Digital Commons Network^™

Promoting Cultural Humility, Belonging, And Inclusion To Improve Well-Being Among Direct Care Staff In Oregon Assisted Living, Residential Care, And Memory Care Communities, 2024, Jacklyn Kohon, Dani Himes, Laura Rodriguez, Sarah Dys, Paula Carder, Diana Jacoby, Madeline Fox

Institute on Aging Publications

The voices and experiences of those working and living in assisted living, residential care, and memory care (AL/RC) settings in Oregon are highlighted in this study to understand cultural humility, belonging, inclusion, and intersectional experiences related to sustaining the workforce and promoting quality care. This qualitative study collected data through individual and focus group interviews with a total of 68 people, including 25 direct care staff, voice memos or interviews with 9 former direct care staff, interviews with 9 administrators, interviews with 7 management representatives (owner/operators, human resources specialists, directors of operations, among other titles), and interviews with 18 current …

Climate And Extreme Weather Event Impacts On Administrators, Direct Care Staff, And Residents In Oregon Assisted Living, Residential Care, And Memory Care Communities, 2024, Dani Himes, Jacklyn Kohon, Madeline Fox, Laura Rodriguez, Sarah Dys, Diana Jacoby, Paula Carder

Institute on Aging Publications

This brief report on AL/RC staff and resident experiences with climate events highlights the voices of AL/RC direct care staff, former direct care staff, residents, administrators, and management representatives to promote well-being in these care settings. This study can inform Oregon’s efforts to support long-term care workforce readiness for future climate emergencies and inform future quantitative data collection on AL/RC and other long-term care workers, including those employed in home health agencies, nursing facilities, and adult foster homes.

A Protocol For The Inclusion Of Minoritized Persons In Alzheimer Disease Research From The Adni3 Diversity Taskforce, Ozioma C Okonkwo, Beau M Ances, Et Al.

2020-Current year OA Pubs

IMPORTANCE: Black or African American (hereinafter, Black) and Hispanic or Latino/a/x (hereinafter, Latinx) adults are disproportionally affected by Alzheimer disease, but most research studies do not enroll adequate numbers of both of these populations. The Alzheimer's Disease Neuroimaging Initiative-3 (ADNI3) launched a diversity taskforce to pilot a multipronged effort to increase the study inclusion of Black and Latinx older adults.

OBJECTIVE: To describe and evaluate the culturally informed and community-engaged inclusion efforts to increase the screening and enrollment of Black and Latinx older adults in ADNI3.

DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional study used baseline data from a longitudinal, multisite, …

Associations Of Mid-To-Late-Life Inflammation With Late-Life Mobility And The Influences Of Chronic Comorbidities, Race, And Social Determinants Of Health: The Atherosclerosis Risk In Communities Study, Kirby G Parker, B Gwen Windham, Chad Blackshear, Keenan A Walker, Sara B Parker, Ron C Hoogeveen, Christie M Ballantyne, Anna Kucharska-Newton, Priya Palta, Elizabeth Selvin, Maria Vassilaki, Thomas H Mosley, Michael E Griswold

Faculty, Staff and Students Publications

Background: Relationships of midlife inflammation with late-life mobility and influences of chronic health conditions, race, and social determinants of health (SDoH) on these relationships are poorly understood.

Methods: Among 4758 community-dwelling participants (41% men, 20% Black), high-sensitivity C-reactive protein (hsCRP) was measured over 20+ years: in midlife at study visit 2 (V2: 1990-1992, 47-68 years); at V4 (1996-1998, 53-74 years); and with concurrent late-life 4-m gait speed at V5 (2011-2013, 67-88 years, mean 75 years). SDoH measures included race, the national-rank area deprivation index, education, and income. We examined associations of late-life gait speed with midlife hsCRP (V2 continuous and …

Age-Related Dysregulation Of The Retinal Transcriptome In African Turquoise Killifish, Steven Bergmans, Nicole C L Noel, Luca Masin, Ellen G Harding, Aleksandra M Krzywańska, Julie D De Schutter, Rajagopal Ayana, Chi-Kuo Hu, Lut Arckens, Philip A Ruzycki, Ryan B Macdonald, Brian S Clark, Lieve Moons

2020-Current year OA Pubs

Age-related vision loss caused by retinal neurodegenerative pathologies is becoming more prevalent in our ageing society. To understand the physiological and molecular impact of ageing on retinal homeostasis, we used the short-lived African turquoise killifish, a model known to naturally develop central nervous system (CNS) ageing hallmarks and vision loss. Bulk and single-cell RNA-sequencing (scRNAseq) of three age groups (6-, 12-, and 18-week-old) identified transcriptional ageing fingerprints in the killifish retina, unveiling pathways also identified in the aged brain, including oxidative stress, gliosis, and inflammageing. These findings were comparable to observations in the ageing mouse retina. Additionally, transcriptional changes in …

“It Was Difficult To Understand The System”: Developing A Coordinator Role To Support International Nursing Students- A Qualitative Study

Journal of Comparative & International Higher Education

No abstract provided.

Grievability And The Contingency Of Life Value In Twenty-First-Century Science Fiction, Emily A. Reiff

English Language and Literature ETDs

Using Judith Butler’s framework of grievability, this dissertation explores twenty-first-century science fiction by British, Irish, and Caribbean authors whose novels grapple with legacies of colonialism and imperialism that relied on dehumanization and subjugation. Beginning with Sarah Maria Griffin’s Spare and Found Parts (2016), chapter one explores neocolonial rationales—purportedly based on health—which recreate colonial divisions of class and labor and enforce systems of diminishing grievability in a post-apocalyptic Irish context. Chapter two contends that Kazuo Ishiguro’s Klara and the Sun (2021) illustrates the danger inherent to value systems that center “normative” embodiment in worlds that reconfigure hypercapacitated human beings as the …

Caring, 1994 Summer, Advocate Health - Midwest

Historical Documents - Combined

Illinois Masonic Medical Center, Chicago, IL: Issue of "Caring", a semiannual patient education publication. This issue highlights several of the medical center's programs, including its Babycheck program, the Warren Barr Pavilion's adult day services, the antenatal resource center, Hispanocare, and Healthcare for the Homeless.

Caring, 1999 Winter, Advocate Health - Midwest

Historical Documents - Combined

Illinois Masonic Medical Center, Chicago, IL: Issue of "Caring", a semiannual patient education publication. This issue has feature stories on HIV/AIDS inpatient care, advanced practice nursing, and an intergenerational program of middle school students and elderly residents at the Warren Barr Pavilion.

Caring, 1987 Winter, Advocate Health - Midwest

Historical Documents - Combined

Illinois Masonic Medical Center, Chicago, IL: Issue of "Caring", a semiannual patient education publication. This is the first issue of "Caring" in its revised format. This issue has feature stories on the Ruth M. Seay Center for Women and Infants - a new state-of-the-art obstetrics unit, the emergency department's level 1 trauma center, and the White Crane Senior Health Center.

This is the first issue the library has in the new format. The last issue the library has in the previous version of this publication can be seen here: Caring, 1980 V4 N3, Fall/Winter

Frailty Explains Variation In Emergency Department Use For Older Veterans During The Covid-19 Pandemic, Justine Seidenfeld, Karen M. Stechuchak, Valerie A. Smith, Catherine Stanwyck, Chelsea Perfect, Courtney Van Houtven, Susan Nicole Hastings

Journal of Geriatric Emergency Medicine

Background: Older adults were critically vulnerable to disruptions in health care during the COVID-19 pandemic, but it is not known if changes in ED utilization varied based on patient characteristics. Using a cohort of older Veterans, we examined changes in ED visit rates based on four characteristics of interest: age, race, area deprivation index, and frailty

Methods: Participants were aged ≥65, with ≥2 visits in primary or geriatric clinics between 02/02/2018-05/07/2019. An adjusted negative binomial regression model was constructed for each characteristic. We report mean counts of all ED visits by quarter for subgroups separately, and report rate …

Impacts Of Social Media Use On The Wellbeing Of Older Adults : Evidence From China During The Covid-19 Pandemic, Xuying Dong

Lingnan Theses (Doctoral degree)

Given the trend of increasing use of information and communication technologies among Chinese elder population, more attention should be drawn on the relationship between social media use and wellbeing of older adults. This research explores the social media use situation among older adults in mainland China as well as its influences on their wellbeing, and employs a mixed approach including quantitative questionnaire distributed via WeChat social media platform and qualitative interview among Chinese older adults who are over 60 years of age in Jingzhou, Hubei Province. Generally speaking, social media use can improve the wellbeing of Chinese older adults, more …

Aging As Online Faculty: Attitudes Toward Work And Retirement, Lee Stadtlander, Amy Sickel

Journal of Educational Research and Practice

Aging, an often-neglected aspect of diversity in universities, is an important issue, as the rate of people working who are 75 and older is growing faster than the rate for any other age group. The present sequential explanatory mixed-method study explored 129 older online faculty’s attitudes and opinions on work and retirement in an online survey and in 13 faculty interviews. Data were examined cross-sectionally to assess differences by decade: 50s, 60s, and 70s and above. The results indicated that while older faculty were collecting some form of retirement payment, money was not a primary motivator for working. These individuals …

Factors Related To Physical Activity Of Patients With Permanent Cardiac Pacemaker, Priyaporn Phruksahiran, Noraluk Ua-Kit

Chulalongkorn Medical Journal

Background: Over 1.3 million patients worldwide have permanent cardiac pacemakers (PPM). Patients with PPM, in the first to third months after implantation, still report problems with physical activity (PA), such as limitations in their lives, jobs, and exercise, inability to perform activities as before, and decreased PA.

Objectives: This study aimed to investigate the PA of patients with PPM and identify factors (age, perceived self-efficacy, perceived benefits, perceived barriers, social support, and health literacy) related to the PA of patients with PPM.

Methods: This descriptive-correlational study included 110 male and female patients with PPM from three tertiary hospitals in …

Monoclonal Antibodies For The Treatment Of Prodromal Alzheimer’S Disease, Katrina Grunst

Summer Interdisciplinary Research Symposium

Objective: Alzheimer’s disease presents a significant public health problem, characterized by a progressive loss of cognitive functioning ability, ultimately leading to severe dementia and loss of basic motor functions. With these patients accounting for a large percentage of hospital stays and healthcare expenditures, the urgency to address this disease is evident, particularly considering the projected growth of the aging population. This paper aims to explore new drug treatments that may alter the underlying process of Alzheimer’s disease and potentially prevent cognitive decline in future generations. Methods: Through a comprehensive review of studies examining monoclonal antibody drugs including aducanumab, lecanemab, and …

Perceptions Of Graduate Nurse Practitioner Faculty On The Use Of Simulation In Lieu Of Traditional Clinical Hours, Virginia Strong

Dissertations

Simulation in undergraduate nursing curriculum has been identified as an effective and safe substitution for the traditional clinical experience; however, graduate nurse education programs could not substitute clinical hours with simulation-based education. These clinical hours required NP students to provide direct face-to-face patient care. Simulation had wide variability in the number of hours utilized within each specialty. NONPF discussed the use of simulation, as it pertains to the curriculum of the NP student on more than one occasion and concluded its impact on NP education was a potential alternative to traditional clinical experiences. Studies indicated that graduate nursing students enjoy …

Comments Re: Draft Nih Intramural Research Program Policy: Promoting Equity Through Access Planning, Fred Ledley M.D., Edward Zhou Pharmd., Paula Chaves Da Silva Ph.D.

CISI Publication

We commend the NIH initiative to require that licensees of technologies that enable discovery or development of FDA-approved products arising from the NIH intramural program to include an Access Plan to promote “product affordability, availability, acceptability, and sustainability” and recognition that such protections are essential to ensuring a “return on taxpayers' investment in biomedical research.” Recognizing the complexity of anticipating appropriate terms for products that are in pre-clinical or early clinical development at the time of licensing, we also support the proposal that the Access Plan be submitted in late-stage clinical development, though we argue that …

Transformative Learning: Changing Nurses’ Perceptions About People In Poverty, Jacqueline Debrew

Journal of Social, Behavioral, and Health Sciences

Background: Meaningful learning experiences with clients in poverty may help nursing students change their perceptions towards those experiencing poverty and, thus, provide unbiased, nonjudgmental care when they become nurses.

Purpose: The purpose of this research was to understand what learning activities and experiences nursing students found meaningful and led to a change in prior perceptions of people in poverty.

Methods: Guided by Mezirow’s Theory of Transformative Learning, accelerated BSN students enrolled in a mental health nursing course (n = 14) were assigned reflective journals throughout the semester on their assigned clinical experiences, which were analyzed for emergent themes.

Results: …

Thriving Through Time: Resilience And Empowerment For Aging Women In Rural Indonesia, Erna Setijaningrum, Rochyati Wahyuni Triana, Asiyah Kassim

Journal of International Women's Studies

Recent research exploring aging women’s realities in rural areas has revealed how gender norms, ageism, and isolation intertwine, impacting women’s lives, health, and access to services. As disadvantages and exclusion increase with age, women encounter shrinking opportunities, reinforced stereotypes, and marginalization. Especially in remote Indonesian villages, aging women lack access to healthcare, income support, and basic services compared to urban counterparts. Drawing on in-depth, semi-structured interviews and focus group discussions with 35 aging rural women in Blitar Regency, East Java Province, Indonesia, this phenomenological study provides insights into the marginalization and deficient public services these women face, including worsening isolation, …

Marginalization And Environmental Risk: Women’S Roles In Making Plastic Woven Bags In Indonesia, Salsabila Damayanti, Siti Mas’Udah, Asia Ashfaq, Sudarso, Herdiyanti, Citra Asmara Indra, Merlia Indah Prastiwi

Journal of International Women's Studies

The plastic woven bag has become a symbolic representation of Indonesian women’s identity since the trend increased in 2021. The plastic woven bag represents femininity and the image of women as a result of socio-cultural construction. The activity of weaving paradoxically puts women in both a central and a marginal role. The weaving industry is characterized by an increasing number of platforms for women to generate income and improve their economic welfare. Nevertheless, women are still faced with patriarchal domination, because the demands of their domestic role limit their ability to move freely in public space. Therefore, their status as …

An Examination Of Sport Retirement Through Concept Analysis Of Occupational Retirement, Andrea Cota Powell, Patti J. Berg, Andrew C. Pickett, Moses N. Ikiugu, Whitney Lucas Molitor

Journal of Athlete Development and Experience

Occupational retirement is a major life transition that involves extensive planning, preparation, and coping strategies. Concept analysis was completed to explore adaptation to occupational retirement as a way to further understand sport retirement. Thirty-nine occupational-related articles were included in the final analysis. The primary antecedent to occupational retirement is financial stability, followed by age and family life. Antecedents to sport retirement include graduation, exhaustion of NCAA eligibility, and possibly injury. The antecedents are unique to each type of retirement, but the consequences are similar. Retirees of both types often experience feeling of loss, grief, depression, and identity crisis while adjusting …

Using An Evidence-Based Practice Nurse Recognition Practice To Improve Job Satisfaction, Hali Bianchi

Student Scholarly Projects

Practice Problem: The project targeted low job satisfaction and high nurse turnover in a Central Florida bone marrow transplant unit, impacting patient care and costs.

PICOT: (P) For registered nurses (RNs) on the bone marrow transplant unit, (I) does implementing an evidence-based practice employee recognition program (C) compared to no employee recognition program, (O) lead to an increase in job satisfaction (T) over 10 weeks?

Evidence: The evidence supported the effectiveness of meaningful recognition programs, such as personalized verbal acknowledgment from leadership, in boosting job satisfaction among nurses.

Intervention: The intervention involved nurse managers using a weekly employee recognition …

The Impact Of Social-Structural Factors On The Health Of Migrating Older People In China : Testing The Buffering Effect Of Social Capital And Social Integration, Anqi Chen

Lingnan Theses (MPhil & PhD)

While older adult migration in China has received significant attention, the related health research and the pivotal role of social relations have been underexplored. This study, grounded in the theory of the relationship between social capital and health, as well as the social integration theory of migration, examines the associations between social relations and health inequalities under the social structure of Chinese society including socio-economic status, hukou and urban/rural residence.

Methodology: Using data from the China Health and Retirement Longitudinal Study (CHARLS) 2018 survey, three health outcomes are physical function, cognitive function, and mental health. The sample consists of 3,137 …

How Can America Support The Health Of Its Diverse Aging Population?, Catherine García, Lauren L. Brown, Marc A. Garcia

Population Health Research Brief Series

By 2030, one in five Americans will be 65 or older. Rapid population aging in the United States is unfolding alongside a parallel trend of rising racial and ethnic diversity. In the coming decades, African American, Native American, Asian, Native Hawaiian and Pacific Islander, Hispanic/Latino, and multiracial groups are projected to experience significant growth in their proportions of adults who survive past age 65. Despite improvements in health and gains in longevity in recent decades, minorized groups continue to experience significant barriers to healthy aging. This brief provides an overview of the social determinants of healthy aging, provides recommendations for …

Effect Of Resistance Training On Physical Function During Chemotherapy In Colon Cancer, Justin C. Brown, Shengping Yang, Stephanie L.E. Compton, Kristin L. Campbell, Elizabeth M. Cespedes Feliciano, Sara Quinney, Barbara Sternfeld, Bette J. Caan, Jeffrey A. Meyerhardt, Kathryn H. Schmitz

School of Medicine Faculty Publications

Background: The decline of physical function during chemotherapy predicts poor quality of life and premature death. It is unknown if resistance training prevents physical function decline during chemotherapy in colon cancer survivors. Methods: This multicenter trial randomly assigned 181 colon cancer survivors receiving postoperative chemotherapy to home-based resistance training or usual care control. Physical function outcomes included the short physical performance battery, isometric handgrip strength, and the physical function subscale of the Medical Outcomes Short-Form 36-item questionnaire. Mixed models for repeated measures quantified estimated treatment differences. Results: At baseline, participants had a mean (SD) age of 55.2 (12.8) years; 67 …

A Retrospective Study Of Healthcare Needs Of Unpaid Caregivers In The United States, Ranelle M. Nissen, Jessica Mchugh Conlin, Mackenzie L. Feldhacker, Whitney Lucas Molitor, Allison J. Naber

The Open Journal of Occupational Therapy

Introduction: Demand for caregivers is on the rise. In the US, 53 million individuals provided care in 2020. Older adults constitute nearly half of all care recipients and often receive care from a family member. This study identified the health care needs of caregivers regarding health care use, access to resources, and unmet needs.

Methods: We used a retrospective, cross-sectional design to examine existing data collected between 2013 and 2018 regarding caregiver experiences. Data were analyzed using descriptive statistics and a chi-square test of independence.

Results: Caregivers were primarily female, White, between the 18 and 64 years …

Servant Leader Choral Conductor: The Effect Of Servant Leadership In Community Choirs And Community Partnerships, Zachary Debois Cooke

Doctoral Dissertations and Projects

Despite servant leadership primarily establishing itself as an appropriate leadership style, there is little research on how servant leadership affects community choirs in music education. Community choirs are prevalent in music education due to the number of individuals seeking choral experiences and community gatherings to sing and express their musicality. This hermeneutic qualitative phenomenological study explores the leadership styles of community choir choral conductors and their perspectives on servant leadership. By surveying current choral conductors of community choirs and community partnerships, this qualitative study identifies the overarching leadership styles and servant leadership qualities that are consciously considered or not implemented …

Educating Nurses On The Components Of A Healthy Work Environment, Kathryn L. Scott

Doctoral Dissertations and Projects

It is essential to look at the entire picture to ensure patient care is offered in the highest quality manner possible. One must look at patient satisfaction, quality outcomes, and job satisfaction experienced by the nursing staff providing care to accomplish this goal. Research has shown that nurse burnout has increased exponentially as of late. Some blame the COVID-19 pandemic; others look at the generation of nurses graduating from nursing school and starting in the field, comparing the baby boomer nurse to the Gen Z nurse. Many factors are involved, and with the recent addition of paying particular attention to …

The Sexes Exhibited Similar Patterns Of Upper Trapezius Excitation Distribution At Rest And With Fatigue During Repeated Arm Elevation, Kara-Lyn Harrison, Rebecca Franklin, Melina Kaluzny, Trisha D. Scribbans

ISBS Proceedings Archive

Females experience more shoulder pathology compared to males, which is partly attributed to differences in muscle excitation between the sexes. We determined if upper trapezius (UT) excitation distribution differed at rested and fatigue at three tertiles of shoulder flexion. Twenty-eight participants completed a repeated arm elevation task to volitional fatigue while holding a load relative to 30% of their maximum isometric shoulder flexion force while high density electromyography was collected from the UT. Statistical parametric mapping t-tests between males and females excitation map for each tertile at rested and fatigue revealed that UT excitation differed in 168 pixels (~43% of …

Gait Event Detection During Walking Using Deep Learning And Thigh-Worn Accelerometry, Claas Lendt, Tom Stewart

ISBS Proceedings Archive

Mobility and gait are important indicators of human health. However, measuring them outside of a laboratory setting can be challenging. To measure human physical behaviour in free-living conditions, thigh-worn accelerometers and data-driven algorithms are commonly used. This study explores a deep learning approach that utilises data from a single thigh-worn accelerometer. A temporal convolutional network was trained to predict gait events in healthy adults during various walking conditions. The model demonstrated a high level of detection accuracy (F₁ score ≥ 99%) and good time agreement for both gait events, with the 95% limits of agreement being -0.04s and 0.04s. …