Pub Date : 2024-11-16DOI: 10.1016/j.gerinurse.2024.10.052
Francisco Gerlai Lima Oliveira (Master in Nursing), Marília Braga Marques (PhD in Nursing), Brenda Pinheiro Evangelista (Master in Nursing), Janaína Fonseca Victor Coutinho (PhD in Nursing), Marcos Venícios de Oliveira Lopes (PhD in Nursing), Rachel Gabriel Bastos Barbosa (PhD in Medical Sciences), Fabiane do Amaral Gubert (PhD in Nursing), Caroline Ribeiro de Sousa (PhD in Nursing, Master in Nursing), Jamylle Lucas Diniz (PhD in Nursing, Master in Nursing), Manuela de Mendonça Figueiredo Coelho (PhD in Clinical Care in Nursing and Health), Mariana Cavalcante Martins (PhD in Nursing)
Aim
To compare the performance of the SARC-F and SARCCalf questionnaires in sarcopenia screening and their relationship with clinical and sociodemographic aspects of older adults.
Methods
Analytical cross-sectional study carried out with 739 elderly people in the community. Clinical, sociodemographic, anthropometric data and screening for signs suggestive of sarcopenia were obtained using the SARC-F and SARCCalf.
Results
Evaluation by method showed a difference in the proportion of positive results for the SARC-F regarding female sex (71.7; p = 0.001), among older adults who did not have a partner (49.7; p < 0.001), and osteoarticular diseases (13.4; p < 0.001). On the other hand, the SARCCalf identified a higher proportion of positive results among older adults at risk of malnutrition (12.2; p < 0.001).
Conclusion
The performance of the instruments varied according to the clinical and sociodemographic characteristics of the population, and it is up to professionals to consider these aspects when using them.
{"title":"Comparison of the performance of instruments for screening sarcopenia in older adults","authors":"Francisco Gerlai Lima Oliveira (Master in Nursing), Marília Braga Marques (PhD in Nursing), Brenda Pinheiro Evangelista (Master in Nursing), Janaína Fonseca Victor Coutinho (PhD in Nursing), Marcos Venícios de Oliveira Lopes (PhD in Nursing), Rachel Gabriel Bastos Barbosa (PhD in Medical Sciences), Fabiane do Amaral Gubert (PhD in Nursing), Caroline Ribeiro de Sousa (PhD in Nursing, Master in Nursing), Jamylle Lucas Diniz (PhD in Nursing, Master in Nursing), Manuela de Mendonça Figueiredo Coelho (PhD in Clinical Care in Nursing and Health), Mariana Cavalcante Martins (PhD in Nursing)","doi":"10.1016/j.gerinurse.2024.10.052","DOIUrl":"10.1016/j.gerinurse.2024.10.052","url":null,"abstract":"<div><h3>Aim</h3><div>To compare the performance of the SARC-F and SARC<img>Calf questionnaires in sarcopenia screening and their relationship with clinical and sociodemographic aspects of older adults.</div></div><div><h3>Methods</h3><div>Analytical cross-sectional study carried out with 739 elderly people in the community. Clinical, sociodemographic, anthropometric data and screening for signs suggestive of sarcopenia were obtained using the SARC-F and SARC<img>Calf.</div></div><div><h3>Results</h3><div>Evaluation by method showed a difference in the proportion of positive results for the SARC-F regarding female sex (71.7; <em>p</em> = 0.001), among older adults who did not have a partner (49.7; <em>p</em> < 0.001), and osteoarticular diseases (13.4; <em>p</em> < 0.001). On the other hand, the SARC<img>Calf identified a higher proportion of positive results among older adults at risk of malnutrition (12.2; <em>p</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>The performance of the instruments varied according to the clinical and sociodemographic characteristics of the population, and it is up to professionals to consider these aspects when using them.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To facilitate independent living for the growing population of older adults, innovative housing solutions such as novel concepts of care homes with integrated technologies have been developed. This case study exposes a significant gap between the intended goal of fostering independence in older adults and the actual impact of technology on their daily lives. The study explored perceptions, experiences, and needs regarding residents' use of integrated technologies along with the technologies' contribution to handling their everyday life in a Care+ home. Data were analyzed through qualitative content analysis. The key finding is that one size does not ‘fit’ all, indicating that the standardized technology installed in the apartments often fails to meet the users’ individual needs. This research identifies a critical gap in tailoring technologies to the unique needs of older users. Aligning technological solutions with aging-in-place policies focused on autonomy and well-being is essential for enhancing care environments.
{"title":"A case study on experiences with integrated technologies in a care home for older adults","authors":"Nina Jøranson (Associate Professor) , Minna Zechner (Associate Professor) , Rosa Silva (Assistant Professor) , Nilufer Korkmaz Yaylagul (Professor) , Hilde Thygesen (Professor)","doi":"10.1016/j.gerinurse.2024.10.059","DOIUrl":"10.1016/j.gerinurse.2024.10.059","url":null,"abstract":"<div><div>To facilitate independent living for the growing population of older adults, innovative housing solutions such as novel concepts of care homes with integrated technologies have been developed. This case study exposes a significant gap between the intended goal of fostering independence in older adults and the actual impact of technology on their daily lives. The study explored perceptions, experiences, and needs regarding residents' use of integrated technologies along with the technologies' contribution to handling their everyday life in a Care+ home. Data were analyzed through qualitative content analysis. The key finding is that one size does not ‘fit’ all, indicating that the standardized technology installed in the apartments often fails to meet the users’ individual needs. This research identifies a critical gap in tailoring technologies to the unique needs of older users. Aligning technological solutions with aging-in-place policies focused on autonomy and well-being is essential for enhancing care environments.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The literature review shows that the fear of falling is present in older persons’, but also in their careers and influences the performance of activities of daily living. The objective of this methodological study was to adapt and validate the Falls Efficacy Scale – Formal Caregivers. The development of the examined scale was based on the Falls Efficacy Scale – International, which was adapted for assessing the fear of falling in formal caregivers. The instrument was filled out by 319 formal caregivers of older people living in 11 Portuguese nursing homes for older people. Their average age was 46.8 ± 10.7 years, they had been working in this role for 13.4 ± 8.2 years, and 67.7 % of them attended vocational training in the workplace after being employed at the nursing home. Falls Efficacy Scale – Formal Caregivers, which contains 16 items, showed good internal consistency (α = 0.848). These items were organized into 3 factors after exploratory and confirmatory factor analysis (lesser physical effort activities; intermediate physical effort activities, carried out in safe conditions; and intermediate physical effort activities, carried out in less safe conditions), with adequate convergent validity.
{"title":"Falls efficacy scale – Formal caregivers: Adaptation and validation in Portuguese nursing homes","authors":"Cristina Lavareda Baixinho , Cristina Marques-Vieira , Luís Sousa , António Abrantes , Nuno Conceição , Amaro Martins , Maria Adriana Henriques , Maria dosAnjos Dixe","doi":"10.1016/j.gerinurse.2024.10.060","DOIUrl":"10.1016/j.gerinurse.2024.10.060","url":null,"abstract":"<div><div>The literature review shows that the fear of falling is present in older persons’, but also in their careers and influences the performance of activities of daily living. The objective of this methodological study was to adapt and validate the Falls Efficacy Scale – Formal Caregivers. The development of the examined scale was based on the Falls Efficacy Scale – International, which was adapted for assessing the fear of falling in formal caregivers. The instrument was filled out by 319 formal caregivers of older people living in 11 Portuguese nursing homes for older people. Their average age was 46.8 ± 10.7 years, they had been working in this role for 13.4 ± 8.2 years, and 67.7 % of them attended vocational training in the workplace after being employed at the nursing home. Falls Efficacy Scale – Formal Caregivers, which contains 16 items, showed good internal consistency (α = 0.848). These items were organized into 3 factors after exploratory and confirmatory factor analysis (lesser physical effort activities; intermediate physical effort activities, carried out in safe conditions; and intermediate physical effort activities, carried out in less safe conditions), with adequate convergent validity.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to determine the effect of life story work on psychological well-being among the elderly.
Materials & Methods
This is a parallel, randomized, single-blind clinical trial conducted using a pretest-posttest design. A total of 60 elderly individuals were randomly recruited and assigned to two groups of Care As Usual (CAU) or Life Story Work (LSW). The LSW group received the life review therapy program based on Erikson's theory over six 60-minute sessions. Data were collected using a demographic questionnaire and Ryff's Psychological Well-Being Scale (PWBS). Data were analyzed using SPSS Statistics for Windows, version 16.0.
Results
Life story work was shown to be effective in improving the elderly's psychological well-being immediately and two months after the intervention in the LSW group (p < .001).
Conclusion
Life story work can be applied as a supportive and effective treatment method to promote psychological well-being among the elderly.
{"title":"Does life story work based on Erikson's theory enhance psychological well-being in elderly residents of nursing homes? A randomized controlled trial","authors":"Mahdiyeh Abbasi MSc , Moloud Radfar PhD (Professor) , Hossein Jafarizadeh MSc , Hamidreza Khalkhali PhD (Professor)","doi":"10.1016/j.gerinurse.2024.10.066","DOIUrl":"10.1016/j.gerinurse.2024.10.066","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to determine the effect of life story work on psychological well-being among the elderly.</div></div><div><h3>Materials & Methods</h3><div>This is a parallel, randomized, single-blind clinical trial conducted using a pretest-posttest design. A total of 60 elderly individuals were randomly recruited and assigned to two groups of Care As Usual (CAU) or Life Story Work (LSW). The LSW group received the life review therapy program based on Erikson's theory over six 60-minute sessions. Data were collected using a demographic questionnaire and Ryff's Psychological Well-Being Scale (PWBS). Data were analyzed using SPSS Statistics for Windows, version 16.0.</div></div><div><h3>Results</h3><div>Life story work was shown to be effective in improving the elderly's psychological well-being immediately and two months after the intervention in the LSW group (<em>p</em> < .001).</div></div><div><h3>Conclusion</h3><div>Life story work can be applied as a supportive and effective treatment method to promote psychological well-being among the elderly.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Volunteers play an important role in supporting patients in hospitals, especially older adult patients who may have increased care needs. This systematic scoping review aimed to synthesise evidence related to qualitative evaluations of hospital-based therapeutically oriented volunteer programs for older patients from the perspective of clinicians (nurses, doctors, and allied health professionals), and stakeholders (patients, families, and volunteers).
Methods
Nine databases were searched from January 2002 to November 2022. Of the 549 articles identified, 15 were included in the final review.
Results
The evidence demonstrated that clinicians, patients, families, and volunteers could all see the benefits of volunteer programs for hospitalised older adults.
Conclusion
The benefits of volunteer support for older adults in hospital to patients, nurses, family members and volunteers outweighs the challenges. As volunteers provide support to older adult patients alongside nurses the incorporation of volunteers into care teams needs to be considered.
{"title":"Hospital volunteer programs for older people: A systematic scoping review","authors":"Rosemary Saunders PhD, MPH, Ba App.Sc.,RN , Francine Antoinette Ocampo RN, Ma.Nsg (GE) , Renée Graham MDiet BSc APD IHC-GCP , Angela Christiansen PhD, MSc, PGDipEd, BSc Hons, RN , Michelle Gay Ma.Nsg Sc.(GE), RN , Karla Seaman PhD, Ma. Clin.Epid., Ba Pharmacy","doi":"10.1016/j.gerinurse.2024.11.005","DOIUrl":"10.1016/j.gerinurse.2024.11.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Volunteers play an important role in supporting patients in hospitals, especially older adult patients who may have increased care needs. This systematic scoping review aimed to synthesise evidence related to qualitative evaluations of hospital-based therapeutically oriented volunteer programs for older patients from the perspective of clinicians (nurses, doctors, and allied health professionals), and stakeholders (patients, families, and volunteers).</div></div><div><h3>Methods</h3><div>Nine databases were searched from January 2002 to November 2022. Of the 549 articles identified, 15 were included in the final review.</div></div><div><h3>Results</h3><div>The evidence demonstrated that clinicians, patients, families, and volunteers could all see the benefits of volunteer programs for hospitalised older adults.</div></div><div><h3>Conclusion</h3><div>The benefits of volunteer support for older adults in hospital to patients, nurses, family members and volunteers outweighs the challenges. As volunteers provide support to older adult patients alongside nurses the incorporation of volunteers into care teams needs to be considered.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Intrinsic capacity(IC), self-rated health (SRH), and hand grip strength (HGS) reflect the health status from different aspects. This study aimed to investigate the relationship between IC, SRH, SRH combined with HGS and all-cause mortality among Chinese older adults living in communities.
Methods
This study used data from the 2011 (baseline), 2013, 2015, 2018, and 2020 waves of the China Health and Retirement Longitudinal Study (CHARLS). We evaluated IC, SRH, and HGS using questionnaires. We assessed baseline levels of IC, SRH, and SRH combined HGS. Using the COX proportional hazards model, we investigated the associations between baseline IC, SRH, and SRH combined HGS and all-cause mortality. We used receiver operating characteristic curves (ROC) curves to compare the predictive effects of IC, SRH, and SRH combined HGS on all-cause mortality among Chinese older adults living in communities.
Results
At baseline (2011), the study included a total of 4095 participants. The multifactorial Cox regression analysis results showed that older adults had a much higher risk of death from any cause compared to those who said they were in good health and had a normal hand grip strength, those who said they were in fair health and had a low hand grip strength [HR = 3.959, 95 % CI (2.892–5.421)], those who said they were in bad health and had a normal hand grip strength [HR = 3.150, 95 % CI (2.392–4.148)], and those who said they were in bad health and had a low hand grip strength [HR = 4.189, 95 % CI (3.123–5.618)]. The study looked at older adults who lived in the community. The area under the ROC curves (AUC) for IC and SRH combined HGS to predict death from any cause was 0.726 [95 % CI (0.708–0.744)] and 0.704 [95 % CI (0.683–0.725)], respectively.
Conclusion
Combining SRH and HGS improves older adults' health management by more accurately predicting the risk of all-cause mortality.
目的：内在能力（IC）、自评健康（SRH）和手握力（HGS）从不同方面反映了健康状况。本研究旨在探讨IC、SRH、SRH结合HGS与中国社区老年人全因死亡率之间的关系：本研究使用了中国健康与退休纵向研究（CHARLS）2011 年（基线）、2013 年、2015 年、2018 年和 2020 年的数据。我们采用问卷调查的方式对IC、SRH和HGS进行了评估。我们评估了IC、SRH和SRH合并HGS的基线水平。我们使用 COX 比例危险模型研究了基线 IC、SRH 和 SRH 合并 HGS 与全因死亡率之间的关系。我们使用接收器操作特征曲线（ROC）比较了IC、SRH和SRH合并HGS对中国社区老年人全因死亡率的预测效果：基线研究（2011 年）共有 4095 名参与者。多因素 Cox 回归分析结果显示，与自称健康状况良好且手部握力正常者、自称健康状况一般且手部握力较低者相比，老年人因各种原因死亡的风险要高得多[HR = 3.959，95 % CI (2.892-5.421)]，自称健康状况不好但手部握力正常的人[HR = 3.150，95 % CI (2.392-4.148)]，以及自称健康状况不好但手部握力较低的人[HR = 4.189，95 % CI (3.123-5.618)]。这项研究的对象是居住在社区的老年人。IC和SRH联合HGS预测任何原因死亡的ROC曲线下面积（AUC）分别为0.726 [95 % CI (0.708-0.744)] 和0.704 [95 % CI (0.683-0.725)]：结合 SRH 和 HGS 可以更准确地预测全因死亡风险，从而改善老年人的健康管理。
{"title":"A study of the predictive value of different health indicators on the risk of all-cause mortality in older adults living in communities","authors":"Meng Zhang, Mengya Liu, Wenjing Guo, Yuqing Chang, Siyi Zhao, Li Zhang","doi":"10.1016/j.gerinurse.2024.10.084","DOIUrl":"10.1016/j.gerinurse.2024.10.084","url":null,"abstract":"<div><h3>Objectives</h3><div>Intrinsic capacity(IC), self-rated health (SRH), and hand grip strength (HGS) reflect the health status from different aspects. This study aimed to investigate the relationship between IC, SRH, SRH combined with HGS and all-cause mortality among Chinese older adults living in communities.</div></div><div><h3>Methods</h3><div>This study used data from the 2011 (baseline), 2013, 2015, 2018, and 2020 waves of the China Health and Retirement Longitudinal Study (CHARLS). We evaluated IC, SRH, and HGS using questionnaires. We assessed baseline levels of IC, SRH, and SRH combined HGS. Using the COX proportional hazards model, we investigated the associations between baseline IC, SRH, and SRH combined HGS and all-cause mortality. We used receiver operating characteristic curves (ROC) curves to compare the predictive effects of IC, SRH, and SRH combined HGS on all-cause mortality among Chinese older adults living in communities.</div></div><div><h3>Results</h3><div>At baseline (2011), the study included a total of 4095 participants. The multifactorial Cox regression analysis results showed that older adults had a much higher risk of death from any cause compared to those who said they were in good health and had a normal hand grip strength, those who said they were in fair health and had a low hand grip strength [HR = 3.959, 95 % CI (2.892–5.421)], those who said they were in bad health and had a normal hand grip strength [HR = 3.150, 95 % CI (2.392–4.148)], and those who said they were in bad health and had a low hand grip strength [HR = 4.189, 95 % CI (3.123–5.618)]. The study looked at older adults who lived in the community. The area under the ROC curves (AUC) for IC and SRH combined HGS to predict death from any cause was 0.726 [95 % CI (0.708–0.744)] and 0.704 [95 % CI (0.683–0.725)], respectively.</div></div><div><h3>Conclusion</h3><div>Combining SRH and HGS improves older adults' health management by more accurately predicting the risk of all-cause mortality.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to examine the effect of corrective exercises with massage on balance, motion performance, gait, and quality of life among elderly individuals with hyperkyphosis. Thirty elderly people were selected for this experimental study design, The training protocols were conducted for eight weeks, with three sessions each week. The thoracic kyphosis was measured by a flexible ruler. Dynamic balance was evaluated using the TUG test. The gait analysis was conducted using Kinovia software. The results showed that mixed corrective exercises and massage significantly affected the kyphosis angle variable (P ≤ 0.05) and reduced the kyphosis angle. Additionally, it improved static and dynamic balance, performance, Gait, and quality of life in the experimental group compared to the control group (P ≤ 0.05). Conclusion: The most obvious finding to emerge from this study is that the corrective exercises with massage improve walking speed, functional ability, and quality of life among older adults.
{"title":"The effect of corrective exercises with massage on balance, motor performance, gait, and quality of life in elderly males with hyperkyphosis: Randomized control trials.","authors":"Abolfazl Tarkhasi Ms, Malihe Hadadnezhad PhD, Hassan Sadeghi PhD","doi":"10.1016/j.gerinurse.2024.11.002","DOIUrl":"10.1016/j.gerinurse.2024.11.002","url":null,"abstract":"<div><div>This study aimed to examine the effect of corrective exercises with massage on balance, motion performance, gait, and quality of life among elderly individuals with hyperkyphosis. Thirty elderly people were selected for this experimental study design, The training protocols were conducted for eight weeks, with three sessions each week. The thoracic kyphosis was measured by a flexible ruler. Dynamic balance was evaluated using the TUG test. The gait analysis was conducted using Kinovia software. The results showed that mixed corrective exercises and massage significantly affected the kyphosis angle variable (<em>P</em> ≤ 0.05) and reduced the kyphosis angle. Additionally, it improved static and dynamic balance, performance, Gait, and quality of life in the experimental group compared to the control group (<em>P</em> ≤ 0.05). Conclusion: The most obvious finding to emerge from this study is that the corrective exercises with massage improve walking speed, functional ability, and quality of life among older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to examine the effectiveness of a program for improving interpersonal relationships to foster psychological safety among geriatric care workers. A randomized controlled trial was conducted with 192 care workers in seven geriatric care facilities. Participants were divided into intervention or control groups; intervention groups attended a 60-minute program twice. Participants completed questionnaires addressing psychological safety, work environment, and intention to leave three times in six months. A linear multiple regression analysis was performed for each score at Time 1 or Time 2 as the dependent variable, with the score at baseline as the covariate. The psychological safety score increased (p < .05), and the “exclusive workplace climate” score decreased (p < .10) between the baseline and second survey. However, the significance became nonexistent between the second and third surveys. Although the program effectively fostered psychological safety, further ingenuity should be provided for continued effectiveness.
{"title":"Development and effectiveness of an educational program to foster psychological safety: A randomized controlled trial focusing on care workers in geriatric care facilities","authors":"Maki Tei-Tominaga Ph.D. , Miharu Nakanishi Ph.D. , Masae Tanaka M.S.","doi":"10.1016/j.gerinurse.2024.10.065","DOIUrl":"10.1016/j.gerinurse.2024.10.065","url":null,"abstract":"<div><div>This study aimed to examine the effectiveness of a program for improving interpersonal relationships to foster psychological safety among geriatric care workers. A randomized controlled trial was conducted with 192 care workers in seven geriatric care facilities. Participants were divided into intervention or control groups; intervention groups attended a 60-minute program twice. Participants completed questionnaires addressing psychological safety, work environment, and intention to leave three times in six months. A linear multiple regression analysis was performed for each score at Time 1 or Time 2 as the dependent variable, with the score at baseline as the covariate. The psychological safety score increased (<em>p</em> < .05), and the “exclusive workplace climate” score decreased (<em>p</em> < .10) between the baseline and second survey. However, the significance became nonexistent between the second and third surveys. Although the program effectively fostered psychological safety, further ingenuity should be provided for continued effectiveness.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-16DOI: 10.1016/j.gerinurse.2024.10.082
Jacqueline Castro, Maureen Mulligan, Lucy Peschel
Evoking emphatic care and committing to an elder-friendly environment for older adults living with dementia is a focus at many Nurses Improving Care for Healthsystem Elders (NICHE) member organizations. Improved dementia knowledge and skills for treating older adults optimize clinical outcomes and patient and family satisfaction. The dementia protocol utilized in NICHE organizations recommends providing a safe therapeutic environment and caregiver education and support.2 The Virtual Dementia Tour® (VDT®), an evidence-based simulation experience, is one of the methods NICHE organizations, such as St. Joseph's Health, implement to enhance clinician and staff knowledge, empathy, and confidence in caring for this population.
{"title":"Through their eyes: Empathetic learning for frontline healthcare providers to improve care for the patient living with dementia.","authors":"Jacqueline Castro, Maureen Mulligan, Lucy Peschel","doi":"10.1016/j.gerinurse.2024.10.082","DOIUrl":"https://doi.org/10.1016/j.gerinurse.2024.10.082","url":null,"abstract":"<p><p>Evoking emphatic care and committing to an elder-friendly environment for older adults living with dementia is a focus at many Nurses Improving Care for Healthsystem Elders (NICHE) member organizations. Improved dementia knowledge and skills for treating older adults optimize clinical outcomes and patient and family satisfaction. The dementia protocol utilized in NICHE organizations recommends providing a safe therapeutic environment and caregiver education and support.<sup>2</sup> The Virtual Dementia Tour® (VDT<sup>®)</sup>, an evidence-based simulation experience, is one of the methods NICHE organizations, such as St. Joseph's Health, implement to enhance clinician and staff knowledge, empathy, and confidence in caring for this population.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-16DOI: 10.1016/j.gerinurse.2024.11.008
Ji Won Lee PhD , Junxin Li PhD, MS, BS, RN , Sarah L. Szanton PhD, ANP, FAAN , Qiwei Li PhD , Minhui Liu PhD, RN , Melissa D. Hladek PhD, FNP-BC
Objectives
To investigate the association between patient activation and functional limitation among older adults living with multiple chronic conditions.
Methods
We performed a secondary analysis of a parent study, which examined the relationship between self-efficacy and both inflammatory biomarkers and frailty. We conducted multivariate logistic regression while controlling for the patients’ sociodemographic variables and comorbidities to examine the association between self-reported functional limitation and patient activation as measured by the Patient Activation Measure (PAM-10).
Results
We included 159 participants with a mean age of 82.00 ± 6.27 years. While controlling for the patients’ demographic, socioeconomic status, and comorbidities, we found that functional limitation decreases by 16 % (OR 0.84, 95 % CI: 0.75, 0.94, p = 0.002) for every one unit increase in patient activation score.
Conclusion
Higher patient activation scores were associated with decreased odds of functional limitation. Providers may consider the potential value of using behavioral activation strategies to address functional decline.
{"title":"Higher patient activation is associated with lower odds of functional limitation in older adults with chronic diseases","authors":"Ji Won Lee PhD , Junxin Li PhD, MS, BS, RN , Sarah L. Szanton PhD, ANP, FAAN , Qiwei Li PhD , Minhui Liu PhD, RN , Melissa D. Hladek PhD, FNP-BC","doi":"10.1016/j.gerinurse.2024.11.008","DOIUrl":"10.1016/j.gerinurse.2024.11.008","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the association between patient activation and functional limitation among older adults living with multiple chronic conditions.</div></div><div><h3>Methods</h3><div>We performed a secondary analysis of a parent study, which examined the relationship between self-efficacy and both inflammatory biomarkers and frailty. We conducted multivariate logistic regression while controlling for the patients’ sociodemographic variables and comorbidities to examine the association between self-reported functional limitation and patient activation as measured by the Patient Activation Measure (PAM-10).</div></div><div><h3>Results</h3><div>We included 159 participants with a mean age of 82.00 ± 6.27 years. While controlling for the patients’ demographic, socioeconomic status, and comorbidities, we found that functional limitation decreases by 16 % (OR 0.84, 95 % CI: 0.75, 0.94, <em>p</em> = 0.002) for every one unit increase in patient activation score.</div></div><div><h3>Conclusion</h3><div>Higher patient activation scores were associated with decreased odds of functional limitation. Providers may consider the potential value of using behavioral activation strategies to address functional decline.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号