RESUMEN
The Age-friendly Health Systems Initiative is a current multidisciplinary movement driving quality improvement across all health care settings. The 4Ms framework (What Matters, Medication, Mobility, and Mentation) provides a common evidence-based language and system of care that can be utilized by all health care providers. Faculty of one nursing program were interested in knowing whether the principles and language of the 4Ms framework align well with the current competencies used to guide undergraduate and beginning level practice for nurses. To answer this question, a crosswalk of curricular and competency guidelines for gerontological nursing was completed to identify how well the competencies aligned with the key concepts of the evidence-based 4Ms framework. Key findings of this crosswalk are being shared with educators for the purpose of describing a systematic way to ensure that the 4Ms are integrated into gerontological curricula and course design. The steps taken to complete the crosswalk are described to guide educators across all disciplines interested in creating curricula that will adequately prepare students to be collaborative partners and leaders in Age-friendly Health Systems.
Asunto(s)
Enfermería Geriátrica , Geriatría , Humanos , Anciano , Geriatría/educación , Curriculum , Estudiantes , Enfermería Geriátrica/educación , Estudios InterdisciplinariosRESUMEN
Fall risk assessment is a complex phenomenon involving several risk factors, including an individual's balance and mobility status, chronic health conditions, visual impairment, hearing deficits, environmental hazards (e.g., loose rugs, clutter), and being homebound or semi-homebound. Comprehensive fall risk assessment is the cornerstone of fall prevention in older adults throughout the community. The current study was based on secondary data and sought to examine variables associated with death due to accidental fall in a rural, midwestern county in Illinois, and to heighten awareness for consistent screening and risk assessment in older adults residing in the community. Results illustrated that among community-dwelling older adults with accidental falls, blunt injury or subdural hematoma had significantly fewer days until death than a fracture. [Journal of Gerontological Nursing, 48(6), 26-32.].
Asunto(s)
Accidentes por Caídas , Vida Independiente , Accidentes por Caídas/prevención & control , Anciano , Enfermedad Crónica , Humanos , Illinois , Medición de Riesgo , Factores de RiesgoRESUMEN
BACKGROUND: As the population of older adults is estimated to double by 2050, the growing demand for nurses to provide care to older adults will grow. Internationally, attitudes among nursing students towards caring for older adults range from negative to slightly positive. OBJECTIVE: The purpose of this qualitative descriptive study was to examine undergraduate nursing students' thoughts, feelings and perspectives towards older adults residing in nursing homes prior to their clinical experience. METHODS/RESULTS: Students enrolled in a clinical component of a course within a baccalaureate nursing programme were prompted to write a one-page reflection on their thoughts and feelings toward caring for older adults in a nursing home. Artefacts from 72 undergraduate students' were examined, and data saturation was obtained at 20 cases. Utilizing a one-time inquiry approach, we identified eight categories that emerged from the data: Range of emotions when anticipating clinical, building rewarding relationships with older adults, preparing for my nursing career, student pre-existing attitudes, providing the best care possible, relationships with grandparents, experience(s) in nursing homes and older adults 'have so much to teach us'. Two themes encompassed all the others: '[Older adults] have so much to teach us' and 'providing the best care possible'. A strong majority of students expressed enthusiasm for their upcoming clinical in a nursing home. CONCLUSION: Students' attitudes were significantly more positive than those in prior studies. The results offer essential insight for nursing faculty who teach and design clinical experiences for undergraduate nursing students in nursing home facilities. Faculty should take account of their students' prior experiences, thoughts, and feelings to prepare them appropriately to care for older adults in their future nursing careers. IMPLICATIONS FOR PRACTICE: Increasing staffing and retention of staff in nursing homes facilities remains a priority for stakeholders in long-term care of older adults. Nursing educators must continuously assess students' knowledge and attitudes assists to identify knowledge gaps and misconceptions, which must be addressed to teach student nurses how to provide high-quality, effective and culturally sensitive care to older adults. As students become more competent in caring for older adults, their desire to pursue a nursing career in gerontology care may increase. Early experiences of student nurses with older adults will prepare nursing students for their future career. Understanding students' thoughts and feelings will assist faculty in tailoring clinical orientation, designing clinical experiences and post-conference debriefings that address students' concerns. This research contributes to the knowledge of perceptions of nursing students and will assist to design educational experiences. Nursing educators who understand nursing students' attitudes toward caring for older persons can facilitate therapeutic interactions between nursing students and older adults. Designing experiences with these research results in mind may facilitate the development of positive attitudes towards caring for older adults.
Asunto(s)
Bachillerato en Enfermería , Estudiantes de Enfermería , Anciano , Anciano de 80 o más Años , Actitud del Personal de Salud , Docentes de Enfermería , Humanos , Casas de Salud , Investigación Cualitativa , Estudiantes de Enfermería/psicologíaRESUMEN
The current descriptive qualitative study aimed to explore how informal caregivers of persons residing in long-term care (LTC) facilities are coping with the no visitation policy during the coronavirus disease 2019 (COVID-19) pandemic. Semi-structured interviews were conducted approximately 1 month after the no visitation policy was implemented. Interview questions explored how informal caregivers are feeling, coping, and staying connected and involved with loved ones residing in LTC. Recruitment (N = 14) occurred through social media, email, and word of mouth. To maintain social distance and reduce transmission risk, interviews were conducted by phone. Through systematic data reduction, six themes emerged: (a) Reminiscing About Life Before COVID-19, (b) Feelings Related to Physical Separation, (c) Our Loved Ones Are Lonely and Don't Understand, (d) Creating Ways to Stay Connected, (e) Recognition and Concern for LTC Staff, and (f) Coping During Future No Visitation Mandates. Results of this study may assist LTC administrators and nurses if no visitation policies are required in the future. [Journal of Gerontological Nursing, 47(12), 19-26.].
Asunto(s)
COVID-19 , Cuidadores , Humanos , Cuidados a Largo Plazo , Pandemias , Políticas , Investigación Cualitativa , SARS-CoV-2RESUMEN
AIM: This study examined how intentional first encounters as a nursing student, as well as prior relationships with older adults, influenced baccalaureate prelicensure nursing students' attitudes toward this population. BACKGROUND: There is a growing demand for knowledgeable and skilled nurses to provide person-centered care to an aging population. An ongoing challenge is lack of interest in practicing within gerontological settings following graduation. METHOD: A cross-sectional, correlational, comparison research design was used. Ninety-nine nursing students in five groups were recruited from six baccalaureate prelicensure nursing schools. RESULTS: A one-way analysis of variance revealed a significant difference among groups, F(4, 94) = 4.873, p = .001. Students completing clinical in half-semester acute care and long-term care (M = 64.03, SD = 16.9) had better attitudes than students in other clinical experiences. CONCLUSION: Addressing the development of positive attitudes in nursing students remains imperative to promote person-centered care to the aging population.
Asunto(s)
Bachillerato en Enfermería , Enfermería Geriátrica , Geriatría , Estudiantes de Enfermería , Anciano , Actitud del Personal de Salud , Estudios Transversales , Humanos , Facultades de Enfermería , Encuestas y CuestionariosRESUMEN
BACKGROUND: Health care organizations are designing comprehensive care programs to reduce hospital utilization by high-risk patients with multiple chronic illnesses. LOCAL PROBLEM: A community hospital recognized patients with multiple chronic conditions had higher rates of inpatient stays and emergency department (ED) visits. METHODS: Patients (n = 36) with multiple chronic conditions enrolled in a supportive care program. Researchers analyzed hospital utilization, inpatient stays, and ED visits preintervention and postgraduation for the participants enrolled. Palliative care nurses were assigned to patients enrolled in the supportive care program. RESULTS: There was a statistically significant decrease in hospital utilization (Z = -2.540, P = .011) and inpatient stays (Z = -4.037, P < .001) following the implementation of the supportive care program. CONCLUSIONS: The study met its aim of reducing hospital utilization and inpatient stays by creating a comprehensive approach to support high-risk patients in self-management of their chronic illnesses.
Asunto(s)
Afecciones Crónicas Múltiples , Enfermeras y Enfermeros , Servicio de Urgencia en Hospital , Hospitales , Humanos , Cuidados PaliativosRESUMEN
BACKGROUND: With the global population growth of older people, health care needs nurses interested in caring for this population. Studies have found a relationship between attitudes toward older people and career choices. AIM: The aim of this study was to determine the effect first clinical experiences had on nursing students' attitudes toward older people. DESIGN/METHOD: Using an observational research design, first-semester nursing students (n = 53) from the United States were assigned to one of two groups based on sequencing of clinical assignments. Participants completed the Refined Aging Semantic Differential scale three times their first semester. RESULTS: Students with exposure to long-term and then the acute care setting showed linear improvement in their attitudes toward older people. In addition, a significant improvement in attitudes over time was found (F[2, 96] = 3.56, p = .032) at two time measurements. CONCLUSION: This study showed that novice students may not recognize the differences in acute and long-term nursing care. Results may assist nursing educators designing curricula.
Asunto(s)
Actitud del Personal de Salud , Geriatría , Relaciones Intergeneracionales , Licencia en Enfermería , Relaciones Enfermero-Paciente , Estudiantes de Enfermería/psicología , Adulto , Anciano , Femenino , Hospitalización , Humanos , Cuidados a Largo Plazo , Masculino , Transferencia de Pacientes , Estados Unidos , Adulto JovenRESUMEN
OBJECTIVES: To analyze empirical studies from the United States and Canada to gain an understanding on how nursing education affects nursing students' attitudes toward persons who are aged. DESIGN: An integrative literature review was completed using Garrard's (2011) Matrix Method. DATA SOURCES: Articles were identified through the electronic database search engines of CINAHL, Pub Med, and Academic Search Complete. Only peer reviewed research articles from 2009 to 2015 were reviewed. REVIEW METHODS: A review matrix was created to abstract information from 11 studies so that synthesis could occur. Information in the columns of the review matrix was used to compare the studies. Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) 27 item check list was used to help with reporting the findings. Studies were graded using the American Association of Critical Care Nurses' (AACN) level of evidence. RESULTS: A key finding is student engagement with gerontological content in the classroom or clinical setting results in improving nursing students' attitudes toward persons who are aged. CONCLUSIONS: Several gaps exist in the literature. Further research including longitudinal studies and large scale, multi-site samples would add to the existing knowledge.
Asunto(s)
Ageísmo/psicología , Actitud del Personal de Salud , Estudiantes de Enfermería/psicología , Anciano , Anciano de 80 o más Años , Canadá , Bachillerato en Enfermería/ética , Geriatría , Humanos , Estados Unidos , Recursos HumanosRESUMEN
Reducing hospital readmissions is a priority for health care providers and affects Medicare reimbursement. The purpose of this study was to determine whether there is a significant difference in readmission rates from long-term care facilities to hospitals with the implementation of a training program for long-term care nurses. The main findings revealed that the training did not significantly affect hospital readmissions; however, the organization saw a significant decrease in hospital readmissions after 24 months of data collection.