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https://read.qxmd.com/read/36763464/the-state-of-acute-care-postgraduate-training-faculty-observations
#21
JOURNAL ARTICLE
Carolina D Tennyson, Leon L Chen
The benefits to postgraduate training programs (PTPs) for nurse practitioners (NPs) in all populations are being well established in the literature. As health care systems and teams evolve, acute care NPs (neonatal, pediatric, and adult-gerontology) are providing more specialized care to increasingly complex patients. As educators and clinicians, we recognize that acute care PTPs are playing an important role in preparing NPs to work to the top of their scope and training. This article provides our perspectives on the merits of PTPs for adult-gerontology acute care NPs and provides guidance for counseling NPs who are interested in acute care PTPs...
February 1, 2023: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/36738162/the-association-between-primary-care-practices-structural-capabilities-and-hospitalizations-among-persons-living-with-dementia
#22
JOURNAL ARTICLE
Vaneh E Hovsepian, Tatiana Sadak, Amelia E Schlak, Jianfang Liu, Lusine Poghosyan
Background: Persons living with dementia (PLWD) are more likely to be hospitalized than individuals without dementia. Little is known about key features (i.e., structural capabilities) in primary care practices where PLWD receive care. This study assessed the relationship between structural capabilities (i.e., care coordination, community integration, and reminder systems) and hospitalizations among PLWD. Methods: We conducted a secondary analysis of cross-sectional data from 5001 PLWD in 192 practices and used three datasets: nurse practitioner surveys, Medicare claims, and Minimum Data Set...
February 4, 2023: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/36565605/deprescribing-for-older-people-living-in-residential-aged-care-facilities-pharmacist-recommendations-doctor-acceptance-and-implementation
#23
JOURNAL ARTICLE
Hui Wen Quek, Christopher Etherton-Beer, Amy Page, Andrew J McLachlan, Sarita Y Lo, Vasi Naganathan, Leanne Kearney, Sarah N Hilmer, Tracy Comans, Derelie Mangin, Richard I Lindley, Kathleen Potter
BACKGROUND: Deprescribing is an intervention to address the high prevalence of inappropriate polypharmacy in older people living in residential aged care facilities (RACFs). Many deprescribing interventions are complex and involve several stages including initial pharmacist recommendation, subsequent acceptance of the recommendations by a prescriber and the patient, and then actual implementation. OBJECTIVES: This study aimed to investigate pharmacist deprescribing recommendations for residents within RACFs, general practitioner (GP) acceptance, and the actual implementation of the accepted recommendations at 12-month...
December 19, 2022: Archives of Gerontology and Geriatrics
https://read.qxmd.com/read/36537933/integrated-primary-memory-care-clinic
#24
JOURNAL ARTICLE
Carolyn K Clevenger
BACKGROUND: The Integrated Memory Care Clinic (IMCC) is a model of care for people living with dementia directed by advanced practice registered nurses. The post-diagnosis model incorporates the expertise of nursing, social work and nurse practitioners certified in gerontology, palliative care and/or geriatric psychiatry. METHOD: The Clinic nurse practitioners provide comprehensive and coordinated primary care for dementia and other stable chronic conditions and episodic care for minor acute illnesses...
December 2022: Alzheimer's & Dementia: the Journal of the Alzheimer's Association
https://read.qxmd.com/read/36214736/the-relationship-between-dual-filial-piety-and-caregiver-burden-among-arab-family-caregivers-in-israel
#25
JOURNAL ARTICLE
Rabia Khalaila
The current study examined the association between dual filial piety (FP) (reciprocal and authoritarian) and caregiver burden in adult children caregivers and attempted to understand the underlying mechanisms of these links. A cross-sectional study of 222 family caregivers of older relatives in an Arab community in Israel was performed. Data were collected via face-to-face interviews in Arabic using structured questionnaires. Bootstrapping with resampling strategies tested the multiple mediator model. Reciprocal and authoritarian components of FP were associated negatively with caregiver burden...
October 10, 2022: Research in Gerontological Nursing
https://read.qxmd.com/read/36169296/occupational-therapy-practitioner-perspectives-of-the-role-of-caregivers-in-video-telehealth
#26
JOURNAL ARTICLE
Megan E Gately, Dylan Waller, Emily E Metcalf, Lauren R Moo
The current article examines the role of caregivers to support patient participation in video telehealth, using data from interviews with occupational therapy practitioners at Veterans Health Administration. We found that caregiver participation allowed patients who might otherwise not be able to access video telehealth to do so, with patient factors, such as low technical literacy, contributing to caregiver involvement. In addition, caregiver participation varied by type of task performed. There were also benefits and barriers to caregiver participation...
October 2022: Journal of Gerontological Nursing
https://read.qxmd.com/read/36113012/-please-don-t-forget-us-a-descriptive-qualitative-study-of-caregivers-of-older-adults-with-alzheimer-s-disease-and-related-dementias-during-the-covid-19-pandemic
#27
JOURNAL ARTICLE
Kathy C Richards, Kavita Radhakrishnan, Katherine Carroll Britt, Andrea Vanags-Louredo, Eunice Park, Nalaka S Gooneratne, Liam Fry
The current descriptive qualitative study explored the perceived impact of the coronavirus disease 2019 pandemic on sleep disturbances and nighttime agitation; the reported use of antipsychotics and other sedating medications; and the overall well-being of older adults with Alzheimer's disease and related dementias (ADRD) and their caregivers. One investigator conducted in-depth, phone interviews with caregivers of nursing home residents with ADRD (four family caregivers [FCs], three nurse practitioners [NPs]) and seven FCs of older adults with ADRD who lived with them at home...
September 2022: Research in Gerontological Nursing
https://read.qxmd.com/read/35914083/reducing-hospitalizations-among-nursing-facility-residents-policy-environment-and-suggestions-for-the-future-in-seven-states
#28
JOURNAL ARTICLE
Denise A Tyler, Cleanthe Kordomenos, Melvin J Ingber
The current study examined the policy and market context existing in the seven states where the Centers for Medicare & Medicaid Services (CMS) Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents took place. Stakeholder organizations with knowledge of the skilled nursing facility environment but who were not directly involved with the CMS Initiative were interviewed to assess the impact of policies and programs affecting transfers to the hospital from long-term care facilities...
August 2022: Journal of Gerontological Nursing
https://read.qxmd.com/read/35758019/nurse-practitioners-navigating-the-consequences-of-directives-policies-and-recommendations-related-to-the-covid-19-pandemic-in-long-term-care-homes
#29
JOURNAL ARTICLE
Katherine S McGilton, Alexandra Krassikova, Aria Wills, Vanessa Durante, Lydia Yeung, Shirin Vellani, Souraya Sidani, Astrid Escrig-Pinol
OBJECTIVES: New models for the workforce are required in long-term care (LTC) homes, as was made evident during the Coronavirus Disease 2019 (COVID-19) pandemic. Nurse Practitioner (NP)-led models of care represent an effective solution. This study explored NPs' roles in supporting LTC homes as changes in directives, policies, and recommendations related to COVID-19 were introduced. DESIGN: Qualitative exploratory study. CONTEXT: Thirteen NPs working in LTC homes in Ontario, Canada...
June 25, 2022: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/35749294/pandemic-response-the-identification-of-alternative-clinical-hours-to-ensure-advanced-practice-nursing-students-meet-program-requirements
#30
JOURNAL ARTICLE
Christina Bricker, Michelle Canale, Brittany Hay, Tracey Taylor, Denise Maguire, Elizabeth Remo, Sharlene Smith, Marcia Johansson, Hailey Morgan
The coronavirus (COVID-19) pandemic resulted in the abrupt withdrawal of clinical sites for advanced practice nursing students which worsened an already challenging placement process. Few studies to date have analyzed the use of alternative clinical practice experiences used to facilitate the completion of program requirements by advanced practice nursing students beyond direct hour requirements. The faculty team from one university decided to track and analyze their use of alternative clinical practice experiences for advanced practice nursing students actively enrolled during the first semester of the pandemic...
June 24, 2022: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/35694773/strategies-and-lessons-learned-from-a-home-delivery-food-prescription-program-for-older-adults
#31
JOURNAL ARTICLE
Rachel P Zimmer, Justin B Moore, Mia Yang, Joni Evans, Scott Best, Sheena McNeill, David Harrison, Heather Martin, Kimberly Montez
Food insecurity (FI) is a growing health problem, worsening during the COVID-19 pandemic. Fresh food prescription programs (FFRx) have been shown to increase healthy eating and decrease FI, but few FFRx are community-informed, or theory based. Our FFRx was a delivery program developed to alleviate FI for older adults. It was implemented in an academic medical center and guided by the Capabilities, Opportunities, Motivations, and Behaviors and Theoretical Domains Framework. We tested impacts of the program on FI, Fruit and Vegetable (FV) intake, depression, and loneliness at six-month intervals...
June 11, 2022: Journal of Nutrition in Gerontology and Geriatrics
https://read.qxmd.com/read/35343843/electronic-consultation-by-advanced-practice-nurses-to-improve-access-to-specialist-care-for-older-adults
#32
JOURNAL ARTICLE
Ramtin Hakimjavadi, Cheryl Levi, Kimberly LeBlanc, Sheena Guglani, Mary Helmer-Smith, Justin Joschko, Sathya Karunananthan, Erin Keely, Clare Liddy
Older adults face several challenges when accessing specialist care. Advanced practice nurses (APNs) can perform an important role in primary care for older adults, particularly when bolstered with digital tools. In the current study, we conducted a multiple case study of electronic consultations (eConsults) involving APNs to assess how these practitioners use the service to improve access to care. All eConsults submitted by or to an APN in 2019 on behalf of patients aged ≥65 years were reviewed to identify examples from six settings representative of the range of advanced nursing practices...
April 2022: Journal of Gerontological Nursing
https://read.qxmd.com/read/35090742/who-wants-to-work-in-geriatrics-findings-from-a-national-survey-of-physicians-and-nurse-practitioners
#33
JOURNAL ARTICLE
Catherine DesRoches, Yuchiao Chang, Jennifer Kim, Sharda Mukunda, Linda Norman, Robert S Dittus, Karen Donelan
BACKGROUND: As the United States population is aging, there is a chronic shortage of geriatrics- and gerontology- trained clinicians despite a variety of incentives. With primary care clinicians also in short supply, health systems are trying to cope with the increasing demand for care for older adults PURPOSE: The purpose of this study was to examine respondents' willingness to recommend their career to others and beliefs about changes necessary to enhance the supply of appropriately prepared clinicians METHODS: This study used a national survey of a stratified sample of 276 physicians and 134 nurse practitioners working in primary care and geriatric practices...
March 2022: Nursing Outlook
https://read.qxmd.com/read/34968327/the-development-and-content-validation-of-the-care-partner-hospital-assessment-tool
#34
JOURNAL ARTICLE
Beth Fields, Richard Schulz, Lauren Terhorst, Madeline Carbery, Juleen Rodakowski
BACKGROUND/OBJECTIVES: When aging adults are hospitalized due to a major health event, they often turn to care partners ('family members or friends') for support. Assessment of care partners' needs during hospital care may be important to inform and target information and skills training that will equip them to fulfill caregiving tasks for the aging adults. The objectives of this study were to develop and complete content validation of the Care Partner Hospital Assessment Tool (CHAT)...
July 11, 2021: Nursing Reports
https://read.qxmd.com/read/34935331/determinants-of-nephrology-provider-engagement-in-comprehensive-pre-dialysis-discussions-with-older-adults-scale-development-and-psychometric-evaluation
#35
JOURNAL ARTICLE
Vicki Montoya, Norma Conner, Xin Yan, Ladda Thiamwong
Comprehensive pre-dialysis discussions between providers and older adults over age 75 years are needed but often lacking. The aim of this study was to develop an instrument to assess behavioral determinants of nephrology provider use of comprehensive pre-dialysis discussions with older adults. Study design consisted of cross-sectional development of the instrument and preliminary psychometric evaluation. Items were based on an integrated literature review, expert clinician input, and the Theory of Planned Behavior...
November 2021: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://read.qxmd.com/read/34709659/learning-from-a-multidisciplinary-randomized-controlled-intervention-in-retirement-village-residents
#36
JOURNAL ARTICLE
Katherine Bloomfield, Zhenqiang Wu, Joanna B Broad, Annie Tatton, Cheryl Calvert, Joanna Hikaka, Michal Boyd, Kathy Peri, Dale Bramley, Ann-Marie Higgins, Martin J Connolly
BACKGROUND: Retirement villages (RVs), also known as continuing care retirement communities, are an increasingly popular housing choice for older adults. The RV population has significant health needs, possibly representing a group with needs in between community-dwelling older adults and those in long-term residential care (LTC). Our previous work shows Gerontology Nurse Specialist (GNS)-facilitated multidisciplinary team (MDT) interventions may reduce hospitalizations from LTC. This study tested whether a similar intervention reduced hospitalizations in RV residents...
October 28, 2021: Journal of the American Geriatrics Society
https://read.qxmd.com/read/34634495/exploring-the-home-healthcare-workforce-in-alzheimer-s-disease-and-related-dementias-utilization-and-cost-outcomes-in-us-community-dwelling-older-adults
#37
JOURNAL ARTICLE
Mary L Davis-Ajami, Zhiqiang K Lu, Jun Wu
OBJECTIVE: This study assessed home health care use associated with Alzheimer's Disease and related dementias (ADRD) in US community dwelling older adults, including workforce, intensity, and cost outcomes. MATERIALS AND METHODS: Medical Expenditure Panel Survey (2010-2018) household and home care event files were used to identify adults ≥ 65 years with ADRD. Outcomes included home health care provider type, intensity of care use, and annual direct home care cost...
September 30, 2021: Archives of Gerontology and Geriatrics
https://read.qxmd.com/read/34617613/what-factors-influence-nursing-home-use-of-hospital-avoidance-programs-an-interview-study
#38
JOURNAL ARTICLE
Jo-Anne Rayner, Deirdre Fetherstonhaugh
AIMS: To understand why some nursing homes use hospital avoidance programs more frequently than others. DESIGN: Two hospital avoidance programs, called residential-in-reach services in Victoria, Australia, were evaluated using a qualitative descriptive design. METHODS: Between 2014 and 2018, 127 semi-structured interviews were conducted with staff from nursing homes, general practitioners and staff from the residential-in reach services. The interviews took an average of 45 min and transcripts were thematically analysed...
October 7, 2021: Journal of Advanced Nursing
https://read.qxmd.com/read/34511052/-please-don-t-let-academia-forget-about-us-an-exploration-of-nursing-home-social-work-experiences-during-covid-19
#39
JOURNAL ARTICLE
Vivian J Miller, Keith Anderson, Noelle L Fields, Nancy Kusmaul
Nursing home social workers are on the frontlines during COVID-19 responding to individual resident needs, the needs of staff, and larger health needs of the nursing home. However, it is unclear whether nursing home social workers feel adequately trained and prepared in responding to disasters, such as COVID-19. To explore this, we used a study cross-sectional survey distributed via social media focusing on 1) prior training on disaster preparedness, 2) any content social workers wish had been a part of their education, and 3) suggestions for educators/academics to serve social workers on the frontlines...
September 12, 2021: Journal of Gerontological Social Work
https://read.qxmd.com/read/34482593/postoperative-delirium-in-older-patients-a-systematic-review-of-assessment-and-incidence-of-postoperative-delirium
#40
REVIEW
Mu-Hsing Ho, Jessica Nealon, Ezinne Igwe, Victoria Traynor, Hui-Chen Rita Chang, Kee-Hsin Chen, Jed Montayre
BACKGROUND: Postoperative delirium is the most common complication of surgery particularly in older patients. AIMS: The current study aimed to summarize the commonly used delirium assessment tools in assessing postoperative delirium (POD) and to estimate the incidence rates of POD. METHODS: A systematic review that included empirical cohort studies reporting the use of delirium assessment tools in assessing POD between 2000 and 2019. Five core databases were searched for eligible studies...
October 2021: Worldviews on Evidence-based Nursing
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