Pub Date : 2020-09-30DOI: 10.33879/amh.113.2020.01001
Ching-Wen Wei, Yi-Chen Wu, Szu-Ying Lee, H. Tung
Background/Purpose: Although we understand that the nurse’s workplace is a source of intense pressure, the relationship of nurses’ spirituality to other relevant workplace variables is not well understood. The purpose of this review was to synthesize the recent evidence on work performance and workplace spirituality in nurses. Methods: A comprehensive literature search of the electronic bibliographic databases CEPS, Medline/PubMed, Embase, Cochrane Library, and Google Scholar was performed using key words and the subject headings “ spirituality ”, “ workplace spirituality ”, “ work environment ”, and “ nurse ”, according to PRISMA guidelines. This yielded seven studies, with a total of 1,855 participants for review. Results: Seven quantitative studies were included. The findings suggested that nurses’ workplace spirituality was strongly related to work performance and psychological variables, such as turnover intention, withdrawal behavior, emotional exhaustion, organizational citizenship behavior, helping/Ihsan behavior, occupational ethics, job satisfaction, and job stress. A strategy based on enhancing well-being, positive mood, and organizational commitment can enhance positive behaviors in nurses. Conclusion: This review showed that workplace spirituality can enhance nurses’ positive behaviors in an organization, which has a profound impact on quality of performance. Further research should focus on the external factors associated with spirituality as well as examine the long-term impact of spirituality through a longitudinal study. Understanding the impact of workplace spirituality on nurses’ physical and psychological status and professional performance can increase awareness of the importance of workplace spirituality. Designing a spiritual intervention based on nurses’ needs as a means to promote good quality of work is key to retaining nurses.
{"title":"Workplace Spirituality in Nursing: A Systematic Review","authors":"Ching-Wen Wei, Yi-Chen Wu, Szu-Ying Lee, H. Tung","doi":"10.33879/amh.113.2020.01001","DOIUrl":"https://doi.org/10.33879/amh.113.2020.01001","url":null,"abstract":"Background/Purpose: Although we understand that the nurse’s workplace is a source of intense pressure, the relationship of nurses’ spirituality to other relevant workplace variables is not well understood. The purpose of this review was to synthesize the recent evidence on work performance and workplace spirituality in nurses. Methods: A comprehensive literature search of the electronic bibliographic databases CEPS, Medline/PubMed, Embase, Cochrane Library, and Google Scholar was performed using key words and the subject headings “ spirituality ”, “ workplace spirituality ”, “ work environment ”, and “ nurse ”, according to PRISMA guidelines. This yielded seven studies, with a total of 1,855 participants for review. Results: Seven quantitative studies were included. The findings suggested that nurses’ workplace spirituality was strongly related to work performance and psychological variables, such as turnover intention, withdrawal behavior, emotional exhaustion, organizational citizenship behavior, helping/Ihsan behavior, occupational ethics, job satisfaction, and job stress. A strategy based on enhancing well-being, positive mood, and organizational commitment can enhance positive behaviors in nurses. Conclusion: This review showed that workplace spirituality can enhance nurses’ positive behaviors in an organization, which has a profound impact on quality of performance. Further research should focus on the external factors associated with spirituality as well as examine the long-term impact of spirituality through a longitudinal study. Understanding the impact of workplace spirituality on nurses’ physical and psychological status and professional performance can increase awareness of the importance of workplace spirituality. Designing a spiritual intervention based on nurses’ needs as a means to promote good quality of work is key to retaining nurses.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2020-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42812928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-29DOI: 10.33879/amh.2020.063-1907.017
Wei‐Ju Lee, L. Peng, Liang‐Kung Chen
Methods: The cross-sectional study comprised of 1,006 communityliving middle and old-age Taiwanese. Metabolic syndrome defined by using National Cholesterol Education Programme Adult Treatment Panel III guidelines. A frailty index of 35 items derived basing on the standard principles of frailty index development. As opposed to the usual method, frailty index (FI) ≤0.08 denoted non-frail; FI ≥0.25 indicated frail; the rest were pre-frail. Multivariable logistic regression analysis was employed to investigate associations between frailty and metabolic syndrome.
{"title":"Metabolic Syndrome and Its Components Are Associated with Frailty: A Nationwide Population-Based Study in Taiwan","authors":"Wei‐Ju Lee, L. Peng, Liang‐Kung Chen","doi":"10.33879/amh.2020.063-1907.017","DOIUrl":"https://doi.org/10.33879/amh.2020.063-1907.017","url":null,"abstract":"Methods: The cross-sectional study comprised of 1,006 communityliving middle and old-age Taiwanese. Metabolic syndrome defined by using National Cholesterol Education Programme Adult Treatment Panel III guidelines. A frailty index of 35 items derived basing on the standard principles of frailty index development. As opposed to the usual method, frailty index (FI) ≤0.08 denoted non-frail; FI ≥0.25 indicated frail; the rest were pre-frail. Multivariable logistic regression analysis was employed to investigate associations between frailty and metabolic syndrome.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47015747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-29DOI: 10.33879/amh.2020.062-1907.015
Jeffrey Jiang, A. Han, Xin Tan, J. Goh, B. Tan
Methods: This was a cross-sectional study. The FRAIL scale was utilised to screen older adult patients aged 65 and above who were admitted as inpatients from 1 July 2017 to 30 April 2018, or seen as outpatients from 1 August to 31 December 2017. A total of 647 inpatients and 616 outpatients were screened. Data was analysed for both groups to determine the prevalence and contributing factors of frailty and compared with baseline demographic data.
{"title":"Frailty in a Community Hospital in Singapore: Prevalence and Contributing Factors","authors":"Jeffrey Jiang, A. Han, Xin Tan, J. Goh, B. Tan","doi":"10.33879/amh.2020.062-1907.015","DOIUrl":"https://doi.org/10.33879/amh.2020.062-1907.015","url":null,"abstract":"Methods: This was a cross-sectional study. The FRAIL scale was utilised to screen older adult patients aged 65 and above who were admitted as inpatients from 1 July 2017 to 30 April 2018, or seen as outpatients from 1 August to 31 December 2017. A total of 647 inpatients and 616 outpatients were screened. Data was analysed for both groups to determine the prevalence and contributing factors of frailty and compared with baseline demographic data.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44844835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health Status of Elderly Population in the Buea Health District, Cameroon","authors":"Agbor Nathan Emeh, Fongang Landis Che, Tambetakaw Njang Gilbert, Atongno Humphrey Ashu","doi":"10.33879/amh.2020.033-1904.010","DOIUrl":"https://doi.org/10.33879/amh.2020.033-1904.010","url":null,"abstract":"","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2020-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44296059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-23DOI: 10.33879/amh.2019.121-1912.022
Liang‐Kung Chen
{"title":"Dementia Care in Developing Countries","authors":"Liang‐Kung Chen","doi":"10.33879/amh.2019.121-1912.022","DOIUrl":"https://doi.org/10.33879/amh.2019.121-1912.022","url":null,"abstract":"","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42166523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-23DOI: 10.33879/amh.2019.125-1805.010
Joyce M. Cabradilla, P. Ong, E. Villaverde, Eloisa Marasigan, Nathalie Declarador, K. Tan, H. N. Tan, Y. Ding
Background/Purpose: Cefepime-induced neurotoxicity has been reported worldwide sporadically. Most patients affected are elderly and have renal impairment. Few cases were identified in our institution and prompted this review to formulate measures to prevent its occurrence. Methods: This is a quality improvement study done in the Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore. We retrieved case records of patients who received cefepime between March 2014 and September 2015. Demographic data, comorbidities, indication, duration and doses of cefepime were recorded. Case records of patients which developed neurologic symptoms were independently reviewed. Patients were determined to have cefepime-induced neurotoxicity based on set criteria. Results: Total of 279 records were reviewed. Cefepime was administered for a mean duration of 3.2 days. Urinary tract infection was the most common indication for prescribing cefepime. Majority of patients were cognitively impaired (n=174, 62%) and had chronic kidney disease (CKD) (n=157, 56%). Six cases (2.2%) were identified to have cefepime-induced neurotoxicity. The mean daily dose of cefepime administered for this group was lower compared to the rest of the cohort, but the duration of treatment was longer. Mean latency period was 3 days and mean recovery period was 4 days. Predominant symptoms were confusion (n=6) and drowsiness (n=5). Other symptoms were myoclonus (n=2) and agitation (n=2). Eighteen patients received higher dose of cefepime based on creatinine clearance, but none of them developed neurologic symptoms. Conclusion: Since this special group is vulnerable, there should be increased awareness for this condition, diligent adjustment of cefepime dosages according to renal function and timely de-escalation of antibiotics.
{"title":"The Safety of Treatment with Cefepime in Elderly Patients","authors":"Joyce M. Cabradilla, P. Ong, E. Villaverde, Eloisa Marasigan, Nathalie Declarador, K. Tan, H. N. Tan, Y. Ding","doi":"10.33879/amh.2019.125-1805.010","DOIUrl":"https://doi.org/10.33879/amh.2019.125-1805.010","url":null,"abstract":"Background/Purpose: Cefepime-induced neurotoxicity has been reported worldwide sporadically. Most patients affected are elderly and have renal impairment. Few cases were identified in our institution and prompted this review to formulate measures to prevent its occurrence. Methods: This is a quality improvement study done in the Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore. We retrieved case records of patients who received cefepime between March 2014 and September 2015. Demographic data, comorbidities, indication, duration and doses of cefepime were recorded. Case records of patients which developed neurologic symptoms were independently reviewed. Patients were determined to have cefepime-induced neurotoxicity based on set criteria. Results: Total of 279 records were reviewed. Cefepime was administered for a mean duration of 3.2 days. Urinary tract infection was the most common indication for prescribing cefepime. Majority of patients were cognitively impaired (n=174, 62%) and had chronic kidney disease (CKD) (n=157, 56%). Six cases (2.2%) were identified to have cefepime-induced neurotoxicity. The mean daily dose of cefepime administered for this group was lower compared to the rest of the cohort, but the duration of treatment was longer. Mean latency period was 3 days and mean recovery period was 4 days. Predominant symptoms were confusion (n=6) and drowsiness (n=5). Other symptoms were myoclonus (n=2) and agitation (n=2). Eighteen patients received higher dose of cefepime based on creatinine clearance, but none of them developed neurologic symptoms. Conclusion: Since this special group is vulnerable, there should be increased awareness for this condition, diligent adjustment of cefepime dosages according to renal function and timely de-escalation of antibiotics.","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48392568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of Cognitive Impairment in Geriatrics Outpatient Clinics–Achieving Standards of Care","authors":"L. V. Onn, S. Teo","doi":"10.33879/amh.2019.1834","DOIUrl":"https://doi.org/10.33879/amh.2019.1834","url":null,"abstract":"","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45955896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Tung, Szu-Ying Lee, Sophia H Hu, Huitian. Lin, S. Tseng, Liang‐Kung Chen
{"title":"Development of Integrated Care Certification Program in Taiwan","authors":"H. Tung, Szu-Ying Lee, Sophia H Hu, Huitian. Lin, S. Tseng, Liang‐Kung Chen","doi":"10.33879/amh.2019.1905","DOIUrl":"https://doi.org/10.33879/amh.2019.1905","url":null,"abstract":"","PeriodicalId":36784,"journal":{"name":"Aging Medicine and Healthcare","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43108668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}