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1.
Nurs Educ Perspect ; 44(2): 107-109, 2023.
Article in English | MEDLINE | ID: mdl-36800407

ABSTRACT

ABSTRACT: Despite the increasing demand for nurses in geriatrics, interest lags in working with older adults. The Carolina Opinions on the Care of Older Adults instrument assesses attitudes toward older adults, with one subscale assessing intention to work with older adults. The instrument was used in a pretest/posttest study with prelicensure students enrolled in a gerontological nursing course. Posttest scores showed an improvement in attitudes toward older adults. The geriatric career choice subscale showed no pretest/posttest changes. The Carolina Opinions on the Care of Older Adults instrument is a suitable measure to assess changes in attitudes and intention to work with older adults.


Subject(s)
Geriatric Nursing , Geriatrics , Students, Nursing , Humans , Aged , Intention , Attitude of Health Personnel , Geriatric Nursing/education , Surveys and Questionnaires
3.
Article in English | MEDLINE | ID: mdl-33513798

ABSTRACT

AIM: Describe virtual home assistant use and usefulness from the perspective of older adults and their support persons. METHODS: This was a mixed-methods study with older adults and their support persons (n = 10 dyads). Virtual home assistant (VHA) equipment was installed in participants' homes, and its use was documented for 60 days. Participants received protocol-guided telephone calls to address their VHA questions or problems. The type and frequency of VHA use were summarized with descriptive statistics. End-of-study interviews about VHA use were conducted with dyad participants. Qualitative content analyses were used to describe the interview findings about the dyad's perceptions of using the VHA, how it was used, any difficulties experienced, and suggestions for future VHA uses. RESULTS: Participant dyads reported positive VHA perceptions, including the potential for VHAs to promote aging in place. Participants discussed the challenges learning the technology and replacing old habits with new ones. Participants offered recommendations for future VHA skills and for more education and training about using the VHA. CONCLUSIONS: The study findings suggest that VHAs may be useful for older adults as they age in place and offer reassurance for support persons.


Subject(s)
Independent Living , Technology , Aged , Humans , Perception
4.
J Prof Nurs ; 35(6): 452-460, 2019.
Article in English | MEDLINE | ID: mdl-31857055

ABSTRACT

Despite efforts to implement learner competencies in gerontological nursing, a significant knowledge-attitude disassociation remains, with few students interested in pursuing careers in the care of older adults. One reason may be the lack of well-qualified faculty who can design engaging learning experiences with older adults and serve as positive role models for aging care. In response, the National Hartford Center of Gerontological Nursing Excellence commissioned the development of core competencies and a recognition program for educators in gerontological nursing. The goal of these competencies is to promote quality instruction in the care of older adults by describing a set of preferred skills characterizing faculty teaching gerontological content to nursing and interprofessional learners. These educator-focused competencies can guide individual career development for new and current educators who specialize in teaching about the care of older adults. They provide direction for selecting well-prepared individuals for gerontological nursing teaching positions and evaluating educator role performance. This paper describes the development of seven core competencies for nurse educators who teach in academic and professional development programs, as well as criteria for their recognition. An iterative development process was used to define the core competencies, along with descriptions and exemplars of each domain.


Subject(s)
Clinical Competence , Education, Nursing/organization & administration , Geriatric Nursing/education , Aged , Curriculum , Humans
5.
Gerontologist ; 59(1): 101-111, 2019 01 09.
Article in English | MEDLINE | ID: mdl-29897450

ABSTRACT

Background and Objectives: Smart home auto-prompting has the potential to increase the functional independence of persons with dementia (PWDs) and decrease caregiver burden as instrumental activities of daily living (IADLs) are completed at home. To improve prompting technologies, we sought to inductively understand how PWDs responded to auto-prompting while performing IADL tasks. Research Design and Methods: Fifteen PWDs completed eight IADLs in a smart home testbed and received a hierarchy of verbal auto-prompts (indirect, direct, multimodal) as needed for task completion. Two researchers viewed archived videos and recorded the observed behaviors of the PWDs and their reflections watching the PWDs. Using qualitative descriptive methods, an interdisciplinary analytic team reviewed transcripts and organized data into themes using content analysis. Results: Context and Communication emerged as the major themes, suggesting that positive user experiences will require auto-prompting systems to account for a multitude of contextual factors (individual and environmental) such as level of cognitive impairment, previous exposure to task, and familiarity of environment. Communicating with another human rather than an automated prompting system may be important if individuals begin to exhibit signs of stress while completing activities. Discussion and Implications: Additional work is needed to create auto-prompting systems that provide specific, personalized, and flexible prompts. Holistic conceptualization of "successful task completion" is needed and a positive end-user experience will be key to utility. Such systems will benefit from including positive reinforcement, training, and exploration of how, and whether, direct human involvement can be minimized during the provision of in-home care.


Subject(s)
Activities of Daily Living , Alzheimer Disease , Communication , Self-Help Devices , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Qualitative Research , Video Recording
6.
J Nurs Care Qual ; 34(1): 73-79, 2019.
Article in English | MEDLINE | ID: mdl-29889721

ABSTRACT

BACKGROUND: Despite continued efforts to improve safety in hospitals, hospital-acquired harm persists. Strategies have been identified to establish patient-centered care and improve patient engagement with care. However, the relationship of patient and family engagement to reduction of harm is not well understood, with limited findings available in current literature. PURPOSE: This qualitative study explored the perceptions and attitudes of patients and family members and several clinical disciplines toward patient engagement in reducing preventable harm in hospitalized patients. METHODS: We conducted 8 focus groups at 2 nonprofit hospitals with several constituencies: patients/families, registered nurses, physician hospitalists, and pharmacists/physical therapists. RESULTS: Thematic analysis of transcripts revealed multiple themes from different perspectives, including: family presence increases safety, the hospital environment is intimidating, and communication is essential, but I am not being heard. CONCLUSIONS: The rich data suggest a significant opportunity for reducing risk and harm by more actively engaging patients and families in the effort. Increasing patient acuity and complexity of care furthers the need for partnering with patients and families more intentionally for increased safety.


Subject(s)
Family/psychology , Harm Reduction , Patient Participation , Patient-Centered Care , Attitude to Health , Communication , Focus Groups , Health Personnel , Humans , Qualitative Research
7.
J Nurs Care Qual ; 34(3): 273-278, 2019.
Article in English | MEDLINE | ID: mdl-30198945

ABSTRACT

BACKGROUND: Patient safety-focused research may be strengthened by the inclusion of patients and family members in research design; yet, published methodologies for doing so are scarce. PURPOSE: This study engaged patients and families in research design of an intervention to increase patient/family engagement, with reduction of harm in hospitalized patients. METHODS: The study design team convened a Patient Safety Advisory Panel to explore potential testable interventions to increase patient/family engagement with safety. They explored the preferred intervention, Speak Up-My Advocate for Patient Safety (MAPS), through multistakeholder focus groups. RESULTS: Participants emphasized the importance of including patient/family when designing interventions. Regarding the Speak Up-MAPS intervention, perceptions from stakeholders were mixed, including the value and potential complexity, role confusion, and cost of the proposed advocate role. CONCLUSION: Intentional inclusion of the patient/family in research is important and practical. Both strengths and challenges of the proposed intervention were identified, indicating the need for further study.


Subject(s)
Harm Reduction , Hospitalization/statistics & numerical data , Patient Safety/standards , Community-Based Participatory Research/methods , Community-Based Participatory Research/standards , Family/psychology , Focus Groups/methods , Humans , Patient Safety/statistics & numerical data , Patients/psychology , Qualitative Research
8.
Gerontologist ; 55 Suppl 1: S154-64, 2015 Jun.
Article in English | MEDLINE | ID: mdl-26055777

ABSTRACT

PURPOSE: The Facilitated Learning to Advance Geriatrics program (FLAG) was designed to increase the numbers of nurse faculty in prelicensure programs with basic knowledge about aging and teaching effectiveness to prepare students to provide safe, high quality care for older adults. METHODS: Using a framework to improve transfer of learning, FLAG was designed to include: (a) a workshop to increase basic knowledge of aging and common geriatric syndromes, and effective use of evidence-based teaching/learning strategies; (b) a year-long mentoring program to support application of workshop learning and leading change in participants' schools to ensure that geriatrics is a priority. Both formative and summative evaluation methods were used, and included self-assessment of objectives, program satisfaction, and teaching self-efficacy. RESULTS: FLAG achieved its overall purpose by enrolling 152 participants from 19 states including 23 faculty from associate degree programs and 102 from baccalaureate programs. Self-rated teaching effectiveness improved significantly from pre- to post-workshop each year. Achievement of learning objectives was rated highly as was satisfaction. Transfer of learning was evidenced by implementation of educational projects in home schools supported by mentoring. IMPLICATIONS: The FLAG program provided opportunities for nurse educators to learn to teach geriatrics more effectively and to transfer learning to their work environment. Future FLAG programs will be offered in a shortened format, incorporating online content and strategies, adding other health professionals to the audience with the same goal of increasing the knowledge and abilities of educators to prepare learners to provide competent care for older adults.


Subject(s)
Education, Nursing, Continuing/organization & administration , Faculty, Nursing , Geriatric Nursing/education , Geriatrics/education , Staff Development/organization & administration , Teaching/methods , Adult , Attitude of Health Personnel , Humans , Male , Mentors , Middle Aged , Program Evaluation
9.
J Nurses Prof Dev ; 30(4): 166-73; quiz E1-2, 2014.
Article in English | MEDLINE | ID: mdl-25036080

ABSTRACT

Bedside reporting improves client safety and trust and facilitates nursing teamwork and accountability; however, many nurses do not consider it best practice when caring for their clients. A literature review was conducted to determine whether bedside report is an essential shift handover process that promotes both client and nursing satisfaction. Implications for nurses in professional development are discussed, and strategies for developing and implementing bedside report using Lewin's theory of planned change are provided.


Subject(s)
Nurse-Patient Relations , Patient Handoff , Patient Satisfaction , Communication , Humans , Nursing Staff, Hospital/psychology , Personal Satisfaction
10.
Geriatr Nurs ; 35(2 Suppl): S45-8, 2014.
Article in English | MEDLINE | ID: mdl-24702720

ABSTRACT

The population of older immigrants in the United States is growing and they bring their health beliefs and practices with them. Older immigrants from the former Soviet Union use a variety of complementary and alternative medicine (CAM) remedies which includes in part: 1) foods to which medicinal properties are attributed, 2) herbs, 3) external treatments, and 4) pharmaceuticals manufactured in the former Soviet Union and available over-the-counter. These remedies vary in their efficacy and are often used in combination with or in lieu of prescribed allopathic (Western) medications. Health beliefs regarding medicine in the United States has led older Slavic immigrant to distrust their US health care providers and system. Nurses are in a key position to inquire and work with older Slavic immigrants to safely use their CAM and provide more information about prescribed allopathic medications and the harmful effects of combining remedies without consultation.


Subject(s)
Complementary Therapies , Emigration and Immigration , Aged , Humans , USSR
11.
Diabetes Educ ; 40(4): 418-426, 2014 07.
Article in English | MEDLINE | ID: mdl-24667951

ABSTRACT

PURPOSE: Older adults who immigrate late in life face many challenges adapting to a new country. Immigrants bring their cultural beliefs and behaviors with them, which can influence their ability to make dietary changes required when they have type 2 diabetes. Culturally targeted patient education materials are needed to improve immigrants' health literacy and abilities to self-manage diabetes. Currently, there is a scarcity of diabetes patient education materials to meet the educational needs of the Russian-speaking immigrant group. The purpose of this article is to describe a project in which culturally targeted diabetes education materials for older Russian-speaking immigrants were designed and developed. CONCLUSIONS: Culturally targeted patient education materials are essential if they are to be accepted and used by clients from different ethnic minority populations. The creation of culturally relevant materials requires a team effort and community stakeholder input. The availability of materials on the internet facilitates access and use by health care providers. Culturally targeted education materials are an important component in addressing health literacy in ethnic minority populations. Next steps require that these materials be evaluated to test their impact on diabetes self-management behaviors and clinical outcomes such as adherence, amount of physical activity, and blood glucose levels.


Subject(s)
Culturally Competent Care/methods , Diabetes Mellitus, Type 2/ethnology , Emigrants and Immigrants/education , Patient Education as Topic/methods , Self Care/psychology , Aged , Diabetes Mellitus, Type 2/psychology , Emigrants and Immigrants/psychology , Female , Focus Groups , Health Literacy/methods , Humans , Language , Male , Pilot Projects , Russia/ethnology , Translations , United States
12.
Qual Health Res ; 23(12): 1660-71, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24132306

ABSTRACT

As the U.S. population ages and becomes increasingly diverse, health care professionals need to recognize the role of culture and life course in managing chronic health conditions. Older émigrés, in particular, face daunting challenges learning to navigate a new language, country, and health care system. In this focused ethnography, data collection included 16 months of participant observation and interviews with 28 Slavic participants (older émigrés, family caregivers, and key informants). Participants shared beliefs about the causes of chronic conditions, described treatments used, identified barriers to care, and expressed their expectations of U.S. health care providers. The findings provide insight into older émigrés' explanatory models of health, which can be used by health care providers to improve health care delivery to this underserved population.


Subject(s)
Chronic Disease/ethnology , Chronic Disease/therapy , Emigrants and Immigrants , Adult , Aged , Europe, Eastern/ethnology , Female , Humans , Male , Middle Aged , Northwestern United States , Qualitative Research
13.
J Nurs Educ ; 50(4): 226-9, 2011 Apr.
Article in English | MEDLINE | ID: mdl-21323249

ABSTRACT

The purpose of this study was to explore the online discussions of postlicensure nursing students taking a community health course in an RN-to-BSN program. Final discussion forums asked students to share their perceptions and understandings of the public and community health nurses' role and practice after participating in a community health clinical course. Inductive content analysis was used to assess the narratives. Analysis of the discussions yielded two categories: (1) awareness by the RNs of their individual community and the context of the public and community health nursing role, and (2) increased understanding of the patients' experience with transitions between health care settings (home-hospital-home). This research suggests a need to assess practicing RNs' professional understanding and teaching of the public and community health nurses' role if they are to facilitate effective patient transitions home and into community-based settings.


Subject(s)
Community Health Nursing , Nurse's Role , Public Health Nursing , Students, Nursing , Awareness , Education, Nursing, Baccalaureate , Humans , Nurse-Patient Relations , Patient-Centered Care , Retrospective Studies
14.
J Contin Educ Nurs ; 41(5): 211-6, 2010 May.
Article in English | MEDLINE | ID: mdl-20481422

ABSTRACT

This article describes a faculty development initiative implemented by baccalaureate school of nursing faculty to address the urgent need for education and development in gerontological nursing. The Gerontological Nursing Education Curriculum (G-NEC) project was implemented in five states between 2006 and 2009 to (a) increase faculty knowledge of gerontological nursing, and (b) increase gerontological content in participating schools of nursing. A 4-hour workshop presented at 11 schools introduced key concepts and instructional activities related to care of older adults. Participants rated content and format highly; follow-up reports indicated that many made curriculum changes to incorporate gerontological content. The authors describe workshop content and teaching strategies, curriculum changes participants made to incorporate gerontological content, and implications for faculty development.


Subject(s)
Education, Nursing, Continuing , Faculty, Nursing/standards , Geriatric Nursing/education , Staff Development , CD-ROM , Curriculum , Humans , Internet , Surveys and Questionnaires , Teaching
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