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Geriatr Nurs 2019 Feb 6. Epub 2019 Feb 6.

Department of Social Work, National Taiwan University, No 1, Section 4, Roosevelt Road, Daan District, Taipei 106, Taiwan. Electronic address:

Nursing staff in residential settings are exposed to a large number of stressors. This study examined the relationship between geriatric nursing staff (GNS) burnout and the well-being of residents in long-term care (LTC) facilities. Data were obtained concerning 590 older residents who were served by 315 GNS in 172 LTC facilities in Taiwan, using multilevel modeling. Read More

Geriatr Nurs 2019 Jan - Feb;40(1):101-104. Epub 2019 Jan 7.

Riddle Medical LLS, Tarrytown, NY, USA.

Geriatr Nurs 2019 Jan - Feb;40(1):99-100. Epub 2019 Jan 4.

Oregon State University, USA. Electronic address:

Geriatr Nurs 2019 Jan - Feb;40(1):5-6. Epub 2019 Jan 3.

School of Nursing, University of Maryland, 655 West Lombard Street, Baltimore, MD 21201, USA. Electronic address:

Geriatr Nurs 2019 Jan - Feb;40(1):115-116. Epub 2018 Dec 31.

President, American Geriatrics Society. Electronic address:

Geriatr Nurs 2019 Jan - Feb;40(1):105-106. Epub 2018 Dec 29.

University of Pennsylvania, Philadelphia PA, USA. Electronic address:

Geriatr Nurs 2018 Dec 27. Epub 2018 Dec 27.

School of Medicine, Oregon Health & Science University, Portland, OR, United States; Division of General Internal Medicine & Geriatrics, Oregon Health & Science University, Portland, OR, United States.

Purpose: To identify associations among patient fall risk factors, perceptions, and daily activities to improve patient engagement with fall prevention among hospitalized older adults.

Background: The risk of falling increases for older patients but few researchers have reported patient-centered measures on this topic.

Methods: Surveys and chart reviews of inpatients aged ≥ 65 with Morse Falls Scale scores of ≥ 45. Read More

Geriatr Nurs 2018 Dec 13. Epub 2018 Dec 13.

School of Nursing, Hanyang University, Seoul, South Korea. Electronic address:

Subjective age, or felt age, is highly related to one's actual health and survival. This study was conducted to explore subjective age in community-dwelling older adults in Korea, and to identify predictors of subjective age. Participants were 616 Korean older adults who were living in the community. Read More

Geriatr Nurs 2018 Dec 12. Epub 2018 Dec 12.

Norwegian Institute of Public Health, PO Box 222 Skøyen, 0213 Oslo, Norway.

Care workers' work environment is known to be associated with patient and nurse outcomes. To our knowledge no questionnaire is available for assessing this environment for all care workers in the Norwegian nursing-home setting. This paper describes the development, adaptation and assessment of such a questionnaire: the extended Norwegian version of the Brisbane Practice Environment Measure for Nursing Homes (B-PEM-NH). Read More

Geriatr Nurs 2018 Dec 10. Epub 2018 Dec 10.

Extendicare Inc., Unit 227, 333 Aspen Glen Landing SW, Calgary, Alberta T3H 0N6. Canada. Electronic address:

This prospective cohort study was conducted to validate the usefulness of the Aggressive Behaviour Risk Assessment Tool for Long-Term Care (ABRAT-L) in predicting aggressive events. A total of 615 newly admitted residents at 22 long-term care homes in Canada were included. The risk of aggression was assessed using the six-item ABRAT-L within 24 hours of admission, and incident reports of aggressive events occurring within 30 days of admission were collected. Read More

Geriatr Nurs 2018 Dec 3. Epub 2018 Dec 3.

New York University, Rory Meyers Collage of Nursing and NYU Aging Incubator, USA.

We pilot tested a carepartner-assisted intervention to improve oral hygiene in persons with cognitive impairment (participants) and help carepartners become leaders who can adapt approaches that foster participants' ability to develop new skills for oral hygiene care. Following the intervention, we conducted interviews with participants and carepartners to understand their challenges in working together to learn new oral hygiene skills. Participants reported challenges such as frustration using the electric toothbrush correctly, lack of desire to change, uncertainty about correctness of technique, and difficulty sustaining two minutes of toothbrushing. Read More

Geriatr Nurs 2018 Oct 24. Epub 2018 Oct 24.

Division of Oral Health and Society, Faculty of Dentistry, McGill University, #500-2001 McGill College, Montreal, Quebec, Canada.

Inadequate oral care in long-term care (LTC) facilities compromises the quality of life of residents. This study assessed oral care knowledge of, and challenges experienced by, nurses and allied nursing staff (ANS) in a LTC facility in Canada. Dentists and nursing staff used the findings to implement strategies for improved care. Read More

Geriatr Nurs 2018 Dec 5. Epub 2018 Dec 5.

The Cheryl Spencer Department of Nursing, University of Haifa, 199 Aba Khoushy Ave. Mount Carmel, Haifa 3498838, Israel.

Processes related to daily care of older adults during hospitalization, such as mobility and nutrition, have long-term consequences for their health and functioning. Although instrumental support provided by family members during hospitalization is highly prevalent, its relationship to older adults' actual walking and eating is unknown. Data on walking level (walking outside vs. Read More

Geriatr Nurs 2018 Dec 7. Epub 2018 Dec 7.

Department of Education, Jeonju University, South Korea.

Despite cumulative and integrative evidence of registered nurse (RN) staffing on nursing home residents' outcomes worldwide, few studies integrate the effects of residents' case mix, healthcare markets, and nurse staffing on psychotropic-medication use and weight loss in Korea. This article examined the relationship between nurse staffing and residents' quality-of-care outcomes, controlling for long-term healthcare market characteristics in Korea. Using a multilevel cross-sectional design, a disproportionate stratified random sampling was used. Read More

Geriatr Nurs 2018 Nov 28. Epub 2018 Nov 28.

Michigan State University, College of Human Medicine, Institute for Health Policy, East Lansing, Michigan 48824 USA.

Despite patient safety initiatives to improve care transitions, prior research largely neglects to elicit feedback from home health nurses regarding health information exchange. The goal of this quality improvement study was to identify opportunities to facilitate information transfer during hospital-to-home-health-care transitions for older adults with heart failure. We conducted focus groups with 19 nurses employed by a single healthcare system using two commercially available electronic health record (EHR) vendors. Read More

Geriatr Nurs 2018 Nov 29. Epub 2018 Nov 29.

Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, PR China. Electronic address:

The older adults with chronic disease usually show poor mental health and experience low quality of life (QOL). This study aimed to examine the mediating role of social support in the relationship between depression and QOL in community-dwelling older adults with chronic disease. A total of 387 Chinese older adults aged 60 or above with chronic disease were included in this cross-sectional study. Read More

Geriatr Nurs 2018 Nov 28. Epub 2018 Nov 28.

Pace University, College of Health Professions, 163 William Street, 5th Floor, New York, NY 10025, USA. Electronic address:

Despite the rising prevalence of Alzheimer's disease (AD), there is limited systematic evidence about disease specific decisions. The aim of this qualitative descriptive study was to identify decisions across the AD trajectory using focus groups of past and present caregivers. Qualitative content analysis revealed three main categories with corresponding categories and sub-categories. Read More

Geriatr Nurs 2018 11 13;39(6):725-726. Epub 2018 Nov 13.

The American Geriatrics Society, New York, United States. Electronic address:

Geriatr Nurs 2018 11 13;39(6):621-622. Epub 2018 Nov 13.

University of Maryland, School of Nursing, 655 West Lombard Street, Baltimore, MD 21201, United States. Electronic address:

Geriatr Nurs 2018 Nov 10. Epub 2018 Nov 10.

Faculty of Health and Occupational Studies, University of Gvle, Sweden.

Frontotemporal dementia (FTD) is a neurodegenerative disease with symptoms that differs from other dementias. Commonly early symptoms in FTD are changes in personality and behavior, which can be interpreted as psychiatric disease. The delay in FTD diagnosis contributes to the burden of family caregivers. Read More

Geriatr Nurs 2018 Nov 9. Epub 2018 Nov 9.

University of Applied Sciences Utrecht, Heidelberglaan 7, Utrecht, the Netherlands; Julius Centre for Health Sciences and Primary Care, Nursing Science, University Medical Center Utrecht, University Utrecht, HP Str. 7132, Heidelberglaan 100, 3584 CX, Utrecht, the Netherlands.

Semi-structured in-depth interviews (n = 12) were held to explore older patients' motives of whether or not to perform self-management while hospitalized and to identify factors influencing self-management during hospitalization. These interviews were analyzed using the Quacol method. Self-management during hospitalization is operationalized as: collaboration with the nursing staff, having a proactive role, and having control over personal care. Read More

Geriatr Nurs 2018 11 9;39(6):714-715. Epub 2018 Nov 9.

Carol J. and F. Edward Lake Term Clinical Professor at the University of Michigan.

Geriatr Nurs 2018 11 7;39(6):709-713. Epub 2018 Nov 7.

Geriatr Nurs 2018 Nov 6. Epub 2018 Nov 6.

Adult Health Clinical Nurse Specialist, Geriatrics, Maine Medical Center, 22 Bramhall St., Portland, ME 04102, USA. Electronic address:

The aim of this study was to explore and describe the characteristics of the Hospital Elder Life Program (HELP) sites and how they mobilize patients with volunteers in the United States and other countries. The purpose was to describe: the number of enrollments, modalities, fall and injury rates, and to identify barriers to mobilization. A survey was distributed to 228 international sites. Read More

Geriatr Nurs 2018 Nov 3. Epub 2018 Nov 3.

AARP Services, Inc., 601 E. Street, N.W., Washington, D.C. 20049, United States. Electronic address:

Our primary objective was to determine the prevalence and characteristics of opioid-naïve older adults who initiated opioids and transitioned to chronic use. Study populations included older adults ≥ 65 years with continuous medical and drug plan enrollment one-year prior to opioid initiation (pre-period) through one-year after initiation (post-period). Characteristics were determined using multivariate logistic regression. Read More

Geriatr Nurs 2018 Oct 31. Epub 2018 Oct 31.

College of Health Solutions, Arizona State University, 500 N 3rd St, Phoenix, AZ 85004, United States. Electronic address:

Our study examined feasibility and acceptability of continuous objective activity monitoring during hospitalization and after discharge in older adults with heart failure. Recruitment rate was 49.2% of eligible patients with a 93. Read More

Geriatr Nurs 2018 Oct 23. Epub 2018 Oct 23.

University of Washington, Seattle, Washington, USA.

This study described experiences of caregivers of persons with Alzheimer's disease and other dementias (ADRD) and caregivers of persons with other chronic conditions on self-reported health, type of assistance they provide, perceptions of how caregiving interferes with their lives, and perceived level of support. A secondary analysis was conducted of the 2013 Porter Novelli SummerStyles survey data. Of the 4033 respondents, 650 adults self-identified as caregivers with 11. Read More

Geriatr Nurs 2019 Jan - Feb;40(1):63-66. Epub 2018 Oct 14.

School of Nursing, University of Maryland, Baltimore, Baltimore, Maryland, USA.

Purpose: Assess patient- and clinical-related variables associated with targeted cancer treatments (TTs) for adults ≥85 years of age.

Rationale: TTs have pathway-specific side effects that negatively affect QoL and medication adherence, which may reduce TT efficacy. Research has not focused on patients aged ≥85 years; therefore, the scope of TT use in this age group is not understood. Read More

Geriatr Nurs 2018 Oct 13. Epub 2018 Oct 13.

NFQR and QMP Development, Quality Monitoring Program Medicaid and CHIP Services, United States of America.

Quality of care for residents with urinary incontinence (UI) living in nursing facilities was analyzed using data collected from 815 facilities for the Nursing Facility Quality Review in Texas. Overall, of the 1,560 residents, 48.4% (n = 755) experienced UI. Read More

Geriatr Nurs 2018 Oct 11. Epub 2018 Oct 11.

University of Massachusetts Boston, College of Nursing and Health Sciences, 100 William T. Morrissey Blvd., Boston, MA 02125-3393, United States.

Background: Advance care planning (ACP) conversations help individuals exercise autonomy and make informed decisions about their care. There are many ACP resources available to support the process of advance care planning, yet available resources not universally accepted and under-utilized in clinical practice.

Objective: This study aims to systematically evaluate commonly available general ACP patient educational resources using a comprehensive approach to assess elements ranging from resource inclusion to health literacy. Read More

Geriatr Nurs 2018 Sep - Oct;39(5):597-598. Epub 2018 Oct 10.

Oregon State University, Corvallis, OR, USA. Electronic address:

Geriatr Nurs 2018 Oct 3. Epub 2018 Oct 3.

Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea. Electronic address:

The aim of this study was to examine the effect of nurse staffing on both rehospitalizations and emergency department emergency department visits among short-stay nursing home residents in the United States. Data for 11,132 US nursing homes were drawn from the 2016 Nursing Home Compare. We found that the Five-Star Quality Rating System's staffing rating is a significant predictor for the rates of rehospitalization and emergency department visit among short-stay nursing home residents. Read More

Geriatr Nurs 2018 Sep - Oct;39(5):497-498. Epub 2018 Sep 28.

School of Nursing, University of Maryland, 655 West Lombard Street, Baltimore, MD 21201 USA. Electronic address:

Geriatr Nurs 2018 Sep - Oct;39(5):599-603. Epub 2018 Sep 27.

Riddle Medical LLS, Tarrytown, NY, USA.

Geriatr Nurs 2018 Sep - Oct;39(5):614-615. Epub 2018 Sep 26.

American Geriatrics Society, 40 Fulton St., Fl. 18, New York, NY 10038. Electronic address:

Geriatr Nurs 2018 Sep - Oct;39(5):604-606. Epub 2018 Sep 26.

University of Pennsylvania, Philadelphia, PA, USA. Electronic address:

Geriatr Nurs 2019 Jan - Feb;40(1):56-62. Epub 2018 Sep 7.

Capital University, 1 College and Main, Columbus, OH 43209, United States.

As the number of older adults with multimorbidity increases, care coordination programs are being designed to streamline the complex care older adults receive from multiple providers by improving health and reducing unnecessary costs. Well-coordinated care requires actions by both patients and providers. Yet little attention is paid to the what older adults do to manage their own care alongside a formal Care Coordination Program (CCP). Read More

Geriatr Nurs 2018 Aug 30. Epub 2018 Aug 30.

Institute of Educational Leadership, Faculty of Education, University of Malaya, 50603 Kuala Lumpur, Malaysia.

Depression leads to a poorer quality of life (QOL) which is a determinant of healthy ageing. Cost-effective solutions for enhancing QOL in the older population are much needed in China, with its rapidly ageing population. We conducted a randomized controlled trial involving 112 community-dwelling older participants with mild to moderate depression, to evaluate the effect of Tai Chi with music on QOL (57 in intervention group, 55 in control group). Read More

Geriatr Nurs 2018 Aug 30. Epub 2018 Aug 30.

Visiting Physician Services/VNA Health Group, 23 Main Street, Holmdel, NJ 07733, United States. Electronic address:

Older adults with complex comorbidities are at risk for challenges that compromise their post-discharge safety at home. A growing body of evidence suggests that post-hospitalization outcomes for vulnerable elders can be improved by interventions that encourage patient empowerment. The purpose of this pilot project was to determine if an individualized transition intervention would improve patient empowerment 30 days after home discharge following an acute illness. Read More

Geriatr Nurs 2019 Jan - Feb;40(1):72-77. Epub 2018 Aug 16.

Center for Medicare & Medicaid Innovation, Centers for Medicare and Medicaid Services, 7500 Security Blvd. Mailstop WB-06-05, Baltimore, MD 21244, United States. Electronic address:

Preventive service use remains low among Medicare beneficiaries despite the Affordable Care Act's waiver of coinsurance. This study sought to understand barriers and facilitators to preventive service provision, access, and uptake. We used a mixed methods approach synthesizing quantitative survey and qualitative focus group data. Read More

Geriatr Nurs 2018 Aug 16. Epub 2018 Aug 16.

Griffith Institute for Educational Research, Griffith University, Australia; School of Health and Human Sciences, Southern Cross University, P.O. Box 157, Lismore, NSW 2470, Australia. Electronic address:

The prevalence of age-related hearing loss is high among older adults. Growing longevity and the older profile of aged care residents is likely to result in an increasing incidence of hearing loss among this cohort. This review reports on the findings of a systematic search of the academic databases CINAHL, Medline, PsychInfo and Scopus undertaken to investigate the hearing experiences of residents of aged care facilities. Read More

Geriatr Nurs 2018 Aug 16. Epub 2018 Aug 16.

Department of Psychology, The University of Alabama, USA; Alabama Research Institute on Aging and Department of Psychology, The University of Alabama, USA.

Maximizing nursing home (NH) resident autonomy is a person-centered care (PCC) best practice. The purpose of this study was to identify and describe specific autonomy-supportive techniques used by nursing assistants (NAs) in three NH neighborhoods at one Veterans Affairs medical center. Thirteen interviews and approximately 80 h of behavioral observation of NAs were conducted across the three NH neighborhoods. Read More

Geriatr Nurs 2019 Jan - Feb;40(1):67-71. Epub 2018 Aug 16.

Faculty of Health and Occupational Studies, University of Gävle, Gävle SE-801 76, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Box 564, Uppsala SE-751 22, Sweden; Nursing Department, Medicine and Health College, Lishui University, China. Electronic address:

Person-centred care has been shown to have positive outcomes for patients and for staff. However, the complexity of the link between structural conditions, work in a person-centred manner and outcomes for staff is insufficiently described. We tested the relationship between structural empowerment and psychological empowerment, as mediated by nursing home staff members' self-ratings of working in a person-centred manner, the person-centred climate and thriving. Read More

Geriatr Nurs 2018 Aug 11. Epub 2018 Aug 11.

University of Rhode Island, College of Nursing, White Hall, Room 249, 39 Butterfield Road, Kingston, RI 02881, USA.

Access to mental health services for older Hispanic adults is limited and often older Hispanic adults must rely on their own resources in dealing with mental health issues. The aim of this study was to understand how older Hispanic immigrants cope mental health issues (e.g. Read More

Geriatr Nurs 2019 Jan - Feb;40(1):78-83. Epub 2018 Aug 7.

Department of Psychology, Washington State University, Pullman, WA 99164, United States. Electronic address:

Research demonstrated that aging services technologies (ASTs) can reduce caregiver burden. However, ASTs are underutilized by caregivers due to poor awareness. This study evaluated the effectiveness of a video-based educational program to increase caregiver AST knowledge among 43 caregivers. Read More

Geriatr Nurs 2019 Jan - Feb;40(1):91-98. Epub 2018 Aug 6.

Department of Nursing, Tan Tock Seng Hospital, Singapore. Electronic address:

Maximizing the functional ability of older patients through participation in physical activities during hospitalization could prevent functional decline. This study describes nurses' perceptions of facilitators and barriers to hospitalized older patients' physical activity participation in an acute Asian setting. An exploratory qualitative study employing thematic analysis was used. Read More

Geriatr Nurs 2019 Jan - Feb;40(1):84-90. Epub 2018 Aug 6.

Indiana University School of Nursing, 600 Barnhill Drive, Indianapolis, IN 46202.

Intervention fidelity has important implications for the reliability and validity of a study. Despite the widely reported health benefits of Qigong exercise interventions, the quality of intervention fidelity is less clear. The purpose of this paper is to use a valid intervention fidelity assessment tool to evaluate how intervention fidelity has been addressed in five areas-design, training, delivery, receipt, and enactment-in Qigong randomized controlled studies. Read More

Geriatr Nurs 2019 Jan - Feb;40(1):51-55. Epub 2018 Jul 24.

Center for Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, 2450 Holcombe Blvd, Houston, TX 77030, USA; Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA. Electronic address:

Veterans Affairs nursing homes (Community Living Centers; CLCs) have largely shifted focus to providing short-term rehabilitative care, preferring longer-term care to be provided in contract nursing homes or at home. The goal of this retrospective cohort study is to identify resident characteristics associated with longer length of stay using the CLC Minimum Data Set (n = 35,114). Length of stay was defined as three groups: short (<90 days), moderate (91-365 days), and long (beyond 365 days). Read More

Geriatr Nurs 2018 11 24;39(6):623-628. Epub 2018 Jul 24.

The Research Institute of Nursing Science, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 03080, South Korea. Electronic address:

Given South Korea's rapidly aging population, mental health and quality of life (QoL) in older adults are increasingly becoming important. Self-compassion (SC), defined as extending compassion to oneself in times of suffering, has been found to have associations with positive mental health outcomes. This study was performed to examine associations between self-compassion and mental health symptoms, sleep disturbance, life satisfaction, and health-related quality of life (HR-QoL) among older Korean adults. Read More

Geriatr Nurs 2018 Jul - Aug;39(4):490-491. Epub 2018 Jul 13.

President, American Geriatrics Society, 40 Fulton St., Fl. 18, New York, NY 10038. Electronic address: