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Geriatr Nurs 2019 Apr 12. Epub 2019 Apr 12.

Department of Medicine, Section of Geriatrics and Palliative Medicine, The University of Chicago Medicine, 5841 S. Maryland Ave MC6098, Chicago, IL, 60637, USA.

Older adults with complex needs reside in skilled nursing facilities (SNFs) and are cared for by nurses and social workers with limited geriatrics education. We describe the pilot phase of an educational model using the Extension for Community Healthcare Outcomes (ECHO) platform to teach geriatrics principles to SNF staff. Twenty-five unique participants from 7 total facilities enrolled, with twenty-two participants completing both the pre/post surveys. Read More

Geriatr Nurs 2019 Apr 9. Epub 2019 Apr 9.

Department of Geriatric Medicine, Institute of Geriatric and Active Aging, Tan Tock Seng Hospital, 11 Jan Tan Tock Seng, Singapore, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

Throughout Asian societies, family members often adopt the role of caregiving for older persons, providing essential care for loved ones with dementia. To date, there has been limited insight into the lived experience and meaning ascribed to the journey of these caregivers. This descriptive phenomenological study aims to explore the lived experience of Asian family caregivers of persons with dementia. Read More

Geriatr Nurs 2019 Mar 29. Epub 2019 Mar 29.

School of Nursing, National Yang-Ming University, Taipei, Taiwan. Electronic address:

This study evaluated the effect of a community-based participatory health literacy program aimed at improving the health behaviors and health empowerment for older adults. A two-group pretest and posttest quasi-experimental design with surveys conducted at baseline (T), immediately after the intervention (T), and 6 months after the intervention (T). The intervention group (n = 94) attended a 12-week health literacy program; while the comparison group (n = 78) did not. Read More

Geriatr Nurs 2019 Mar 28. Epub 2019 Mar 28.

Phoenix VA Health Care System, 650 E. Indian School Road, Phoenix, AZ 85012, USA.

Team-based approaches to long-term care are increasingly part of the landscape in residential care facilities to improve staff performance and resident outcomes vis-à-vis empowering direct care staff. This study characterizes licensed and unlicensed nursing staffs' (N = 95) perceptions of inclusion as care team members by co-workers, supervisors and non-nursing clinicians. Further, we explored whether inclusion was correlated with heightened empowerment and its related dimensions using the Perception of Empowerment Instrument. Read More

Geriatr Nurs 2019 Mar 25. Epub 2019 Mar 25.

Griffith University, School of Nursing and Midwifery, Logan Campus, Queensland, Australia. Electronic address:

Objective: To review the current literature related to the role of volunteers in dementia care in hospitals, aged care and resident homes.

Design: Integrative review method was used to identify and analyse current literature.

Method: Data extracted included; author, methodology, sample, aims, data collection and analysis, findings, limitations, and comments. Read More

Geriatr Nurs 2019 Mar 20. Epub 2019 Mar 20.

Department of Internal Medicine, Allegheny Health Network, 320 E. North Ave, Pittsburgh, PA 15212, USA. Electronic address:

Delirium in older adults is often inappropriately attributed to presumed urinary tract infections (UTIs) leading to unnecessary prescribing of antibiotics for asymptomatic bacteriuria. We sought to examine whether implementation of the Hospital Elder Life Program (HELP), a delirium prevention program, reduced the inappropriate treatment of asymptomatic bacteriuria. We conducted a secondary data analysis of administrative data and electronic health records on a descriptive study in which HELP was implemented at an academic community hospital. Read More

Geriatr Nurs 2019 Mar - Apr;40(2):225-227. Epub 2019 Mar 14.

Clinical Risk Services, Willis of Illinois Inc, Chicago, IL 60606, United States.

The Assisted Living (AL) nurse competencies article identifies the application of Benner's theoretical framework (novice to expert) and a sample structure for several key domains of nursing practice knowledge from the AL Nursing: A Manual for Management and Practice. On behalf of the American Assisted Living Nurse Association (AALNA), the co-authors seek feedback on the proposed structure for identifying important nurse competencies for the Assisted Living nurse community/facility leader. Read More

Geriatr Nurs 2019 Mar 14. Epub 2019 Mar 14.

University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA 19104, United States.

This descriptive study sought to establish an oral health baseline of need for enrollees at a Program of All-Inclusive Care for the Elderly (PACE) and identify opportunities for nursing interventions. The Oral Health Assessment Tool (OHAT) was applied to a random sample of 120 enrollees, 64 of whom met inclusion criteria, agreed to participate to assess their oral health status, and were included in the analysis. The mean OHAT score was 4. Read More

Geriatr Nurs 2019 Mar 13. Epub 2019 Mar 13.

Department of Research, Toronto Rehabilitation Institute/University Health Network, E.W. Bickle Centre for Complex Continuing Care, 130 Dunn Avenue, Suite N236, Toronto, ON M6K 2R7, Canada; Lawrence S Bloomberg, Faculty of Nursing, University of Toronto, ON, Canada.

Geriatr Nurs 2019 Mar 14. Epub 2019 Mar 14.

Duquesne University School of Nursing, 600 Forbes Avenue, Pittsburgh, PA 15282, United States.

Providing care for people with dementia is difficult when resistive behaviors displayed by people impede caregiving efforts.

Purpose: To examined the frequency of resistive behaviors during informal caregiver-assisted activities of daily living and the impact of these occurrences.

Design: A cross sectional design was used to recruit 17 caregivers from Alzheimer's support group meetings in 2010. Read More

Geriatr Nurs 2019 Mar 12. Epub 2019 Mar 12.

Australian Institute of Health Innovation, Macquarie University, Level 6, 75 Talavera Road, Sydney, Australia.

Care transitions for older people moving from residential aged care facilities (RACFs) to hospital services are associated with greater challenges and poorer outcomes. An integrative review was conducted to investigate models of care designed to avoid or improve transitions for older people residing in RACFs to hospital settings. Twenty-one studies were included in the final analysis. Read More

Geriatr Nurs 2019 Mar - Apr;40(2):212-213. Epub 2019 Mar 11.

Oregon State University, Corvallis, OR, United States. Electronic address:

Geriatr Nurs 2019 Mar 11. Epub 2019 Mar 11.

Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, P.O. Box 3109, 9701 DC Groningen, The Netherlands; Faculty of Science and Engineering, Johan Bernoulli Institute, University of Groningen, PO Box 72, 9700 AB Groningen, The Netherlands. Electronic address:

Measuring family caregivers' experiences of collaboration with nurses is important in the context of health care reforms that advocate an increased role of families in care. The Family Collaboration Scale (FCS) measures collaboration between nurses and family caregivers, however, the scale has a broad scope. Thus, the aim of this study was to construct a measure that is focused on collaboration only. Read More

Geriatr Nurs 2019 Mar 11. Epub 2019 Mar 11.

Research Group Nursing Diagnostics, Hanze University of Applied Sciences, P.O. Box 3109, 9701 DC, Groningen, the Netherlands. Electronic address:

Family caregivers of an older person who was recently hospitalized often feel unprepared for their new or expanded tasks. Quality and continuity of care for older people is expected to improve when nurses collaborate with family caregivers as partners in care. The aim of this study was to explore the unique contribution of collaboration between family these caregivers of older patients and hospital nurses as a possible predictor for preparedness of caregiving after hospital discharge. Read More

Geriatr Nurs 2019 Mar - Apr;40(2):214-216. Epub 2019 Mar 11.

Riddle Medical LLS, Tarrytown, NY, USA.

Geriatr Nurs 2019 Mar - Apr;40(2):217-219. Epub 2019 Mar 9.

Lucy Walker Honorary Term Professor of Gerontological Nursing, University of Pennsylvania, United States. Electronic address:

Geriatr Nurs 2019 Mar 7. Epub 2019 Mar 7.

University of Pennsylvania, School of Nursing, United States. Electronic address:

Excessive daytime sleepiness (EDS) is prevalent in older adults; however, data are lacking that examine EDS across living environments. The aims of this secondary data analysis were to identify the prevalence and predictors of EDS among older adults receiving long-term services and supports (LTSS) in assisted living communities (ALCs), nursing homes (NHs), and the community. Participants (n = 470) completed multiple measures including daytime sleepiness. Read More

Geriatr Nurs 2019 Mar - Apr;40(2):121-122. Epub 2019 Mar 8.

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

Geriatr Nurs 2019 Mar 7. Epub 2019 Mar 7.

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address:

Little is known about the prevalence of self-neglect and its predictors among community-dwelling older adults living alone in China. The present study was conducted among 181 older adults living alone in Nanjing, China. Self-neglect was assessed using a self-neglect screening scale. Read More

Geriatr Nurs 2019 Mar - Apr;40(2):230-231. Epub 2019 Mar 8.

American Geriatrics Society (AGS); New York, NY, United States. Electronic address:

Geriatr Nurs 2019 Mar 6. Epub 2019 Mar 6.

University of South Carolina, United States.

Objective: Older adults with hearing loss face many challenges impacting health outcomes. The objective of this review was to evaluate current evidence for associations among hearing loss, hospitalizations, readmissions and mortality in older adults living with hearing loss.

Methods: A systematic search, of PubMed, CINAHL and Embase was performed in October 2018. Read More

Geriatr Nurs 2019 Feb 22. Epub 2019 Feb 22.

Johns Hopkins School of Nursing, USA; Johns Hopkins School of Nursing Center of Innovative Care in Aging, USA.

Although self-management interventions can improve symptoms and disease among older adults, there is a dearth of literature on how self-management behaviors may improve factors related to the older adults' physical function. To fill this gap in the literature, we describe the patient-directed self-management goals in nursing visits that relate to physical function as part of a multi-component program. We analyze the self-management goals and outcomes of 367 low- income older adults with functional limitations who participated in the CAPABLE program: a program to reduce the health effects of impaired physical function in low-income older adults. Read More

Geriatr Nurs 2019 Feb 19. Epub 2019 Feb 19.

School of Mechanical and Aerospace Engineering, Jilin University, No.5988 Renmin Street, Changchun, Jilin 130021, People's Republic of China. Electronic address:

Sleep disturbance is one of the most prevalent symptoms among elderly adults, especially those living in nursing homes. Sleep disturbance adversely affects the healthcare system as well as elderly adults' quality of life. Nonpharmacological interventions have shown promising results regarding improvements in sleep. Read More

Geriatr Nurs 2019 Feb 18. Epub 2019 Feb 18.

Department of Applied English, Tainan University of Technology, 529, Zhong-zheng Rd., Yongkang District, Tainan City 71002, Taiwan, ROC. Electronic address:

Promoting psychological health in older populations is important. This study evaluated a horticultural activity program for reducing depression and loneliness in older residents of nursing homes in Taiwan. A convenience sample of 150 older residents of three nursing homes were recruited and randomly assigned to either an experimental group or a control group. Read More

Geriatr Nurs 2019 Feb 15. Epub 2019 Feb 15.

Centre for Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong.

Frailty is a common and vulnerable state in older people, which leads to a higher risk of adverse health outcomes. This cross-sectional study examined the association between frailty and its phenotypic components with the Mediterranean diet, life-space, and social participation in community-dwelling older people. 263 community-dwelling older people recruited from three community centers in Hong Kong completed the study (robust = 85, pre-frail = 120, frail = 58). Read More

Geriatr Nurs 2019 Feb 11. Epub 2019 Feb 11.

School of Nursing, Fujian Medical University, Fuzhou, China.

The aims of this review were to identify prospective studies examining associations between frailty and falls and to combine the risk measures to synthesize pooled evidence on frailty as a predictor of falls. A systematic literature search was conducted through Embase, Scopus, PubMed, CINAHL Plus, and the Cochrane Library for studies published from inception through May 2018. Odds ratios (OR) and hazard ratios (HR) extracted from the studies were combined to synthesize pooled effect measures using random-effects or fixed-effects models. Read More

Geriatr Nurs 2019 Feb 11. Epub 2019 Feb 11.

Centre for Care Research Mid-Norway, Steinkjer, Norway.

This study explored the existential meaning of being a participant in shareholding networks for the care of older people in Thailand. Ten older persons were interviewed about their experiences of participating in the networks. A reflective lifeworld perspective based on phenomenological philosophy was used. Read More

Geriatr Nurs 2019 Feb 11. Epub 2019 Feb 11.

Department of Psychology, International Medical University, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia. Electronic address:

A cross-sectional study design involving a total of 230 participants, recruited through Alzheimer's Disease Foundation Malaysia (ADFM), was adopted to access and correlate caregiver strain index (CSI) and resilience (RES) levels of the AD caregivers with various patients' and caregivers' factors. Findings revealed that 77.7% of caregivers had a high level of stress, and there was a significant negative correlation between RES and CSI (P < 0. Read More

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 2019 Mar - Apr;40(2):197-204. 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 2019 Mar - Apr;40(2):205-211. 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.