Extrinsic and Behavioral Fall Risk Factors in People With Parkinson's Disease: An Integrative Review.

AIM: The aim of the study was to explore extrinsic and behavioral risks for falls in older adults with Parkinson's disease (PD). BACKGROUND: Falls that cause injury and disability in people with PD are common. Understanding the role of extrinsic and behavioral factors is important for fall prevention. DESIGN: Integrative literature review with search of CINAHL, MEDLINE, and SCOPUS and ancestry searching was performed. METHODS: The methodology of Whittemore and Knafl guided the review; ten studies were included. FINDINGS: Falls occur indoors and outdoors, commonly during daily activities in familiar home environments, but also when out in the community. Common challenges include uneven and unfamiliar environments and risky behavior like hurrying. CONCLUSION: Extrinsic risk factors combined with behavioral and intrinsic factors contribute to falls in people with PD both at home and in the community. CLINICAL RELEVANCE: Rehabilitation of people with PD should include assessment of falls, function, extrinsic risk factors, and fit with their environment to develop fall prevention plans.

Interprofessional competencies of students in a geriatric case competition.

This paper presents a valuable activity to teach health professions students - the interprofessional geriatric case competition. This program brought together students from multiple health professions to design and present a comprehensive care plan using a simulated complex geriatric patient case. Student participants demonstrated beginning skills in interprofessional collaboration based on the IPEC competencies. The case competition provides a positive, engaging experience to introduce health professions students to geriatric principles and develop their readiness for collaborative interprofessional practice. The competition could be conducted virtually, providing a supplement to on-site education.

Exploring the relationship between resilience and grit among nursing students: A correlational research study.

BACKGROUND: Nurse turnover is a critical issue around the world. Finding factors that can increase job persistence in nursing can have a positive impact on both the quality and cost of health care. Resilience and grit have been studied as factors that help an individual persist in the pursuit of their goals. Resilience and grit are related terms that have frequently been used interchangeably, although some studies suggest that they are different constructs. Determining if they are different constructs is important as we seek to develop qualities in new nurses that increase their job persistence and satisfaction. OBJECTIVES: The purpose of this study was to explore the relationship between resilience and grit in pre-licensure nursing students. DESIGN/SETTING: This descriptive correlational study was conducted at a midsize private University in the United States. PARTICIPANTS: The convenience sample consisted of students from 3 pre-licensure programs: Traditional Bachelor of Science in Nursing (TBSN), Accelerated Bachelor of Science in Nursing (ABSN) and Direct Entry Masters of Science in Nursing (DEMSN). The final sample was 348 students: 79% TBSN, 7% ABSN and 14% DEMSN. METHODS: Resilience was measured with the Conner-Davidson Resilience 10 item scale. Grit was measured utilizing the Short Grit Scale. RESULTS: Inspection of the interfactor correlations suggest that resilience and grit scales are distinct, though tend to correlate well. Notably, the relationship between resilience and the persistent effort component of grit was moderate. That correlation was higher than the relationship between the consistent interest component of grit and resilience. CONCLUSION: This study concludes that grit and resilience are related concepts but are not synonymous. Being mindful of the difference in these two attributes may be important in the development of educational offerings in both Schools of Nursing and in new nurse residency programs to increase retention in nursing.