/19404921-20220930-02","url":null,"abstract":"The current study examined the association between dual filial piety (FP) (reciprocal and authoritarian) and caregiver burden in adult children caregivers and attempted to understand the underlying mechanisms of these links. A cross-sectional study of 222 family caregivers of older relatives in an Arab community in Israel was performed. Data were collected via face-to-face interviews in Arabic using structured questionnaires. Bootstrapping with resampling strategies tested the multiple mediator model. Reciprocal and authoritarian components of FP were associated negatively with caregiver burden. The link with reciprocal FP was partially mediated by role engagement and relationship strain between caregiver and care recipient, whereas the link between authoritarian FP and caregiver burden was mediated by role engagement, but not by relationship strain between caregiver and care recipient. The study highlights the positive effect of cultural values (dual FP) and the underlying mechanisms working against the harmful effects of caregiving stressors in traditional societies, such as Arab-Israeli society. Practitioners should be sensitive to issues of family cultural values and family care among traditional populations. [Research in Gerontological Nursing, 15(6), 293-302.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 6","pages":"293-302"},"PeriodicalIF":1.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10710709","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: 1

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