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Sinfield, Melissa. "Respectful relationships : an approach to ethical decision-making for gerontic nursing /." View thesis, 2001. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030924.140531/index.html.
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Blackmon, Tami Felicia. "A Nursing Education Program to Decrease Use of Psychotropics Among Dementia Patients." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5979.
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Dementia, a clinical condition that affects the psychological ability of patients, is distinguished by a significant overall decline in cognitive function that results in distorted perception. Guiding nursing practice in the long-term care (LTC) setting to decrease the unnecessary use of psychotropics is critical because doing so relates to the patients' quality of life and safety. In the LTC facility that served as the practicum site for this study, there was an observed overuse of psychotropic medications in the care of patients with dementia. The practice-focused question guiding this project asked whether a nursing staff development program would decrease the use of psychotropics in dementia patients. The purpose of the project was to inform nursing staff through an educational program on alternative methods to use when dementia patients exhibit increased disturbing behaviors. The conceptual framework for the project was the knowledge-to-action model. The nursing staff development program had a positive effect on the nursing staff as evidenced by a statistically significant improvement in knowledge and attitudes about the use of psychotropics in caring for dementia patients. The use of psychotropic in the dementia patient decreased from 22.32% to 15.77%, the lowest score achieved by the organization in 5 years. The dementia patients benefited from this project and its positive social change implications for nursing practice by decreasing dementia patients use of psychotropics, minimizing their side effects to the patients and providing an overall feeling of well-being.
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Sinfield, Melissa. "Respectful relationships : an approach to ethical decision-making for gerontic nursing." Thesis, View thesis, 2001. http://handle.uws.edu.au:8081/1959.7/747.
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Ethical decision-making is an integral aspect of gerontic nurses' experiences of caring for nursing home residents and their families. This thesis examines the author's journey into the life-worlds of nine registered nurses working in an Australian nursing home to explore how they manage the ethical problems they encounter in their everyday experience of nursing home life. As a result of interviews, the study revealed that nurses utilized an approach to ethical decision-making not previously described.This approach was identified as being professional, familial, collegial and reciprocal in nature. As an approach to ethical decision-making, respectful relationships is a potential tool for nurses coping with the ethical problems that are an every-day aspect of their professional lives in a nursing home. Respectful relationships can guide nurses' ethical decision-making as they strive to do the right thing
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Hansebo, Görel. "Assessment of patients' needs and resources as a basis in supervision for individualised nursing care in nursing home wards : evaluation of an intervention study /." Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4531-4/.
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Sewell, Linda. "Characteristics and Resource Utilization of Patients of a Proprietary Home Health Agency in Rural South Central Kentucky." TopSCHOLAR®, 1997. http://digitalcommons.wku.edu/theses/355.
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The home health industry's introduction to managed care raises the prospect of reduced access to health care and poor outcomes for a vulnerable segment of our population—the rural elderly. Before effective intervention strategies can be accurately evaluated, a clearer picture of the sociodemographic features and home care service consumption is needed for this understudied group. The study was intended to provide a basis for future research into the evaluation of alternative methods of delivering effective care in terms of outcome and decreased cost for this population. A retrospective descriptive analysis was made of the patient record for the first six months of care from a proprietary home health agency. Eighty-one charts were examined and features such as age, race, gender, socioeconomic level, functional limitations, family support and literacy were analyzed to provide a profile of the patient population. Resource consumption was measured in terms of the type and frequency of disciplines intervening in each case. Comparison was made between the characteristics of the sample and the resource use. The study provided a composite view of the typical patient: Caucasian, literate, low income female, between 70-80 years of age, without family support. No clear linkage between specific characteristics and resource consumption was found; there was a broad range in the numbers of visits made to patients.
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Cabrera, Amparita L. "The role of group activity participation in depression among institutionalized elderly." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/1954.
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The role of group activity participation in depression among a group of residents (N=65), age 80 and older, in a nursing home was examined using the framework of Roy's Adaptation Theory and Nolen-Hoeksema's Response Style Theory of Depression. Roy views depression as a maladaptation. Nolen-Hoeksema views group activity participation as a therapeutic distraction to break depressed moods and thus allow for positive adaptation.
This study utilized data from medical records, group activity attendance, and self-report questionnaires. Demographic distributions were computed and correlational statistics were performed between subjects' participation and their degree of depression, pain experience, functional status, presence of social support, and perception of benefits. Results show a negative correlation between frequency of participation and Geriatric Depression Scale score (GDS). The wide range of measured frequencies among low GDS-scored subjects suggests that less depressed individuals exercise more freedom of choice to participate than those who are more depressed. Significant finding show a positive correlation of group activity participation with functional status in terms of ambulation. Data shows that the experience of pain was not a significant deterrent to participation. The presence of social support from the staff and family did not increase participation. However there is a lesser GDS score among subjects who had recent family/friends visit suggesting a positive role of family in decreasing depression.
These results are significant not only for optimizing group therapeutic effects but also for understanding basic human and environmental correlates of depression. Study limitations are pointed out and recommendations are presented.
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Rantakari, Minna-Kristiina. "Sjuksköterskans smärtidentifiering hos äldre med demenssjukdom." Thesis, Jönköping University, HHJ, Institute of Gerontology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-1234.
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Tramer, Beth A. "Case Study: Geriatric Group Art Therapy in a Nursing Home." Ursuline College / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=urs1210555128.
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Walters, Veronica Jeanne. "Geriatric Patient Satisfaction with Discharge Medication Information." University of Toledo Health Science Campus / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=mco1149002272.
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Anders, Judith E. "Senior Graduating Nursing Students: Career Choices in Gerontological Nursing in Response to Expanding Geriatric Population." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc103285/.
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Access to healthcare is needed and wanted by people of all ages and especially by those of the older population. The number of people in the 65 years of age and older population is rapidly growing with their needs expected to have a significant impact on the existing healthcare system and healthcare providers. The impact will be critical given the severe shortage of healthcare providers, especially of nurses and the rate of services being more often provided in non-hospital settings. The objectives of the study were to discover the plans of graduating nursing students as they choose their first place of employment, if they have future plans to pursue a nursing advance practice degree, and if they are very happy with their decision to become a nurse. Data for the study were obtained from a questionnaire presented to senior graduating nursing students. The findings were: (a) Most students prefer a hospital setting. (b) Younger students are three times as likely to seek out the hospital, and 1/3 of the students seek out the hospital setting because they were encouraged to become a nurse. (c) About 70% of the students want to work with their friends while 1/3 will seek the hospital worksite, as it is perceived as being the strongest resource in paying back loans. (d) Nearly 87% are considering the nursing advance practice role, and 52% have interest in the nurse practitioner role. The majority of students identified as very happy with their decision to become a nurse. This study provided insight for schools of nursing as they make curriculum decisions and to businesses as they learn of the preferences and plans of the new emerging nurses.
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Andrews, Sheila Bernadette. "Skilled nursing facility based rehabilitation outcomes of the geriatric stroke patient." CSUSB ScholarWorks, 1995. https://scholarworks.lib.csusb.edu/etd-project/1000.
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Dinsmore, Kimberly R., and L. Lee Glenn. "Effect Size in Clinical Education Using Standardized Geriatric Patient Simulation." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7456.
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The recommendation by Skinner (2017) that a standardized geriatric patient simulation should be integrated into community health courses was not fully supported by the data and findings. First, in addition to the lack of statistical significance noted by the authors, the effect size was calculated to determine the difference in aging knowledge test scores before and after the simulation and found it was only r = 9.1%, which is low according to Cohen's criteria ( Cohen, 1988 ); therefore, there was not even a trend toward effectiveness in increasing knowledge of aging. Second, in a qualitative component, many of the student participants made positive statements about how much was learned about older adults, but this conflicted with the unimproved knowledge scores. No negative statements were presented. The discrepancy between the quantitative and qualitative findings can be possibly explained by the absence of any methods for assessing the credibility or dependability of the qualitative findings, such as the classic methods of Lincoln and Guba (1985).
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Flint, James A. "Epidemiology of methicillin resistant Staphylococcus aureus in South Australian nursing homes /." Title page, table of contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmf624.pdf.
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Martin, Christine. "The lived experience of the aged care nurse." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1996. https://ro.ecu.edu.au/theses/959.
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The purpose of this phenomenological study was to describe and interpret the common, shared meanings of the experience of aged care nursing from the perspective of the registered nurse working in a nursing home. There are insufficient registered nurses being attracted into aged care, with resulting difficulties in maintaining regular staffing levels in nursing homes. Previous studies conducted in Australia have predominantly used quantitative research methods to investigate various influences QD the recruitment and retention of aged care nurses. These studies do not take into account the practitioners' perceptions of their experience of aged care nursing. A purposive sample of 15 registered nurses was interviewed and the resulting data were analysed using phenomenology to identify thematic structures of the experience of aged care nursing. The NUD.IST qualitative data analysis software package was used as an analysis tool. Significant statements were coded, patterns and relations between categories were identified and the categories were clustered into conceptual, hierarchical themes. Four major themes emerged as being central to the experience of aged care nursing-Gratification, Rapport, Non-productivity and Conflict. While constraints and obstacles to productivity and personal and political conflict may be seen as the negative aspects of aged care, these experiences were relieved by uplifting events described within the framework of resident care and rapport, and collegial support. The nature of aged care nursing is both complex and ambiguous but nurses have readily identified the interwoven threads of the experience. Findings from this study will increase the depth of understanding of aged care nursing and hence contribute to the development of a nursing home environment which enriches the experience of both nurse and resident.
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Reed, J. "All dressed up and nowhere to go : Nursing assessment in geriatric care." Thesis, University of Newcastle Upon Tyne, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.234416.
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Shaw, Fiona E. "Nursing culture, communication rules and job satisfaction in geriatric long stay wards." Thesis, University of Edinburgh, 1990. http://hdl.handle.net/1842/20179.
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An exploratory, descriptive questionnaire survey was conducted in wards providing continuing care for elderly people, to describe nursing staff perceptions of ward culture and its relation to job satisfaction. The study was designed to answer three principal research questions:1. To what extent are management practices in geriatric long stay wards perceived as participative (open) by nursing staff?2. Is the degree of ward openness positively associated with nursing staff levels of job satisfaction?3. Are perceptions of ward openness and levels of job satisfaction related to nursing staff grade? Study participants were recruited from 79 wards in two mainland health boards to provide a stratified random sample of 474 nursing staff, comprising first level nurses, second level nurses and nursing auxiliaries. The study was based on a communication rules approach to understanding organisational culture. Likert's (1961) description of a hypothetical 'participative group' management system, where there was free flow of information, participative decision-making and high job satisfaction levels was used to develop a 30-item 'Communication Rules' questionnaire to assess nursing staff perceptions of management 'openness' in geriatric long stay wards. Quinn and Staines' (1979) Facet Free Job Satisfaction Test was used to assess levels of job satisfaction among ward nursing staff and the relationships between staff grade, perceptions of openness and job satisfaction were explored. Ward members mean 'openness' and mean 'job satisfaction' scores were used to provide simple indices of 'ward openness' and 'ward satisfaction' in order to explore differences among wards. The majority of wards were perceived as open; the score differences between those wards with the highest and those with the lowest openness indices were statistically significant. A positive association was found between ward openness and staff job satisfaction. Further, ratings of openness and levels of job satisfaction correlated positively with respondents' reports in the frequency of 'good days', negatively with 'bad days'. Openness ratings and levels of job satisfaction were also associated with nursing staff grade. Through advances in organisation theory that include 'culture' concepts, the 'communication rules approach' provided new insights about nursing staff perceptions of ward openness and its relation to levels of job satisfaction. Further, in-depth research on the relationship between ward openness and nursing staff job satisfaction is recommended. The implications of the study for information sharing, decision-making, change management, education and nursing practice are considered. It is recommended that the findings should be used to guide future approaches to nursing management and skill development in the nursing care of elderly people in long stay wards.
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Bergeron, Carole Hersey. "Nurses' experience of leadership in assisted living a situational analysis /." [Yellow Springs, Ohio] : Antioch University, 2008. http://www.ohiolink.edu/etd/send-pdf.cgi/Bergeron%20Carole%20H.pdf?acc_num=antioch1209080819.
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Thesis (Ph.D.)--Antioch University, 2008.<br>Title from PDF t.p. (viewed Apr. 29, 2008). Advisor: Elizabeth Holloway, PhD. "Submitted to the Ph.D. in Leadership & Change Program of Antioch University in partial fulfillment of the requirements for the degree of Doctor of Philosophy January 2008."--from the title page. Keywords: nursing, leadership, assisted living, situational analysis, grounded theory. Includes bibliographical references (p. 192-206).
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Weierbach, Florence M. "Panel III, Care Giving Daily Care, Services, Solutions and Economics." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7372.
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Diggle-Fox, B. Suzy. "A comparison of two teaching strategies on nursing students' knowledge and self-efficacy regarding their geriatric nursing care." Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3606856.
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<p> The purpose of this study was to examine the effectiveness of the most frequently utilized teaching strategy of lecturing followed by discussion and to compare it with lecturing followed by role playing to determine how to best prepare nursing students both in terms of knowledge and self-efficacy. The primary goal of the study was to learn how to educate nursing students who will be better prepared to meet societal needs by learning to become confident, knowledgeable, and therefore competent healthcare providers. The study revealed there was not a statistically significant relationship between type of teaching strategy to which the students were exposed and either of the final self-efficacy or knowledge posttest scores of the students. This was true even after controlling for pretest scores as well as for any other potentially influential demographic variables. There were significant increases in both the knowledge and self-efficacy scores of the students for both of the teaching strategy groups. Three associate nursing programs were utilized and all the participants completed two pretests and two posttests, one for self-efficacy and one for knowledge, related to geriatric care. Analysis of covariance was utilized because significant extraneous variables were considered in this quantitative nonrandomized quasiexperiment. For example, the number of years of college education was not a significant predictor of pretest or posttest scores. Demographic data were analyzed in this study to investigate if they affected the results in any way. The study revealed that an individual's age, school, and exposure to geriatric care in a work environment were related to pretest knowledge scores. In addition, self-efficacy posttest scores were not different according to the research groups, even after adjusting for any potential demographic or pretest influences. Both of the research groups increased their knowledge and self-efficacy tests significantly even after adjusting for any potential demographic and pretest influences. The study revealed the pretest scores were predictors of the posttest scores.</p>
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Hast, Angelica, and Ann Björkas. "Äldre patienters upplevelser av vården på en geriatrisk vårdavdelning : En intervjustudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-304329.
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Bakgrund: Svensk statistik tyder på att antalet multisjuka äldre kommer att öka. Hälso- och sjukvårdslagen stadgar att vården skall vara av god kvalitet och tillgodose patienternas behov av trygghet. I dagens samhälle föreligger en risk att äldre människor utsätts för ålderism, vilken kan påverka vårdens kvalitet och orsaka ett lidande för de äldre patienterna. Syfte: Att beskriva äldre patienters upplevelser av vården på en geriatrisk vårdavdelning i Mellansverige. Metod: Latent kvalitativ innehållsanalys av tolv semistrukturerade intervjuer. Resultat: Resultatet utgörs av två teman och sju subteman. Temat Upplevelser av att få en god vård beskriver att de äldre patienterna upplevde sig få en vårdande miljö samt att vårdpersonalen fungerade som en hälsoresurs vilket kunde gynna patienternas välbefinnande. Temat belyser att ett gott bemötande och att få bli sedd som en person resulterade i positiva känslor samt att delaktighet och självbestämmande var viktiga faktorer. Temat Upplevelser av att få en bristande vård beskriver att upplevelser av en otrygg omgivning och avsaknad av sjukdomshänsyntagande, bristande bemötande och kunskap samt att inte få en personcentrerad vård resulterade i negativa känslor. Slutsatser: Resultatet visar att det förekommer både positiva och negativa upplevelser av vården på avdelningen. Att de äldre patienterna upplever brister i vården uppmärksammar att det finns en risk för att ålderism existerar och påverkar vårdens kvalitet. Examensarbetet kan tillföra kunskap om och förståelse för hur äldre patienter upplever vården, vilket kan bidra till bättre förutsättningar för en god vårdupplevelse.<br>Background: Swedish statistics indicate that there will be an increase in the number of elderly with multiple illnesses. The Health Care Act stipulates that the care provided must be of good quality and meet the patients’ needs for security. In today's society there is a risk that older people are subjected to ageism, which can affect the quality of healthcare and expose the older patients to conditions of suffering. Aim: To describe older patients’ experiences of healthcare at a geriatric ward in central Sweden. Methods: A latent qualitative content analysis of twelve semi-structured interviews. Results: The results consist of two themes and seven subthemes. The theme Experiences of getting good health care describes that when older patients experienced a nurturing environment and the caregivers worked as a health resource, it could benefit the patients’ wellbeing. The theme emphasizes that encountering a good reception and being aknowledged as a person resulted in positive emotions, and that participation in the care process and self-determination were key factors. The theme Experiences of receiving a lack of care describes that the experience of an unsafe environment, actual diseases not being taken into account, lack of treatment and knowledge, as well as being denied person-centered care, resulted in negative emotions. Conclusions: The results indicate that both positive and negative resposnses concerning the care at the ward are experienced. The older patients who experience deficiencies in healthcare, recognize that there is a risk that ageism exists, which may affect the quality of care. The thesis provides knowledge and understanding of how older patients experience healthcare which can contribute to better conditions for the patients, in order for them to experience good healthcare.
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Berg, Isak, and Evelina Krantz. "Det dagliga våldet: en påverkan på relation och arbetssituation : Sekundäranalys av en kvalitativ intervjustudie." Thesis, Umeå universitet, Institutionen för omvårdnad, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-183953.
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Bakgrund: Aggression mot vårdare är ett bestående problem inom vården. Vid vård- ochomsorgboende har var femte vårdare utsatts för hot och våld av brukarna. En vanlig orsaktill aggressivt beteende är en bakomliggande kognitiv svikt, vilket är vanligt förekommandeinom äldrevården. Syfte: Studiens syfte var att belysa vårdares erfarenhet att vårda aggressiva brukare ochhur det påverkar bemötandet. Metod: En sekundäranalys genomfördes baserat på semistrukturerade interjuver med 20vuxna kvinnor, anställda på sjukhem som varit exponerade för en våldsam situation. Enkvalitativ innehållsanalys med en induktiv ansats nyttjades. Resultat: Analysen av intervjuerna resulterade i fyra huvudkategorier: Försöka hanteravåldet, Bli ursäktande, Resignera och Vända sig till arbetsgruppen. Resultatet visade attvårdarna skapade egna uppfattningar om brukarnas beteenden och spred dessa tillarbetsgruppen. Dessa uppfattningar lede till formulerandet av avdelningsnormer kring hurspecifika brukare skulle hanteras och bemötas. Vårdarna hade vant sig med brukarnasaggression, således hade våldet normaliserats. Konklusion: Betydelsen av att kontinuerligt exponeras för aggressivt beteende kanpotentiellt leda till att vårdarna utvecklar compassion fatigue till brukaren och yrket samtnegligerar brukarnas psykosociala behov. När dessa interjuver genomfördes varpersoncentread vård inte den vedertagna normen, men ur ett historiskt perspektiv kan detmöjligen skådas en framväxt av detta tankesätt.<br>Background: Aggression against caregivers is a persistent problem within the healthcare. Especially regarding care and nursing homes, with one out five employees having beenexposed to threats and violence from residents. A common underlaying cause foraggressive behaviour is the presence of cognitive impairment, commonly present innursing homes. Aim: of the study was to illustrate caregivers experience to care foraggressive residents and how it effects encounters. Method: A secondary analysis was conducted based upon semi structured interviews with20 adult women, employed at a nursing home and having been exposed to a violentsituation. A qualitative content analysis with an inductive approach was used. Results: Analysis of the interviews produced four main categories: Attempting to managethe violence, Excusing, Compile and Discussion with colleagues. It was found thatcaregivers possessed interpersonal perceptions about residents, which were shared amongand between colleagues. In turn this led to formation of norms and conducts concerningcertain residents. Caregivers had grown accustomed to the aggressive behaviour, thusnormalizing the violence. Conclusion: The effect of prolonged exposure to aggressive behaviour could potentiallyresult in development of compassion fatigue and neglect towards residents.Retrospectively the historic emergence of person-centred care could possibly be observedin the data.
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Hagerty, Marylyn A. "Fall Reduction Among the Geriatric Population in Assisted Living Facilities." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5626.
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Incidents of falls among the elderly increase with age. About $31 million is spent annually in the United States on medical costs related to fall injuries in the elderly. This project evaluated the outcomes of a fall reduction program implemented in an assisted living facility (ALF). The Stop Elderly Accidents, Death & Injury program developed by the Centers for Disease Control and Prevention was implemented by the ALF for 60 days prior to the outcome evaluation project. The program included a convenience sample of 62 residents and involved medication evaluation, exercises, assistive devices, environmental risk reduction, and evaluation of blood pressure. Bandura's theory on self-efficacy was applied in guiding the implementation process. The practice-focused question compared the fall rate among the ALF's elderly residents during the 30-day period following implementation of the program, and the previous 12months. The fall rates were analyzed with descriptive statistics. Results showed the preintervention fall rate was 6.6 falls per month, while at the end of the 30-day postimplementation period, that rate was reduced by 39.4% to 4 falls per month. The conclusion of this outcome-evaluation project is that falls among the elderly in the ALF can be reduced with evidence-based programs. The recommendation is that ALFs should have fall reduction programs, thereby avoiding unnecessary complications of falls among elderly residents. Implications for nursing practice include improved understanding of falls as a safety issue for ALF residents and the need for nurse practitioners to take a more active role as advocates for fall prevention programs in ALFs. The positive societal change produced is improved safety and reduction in fall injuries among the elderly in assisted living facilities.
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Tran, Michael. "Factors associated with postoperative delirium in the geriatric population : implications for nursing intervention." Honors in the Major Thesis, University of Central Florida, 2001. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/306.
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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.<br>Bachelors<br>Health and Public Affairs<br>Nursing
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Chang, Hui-Chen. "Evidence-based practice in nursing homes a study of Taiwanese nurses' and nursing managers' perceptions /." Connect to full text, 2008. http://hdl.handle.net/2123/3572.
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Thesis (Ph. D.)--University of Sydney, 2008.<br>Title from title screen (viewed 11 February 2009). Includes tables and questionnaires. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the School of Behavioural and Community Health Sciences, Faculty of Health Sciences. Includes bibliographical references. Also available in print form.
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Weierbach, Florence M. "Testing an Innovative Model of Caregiver Health." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7398.
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Weierbach, Florence M. "Facilitator for Quarterly in Service Focusing on Health of Paraprofessional Caregiver and Client Bondaries." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7403.
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Weierbach, Florence M. "Changes and Contributors to Caregiver’s Health." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7404.
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Weierbach, Florence M. "Health Caregivers Workshop." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7405.
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Weierbach, Florence M. "Caregiver Support Group Facilitator." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7406.
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Obeng, Gladys K. "Reducing the Symptoms of Depression among Geriatric Population Using Walking Activity." Thesis, Brandman University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=13424583.
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<p> Depression among the elderly is a significant concern due to the limited evidence-based treatment options and its overall global burden. Walking activity as a form of physical activity serves as an evidence-based intervention in addressing the issue of depression among the elderly. The depression level among elderly patients was examined (n = 17, Mage = 68.71, SD = 3.04) before walking activity using the Geriatric Depression Scale (GDS) – 15 questionnaire version. Thirty minutes of a bi-weekly walking activity was implemented for eight weeks followed by the depression level measured using the GDS-15. There were statistically significant differences across the variables before walking activity (Mbefore = 7.71, Sbefore = 1.53) and after walking activity (Mafter = 6.59, Safter = 1.58, P = .00) determined through the utilization of the Statistical Package for Social Sciences (SPSS) version 24. The finding supports the consistent usage of walking activity in reducing the symptoms of depression consequently decreasing mortality and morbidity rate, reducing healthcare expenditure as well as addressing the overall depression related public health concerns. </p><p>
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Chan, Pui-yan, and 陳培欣. "An evidence-based guideline of skin care management for older adults with incontinence-associated dermatitis." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193038.
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Background Incontinence-associated dermatitis (IAD) is a common and preventable condition in older adults with incontinence. People suffering from IAD are usually disdained by individuals, professionals, policy makers, caregivers, and communities. To date, a standard guideline on IAD management is still lacking in Hong Kong. Thus, it is important to develop an evidence-based incontinence-associated guideline for older adults with incontinence in Hong Kong.
Objectives This thesis aims to identify the best available evidence for skin care management for people suffering from IAD and to develop an evidence-based practice guideline to reduce the incidence of IAD.
Methods
Review of literature related to the management of IAD was performed on electronic database according to the inclusion and exclusion criteria. The inclusion criteria included randomized controlled trials and quasi-experiments. In addition, the studies should be in English and should contain the full text. The target participants should be patients aged 60 or above who are suffering from urinary, fecal, or double incontinence and are using diapers. Participants should include cognitively impaired patients, as well as those experiencing skin redness or injury at the perineal or thigh area resulting from incontinence. All non-medical regimens, skin care products, and absorbent diapers or pads designed for managing incontinence related to skin breakdown in older adults with incontinence were also included. The quality of the literatures was assessed according to the checklist provided by the Scottish Intercollegiate Guidelines Network (SIGN) (2011), and the data obtained from the reviewed papers were extracted and summarized in eight tables of evidence. Then, an IAD skin care management guideline was developed based on these pieces of evidence. The transferability, the feasibility, and the cost-benefit ratio of implementing the proposed IAD skin care management guideline were assessed. In addition, the communication plan, the evaluation plan, and the pilot study of the proposed guideline were included in this thesis.
Results The proposed IAD skin care management guideline is a structured skin care management program for older adults with incontinence. With the help of the proposed guideline, registered nurses could provide a standard IAD skin care program based on best available evidence. Moreover, reviewed studies show that the IAD severity score, which is used to evaluate the prevalence of IAD, can be reduced by 47 % by implementing the proposed guideline.
In addition, a systematic communication plan with stakeholders, an evaluation plan, and a pilot study were designed to examine the feasibility and the transferability of the proposed guideline. Patient outcome is the main outcome measure, and this measure is directly related to the IAD severity score. In this study, the IAD severity score was reduced, indicating that the proposed IAD skin care management program is effective, feasible, and cost-effective in the local setting.
Conclusion The proposed skin care management guideline for caring for older adults with IAD was developed based on best available evidence. The prevalence of IAD is expected to be reduced after the implementation of this guideline.<br>published_or_final_version<br>Nursing Studies<br>Master<br>Master of Nursing
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Smolen-Hetzel, Ann. "Geropsychiatric Nursing Staff: The Role of Empowerment, Geriatric Caregiving Self-efficacy, and Emotional Labor at Work." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2288.
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The current research examined the influence of the emotional labor strategies of faking emotion and suppression of emotion, empowerment, and geriatric caregiving self-efficacy on the relationship between work stress and emotional exhaustion—one dimension of burnout—for a sample of nursing staff members employed in a state-level geriatric psychiatric hospital. The total sample included 79 participants, which included registered nurses (n = 15), licensed practical nurses (n = 23) , and human service care workers (n = 41) who completed the Stress in General scale (Stanton, Balzer, Smith, Parra, & Ironson, 2001), Maslach Burnout Inventory (Human Services Survey; Maslach, Jackson & Leiter, 1996), Discrete Emotions Emotional Labor Scale (Glomb & Tews, 2004), Psychological Empowerment Scale (Spreitzer, 1995), and Geriatric Nursing Self-efficacy Scale (Mackenzie & Peragine, 2003). The mean emotional exhaustion score for the sample fell in the moderate range of burnout. First, it was hypothesized that work stress and emotional labor strategies (i.e., faking emotion and suppression of emotion) would have positive relationships with the burnout domain of emotional exhaustion while empowerment and geriatric caregiving self-efficacy would have negative relationships with this outcome. Next, a series of regression analyses tested emotional labor (i.e., faking emotion and suppression of emotion), empowerment, and geriatric caregiving self-efficacy as moderators for the relationship between stress and burnout. Results indicated that study variables were all related to emotional exhaustion in the expected direction, although several relationships fell short of statistical significance. In addition, emotional labor was a significant predictor of emotional exhaustion, with suppression of emotion playing a larger role. There was no support for the potential moderating role of emotional labor or empowerment on the relationship between work stress and burnout. However, geriatric caregiving self-efficacy was a significant moderator of this relationship. More specifically, when staff reported high work stress, those who had low self-efficacy experienced the highest emotional exhaustion values. However, when self-efficacy was high for this group, their emotional exhaustion scores decreased. For this sample, higher levels of self-efficacy appeared to play a protective role from experiencing more emotional exhaustion when in a high stress condition.
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Maalouf, Elizabeth W. "Assessment of the knowledge and attitudes of nurses caring for patients with Alzheimer's disease / by Elizabeth W. Maalouf." Access Digital Full Text version, 1995. http://pocketknowledge.tc.columbia.edu/home.php/bybib/11751095.
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Thesis (Ed.D.)--Teachers College, Columbia University, 1995.<br>Includes tables. Typescript; issued also on microfilm. Sponsor: Barbara Wallace. Dissertation Committee: Marie O'Toole. Includes bibliographical references (leaves 95-103).
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Terriquez-Kasey, Laura. "Disaster preparedness education program for elders in the community| The geriatric passport project." Thesis, State University of New York at Binghamton, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3713647.
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<p> Over the last half a century, the frequency and intensity of tornados, floods, and other severe weather events have underscored the need for disaster preparedness, particularly for older adults. Functional limitations, cognitive decline, and medical comorbidities such as heart disease and diabetes create additional vulnerabilities, regardless of the type of disaster. Still, elders are capable of self-identifying needs and can be empowered to prepare communication plans, assemble disaster kits, and learn how to respond to threats posed by specific disasters. By increasing the level of disaster preparedness through training, many of the health problems faced by elders during a disaster could be alleviated and their overall response improved. Yet despite their abilities and the known benefits of disaster preparedness, disaster education and planning for elders has not been widely implemented.</p><p> The purpose of the Geriatric Passport Project was to increase the level of disaster preparedness through implementation of a disaster education program among community-dwelling older adults over the age of 55. Recruitment strategies included media, engaging key staff from program sites, and word of mouth. </p><p> The project used a pre-post reflexive control design. Knowledge about the elements to include in a disaster communication plan increased as did knowledge about items to include in a disaster kit. Notably, self-rated level of stress associated with evacuation to a shelter remained unchanged. Most importantly, the perceived level of disaster preparedness increased, suggesting that those who participated in the Geriatric Passport Project felt more prepared to respond to a disaster as a result of having attended the disaster education program.</p><p> The Geriatric Passport Project appears to have beneficial effects and the success of the pilot project supports exploring the feasibility of expanding the program to a wider geographic region and conducting a more rigorous evaluation of program effectiveness, efficacy, and efficiency.</p>
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Willis, Melissa Ann. "Literature Review for the Non-pharmacological Treatment of Geriatric Depression." Kent State University Honors College / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1463052971.
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Weierbach, Florence M. "Determinants of Health for Rural Caregivers." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7374.
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Weierbach, Florence M. "A Model of Health for Family Caregivers." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7386.
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Fort, Fachecia L. "Type 2 Diabetes Management for Geriatric Veterans." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5462.
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Managing diabetes in the geriatric long-term care population can be challenging, yet important because diabetes is a chronic, progressive disease. The purpose of this project was to identify clinical practice guidelines for managing Type 2 diabetes in geriatric veterans and to develop a class to educate providers on diabetes management in the geriatric long-term care population at a community living and rehabilitation center. The practice focused question asked if providing education to providers about the clinical practice guidelines for managing Type 2 diabetes in geriatric long-term care veterans would improve knowledge as measured by a pre- and posttest. The project was based on the stage theory of organizational change and focused on the goal of improving diabetes management in the long-term care geriatric population by using clinical practice guidelines. The American Medical Directors Association's and Diabetes Association's updated clinical practice guidelines and systematic review literature on diabetes provided the evidence to support the educational project. A pretest, posttest, and summative evaluation were used to evaluate the project. A paired t test was used to compare the pretest and posttest scores for all participants. Posttest results showed a significant improvement in provider knowledge compared to pretest scores (t = -4.416, df = 12, p < .01). Participant evaluation of the program showed that the goals and objectives were met, content was understandable, and presentation was professional. The findings of the project may be beneficial at the organizational level to promote positive social change by improved management of diabetes in the geriatric long-term care population, thus potentially decreasing unwanted side effects and improving geriatric veteran health.
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McDaniel, Vivienne. "Enhancing the Nurse Aide Student's Knowledge of Evidence-Based Geriatric Care Practices." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5903.
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Certified nurse aides provide approximately 65% of care to more than 1.4 million older adults residing in nursing homes who have been diagnosed with 1 or more chronic illnesses or debilitating conditions. Licensed nurses rely on nurse aides to report potentially harmful status changes in geriatric residents. Nurse aides often receive limited education and do not have a structured care process to guide them in their practice in the geriatric population. The purpose of this educational quality improvement project was to develop a geriatric-specific nurse aide care process to increase the knowledge of student nurse aides regarding processes to identify and observe potentially harmful status changes in geriatric residents, and what changes to report immediately to a licensed nurse. The knowledge-to-action model was used to address the practice problem and to guide the translation of this evidence-based project into practice. The methodology used to guide data collection and analysis was a 1-group, quasi experimental, pretest/posttest design to compare participants' knowledge before the intervention with their learning outcomes after the educational intervention was implemented. The findings revealed an increase in the knowledge of student nurse aides after the educational intervention. The project may promote social change on an organizational level by demonstrating the need for a structured geriatric care process for nurse aides prior to their entry into the long-term care workforce to improve care outcomes for geriatric residents. The project may involve social change at the state level because incorporating this process may require additional hours in the nurse aide education program curriculum.
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Buck, Harleah G. "The Geriatric Cancer Experience in End of Life: Model Adaptation and Testing." [Tampa, Fla.] : University of South Florida, 2008. http://purl.fcla.edu/usf/dc/et/SFE0002305.
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Hines, Beverly Bass. "Caregivers' preferences for institutional information and support during the geriatric long-term admission process." Thesis, Virginia Tech, 1987. http://hdl.handle.net/10919/45768.
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<p>The focus of this study was to determine what types of
information and support families wanted at the time they admitted a
relative to a long-term care facility. Twenty families were interviewed
by telephone, including both the primary caregiver and, where
appropriate caregiving family members. It was found that half of
the families felt they wanted no additional information or support
than they had received, and that they were basically satisfied with
the facility's admission process. The majority of the families felt
that the institution also encouraged their continued involvement
with their relatives after admission.</p>
<p>
The results suggest that researchers and practitioners need to
be aware, however, that the admission process if often a stressful
time, and that family members may be so involved in making long-term
care arrangements that they do not focus on their own needs, but
only on those of the elderly patient. Support services and information should be provided on an individual basis, considering such
factors as whether the caregiver is employed full-time and the distance the caregiver lives from the facility.</p><br>Master of Science
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Antenucci, Carla Frances. "Effects of Nursing Students’ Emotion-Related Motivations to Care for Geriatric Patients of Varying Weights." Xavier University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=xavier15564579537607.
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Ruler, Amanda Jane. "Culture of nursing homes : an ethnomethodological study /." Title page, contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09PH/09phr935.pdf.
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Chang, Hui-Chen. "Evidence-based practice in nursing homes." Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/3572.
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Aim and significance: The aim of this research was to investigate how evidence-based practice (EBP) in nursing homes is understood in the context of Taiwan, a non-Western country. There is a growing movement towards using research evidence to inform practice in the nursing profession with variable success. To date, factors that promote or inhibit implementation of EBP in health care have been investigated through research conducted in hospital settings in Western countries. Remarkably little is known about nurses’ experience and perceptions of EBP in residential aged care facilities (RACFs), especially in non-Western countries. Method: The study adopted a mixed method approach. Subjects were recruited from six nursing homes in the Hsinchu district of Taiwan. In Stage 1, 89 registered nurses completed a comprehensive questionnaire specifically developed for this project. It was designed to elicit information about (1) their experience of and attitudes towards research and EBP; (2) the barriers they perceive to its implementation; and (3) what strategies they believe would enhance its implementation in the nursing home setting. In Stage 2, six nursing managers participated in semi-structured in-depth interviews that explored the same topic areas as those in the questionnaire but used an open-ended format which allowed for new themes to emerge. Findings: The majority of nurses and nursing managers expressed positive attitudes towards research and EBP but reported relatively little experience in its implementation. Nurses relied most heavily on knowledge derived from past experience and on interactions with nursing colleagues, medical staff and patients to inform their clinical practice. They identified the main barriers to EBP as: insufficient authority to change practice, their own lack of research knowledge and insufficient time to implement new ideas in the workplace. They believed EBP would be facilitated by: improved access to computers and internet facilities in the workplace; more effective research training; collaboration with academics; and dedicated time to search for and read research articles. As anticipated, nurses viewed the issues from a practical stance in relation to their own time, resources and lack of authority to effect change. Nursing managers expressed similar views to the nurses in relation to attitudes towards EBP implementation. However, they identified barriers which related to aspects of the organizational framework. In particular, they expressed concerns about issues such as budgetary constraints, staff quality (notably the reliance on minimally trained assistants in nursing (AINs) for direct resident care), as well as factors that reflected the wider political and economic context of health care in Taiwan. Conclusion: The findings of this study have implications for research, policy and practice in both Western and non-Western countries. Further research on EBP would be beneficial if conducted in settings other than hospitals, such as RACFs. There remains also the need to examine the potential for EBP in different social-cultural contexts, such as those in non-Western countries. Nursing managers have generally been excluded in previous research but, because of their particular role, there is a need to examine their perspectives of EBP and then compare these with those of the nurses. In Taiwan specifically, policy change is needed at both government and institutional levels to encourage and support the development of protocols and procedures for the implementation of EBP. If EBP was a government requirement for accreditation and a standard for protocols in hospitals and RACFs, it would lead to improved standards of care and cost effectiveness. This study supports the findings of a number of investigations conducted in Western countries which indicate that further education and training in research for nurses may lead to higher standards of patient care, greater job satisfaction and higher staff retention rates.
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Azad, Avesa, and Nadia Al-Nasser. "Äldres upplevelse av depression : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-6481.
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Bakgrund: Psykisk ohälsa är en av Sveriges största folksjukdomar och 20 procent av befolkningen över 65 år är drabbade. Då antalet äldre kommer att öka i och med att medellivslängden ökar kommer även antalet personer med depression följa utvecklingen. Uppkomsten av depression hos äldre kan både ha biologiska och sociala faktorer. Att sätta rätt diagnos på gruppen äldre kan vara svårt då ändrad sinnesstämning ibland misstas för tecken på åldrande. Syfte: Att beskriva äldres upplevelse av att leva med depression. Metod: I litteraturöversikten användes tio vetenskapliga studier som analyserades enligt Fribergs metod. Åtta av de utvalda artiklarna var kvalitativa studier, en artikel var med metaanalys metod och en artikel var med mixad metod. Databaser som användes för sökning av vetenskapliga artiklar var CINAHL Complete och PubMed. Resultat: Resultatet har analyserats och presenterats utifrån Katie Erikssons omvårdnadsteori. Två huvudteman utformades livslidande med underteman ensamhet, hopplöshet, skam och sjukdomslidande med undertemat kroppsligt lidande. Diskussion: De två huvudfynden ensamhet och skam har diskuterats utifrån Karin Dahlbergs teori för att få djupare förståelse av resultatet. Vikten av sjuksköterskans roll lyfts fram av författarna då ett bättre bemötande och ökad kunskap leder till snabbare tillfrisknande för äldre.<br>Background:Mental health is one of the Swedish largest major diseases and 20 percent of the population over 65 years are suffering. As the number of elderly will increase as well life expectancy increases, the number of people with depression will also follow the developments. The arise of depression in the elderly can have both biological and social factors. Putting the right diagnosis to the elderly group can be difficult as a change of state of mind is sometimes mistaken for signs of aging. Aim: To describe elderly's experience of living with depression. Method: In this literature review, ten scientific studies were used and analyzed and preformed according to Friberg’s method. Eight of the selected articles were qualitative studies, one article was using meta-analysis method and one article was by mixed method. Databases used for the search of scientific articles were CINAHL Complete and PubMed. Results: The result have analyzed and presented based on Katie Eriksson's nursing theory. Two main theme were designed, the first theme life suffering with subthemes loneliness, hopelessness and shame. The second main theme is suffering from illness with subthemes the physical suffering. Discussion:The main findings loneliness and shame are discussed based on Karin Dahlberg's theory of caring, to gain a deeper understanding of the result. The importance of the nurse's role is emphasize by the authors, since better treatment and increased knowledge lead to faster recovery for the elderly.
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Weierbach, Florence M. "Relationships Between Rural Family Caregiver Health and Health Promotion Activities." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7400.
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Weierbach, Florence M. "Who Provides Care in the Home for the Tri-State Area Elderly: Sn Assessment of Informal Family Caregiver’s Perception of Health?" Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7401.
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Daugherty, Julie A. "The Relationship between Hearing Status and Cognitive Performance and the Influence of Depressive Symptoms in the Older Adult." Scholar Commons, 2015. https://scholarcommons.usf.edu/etd/5467.
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Hearing loss and cognitive impairment are significant health problems, threatening the independent function of older adults. While there appears to be a strong relationship between the two conditions, the mechanisms underlying this association are complex and are not fully elucidated.
The purpose of this secondary analysis was to explore the relationship between hearing ability and cognitive performance in older adults. In addition, this study attempted to examine the role of depressive symptoms in the relationship between hearing loss and cognitive performance. Comprehensive measures of peripheral hearing, central auditory processing and cognitive performance were utilized to examine these relationships in a sample (N = 30) of adults aged 60 years and older. The Geriatric Depression Scale (GDS) was used to assess depressive symptoms.
Correlational analyses revealed a statistically significant relationship between central auditory processing and executive function. Statistically significant relationships were also observed between speed of processing and peripheral hearing as well as central auditory processing. No significant relationships were noted between depressive symptoms, hearing acuity and cognitive performance. While the correlation coefficients (r) for several of the hearing and cognitive performance measures were not statistically significant, medium effect sizes were detected, suggesting a moderate association may exist between these variables.
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Nelson, Mira Kirk. "Relationship of home health nurses' attitudes toward the elderly and nursing care effectiveness /." Access abstract and link to full text, 1985. http://0-wwwlib.umi.com.library.utulsa.edu/dissertations/fullcit/8510837.
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Cohen, Lynne. "Attitudes of nurses to palliative care in nursing homes in the Perth metropolitan region." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1179.
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Zanna and Rempel (1988) have proposed that attitudes are a summary evaluation of an attitude object based on three classes of information, namely: cognitive information, affective information and behavioural information. This model has mainly been tested in the social groups and social policies area investigating two classes of information: cognitive and affective, and therefore there is a need for research to test the validity of this model in other areas. The present study applies the model to the area of palliative care in nursing homes. 76 directors of nursing, 76 clinical nurse specialists, and 76 nursing assistants working in nursing homes, completed a questionnaire in which they were asked (a) to make an evaluation of their overall attitude on a 7-point semantic differential scale, (b) to write down their own beliefs and (c) affects in response to the attitude object "palliative care in nursing homes" and then rate these beliefs and affects on a 7-point Likert Scale (d) to answer 18 factual knowledge questions about palliative care, and (e) to supply some demographic information. The results indicated that cognitive and affective information significantly and independently predicted the attitudes of nurses to palliative care in nursing homes.