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Perceptions of Health Care Provider Interactions Among Medicare Beneficiaries With Hearing Trouble and the Role of an Accompanying Companion. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-25 Laura G Wallace,Katherine N Menon,Emmanuel E Garcia Morales,John J Shin,Elizabeth R Kolberg,Clarice Myers,Jennifer A Deal,Nicholas S Reed
PURPOSE Hearing trouble (HT) impairs communication with health care providers (HCPs) and may lead to negative care experiences that impact health outcomes. The current study aimed to examine how HT influences patient perceptions of provider interactions and whether having an accompanying companion during health care visits modifies perceptions of provider interactions. METHOD This cross-sectional study
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Describing Community-Based Nurses' Knowledge, Attitudes, and Practices in the Nutritional Care of Older Adults: Results of a UK Survey. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-25 Ashley Shield,Vittoria Romano,Sian M Robinson,Miles D Witham
PURPOSE To ascertain current nutritional knowledge and training needs of community-based nurses caring for older adults in the United Kingdom. METHOD A descriptive cross-sectional, anonymized, online survey of nurses' knowledge, attitudes, and practices related to older adults' nutrition was developed. Community-based nurses working with older adults in the United Kingdom were recruited via social
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Experiences and Perceptions of Social Connection Among Minoritized Older Adults With HIV During the COVID-19 Pandemic. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-25 Moka Yoo-Jeong,Lorraine Lacroix-Williamson,David Salvador Cruz Mejía,Tiana Yom,Miso Kim,Alisa K Lincoln
PURPOSE Older people with HIV (OPWH; aged ≥50 years) have unique vulnerabilities to intersecting risks for marginalization and isolation. The current qualitative study explored perceptions of social connection during the coronavirus disease 2019 (COVID-19) pandemic. METHOD Purposive sampling was used to recruit participants from two local community-based organizations (CBOs) in the Greater Boston area
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Adding a Mobility Champion to an Existing Progressive Mobility Protocol: An Evidence-Based Initiative. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-25 Gwen Redler,Karen Bauce
PURPOSE This evidence-based initiative assessed the effect of adding a mobility champion to an existing progressive mobility protocol on functional decline in hospitalized older adults as evidenced by recommended discharge to home versus an inpatient rehabilitation facility. METHOD Older adults admitted from home to a 47-bed medical-surgical telemetry unit who were assessed as ambulatory, either independently
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Screening Tools for Alcohol Use Disorder Among Older Adults: A Scoping Review. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-25 Lynn Greenleaf Brown,Pamela R Short,Adelia Grabowsky
PURPOSE As the number of older adults increases, the volume of alcohol-related problems among the older adult population also rises. The purpose of the current scoping review was to summarize and disseminate research findings related to screening for alcohol use disorder (AUD) in older adults (aged ≥60 years) and determine if research gaps exist in the current literature. METHOD The concepts of older
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Workplace Violence and Worker Well-Being: A Preliminary Cross-Sectional Study. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-25 Holly Ann Meyer,Danya Kiydal,Kyle Siefert,Erin Clark,Amour Cornelius Dondi,Dania M Abu-Alhaija,Kermit G Davis,Gordon Lee Gillespie
PURPOSE To investigate the prevalence of workplace violence (WPV) in home health care and long-term care facilities (LTCFs) and explore the relationship between WPV and worker well-being. METHOD A cross-sectional survey was conducted with health care workers in an agency that provided care in homes or LTCFs. Six measures of worker well-being were collected: satisfaction with work and life, work-related
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Preventing Prescribing Cascades: Ensuring Medication Safety for Older Adults. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-01 Robert G Wahler,Courtney L Olbrich,Lisa M McCarthy
PURPOSE To define prescribing cascades (PCs) and provide tools to identify PCs, including the most common PCs described in the literature. PCs lead to the accumulation of medications prescribed to older adults, disproportionately affecting those who often have additional health care complexities, such as multiple chronic conditions and multiple transitions of care. METHOD Review of recent research
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The Role of Social Determinants in Disparities of Alzheimer's Disease and Sleep Health: Connecting the Dots. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-01 Monique S Balthazar
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Appropriateness of Nursing Home to Emergency Department Transitional Care for Older Adults With Dementia: A Scoping Review. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-01 Huiting Wang,Keigo Takiue,Xiaoji Liu,Eriko Koujiya,Yasushi Takeya,Miyae Yamakawa
PURPOSE To systematically identify knowledge patterns and gaps in the appropriateness of nursing home (NH) to emergency department (ED) transitional care for older adults with dementia. METHOD A systematic search of multiple information sources was performed from July to August 2023 using predesigned search strategies. RESULTS From 13 articles, 54 identified pieces of specific care evidence were grouped
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House of Representatives Considering Sweeping Changes to NIH; AGS Expresses Concern and Encourages JGN Readers to Take Action. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-01 Mark A Supiano
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Successes and Shortcomings of COVID-19 Vaccine Access for Older Americans. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-01 Jasmine L Travers,Tina Sadarangani,Daniel David
PURPOSE To understand perceived facilitators and barriers older adults experienced in accessing coronavirus disease 2019 (COVID-19) vaccines. METHOD An electronic survey was distributed to older adults and those familiar with experiences of older adults accessing COVID-19 vaccines. Analysis included descriptive statistics and directed content analysis of open-ended responses, guided by the National
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Recruitment Strategies for a Technology-Based Fall Risk Assessment Research Study Among Community-Dwelling Older Adults During a Global Pandemic. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-01 Eunice Oladepe Ojo,Ladda Thiamwong
PURPOSE To describe successful strategies for the recruitment of diverse community-dwelling older adults for a technology-based fall risk assessment research study during the global coronavirus disease 2019 pandemic. METHOD In this cross-sectional study, 124 adults aged ≥60 years agreed to participate. We used several recruitment strategies, including social media platforms, local community centers
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Assessing Delirium Severity in Dementia: Item Development and Psychometric Validation for a Delirium Severity Instrument. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-01 Tammy Hshieh,Dena Schulman-Green,Tamara G Fong,Eran Metzger,Franchesca Arias,Benjamin Helfand,Ed Marcantonio,Eva Schmitt,Patricia Tabloski,Rich N Jones,Sharon K Inouye
PURPOSE Despite the importance of measuring delirium severity in patients with Alzheimer's disease and related dementias (ADRD), no validated instrument currently exists. Our goal was to generate items for use in such an instrument. METHOD An interdisciplinary expert panel developed items to assess seven domains and 21 subdomains of delirium severity. Nursing experts provided input on items. RESULTS
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Cardiorespiratory Fitness Assessment for Exercise Research in Mild Cognitive Impairment Due to Alzheimer's Disease. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-09-01 Fang Yu,Dereck Salisbury,Feng Vankee Lin
PURPOSE To analyze cardiorespiratory fitness (CRF) levels using the gold-standard, laboratory-based cardiopulmonary exercise test (CPET) in community-dwelling older adults (N = 145) with amnestic mild cognitive impairment (aMCI), specifically CPET feasibility, CRF prediction, and CRF status in comparison to published sedentary, cognitively normal, age- and sex-adjusted normative data. METHOD Peak oxygen
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Walking Interventions and Sleep Quality of Persons Living With Dementia and Their Family Caregivers: Effects of Different Walking Companions. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-08-01 Yen-Hua Shih,Ya-Ping Yang,Hui-Chen Chao,Hua-Tsen Hsiao,Jing-Jy Wang
PURPOSE To examine the effect of walking interventions on sleep quality of persons with dementia (PWD) and their caregivers (dyads), and how different companions affect results. METHOD Forty-five dyads were divided into three groups: a control group and two experimental groups (one with a care attendant, one with a family caregiver). The two experimental groups engaged in 120 minutes of walking per
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Effects of Proprioceptive Neuromuscular Facilitation Technique on Balance Function and Muscle Health in Older Adults With High Fall Risk. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-08-01 Xianmei Xiong,Jiejin Zang,Chunfeng Zhu,Wei Wei,Ping Wang,Jianjun Wang,Qunfang Gao
PURPOSE Older adults frequently encounter health challenges, such as impaired balance and muscle health, which increase risk of falls. The current study investigated the effectiveness of the proprioceptive neuromuscular facilitation (PNF) technique in improving balance and muscle health among older adults with high fall risk. METHOD A total of 160 older adults with high fall risk were randomized into
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Staff Perceptions of Implementing a Person-Centered Communication Tool in the Nursing Home Setting: PAL Cards. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-08-01 Allison R Heid,Katherine M Abbott,Kimberly S Van Haitsma
PURPOSE To understand direct care workers' perceptions of the impact of implementing a person-centered communication tool, Preference for Activity and Leisure (PAL) Cards, into care. METHOD PAL Cards provide at-a-glance information about a nursing home (NH) resident's background and important preferences for activities and leisure. As a quality improvement project, 11 NHs implemented use of PAL Cards
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The Influence of Lifelong Learning on Life Satisfaction and Successful Aging in Older Adults: A Narrative Literature Review. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-08-01 Judy M Morris-Foster
PURPOSE To explore the association between lifelong learning (LL) and successful aging and discover ways that primary care nurses (PCNs) may facilitate successful aging by promoting LL. METHOD A narrative review of international evidence from Google Scholar, PubMed, CINAHL Plus, Ovid, and ProQuest was conducted. Twenty-one articles were reviewed. A theoretical framework supported by Troutman-Jordan's
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Associations Between Components of Self-Management Theory and Falls Among Older Adults. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-08-01 Christina Sima,Murad H Taani,Immaculate Apchemengich,Shaherah Yousef Andargeery
PURPOSE To examine the relationship of key individual and family self-management theory (IFSMT) components, including self-management process variables on proximal (self-management behaviors) and distal (falls) outcomes in older adults. METHOD A secondary data analysis was conducted using data of 99 older adults living in continuing care retirement communities in the U.S. Midwest. Descriptive statistics
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Psychosocial Factors and Quality of Life in Older Adults Discharged After Isolation Due to COVID-19 Infection. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-08-01 Joo Young Choi,Kisook Kim
PURPOSE To identify the impact of psychosocial factors on quality of life (QoL) of older adults hospitalized and isolated after contracting coronavirus disease 2019 (COVID-19). METHOD Data were collected between April 30 and June 18, 2022, from 117 discharged older adults who were in isolation for COVID-19 treatment in a tertiary hospital in South Korea. RESULTS Of participants, 33.3% were at high
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Knowledge Is Power: Protect Older Adults Against High and Sustained Heat Events. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-07-01 Erica K Husser,Erin Kitt-Lewis
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Workplace Resilience and Stress Among Certified Nursing Assistants in Long-Term Care Institutions During the COVID-19 Pandemic. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-07-01 Ju-Chuan Kuo,Hui-Yen Liao,Shiu-Ping Chen,Hsiang-Chu Pai
PURPOSE To explore the relationship among resilience, stress, and demographic factors in certified nursing assistants (CNAs) who worked in long-term care institutions during the coronavirus disease 2019 pandemic. METHOD A cross-sectional correlation-based research design was used. Data were collected using a demographic questionnaire, Connor-Davidson Resilience Scale, and Occupational Stress Scale
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Assessing the Potential of Technology to Describe Resident and Staff Interactions in Assisted Living Facilities. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-07-01 Carolyn Sun,Caitlin Burke
PURPOSE Falls are a significant financial burden and health hazard for residents in assisted living facilities (ALFs). However, limited capacity to observe residents has hindered understanding of resident-staff interactions within rooms. The current study aimed to describe nurse-resident interactions using data from a remote technology combining computer vision and staff location tracking. METHOD Eighty-three
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Cultural Competency Challenges Certified Nursing Assistants Experience in Providing Palliative Care. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-07-01 Jennifer A Gray,Jinsook Kim
PURPOSE Increasing racial and ethnic diversity in U.S. nursing facilities has necessitated the provision of more culturally competent care. This study explored the cultural challenges in providing palliative care from the perspective of certified nursing assistants (CNAs) and nurses in nursing facilities. METHOD A thematic analysis approach was used to examine data from semi-structured interviews with
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Comparing Sleep Quality, Duration, and Efficiency Among Low-Income Community-Dwelling Older Adults With and Without Physical Disabilities. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-07-01 James D Brightman,Kworweinski Lafontant,Jethro Raphael M Suarez,Jennifer M Crook,Ladda Thiamwong
PURPOSE Physical disabilities may exacerbate the natural decline in sleep quality that occurs with aging. In the current study, we assessed sleep quality and medicinal sleep aid use among 87 community-dwelling older adults with (n = 24) and without (n = 63) physical disabilities. METHOD Sleep quality, duration, and efficiency were assessed subjectively with the Pittsburgh Sleep Quality Index. Sleep
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Function-Focused Care for Cognitive Impairment Training Among Formal Caregivers in Long-Term Care Facilities in Taiwan: A Cluster Randomized Controlled Trial. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-07-01 Su-Hsien Chang,Ching-Len Yu,Ming-Han Chiang
PURPOSE To examine behavior changes among formal caregivers in Taiwanese long-term care facilities (LTCFs) after receiving training in function-focused care for cognitive impairment (FFC-CI). METHOD The current study was a clustered randomized controlled trial. Formal caregivers (i.e., RNs and nursing assistants) (N = 98) from four LTCFs were randomly assigned to experimental or control groups. Training
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Age-Friendly Health Systems 4Ms: Implementing Medication Management in Hamad Medical Corporation, Qatar J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-06-01 Mostafa ElAwady, PharmD, BCPS, SIDP, Hanadi AlHamad, MD, CABIM, MSC, FACP, Sameer Valappil, MD, MSc, FACP, Asma Abbas, MD, Mani Chandran, MD, Pravija Talapan Manikoth, MD, Manju Mathew, BS, Nowar Daoud Burghol, BS, Fady Abdelaziz, BS, Ali AbdAlSattar, MSc, BS, Ayman Kanaan, BS, Mohammed Atif, BPharm, BSNSP, Mohamad Qassem, BS, Novica Icic, BS, Nicole J. Brandt, PharmD, MBA, BCGP, FASCP
Purpose: To implement the Age-Friendly Health Systems (AFHS) 4Ms framework, focusing on Medication and its impact on Mobility, Mentation, and What Matters, within Hamad Medical Corporation in Qatar. Method: A quality improvement approach was used to implement, extend, and sustain the AFHS 4Ms framework at Hamad Medical Corporation. The Medication “M” was described as the use case to illustrate the
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Navigating the Storm: Challenges and Career Implications for Nursing Home Administrators in the Wake of COVID-19 J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-06-01 Susanny J. Beltran, PhD, MSW, Jennifer Wagner, MPH, HSE, LNHA, CEAL, Lainey Dorris, MSW, Vivian J. Miller, PhD, MSSA, LSW
Purpose: Nursing homes were at the epicenter of the coronavirus disease 2019 (COVID-19) pandemic and continue to experience its effects, including staffing shortages. Although various studies have described the experiences of frontline staff, less has been published about the experiences of those in administrative positions. The current study explored factors impacting nursing home administrators'
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COVID-19 Pandemic and Posttraumatic Growth in Residents of a Continuing Care Retirement Community: A Mixed Methods Study J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-06-01 Lenny Chiang-Hanisko, PhD, RN, FTNSS, Elizabeth Force, PhD, Patricia Liehr, PhD, RN
Purpose: The coronavirus disease 2019 (COVID-19) pandemic impacted life for older adults living in residential settings, affecting their psychosocial well-being. Risk for COVID-19 is associated with increasing age and pre-existing health conditions. The current study aimed to describe the challenges of COVID-19 and post-traumatic growth (PTG) for residents of a continuing care retirement community
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Artificial Intelligence and Technology for AD/ADRD and Healthy Aging: The NIA-Funded A2 Collective. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-06-01 Pamela Z Cacchione
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Social Capital as a Framework to Address Organizational Climate Change Policy. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-06-01 Julie Becker,Ruth McDermott-Levy,Caroline Moore,Mary Louise Mitsdarffer
PURPOSE To examine state Area Agencies on Aging (AAAs) in Pennsylvania for services they provide to older adults regarding extreme events and how readiness can be captured through social networks and policies at the local, state, and federal levels. METHOD Using an online survey, 79% of AAA directors answered questions describing perceptions and actions related to social capital and its influence on
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Attitudes Toward Caring for the Oldest-Old and Associated Factors. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-06-01 Na-Rang Choi,Kisook Kim
PURPOSE To examine the knowledge, stress levels, and attitudes of clinical nurses regarding care for individuals considered the oldest-old (i.e., aged ≥80 years) and to identify related factors. METHOD In this descriptive cross-sectional study, data were collected via an online structured questionnaire survey administered to 128 clinical nurses. RESULTS Participants had low levels of knowledge about
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Cognitive Function and Medication Adherence in Older Adults With H-Type Hypertension: The Mediating Effect of Metamemory. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-06-01 Gang Wu,Ping Liu,Jing Zhang,Dan Li,Ju Yang,Jiai Yan,Yiran Liu,Jing Sun,Yingyu Wang,Yanping Xia,Feng Zhang
PURPOSE Medication adherence in adults with H-type hypertension plays a crucial role in lowering blood pressure and treating complications. Cognitive function has been identified as a significant influencing factor for medication adherence, whereas excessive levels of homocysteine can impair cognitive function. Metamemory, which is influenced by cognitive function, also affects medication adherence
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Empowering Certified Nursing Assistants to Screen for Delirium: If Not Now, When? J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-05-01 Shih-Yin Lin, PhD, MPH, MM, Donna M. Fick, PhD, RN, GCNS-BC, AGSF, FGSA, FAAN
Introduction Mrs. Frank was an 84-year-old nursing home resident who was diagnosed with dementia 2 years before entering the facility. She was active in the nursing home, participating in recreational therapy activities, and had a good rapport with staff. One morning the certified nursing assistant (CNA) noticed she had developed a cough, was sleeping more, and not eating as much. She also did not
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Preferences and Quality of Life in Nursing Home Residents: A Mixed Methods Study J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-05-01 Tonya Roberts, PhD, RN, Laura Block, BS, BSN, RN, Caroline Madrigal, PhD, RN
Purpose: Delivery of person-centered care (PCC) is the standard in nursing homes (NHs) and demonstrates a positive impact on resident quality of life (QOL). PCC inherently recognizes and prioritizes resident preferences; however, preferences, and their degree of importance among residents, demonstrate a variable relationship with QOL that remains underexplored. Therefore, the current study examined
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Preliminary Analysis of Fall Concern Among Family Caregivers of Older Adults Discharged From the Hospital: A Psychometric Evaluation of the Carers' Fall Concern Instrument J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-05-01 Seng Giap Marcus Ang, PhD, RN, Rosemary Saunders, PhD, RN, Chiew Jiat Rosalind Siah, PhD, RN, Yan Hui Celestine Wee, MSc, RN, Christopher Etherton-Beer, PhD, MBBS, Charlotte Foskett, MCSP, Grad.Dip.Phys, Karen Gullick, MSc, RN, Sue Haydon, BA, Amanda Wilson, PhD, RN
Purpose: To provide a preliminary descriptive analysis of the change in fall concern among family caregiver–care recipient dyads during hospitalization and after discharge as part of a prospective study exploring the psychometric properties of the Carers' Fall Concern Instrument. Method: Using a prospective cohort design, an interviewer-administered survey was completed by dyads at 48 hours before
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Older Adults' Metaphorical Perceptions of Aging in Turkey J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-05-01 Ayşe Gülay Şahan, PhD, Asli Kilavuz, PhD, MD
Purpose: To determine older adults' metaphorical perceptions of the concept of aging. Method: Participants in this qualitative study comprised 57 older adults as determined using convenience and criterion sampling methods. Data were obtained using a personal data form and the metaphor form and analyzed with descriptive and content analysis techniques. Results: Fifty-seven metaphors were identified
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Long-Term Effect of a Tablet-Based Cognitive Behavioral Group Intervention on Step Count, Fatigue, Self-Efficacy, and Quality of Life in Older Adults With Arthritis: A Pilot Study J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-05-01 Sarah Fiske, PhD, RN, MSN, CNL, Jeungok Choi, PhD, RN, MSN, MPH, Cynthia Jacelon, PhD, RN-BC, CRRN, FAAN, Christopher R. Martell, PhD, ABBP
Purpose: To evaluate the long-term effect of a tablet-based, cognitive-behavioral group intervention (Tab-G) to improve daily walking for older adults with arthritis. Method: Using an experimental pretest/posttest repeated measure design, long-term effects on step count, fatigue, self-efficacy, and quality of life (QOL) were investigated. Results: Results of repeated measures analysis of variance showed
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AGS Policy Update J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-05-01 Donna M. Fick, PhD, GCNS-BC, AGSF, FGSA, FAAN
Introduction I am #AGSProud of the advocacy work that the American Geriatrics Society (AGS) does on behalf of older adults and the geriatrics health professionals who serve them. One reason why our advocacy is so impactful is that AGS is able to draw on the expertise of its members to inform our comment letters. AGS remains steadfast in its commitment to advocating for the rights and well-being of
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Effectiveness of Resistance Band Use in Conjunction With Tai Chi Among Older Adults With Prefrailty to Improve Functional Fitness, Quality of Life, and Heart Rate Variability J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-05-01 Shan-Che Woo, MSN, RN, Miao-Yen Chen, PhD, RN, Liang-Kung Chen, PhD, Chieh-Yu Liu, PhD
Purpose: The current randomized controlled trial aimed to bolster the physical fitness of prefrail older adults, potentially delaying their need for admission to care facilities and enhancing their overall well-being. Method: The experimental group received a physical fitness intervention comprising resistance band use and tai chi three times per week for 12 weeks, whereas the control group received
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Care Needs of Older Adults With Urinary Incontinence: A Cross-Sectional Study J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-05-01 Su Ying Xiang, BSN, Hao Chong He, MSN, Ye Liu, MSN, Bi Jun Yu, MSN, Shu Yuan Mai, MSN, Meng Yuan Li, MSN, Xiao Ying Yan, PhD, MSN, Xiao Hong Huang, BSN
Purpose: To explore care requirements of older adults with urinary incontinence (UI) and contributing factors. Method: This cross-sectional study used the Older Adults Urinary Incontinence Care Needs Inventory to survey participants with UI in three large-scale tertiary hospitals located in Guangzhou City, China, from January 2023 to November 2023. Statistical analyses, including analysis of variance
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Nurses' Perceptions of Telemonitoring Devices to Reduce Falls Among Hospitalized Patients: A Literature Review J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-04-01 Britt McNamara, MSN, RN
Purpose: Technological advances have led to the adoption of telemonitoring devices for fall prevention. Multiple previous studies looked at the effectiveness of these devices. However, few studies looked at nursing staff perceptions of the technology. The current integrated literature review examined factors that influence nurses' and nursing staff's acceptance of telemonitoring technology for fall
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Do-Not-Hospitalize Orders in Assisted Living Facilities: Direct Care Workers' Perspectives J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-04-01 Alanna Dancis, DNP, AGPCNP
Purpose: To gather sufficient qualitative data to create an intervention that would prevent direct care workers (DCWs) from sending residents with do-not-hospitalize (DNH) orders to the hospital. Method: This was a qualitative study with eight participants that included a descriptive survey followed by semi-structured interviews. Results: DCWs were unfamiliar with DNH orders and their thinking on end-of-life
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Prevalence of Motoric Cognitive Risk Syndrome Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-04-01 Shan Jiang, MM, RN, Ruitong Guan, MPH, RN, Caixia Guo, MSN, RN, Chunyan Wei, MSN, RN
Purpose: To systematically review the prevalence of motoric cognitive risk syndrome (MCR) among community-dwelling older adults and provide evidence-based support for policymakers planning health and social care policies. Method: Web of Science, PubMed, and Cochrane Library databases were searched for cross-sectional, prospective cohort, or population-based longitudinal studies of community-dwelling
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Prescribing Benzodiazepines and Opioids and Clinical Characteristics Associated With 30-Day Hospital Return in Patients Aged ≥75 Years: Secondary Data Analysis J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-04-01 Juyoung Park, PhD, MSW, Gabriella Engstrom, PhD, RN, Joseph G. Ouslander, MD
Purpose: The current study compared prevalence of opioid or benzodiazepine (BZD) prescription and co-prescription of opioids and BZD at discharge and return to a community hospital within 30 days, as well as identified clinical characteristics associated with hospital return in patients aged ≥75 years. Method: A secondary analysis of a database created during implementation of the Safe Transitions
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Health Trajectories of Skilled Nursing Facility Patients With Alzheimer's Disease and Related Dementias: Evidence for Practicing Nurses J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-04-01 Mark Toles, PhD, RN, Cameron Ulmer, BSN, RN, Jennifer Leeman, DrPH, MPH, MDiv
Purpose: Older adults with Alzheimer's disease and related dementias (ADRD) are at high risk for acute medical problems and their health trajectories frequently include hospital admission and care in a skilled nursing facility (SNF). Their health trajectories after SNF discharge are poorly understood. Therefore, in the current study, we sought to describe health trajectories and factors associated
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Dementia-Related Disparities in Adult Day Centers: Results of a Bivariate Analysis J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-04-01 Jonelle Bofao, MPH, Marissa Bergh, BSN, RN, Amy Zheng, Tina Sadarangani, PhD, RN, ANP-BC, GNP-BC
Purpose: Adult day services (ADS) are a valuable resource for people living with Alzheimer's disease and Alzheimer's disease and related dementias (AD/ADRD) and serve a large population of late-life immigrants, often with limited English proficiency (LEP). This secondary data analysis examined potential disparities in diagnosis, dementia severity, medical complexity, and dementia-related behavioral
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Virtual Staff Training to Support Communication for Older Adults With Untreated Hearing Loss in Care Settings J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-04-01 Sara K. Mamo, AuD, PhD, Kara A. Wheeler, AuD, Katherine Garrity, BS
Purpose: The current quasi-experimental study aimed to develop and evaluate a virtual staff training on age-related hearing loss at a care organization for older adults. Method: Training included the use of affordable headset amplifiers and a hands-on activity in which hearing loss was simulated. Staff were encouraged to offer amplifiers to assist in communication given the high prevalence of untreated
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Resilience in Aging: An Interdisciplinary Approach From Childhood to Adulthood J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-04-01 Donna M. Fick, PhD, GCNS-BC, AGSF, FGSA, FAAN
Introduction One thing I have learned about revision is that sometimes I need to go back in order to move forward. Sometimes I need to return to those earlier versions—one, two, three—to find the spark that drove me to the page in the first place. What can I excavate from those earlier versions? What necessary fire can I restore to the present iteration?(Smith, 2020, p. 10). As an editor, this quote
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AGS' Response to the World Falls Guidelines. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-03-01 Donna M Fick
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Respiratory Syncytial Virus Vaccination in Older Adults: Considerations for Use and Shared Clinical Decision-Making J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-03-01 Morgan A. Gerber, BS, Michael K. Burke, MD, MBA, CMD, Michael R. Brodeur, PharmD, BCGP, FASCP, FNAP
Purpose: To evaluate the impact of two newly U.S. Food and Drug Administration–approved respiratory syncytial virus (RSV) vaccines, RSVpreF3 (Arexvy™, GSK) and RSVpreF (Abrysvo™, Pfizer), on morbidity in older adults. RSV is known to cause significant health issues in this demographic. Method: The current article reviews Phases 1 and 2 and Phase 3 published clinical trials, the recommendations for
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Nursing Students' Views on an e-Learning Activity About Health Promotion for Older Adults: A Cross-Sectional Study J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-03-01 Ojelubechukwu Onebunne, BScN, Sherry Dahlke, PhD, RN, GNC(C), Rashmi Devkota, MN, RN, Jeffrey I. Butler, PhD, Kathleen F. Hunter, PhD, RN, GNC(C), NP, Mary T. Fox, PhD, RN, Alison L. Chasteen, PhD, Elaine Moody, PhD, RN
Purpose: Nurses are graduating ill-prepared to work with older adults across care contexts. The education nursing students receive about older adults often focuses on managing illnesses rather than promoting health. To expand the education that nursing students receive regarding health promotion and older adults, we examined nursing students' perceptions of an e-learning activity on health promotion
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Meditation, Compassionate Love, and Mental Health in Later Life J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-03-01 Nirmala Lekhak, PhD, RN, Tirth Bhatta, PhD, Eva Kahana, PhD, Cecilia Fernandes, MD, Joel S. Snyder, PhD
Purpose: Understanding of the mechanisms by which meditation imparts beneficial effects on later-life mental health is limited. The current study assessed the role of compassionate love in mediating the relationship between meditation and mental health in later life. Method: Using data from a nationwide web-based survey (N = 1,861), we examined the indirect effects of meditation on depressive symptoms
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Nurse-Led Models of Care: Practice and Policy to Support Aging in Place J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-03-01 Kelly Fox, DNP, MN, RN, Casey R. Shillam, PhD, RN, FAAN, April Henry, MSN, APRN, NP-C
Purpose: Research demonstrates that aging in place is the goal of most adults aged >50 years. Unfortunately, multiple barriers to aging in place continue to exist, especially for vulnerable populations. Achieving this goal will require innovative nurse-led models of care and new policies for RN reimbursement. The current article describes a nurse-led clinic implemented in one community. Method: Using
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Increasing Follow Up With Primary Care Providers After Emergency Department Visits in Older Adults J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-03-01 Sarah Romanelli, MPH, MS, APRN, AGPCNP-BC, ACHPN, Carolina Marie Cuervo, LCSW, Veronica Rivera, MD
Purpose: To increase follow up with the primary care team via telephone outreach within 3 days of emergency department (ED) discharge to schedule a follow-up visit within 14 days. Secondary aims included: identifying high utilizers of the ED (defined as more than three ED visits within 6 months), reinforcing discharge instructions from the ED via nursing education on telephone follow ups, and identifying
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Understanding the Experience of Social Isolation Among Chinese American Older Adults Through a Constructivist Lens J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-03-01 Yanjing Liang, MSN, BSN, Basia Belza, PhD, RN, FAAN, FGSA, Sarah Iribarren, PhD, RN
Introduction Frequently, there are questions on social media, such as: “My parents migrated from China. How can I help them integrate into American life and avoid being socially isolated?” More than 25% of community-dwelling American older adults aged ≥65 years feel lonely, with 1.3 million reporting being severely socially isolated (Cudjoe et al., 2020). Using a constructivist lens, the purpose of
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Housing and Health in Older Adults With Low Income in the United States: An Integrative Review J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-03-01 Mary E. Kantz, PhD, RN, Comfort Enah, PhD, RN, FAAN, Lisa M. Abdallah, PhD, RN, CNE, Ainat Koren, PhD, DNP, PMHNP
Purpose: The current integrative review was conducted to understand the relationship between housing and health in older adults with low income in the United States. Method: A literature search yielded 20 articles that met inclusion criteria. Key data elements were extracted from each article and a five-level social ecological model (SEM) was used as a framework to analyze the findings. Results: The
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Staff Perspectives on Dementia Care in Nursing Homes: A Pre-Implementation, Content Analysis Study Guided by the Practical, Robust Implementation and Sustainability Model. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-02-01 Natalie F Douglas,Abigail Snell,Joan G Carpenter
PURPOSE To assess implementation context prior to the implementation of Dementia Collaborative Coaching (DCC), a person-centered, communication coaching intervention for speech-language pathologists, certified nursing assistants, and people living with dementia in nursing homes. METHODS This was a pre-implementation, content analysis of focus groups. Focus group questions and subsequent analysis were
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Sacral Ulcer Development Risk Among Older Adult Patients in North Texas Rehabilitation Hospitals: Role of Comorbidities, Lifestyle, and Personal Factors. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-02-01 Cheng Yin,Elias Mpofu,Kaye Brock,Xiaoli Li,Rongfang Zhan
PURPOSE Sacral ulcers are a serious mortality risk for older adults; thus, we aimed to determine sacral ulcer risk factors among older adults who were recently admitted to rehabilitation hospitals. METHOD We conducted a retrospective cohort study using the Texas Inpatient Discharge database (2021). The study included 1,290 rehabilitation hospital patients aged ≥60 years diagnosed with sacral ulcers
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Using Assisted Living Communities to Enhance Nursing Student Attitudes Toward Older Adults. J. Gerontol. Nurs. (IF 1.1) Pub Date : 2024-02-01 Kelly A Henrichs
PURPOSE The older adult population continues to increase, resulting in greater use of health care resources. Nurses will be at the forefront of providing competent care to this population, but many nurses do not wish to work with the aged population after graduation. The current study sought to explore whether the addition of a clinical shift at an assisted living community promoted positive attitudes