Geriatric Nursing Commons^™

Does An Online Computer Based Critical Care Orientation Program Support The Learning Needs Of A Multigenerational Workforce?, Patricia Brady

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

The complexities of today's health care system challenge acute care hospitals to provide comprehensive nursing orientation programs while meeting the needs of a multigenerational workforce. To prepare nurses to provide the highest quality of care for patients, nursing orientation must provide updated content, be cost effective, time sensitive and comprehensive, stimulate critical thinking skills, and include relevant evidence-based knowledge. Although a comprehensive nursing orientation is essential to every area of practice, specialties, such as critical care nursing, require specialized knowledge and additional skill sets that necessitate a more comprehensive training program while being sensitive to the needs of a multigenerational …

Planned Cesarean Delivery And Urinary Retention Associated With Spinal Morphine, Susan M. Diblasi

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

Cesarean delivery (CD) is the second most commonly performed surgery in the United States. As such, prevention of complications associated with this procedure is a top priority in nursing care. Nurses at the study insti- tution perceived that postcesarean patients experienced increased uri- nary retention after use of spinal morphine for postoperative pain relief. This observation prompted a review of the literature indicating that limited research had been conducted in this area. The purpose of this study was to explore the relationship of postelective CD urinary reten- tion and dose of spinal morphine. A retrospective, quasi-experimental, three-group design was used. …

Development And Implementation Of A Certified Neuroscience Registered Nurse Exam Review Program, Joan M. Walsh

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

Rhode Island Hospital (RIH) is currently striving to attain Magnet® status; specialty certification of registered nurse (RN) staff plays an important role in achieving that goal. Unit based nursing leadership and RN staff identified neuroscience certification as both important and desirable. One of the barriers identified by the staff RNs was the lack of a study support program to assist in preparation for the certification exam. A certified neuroscience registered nurse (CNRN) exam review program motivates and supports the RN staff to seek certification and successfully sit for the exam. The primary purpose of this program was to increase the …

The Relationship Of Financial Performance, Quality Indicators, And The Role Of Nurse Executives In Virginia Nursing Homes, Jeany V. Murphy

Health Services Research Dissertations

Problem statement. The dynamic nature of the healthcare industry has triggered changes in nurse executive functions. The job has expanded into entrepreneurial roles to be able to provide the most cost effective services while maintaining good quality outcomes for the residents. The new responsibility requires a different set of knowledge and competencies that is usually achieved through advanced education. It is not known whether nurse executives in long term care in Virginia possess the skills to influence both the financial and quality outcomes of the facility.

Methods. This descriptive research study examined the relationship of the nurse executives' technical, human, …

Improving The Quality Of Information Sent To Primary Care Physicians For Patients Discharged From Nursing Facilities, Catherine M. Glew Bm, Bs, Cmd, Anne M. Yawman Md

Department of Medicine

No abstract provided.

Long-Term Care, Emma Kontzamanis, Keville Frederickson

Publications and Research

In chis chapter, the need for long-term care services is explained from the perspective of the explosive growth of the older population as well as the increase in disability and chronic illness in the general population. A definition of long-term care within the contexts of inpatient and community-based services is also explained. In the United States the focus of long-term care is on nursing homes. This will be discussed as well as alternatives co nursing home care which involve integrated services such as case management, social health maintenance organizations, and programs of all inclusive care for elders. Solutions to the …

Inside The Mind Of A Rapid Response Activator, Gail Maureen Mosher

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

The health care delivery system in this nation continues to spiral out of control. Statistics report on the shocking number of people who are harmed or die due to medical errors. This project will focus on one process in the armamentarium, the Rapid Response Team (RRT). The purpose of the study was to explore staff nurse perceived barriers and enhancers to an effective RRT. Qualitative design was employed and individual semi-structured interviews were conducted at a 359 bed community hospital. The sample consisted of 15 medical-surgical nurses who had experienced a rapid response (RR) event at this site. Potential subjects …

A New Look At Successful Aging : Exploring A Mid-Range Nursing Theory Among Older Adults In A Low-Income Retirement Community., Valerie Lander Mccarthy

Faculty Scholarship

The current view of successful aging excludes elders with disease or disability, limits the potential for success among disadvantaged populations, and fails to consider older adults’ own criteria for success, especially in the existential or spiritual domain. This cross-sectional study was a preliminary investigation of a mid-range nursing theory (Flood, 2005) of successful aging. A random, stratified sample (N= 112) was used. Questionnaires were administered to small groups of non-demented older adults. Relationships among study variables were examined using hierarchical multiple regression. Adaptation and transcendence explained 45.4% of the variance in successful aging, independent of age, income, function, and health. …

An Evaluation Of The Effectiveness Of Tailored Smoking-Cessation Training For Health And Social Care Professionals Who Work With Older People, S Kerr, R Whyte, H Watson, Debbie Tolson, A Mcfadyen

Professor Debbie Tolson

In press

The Prevalence Of Healthcare Associated Infection In Older People In Acute Hospitals, S Cairns, J Reilly, S Stewart, Debbie Tolson, J Godwin, P Knight

Professor Debbie Tolson

In press

Medical Care In The Nursing Home, Debbie Tolson, J Morley

Professor Debbie Tolson

No abstract provided.

Using The Research Process To Develop Group Services For Older Persons With A Hearing Disabilit, T Kelly, Debbie Tolson, T Day-Smith, G Mccolgan, W Maclaren

Professor Debbie Tolson

No abstract provided.

Advanced Practice Nurses And Attending Physicians: A Collaboration To Improve Quality Of Care In The Nursing Home, C Philpot, Debbie Tolson, J Morley

Professor Debbie Tolson

No abstract provided.

Information Placed In Trust: Older Gay Men And Social Workers On Talking About Sexual Identity In Aged Care, Mark Hughes

Professor Mark Hughes

As more men who openly identify as gay approach older age, it is important for health and aged care professionals to consider the appropriateness of talking with these men about their sexual identity. This paper reports findings from a pilot study that examined how sexual identity should be acknowledged in aged care practice. The paper draws on qualitative data from two focus groups; one with older gay men and one with social workers. An analysis of the themes that overlapped the two groups highlighted the extent to which participants thought sexual identity should be discussed openly, the value placed on …

Cultivating Knowing And Relationships: A Grounded Theory Of Quality Of Death In The Nursing Home, Rebecca L. Trotta

Publicly Accessible Penn Dissertations

ABSTRACT CULTIVATING KNOWING AND RELATIONSHIPS: A GROUNDED THEORY OF QUALITY OF DEATH IN THE NURSING HOME Rebecca L. Trotta, Author Sarah H. Kagan, Supervisor Understanding quality of death in the nursing home is mandated both by demographics and morality in an aging society. Nursing home residents are among the oldest and most physically and mentally frail members of our society. Today, approximately 40% of people die in nursing homes in the Untied States. Despite being a relatively commonplace event, death in the nursing home and the quality of it, are understood in limited terms. A recent dimensional analysis on palliative …

Promoting Evidence Informed Improvements In Care Homes: Nursing Perspectives., Debbie Tolson

Professor Debbie Tolson

No abstract provided.

Culture Change And Quality Of Life In Elderly Persons Living In Long Term Care, Carol S. Jones

UNF Graduate Theses and Dissertations

Quality of life in long term care (LTC) is a concern for many stakeholders. The elders who are living in LTC facilities, their families, the staff, and government and policy makers are all interested in providing quality care and quality of life to those persons living within the facility. Culture change is one way for LTC facilities to begin to give decision making to the residents, and to increase quality of life of these elders. There are different culture change models that embrace the concept of person-centered care. No matter which model is chosen, the essence of the change is …

Program Development To Educate Nurses Regarding Pressure Ulcer Detection And Documentation, Margaret A. D'Orazio

Master's Theses, Dissertations, Graduate Research and Major Papers Overview

Pressure ulcers continue to be a major health care problem in terms of pain, quality of life, and loss of function for patients entering the acute care system. The ability of nursing professionals to identify, treat, and clearly document pressure ulcers present on admission (PO A) is a safety indicator distinguishing good_ hospitals from Centers of Excellence. Competence of the nurses at the point of entry is critical to perform an accurate skin assessment. Timely identification, objective measurement, treatment, and documentation of pressure ulcers require that nurses have adequate knowledge of this complex, multi-factorial condition. The purpose of this project …

The Mds Mortality Risk Index: The Evolution Of A Method For Predicting 6-Month Mortality In Nursing Home Residents, Davina Porock, Debra Parker-Oliver, Gregory F. Petroski, Marilyn Rantz

Publications and Research

Background: Accurate prognosis is vital to the initiation of advance care planning particularly in a vulnerable, at risk population such as care home residents. The aim of this paper is to report on the revision and simplification of the MDS Mortality Rating Index (MMRI) for use in clinical practice to predict the probability of death in six months for care home residents.

Methods: The design was a secondary analysis of a US Minimum Data Set (MDS) for long term care residents using regression analysis to identify predictors of mortality within six months.

Results: Using twelve easy to collect …