Elizabeth Hill, P. Bekker, Susan M. Strouse, Rebecca Davis
{"title":"\"We Weathered the Storm\": A Qualitative Phenomenological Study of the Lived Experience of Assisted Living Administrators During the COVID-19 Pandemic.","authors":"Elizabeth Hill, P. Bekker, Susan M. Strouse, Rebecca Davis","doi":"10.3928/19404921-20220518-02","DOIUrl":"https://doi.org/10.3928/19404921-20220518-02","url":null,"abstract":"The purpose of the current qualitative phenomenological study is to learn about the lived experiences of assisted living (AL) community administrators during the coronavirus disease 2019 (COVID-19) pandemic. Little is known about how administrators coped with the ever-changing mandates (e.g., visitation, testing, communal activities, acceptance of COVID-positive residents). Semi-structured interviews with AL administrators were conducted, transcribed verbatim, and analyzed for meaning and essence using a modified Giorgi's approach. Data analysis showed that administrators experienced a multitude of feelings and actions related to the well-being of staff, residents, and residents' families. Findings also identified the complexity of the constant changes, including limited resources and policy changes, of the AL administrators' lived experiences during the pandemic. Results from this study can inform policies and strategies for providing care to this often-overlooked population of older adults. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"11 1","pages":"1-8"},"PeriodicalIF":1.6,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79738709","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":"Medication Errors are Indeed Related to Source of Purchased Medication.","authors":"Ling-ling Zhu, Quan Zhou","doi":"10.3928/19404921-20220428-01","DOIUrl":"https://doi.org/10.3928/19404921-20220428-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"79 1","pages":"114-115"},"PeriodicalIF":1.6,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72449002","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":"Making Care for Older People the Choice of Nurses Today, Tomorrow, and Forever.","authors":"D. Fick, S. Kagan, B. Resnick, H. Young","doi":"10.3928/19404921-20220426-01","DOIUrl":"https://doi.org/10.3928/19404921-20220426-01","url":null,"abstract":"[...]workplace concerns, such as low staffing levels, low morale, and subsequent burnout, are pushing nurses out of health care entirely. In those settings, resources are limited and have been for decades. [...]complexity characterizes the needs of all residents under these nurses' care. [...]nursing homes specifically need policy and practice changes to optimize scope of practice and provide around-the-clock professional nurse leadership. Other local efforts include nursing schools offering robust clinical rotations in nursing homes and programs providing opportunities to students to work in long-term care facilities.","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"19 1","pages":"1-3"},"PeriodicalIF":1.6,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80572046","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}
Chih-Ying Li, Paul Arthur, Brian Downer, Craig A Velozo, Yong-Fang Kuo, Huey-Ming Tzeng, Kenneth J Ottenbacher
{"title":"Examining the Clinical Utility of the Brief Interview for Mental Status.","authors":"Chih-Ying Li, Paul Arthur, Brian Downer, Craig A Velozo, Yong-Fang Kuo, Huey-Ming Tzeng, Kenneth J Ottenbacher","doi":"10.3928/19404921-20220428-02","DOIUrl":"10.3928/19404921-20220428-02","url":null,"abstract":"<p><p>The Brief Interview for Mental Status (BIMS) is used to identify delirium and needed supports in patients living in skilled nursing facilities (SNFs) and long-term care facilities (LTCFs). We analyzed 3,537,404 patients discharged from acute hospitals to SNFs or LTCFs with factor and Rasch analyses to examine the clinical utility of the BIMS. More than 40% of the sample had maximum scores, indicating a ceiling effect. \"Repetition of three words\" was the easiest and the only misfit item (Outfit = 3.14). The ability of the BIMS to distinguish individuals into two cognitive levels (with person strata of 1.48) was limited. Although the BIMS is a widely used screening tool for cognitive impairment, we found it lacked sensitivity for approximately one half of patients admitted to SNFs/LTCFs. Our results suggest the BIMS should be interpreted with caution, particularly for patients with mild cognitive impairment. [<i>Research in Gerontological Nursing, 15</i>(3), 124-130.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 3","pages":"124-130"},"PeriodicalIF":1.6,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/0b/nihms-1828061.PMC9377165.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10512019","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}
Carol M Vos, Nancy Ambrose-Gallagher, Katelyn E. Webster, J. Larson
{"title":"Physical Activity and Sedentary Behavior of Residents in Assisted Living: A Preliminary Study.","authors":"Carol M Vos, Nancy Ambrose-Gallagher, Katelyn E. Webster, J. Larson","doi":"10.3928/19404921-20220408-02","DOIUrl":"https://doi.org/10.3928/19404921-20220408-02","url":null,"abstract":"Low physical activity (PA) and high sedentary behavior (SB) place residents in assisted living at risk for physical decline, but little is known about factors that influence PA/SB in this setting. In the current cross-sectional study, we described objectively measured PA/SB (activPAL™) and examined the relationships between PA/SB and use of an assistive walking device, depression, sleep disturbance, pain, fatigue, social isolation, and the tendency to make social comparisons. Fifty-four residents from eight assisted living facilities participated. Mean time spent in PA was 252.9 (SD = 134.3) minutes/day. Mean time spent in SB was 660.8 (SD = 181.4) minutes/day. Depression predicted PA (R2 = 0.16). Residents using an assistive device spent significantly more time in SB (p = 0.02). Fatigue correlated with time in longer bouts of SB (r = 0.19, p = 0.04). The tendency to make social comparisons correlated with SB (r = 0.22, p = 0.04). Findings show residents in assisted living are inactive and further research is needed to fully understand factors that influence PA/SB. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"90 1","pages":"1-7"},"PeriodicalIF":1.6,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82408581","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}
M. Taani, S. Strath, Chi C Cho, J. Ellis, Hyunkyoung Oh
{"title":"Objective Physical Activity Levels, Sedentary Time, and Muscle Mass, Strength, and Function: Impact on Physical and Mental Health-Related Quality of Life in Older Adults.","authors":"M. Taani, S. Strath, Chi C Cho, J. Ellis, Hyunkyoung Oh","doi":"10.3928/19404921-20220408-01","DOIUrl":"https://doi.org/10.3928/19404921-20220408-01","url":null,"abstract":"Limited physical activity, sedentary behavior, and reduction in muscle mass, strength, and function are accompanied by negative outcomes. The relationship between these factors and physical and mental health-related quality of life (HRQoL) has yet to be elucidated in continuing care retirement community (CCRC) residents. The current study investigated the relationships among physical activity, sedentary behavior, and muscle mass, strength, and function to physical and mental HRQoL. A sample of 105 CCRC residents participated in this cross-sectional correlational study. Findings demonstrated that low physical activity and muscle function were significantly associated with low physical HRQoL and explained 38% of the variance in physical HRQoL. Handgrip strength was significantly associated with low mental HRQoL and explained 8% of the variance in mental HRQoL. Older adults living in CCRCs may benefit from interventions targeting physical activity and the distinct muscle components of sarcopenia that have the potential to improve physical and mental HRQoL. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"13 1","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83379434","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":"Korean Family Caregivers' Experiences With Managing Behavioral and Psychological Symptoms of Dementia: Keeping Harmony in Daily Life.","authors":"Jiyeon Kim, Jun-Ah Song, S. Jung, H. Cheon","doi":"10.3928/19404921-20220324-02","DOIUrl":"https://doi.org/10.3928/19404921-20220324-02","url":null,"abstract":"Behavioral and psychological symptoms of dementia (BPSD) are symptoms of dementia that family care-givers find difficult to manage. Competence in managing BPSD differs according to individual family caregiver. The current study investigated the competence in managing BPSD, focusing on family caregivers who were recognized as managing them well. Twenty-four Korean family caregivers (83% female, mean age = 67 years) living with persons with dementia (PWD) were interviewed. Four themes were derived from the content analysis: Entering and Looking into the World of PWD, Keeping Daily Life in Harmony With BPSD, Becoming an Expert in BPSD, and Balancing Between Caregiving and Myself. Family caregivers minimized the impact of BPSD and maintained life balance. As a result, they were able to continue a harmonious life with PWD. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"6 1","pages":"1-10"},"PeriodicalIF":1.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72747687","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":"The Role of Social Engagement in Older Adults' Health.","authors":"J. Steppe, M. Ramos, Ryan Falvai","doi":"10.3928/19404921-20220324-01","DOIUrl":"https://doi.org/10.3928/19404921-20220324-01","url":null,"abstract":"The purpose of the current study was to explore the association between social engagement and the health status, cognition, and perceived well-being of older adults using data from the National Health and Aging Trends Study. Descriptive statistics, clustering, and regression modeling were performed to analyze the data. We used the regression model to identify statistically significant relationships between the representative variables and the extent to which participants participated in social activities. The most representative variable for each of the three clusters was selected and fitted to the regression model, which consists of (1) acute health problems and events, (2) cognitive and communication barriers, and (3) chronic conditions contributing to long-term health status. A regression model found that two factors-cognitive and communication barriers and chronic conditions contributing to long-term health status-were statistically significant in determining social engagement in older adults. Health care providers should consider various factors in planning and implementing social programs that can positively engage older adults. [Research in Gerontological Nursing, xx(x), xx-xx.].","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"51 1","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88016058","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}
J. Baumbusch, E. Blakey, Anna M Carapellotti, Marleen D W Dohmen, D. Fick, S. Kagan, G. Melendez-Torres, Brianna E Morgan, Ellen Munsterman, B. Resnick, H. Young
{"title":"Nurses and the Decade of Healthy Ageing: An Unprecedented Opportunity.","authors":"J. Baumbusch, E. Blakey, Anna M Carapellotti, Marleen D W Dohmen, D. Fick, S. Kagan, G. Melendez-Torres, Brianna E Morgan, Ellen Munsterman, B. Resnick, H. Young","doi":"10.3928/19404921-20220420-01","DOIUrl":"https://doi.org/10.3928/19404921-20220420-01","url":null,"abstract":"","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"43 1","pages":"1-4"},"PeriodicalIF":1.6,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86474298","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}
Gregory L Alexander, Chelsea B Deroche, Kimberly R Powell, Abu Saleh Mohammad Mosa, Lori Popejoy, Richelle J Koopman, Jianfang Liu
{"title":"Development and Pilot Analysis of the Nursing Home Health Information Technology Maturity Survey and Staging Model.","authors":"Gregory L Alexander, Chelsea B Deroche, Kimberly R Powell, Abu Saleh Mohammad Mosa, Lori Popejoy, Richelle J Koopman, Jianfang Liu","doi":"10.3928/19404921-20220218-04","DOIUrl":"https://doi.org/10.3928/19404921-20220218-04","url":null,"abstract":"<p><p>The current research includes a psychometric test of a nursing home (NH) health information technology (HIT) maturity survey and staging model. NHs were assembled based on HIT survey scores from a prior study representing NHs with low (20%), medium (60%), and high (20%) HIT scores. Inclusion criteria were NHs that completed at least two annual surveys over 4 years. NH administrators were excluded who participated in the Delphi panel responsible for instrument recommendations. Recruitment occurred from January to May 2019. Administrators from 121 of 429 facilities completed surveys. NHs were characteristically for-profit, medium bed size, and metropolitan. A covariance matrix demonstrated that all dimensions and domains were significantly correlated, except HIT capabilities and integration in administrative activities. Cronbach's alpha was very good (0.86). Principal component analysis revealed all items loaded intuitively onto four components, explaining 80% variance. The HIT maturity survey and staging model can be used to assess nine dimensions and domains, total HIT maturity, and stage, leading to reliable assumptions about NH HIT. [<i>Research in Gerontological Nursing, 15</i>(2), 93-99.].</p>","PeriodicalId":51272,"journal":{"name":"Research in Gerontological Nursing","volume":"15 2","pages":"93-99"},"PeriodicalIF":1.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10671516","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}