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Geriatric nursing 30건

  1. [해외논문]   Reframing continence care in care-dependence   SCIE SSCI

    Ostaszkiewicz, Joan
    Geriatric nursing v.38 no.6 ,pp. 520 - 526 , 2017 , 0197-4572 ,

    초록

    Abstract International guidelines promote active investigation and treatment of incontinence; however, these guidelines do not fully accommodate the psychosocial aspects associated with providing continence care i.e. the caregiving dynamics. The author developed a new framework that aims to support nurses and care workers in their efforts to identify and meet the continence care needs of individuals with complex health conditions who are dependent on another person for assistance to manage incontinence or to maintain continence. The framework is underpinned by two core concepts: ‘ dignity ’ and ‘ care’ , and is characterized by a focus on: empathic continence care; personhood in dementia; therapeutic communication; authentic partnership in continence care; acknowledging stigma, social taboos and courtesy stigma; and the need for a foundational continence assessment. This paper describes the Dignity in Continence Care Framework and suggests strategies for its use in the future education of nurses and care workers about continence care.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Hearing loss education for older adults in primary care clinics: Benefits of a concise educational brochure   SCIE SSCI

    Wallhagen, Margaret I. (University of California, San Francisco, School of Nursing, 2 Koret Way, San Francisco, CA 94143-0610, USA ) , Strawbridge, William J. (Institute for Health & Aging, University of California, San Francisco, 3333 California St., San Francisco, CA 94118, USA)
    Geriatric nursing v.38 no.6 ,pp. 527 - 530 , 2017 , 0197-4572 ,

    초록

    Abstract Hearing loss, common in older adults, is associated with negative health outcomes but screening rates in primary care clinics are low and individuals screened or referred often do not follow-through. To address these problems, we worked with 2 primary care clinics to design a simple screening and education protocol for integration into a standard office visit. To assess the effectiveness on the education brochure that was developed, we assessed its impact on individuals age 60 or older who screened positive for possible hearing loss. Ninety-four of 125 screened positive. Seventy-one agreed to participate and were given a brochure along with a brief review of the materials it contained. Of 67 completing follow-up, 23 (34%) sought further testing and 47 (70%) had used the information to enhance communication. A simple educational brochure accompanied by a brief review of its contents may enhance effective use of hearing healthcare services. (147).

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Nursing home care trajectories for older adults following in-hospital palliative care consultation   SCIE SSCI

    Carpenter, Joan G. (University of Utah College of Nursing, 10 South 2000 East, Salt Lake City, UT 84112, USA ) , Berry, Patricia H. (Hartford Center of Gerontological Nursing Excellence at OHSU, Oregon Health and Science, University School of Nursing, Mail Code: SN-6S, 3455 SW US Veterans Hospital Road, Portland, OR 97239, USA ) , Ersek, Mary (Corporal Michael J. Crescenz VA Medical Center –)
    Geriatric nursing v.38 no.6 ,pp. 531 - 536 , 2017 , 0197-4572 ,

    초록

    Abstract Palliative care consultation (PCC) during hospitalization is increasingly common for older adults with life-limiting illness discharged to nursing homes. The objective of this qualitative descriptive study was to describe the care trajectories and experiences of older adults admitted to a nursing home following a PCC during hospitalization. Twelve English-speaking adults, mean age 80 years, who received a hospital PCC and discharge to a nursing home without hospice. Data were collected from medical records at five time points from hospital discharge to 100 days after nursing home admission and care trajectories were mapped. Interviews (n = 15) with participants and surrogates were combined with each participant’s medical record data. Content analysis was employed on the combined dataset. All PCC referrals were for goals of care conversations during which the PCC team discussed poor prognosis. All participants were admitted to a nursing home under the Medicare skilled nursing facility benefit. Seven were rehospitalized; six of the 12 died within 6 weeks of initial nursing home admission. The two care trajectories were Focus on Rehabilitative Care and Comfort Care Continuity. There was a heavy emphasis on recovering functional status through rehabilitation and skilled nursing care, despite considerable symptom burden and poor prognosis. Regardless of PCC with recommendations for palliative interventions, frail older adults with limited life expectancy and their family caregivers often perceive that rehabilitation will improve physical function. This perception may contribute to inappropriate, ineffective care. More emphasis is needed to coordinate care between PCC recommendations and post-acute care.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Evaluating the older adult experience of a web-based, tablet-delivered heart failure self-care program using gerontechnology principles   SCIE SSCI

    Buck, Harleah (University of South Florida, 12901 Bruce B. Downs Blvd. MDC22, Tampa, FL 33612-4766, USA ) , Pinter, Anthony (College of Information Sciences and Technology, Penn State University, University Park, PA 16802, USA ) , Poole, Erika (College of Information Sciences and Technology, Penn State University, University Park, PA 16802, USA ) , Boehmer, John (Penn State Hershey Medical Center, 500 University Drive Hershey, PA 17033, USA ) , Foy, Andrew (Penn State Hershey Medical Center, 500 University Drive Hershey, PA 17033, USA ) , Black, Sara (Penn State Hershey Medical Center, 500 University Drive Hershey, PA 17033, USA ) , Lloyd, Tom (Penn State College of Medicine, 500 University Drive Hershey, PA 17033, USA)
    Geriatric nursing v.38 no.6 ,pp. 537 - 541 , 2017 , 0197-4572 ,

    초록

    Abstract The goals of gerontechnology are to develop technology that facilitates goal attainment and improves satisfaction with life for older adults. Few mHealth technology systems have been evaluated using these criteria. The purpose of this paper was to present the qualitative analysis of participant post-intervention interviews from the tablet-delivered Penn State Heart Assistant intervention. Semi-structured interviews ( n = 12) were conducted after the completion of a 30 day study protocol. Interviews were transcribed verbatim by a professional transcriptionist, then analyzed using an iterative process of coding, categorization, and thematic development using DeDoose software and a gerontechnology interpretive lens. Two themes with six subthemes arose: Benefits – information sharing with others, usability and learnability, use of help resources; Suggestions – continuing use after the study, technical problems, participant suggested improvements. Interviews suggested improved goal attainment and satisfaction with life for the older adults with use of the tablet.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Pilot testing a digital pet avatar for older adults   SCIE SSCI

    Chi, Nai-Ching (University of Washington, Seattle, WA, USA ) , Sparks, Olivia (University of Washington, Seattle, WA, USA ) , Lin, Shih-Yin (University of Washington, Seattle, WA, USA ) , Lazar, Amanda (Northwestern University, Evanston, IL, USA ) , Thompson, Hilaire J. (University of Washington, Seattle, WA, USA ) , Demiris, George (University of Washington, Seattle, WA, USA)
    Geriatric nursing v.38 no.6 ,pp. 542 - 547 , 2017 , 0197-4572 ,

    초록

    Abstract Social isolation in older adults is a major public health concern. An embodied conversational agent (ECA) has the potential to enhance older adults' social interaction. However, little is known about older adults' experience with an ECA. In this paper, we conducted a pilot study to examine the perceived acceptance and utility of a tablet-based conversational agent in the form of an avatar (termed “digital pet”) for older adults. We performed secondary analysis of data collected from a study that employed the use of a digital pet in ten older adults' homes for three months. Most of the participants enjoyed the companionship, entertainment, reminders, and instant assistance from the digital pet. However, participants identified limited conversational ability and technical issues as system challenges. Privacy, dependence, and cost were major concerns. Future applications should maximize the agent's conversational ability and the system's overall usability. Our results can inform future designs of conversational agents for older adults, which need to include older adults as system co-designers to maximize usability and acceptance.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Using spontaneous commentary of nursing home residents to develop resident-centered measurement tools: A case study   SCIE SSCI

    Bangerter, Lauren R. (Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery, Rochester, MN 55905, USA ) , Abbott, Katherine (The Department of Sociology and Gerontology, Miami University, Oxford, OH 45056, USA ) , Heid, Allison (The New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine, Stratford, NJ 08084, USA ) , Eshraghi, Karen (The Abramson Center for Jewish Life, North Wales, PA 19454, USA ) , Van Haitsma, Kimberly (The College of Nursing, The Pennsylvania State University, University Park, PA 16802, USA)
    Geriatric nursing v.38 no.6 ,pp. 548 - 550 , 2017 , 0197-4572 ,

    초록

    Abstract Nursing home (NH) residents routinely complete surveys that assess their health, well-being, preferences, and care needs. Such surveys reveal important information, however, are largely based on the concerns of providers as opposed to the concerns of residents. Thus, researchers must enhance efforts to ensure that these surveys are guided by the priorities, needs, and concerns of residents. We present a case study to demonstrate how spontaneous commentary of NH residents holds particular efficacy for ensuring that measurement tools are guided by the needs, concerns, and priorities of residents. Spontaneous comments from NH residents (N = 370) collected as part of a study developing the Preferences for Everyday Living Inventory for NH residents (PELI-NH) were used to refine the PELI-NH across key phases of measurement development. This work demonstrates how the spontaneous commentary of NH residents may contribute to the refinement of NH measurement tools, and allow researchers to base these tools on the needs and priorities of NH residents.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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    Fig. 1 이미지
  7. [해외논문]   Testing the reliability and validity of a Transition Map for older adults in long term care settings   SCIE SSCI

    Savvas, Steven M. (National Ageing Research Institute, Australia ) , Gibson, Stephen J. (National Ageing Research Institute, Australia ) , Rizakis, Paki (Royal Freemasons Limited, Australia ) , Vaughan, Marie P. (Royal Freemasons Limited, Australia ) , Scherer, Samuel C. (Royal Freemasons Limited, Australia)
    Geriatric nursing v.38 no.6 ,pp. 551 - 558 , 2017 , 0197-4572 ,

    초록

    Abstract Mapping individual patterns of decline in older adults may aid coordinating long term aged care. This study developed a new scale (Transition Maps) to summarise the overall care pathway for long term aged care residents, in a simplified manner incorporating mapping concepts. Transition Maps were developed using mixed methods in two phases, and based on expert opinion, literature review, and input from aged care health professionals. Four professions (primary physician, nurse, allied health, lifestyle services) generated 147 Transition Maps for 38 residents living in a long term care. Preliminary construct validity and inter-rated reliability were evaluated. Results showed that Inter-rater reliability of agreement with the overall care pathway for each resident was kappa = 0.492. Consensus was lowest between nurse care managers and primary physicians (kappa = 0.384), and highest between nurse managers and Lifestyle Services (kappa = 0.77). Preliminary testing of the Transition Map scale provides initial support of construct validity and inter-rater reliability and provides some evidence that Transition Maps can improve the coordination of long term aged care.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   The Responsive Leadership Intervention: Improving leadership and individualized care in long-term care   SCIE SSCI

    Caspar, Sienna (Faculty of Health Sciences-Therapeutic Recreation, University of Lethbridge, 4401 University Drive, Lethbridge, AB T1K 3M4, Canada ) , Le, Anne (Department of Medicine, Health Sciences Program, University of Calgary, 2500 University Drive, NW, Calgary, AM T2N 1N4, Canada ) , McGilton, Katherine S. (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)
    Geriatric nursing v.38 no.6 ,pp. 559 - 566 , 2017 , 0197-4572 ,

    초록

    Abstract The Responsive Leadership Intervention (RLI) is a multi-faceted intervention. We evaluated the influence of the RLI on i) responsive leadership practices by team leaders; ii) health care aides’ (HCAs) self-determination; iii) HCAs' perceived ability to provide individualized care. A quasi-experimental repeated measures non-equivalent control group design was used to assess participant outcomes in four long-term care facilities (two control, two intervention) across four time periods. Change from baseline to 1-month post-intervention was greater in the intervention group than control group for Individualized Care (IC) ( p = 0.001), but not for Self Determination ( p = 0.26). Perceived levels of responsive leadership was greater following the intervention among participants with baseline measures that were less than the median ( p = 0.007), but not if greater. At 3-months post-intervention, the intervention group retained 32% of the difference from control in IC, and 49% of the difference from control in responsive leadership; at 6-months post-intervention, 35% and 28%, respectively. The RLI is a feasible method for improving responsive leadership practices and individualized care.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Predicting inpatient delirium: The AWOL delirium risk-stratification score in clinical practice   SCIE SSCI

    Brown, Ethan G. (Department of Neurology, University of California, San Francisco, USA ) , Josephson, S. Andrew (Department of Neurology, University of California, San Francisco, USA ) , Anderson, Noriko (Department of Neurology, University of California, Irvine, USA ) , Reid, Mary (Department of Neurology, University of California, San Francisco, USA ) , Lee, Melissa (Department of Neurology, University of California, San Francisco, USA ) , Douglas, Vanja C. (Department of Neurology, University of California, San Francisco, USA)
    Geriatric nursing v.38 no.6 ,pp. 567 - 572 , 2017 , 0197-4572 ,

    초록

    Abstract Inpatient delirium improves with multicomponent interventions by hospital staff, though the resources needed are often limited. Risk-stratification to predict delirium is a useful first step to help triage resources, but the performance of risk-stratification as part of a functioning multicomponent pathway has not been assessed. We retrospectively studied the performance of a validated delirium prediction rule, the AWOL score, as a part of a multicomponent delirium care pathway in practice on a university hospital ward. We reviewed the hospitalizations of patients 50 years or older for evidence of delirium and extracted the AWOL score from nursing documentation ( n = 347). The area under the receiver operating characteristic curve (AUC) was 0.83 (95% CI 0.77–0.89) for all cases and 0.73 (95% CI 0.60–0.85) when cases of prevalent delirium were removed. Involving minimal additional assessment, this nursing-based risk stratification score performed well as part of a multicomponent delirium care pathway. Highlights Risk-stratification for predicting inpatient delirium is evaluated The nursing-based “AWOL” score involves minimal additional assessment time Brief assessment of cognition and illness are essential components of the score The score performed well in predicting prevalent and incident delirium Risk-stratification is a useful addition to a multicomponent delirium care pathway

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

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  10. [해외논문]   A pilot exploration of the effect of designated Function Focused Care on mobility, functional dependence and falls frequency in Dutch nursing home residents   SCIE SSCI

    van der Ploeg, Eva S. (Stichting Argos Zorggroep, Voorberghlaan 35, 3123 AX Schiedam, The Netherlands ) , Leermakers, Marleen L. (Stichting Argos Zorggroep, Voorberghlaan 35, 3123 AX Schiedam, The Netherlands)
    Geriatric nursing v.38 no.6 ,pp. 573 - 577 , 2017 , 0197-4572 ,

    초록

    Abstract In recent years, there has been a gradual change in nursing home care from care providers doing as many things as possible for residents to a philosophy where patients are encouraged to become more involved in their care and activities of daily living. Function Focused Care (FFC) is a methodology to stimulate the involvement of residents on a daily basis that has shown to be safe and effective in improving ADL-functioning. We implemented FFC in four nursing homes with 53 residents. This first pilot project in Dutch nursing homes has replicated the finding that FFC inspires functional independence, but also revealed a reduction in the number of falls among fallers. Highlights The first pilot study of Function Focused Care in Dutch nursing homes showed a successful and positive implementation of the care philosophy. The implementation leads to decreases in fall incident as well as reported functional dependence. The effects were not instantly noticed by all those involved and became more pronounced over time.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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