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Nursing And Midwifery Links [December 2019 Issue], Secretariat At Johns Hopkins University School Of Nursing Global Network Of Who Collaborating Centers For Nursing And Midwifery

Nursing and Midwifery Links (LINKS)

In this edition of the Links Magazine, we highlight the current issues, research, innovations, and perspectives of these institutions around palliative care. We recognize the importance of this human right and the role nurses and midwives have in advancing care for those in need of palliative health services. As is made evident in this publication, there are important areas where timely, evidence-based, and strategic efforts are needed to ensure that individuals are effectively cared for across the lifespan and varying levels of health and wellness. By promoting awareness and collaboration around this global health priority, we can ensure a healthier …

Fraud Prevention For Seniors, Claudia Rodriguez

Capstone Projects and Master's Theses

The senior population has been a target for fraudulent crimes. The determined contributing factors for the senior population being susceptible to fraud is being gullible, lacking knowledge of strategies to prevent fraud, and having cognitive decline due to aging. Fraudulent crimes can have major consequences such as, monetary cost, negative effects on health and unreported cases. Fraudulent crimes against seniors is a growing issue and must be addressed. In order to address this issue within the community a capstone project was developed and implemented in collaboration with the Monterey County District Attorney's Office of Consumerism and Environmental Protection Division. This …

Factors Related To Adverse Mental Health Condition Of Demented Family Caregivers: A Study In West Bengal, India, Ipsita Basu, Susmita Mukhopadhyay

Journal Articles

Dementia caregiving is a unique and the caregivers faces extreme challenges which affect care-giver's mental health adversely. Family caregiving towards elderly individuals with dementia is becoming widespread. The study aims to evaluate the mental health status of dementia family caregivers and some related factors that affect their mental health condition. Present cross sectional study includes a total of 134 family caregivers. Socio-demographic and caregiving related data were collected using pre-tested questionnaires. Standardized questionnaires were used to collect data on caregivers' mental health traits (measured in terms of level of stress and anxiety), level of psychosocial distress, support they provided and …

Counseling Students’ Attitudes Toward Complementary And Alternative Medicine Integration In Counseling Practice, Lee Za Ong, Carrie L. King, Hope A. Jackson

College of Education Faculty Research and Publications

This study explored counseling students’ attitudes toward beliefs and personal experience with complementary and alternative medicine (CAM) integration in counseling practices. A total of 113 clinical mental health counseling students completed a demographic questionnaire, the CAM use, and the Complementary and Alternative Medicine Beliefs Inventory. Data were analyzed using descriptive statistics, nonparametric Chi-Square testing, Mann–Whitney U test, and logistic regression analysis to determine the prevalence of CAM use, CAM beliefs, and predictive factors of CAM integration. The results indicated differences in ethnicity, gender, and age for CAM use, CAM beliefs, and predictors of attitudes toward CAM integration. Recommendations for counseling …

Impact Of Project Echo Models Of Medical Tele-Education: A Systematic Review, Ryan K. Mcbain, Jessica L. Sousa, Adam J. Rose, Sangita M. Baxi, Laura J. Faherty, Caroline Taplin, Andre Chappel, Shira H. Fischer

Project ECHO Bibliography

BACKGROUND: Extension for Community Healthcare Outcomes (ECHO) and related models of medical tele-education are rapidly expanding; however, their effectiveness remains unclear. This systematic review examines the effectiveness of ECHO and ECHO-like medical tele-education models of healthcare delivery in terms of improved provider- and patient-related outcomes.

METHODS: We searched English-language studies in PubMed, Embase, and PsycINFO databases from 1 January 2007 to 1 December 2018 as well as bibliography review. Two reviewers independently screened citations for peer-reviewed publications reporting provider- and/or patient-related outcomes of technology-enabled collaborative learning models that satisfied six criteria of the ECHO framework. Reviewers then independently abstracted data, …

Rural Aging: The Geographic Reach Of Service Access In Utah, Identifying Barriers And Solutions, Alexandra T. Schiwal

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This dissertation includes two studies of rural age-related services in the state of Utah. The first study combines geospatial, demographic data (number of people over 55) and age-related services (hospitals, hospice providers, nursing homes, senior centers, and Areas Agencies on Aging) at the county level and census-tract level to determine localized differences in proportional access to age-related services. Higher and lower proportions are then predicted by contextual factors including rural/urban gradient, economic industry, and broadband access. Results demonstrate that broadband access was significantly associated with higher access to age-related services, but being a retirement destination (increase in people over 65 …

Human-Animal-Environment Interactions As A Context For Child And Adolescent Growth, Erin Flynn, Alexandra Zoller, Megan Mueller, Kevin Morris

Journal of Youth Development

Human-animal-environment interaction (HAEI) is increasingly used in special education. While most research of HAEIs has identified effects that broadly support positive special education outcomes, further research of HAEI-based interventions in these environments is needed. Semi-structured interviews were conducted with 18 teaching staff at a special education school that utilizes a range of HAEIs. The teachers are responsible for implementing evidence-based interventions to facilitate social-emotional learning (SEL), so assessing their unique perspectives on the impacts of HAEIs on student SEL outcomes is imperative. Phenomenological coding of the interviews identified 9 major themes that represented positive impacts as well as barriers and …

Age And Seasonal Change In The Chronobiology Of A Spider With An Exceptionally Long-Period Circadian Clock, Shae Crain

Electronic Theses and Dissertations

This study examines locomotor activity in samples of Frontinella pyramitela collected over its active season (April-October) to investigate whether seasonality and/or age may help explain the exceptional variability typically found in spider clock systems. Despite its noteworthy variability (%CV= 7.7), we have found that Frontinella has a mean free-running period of 28.4±2.18 hours that does not significantly vary over time. There is no correlation between day length and free-running period, indicating that varying length of FRP is not a function of photoperiod length. In LD 12:12 h, the window of activity is significantly smaller in April, gradually widening as the …

The Role Of The Environmental Context In Advance Care Planning Among Older Adults, Brittany E. Gaines

Graduate Doctoral Dissertations

Research has focused on various individual characteristics associated with advance care planning (ACP), but little is known about how the environment context is associated with ACP. This study examined the role of environmental characteristics in ACP by addressing three key aims: 1) examine the independent effects of environmental factors on ACP, 2) assess the moderating effects of environmental factors on the associations between ACP and individual household income and educational attainment, and 3) conduct a longitudinal examination of ACP and environmental characteristics. I combined individual ACP information from the 2004 and 2011 waves of the Wisconsin Longitudinal Study with county …

Staff Perceptions Of Quality Interactions In Dementia Care, Rebecka A. Schultz

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The national aging trend suggests that population of those aged 65 and older will reach 83.7 million by the year 2050. With increasing age comes the growing possibility of one getting some form of dementia. The Alzheimer’s Association expects the number of American’s with dementia to triple from the reported 5 million cases in 2014 by 2050. With a rise in this cognitively impaired population there is reason to look closely at the needs of persons with dementia living in residential facilities and whether or not they are being met. The main focus of residential facilities is to provide aid …

The Role Of Social Support In Dementia Care Facilities: Staff Member Perspectives, Malinda K. Dokos

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

In this study, certified nursing assistants (CNAs) who work regularly with long-term care residents with dementia were interviewed to investigate whether they considered providing social and emotional support to people with dementia an important part of their jobs. They were given an online survey, then each participated in an in-person interview that was recorded and later transcribed and analyzed for common themes. Through data analysis, I found that the participating CNAs unanimously considered social support to be an important aspect of caring for someone with dementia, and several personal values were associated with this perspective. They also reported the trainings …

The American Unreformation: The Undoing Of American Evangelical Prominence And The Rise Of The Religiously Unaffiliated Nones, H G. Walker

Doctoral Dissertations and Projects

With over sixty percent of Protestant churches in America experiencing either plateaued or declining numbers, the ineffectiveness or outright inattention to evangelistic efforts is magnified by the aggressive growth of the Nones population; therefore, this dissertation project seeks to answer one central question related to the current increase in the number of Americans identifying as religiously unaffiliated: Are there identifiable religious resurgence mechanisms in American religious history that address the current rise of the Nones and if initiated would facilitate future religious resurgence? Lower levels of religious affiliation reveal a weakening of the heart of the Evangelical position on evangelization …

Appmod: Helping Older Adults Manage Mobile Security With Online Social Help, Zhiyuan Wan, Lingfeng Bao, Debin Gao, Eran Toch, Xin Xia, Tamir Mendel, David Lo

Research Collection School Of Computing and Information Systems

The rapid adoption of Smartphone devices has caused increasing security and privacy risks and breaches. Catching up with ever-evolving contemporary smartphone technology challenges leads older adults (aged 50+) to reduce or to abandon their use of mobile technology. To tackle this problem, we present AppMoD, a community-based approach that allows delegation of security and privacy decisions a trusted social connection, such as a family member or a close friend. The trusted social connection can assist in the appropriate decision or make it on behalf of the user. We implement the approach as an Android app and describe the results of …

Genome-Wide Meta-Analysis Of Macronutrient Intake Of 91,114 European Ancestry Participants From The Cohorts For Heart And Aging Research In Genomic Epidemiology Consortium, Jordi Merino, Hassan S. Dashti, Sherly X. Li, Chloé Sarnowski, Anne E. Justice, Misa Graff, Constantina Papoutsakis, Caren E. Smith, George V. Dedoussis, John Blangero

School of Medicine Publications

Macronutrient intake, the proportion of calories consumed from carbohydrate, fat, and protein, is an important risk factor for metabolic diseases with significant familial aggregation. Previous studies have identified two genetic loci for macronutrient intake, but incomplete coverage of genetic variation and modest sample sizes have hindered the discovery of additional loci. Here, we expanded the genetic landscape of macronutrient intake, identifying 12 suggestively significant loci (P < 1 × 10-6) associated with intake of any macronutrient in 91,114 European ancestry participants. Four loci replicated and reached genome-wide significance in a combined meta-analysis including 123,659 European descent participants, unraveling two novel loci; a common variant in RARB locus for carbohydrate intake and a rare variant in DRAM1 locus for protein intake, and corroborating earlier FGF21 and FTO findings. In additional analysis of 144,770 participants from the UK Biobank, all identified associations from the two-stage analysis were confirmed except for DRAM1. Identified loci might have implications in brain and adipose tissue biology and have clinical impact in obesity-related phenotypes. Our findings provide new insight into biological functions related to macronutrient intake.

Users’ Perception Of The Hospital Information System In A Maternity Hospital In Lampung, Indonesia, Al Asyary, Arief Kurniawan Nur Prasetyo, Tris Eryando, Solvay Gerke

Kesmas

Hospital information systems (HIS) have been applied on a massive scale; however, user evaluation of their effectiveness, efficiency, and service quality improvements remain rare. This study aimed to describe the utility of information systems from the users’ point of view by using the Technology Acceptance Model (TAM) in a maternity hospital in Lampung, Indonesia. The study provided an overview of the features of the information system and the workflow of the user through this information system. Screenshots were taken by using Camtasia Studio 2.0 Trial Version application software for one day (two shifts) in the outpatient service. The HIS generally …

Major Depressive Disorder Among Individuals Who Are Deaf: Implications For Rehabilitation Professionals, Sandra Hansmann, Shawn P. Saladin, Diana Fraser-Mendez

JADARA

Major Depressive Disorder (MDD) is a potentially disabling condition which adversely affects psychosocial functioning in the lives of many people. Individuals who are prelingually and/or profoundly Deaf are especially at risk of misdiagnoses, which in turn may prevent them from receiving the treatment needed to reach their full potential in independent living or vocational rehabilitation. This article reviews general depressive symptomology, followed by a discussion of challenges associated with diagnosing MDD in individuals who are Deaf. Suggestions for therapeutic interventions are also included. The article concludes with a summary of the implications of Deafness and MDD for independent living and …

Towards Actionable Knowledge: A Systematic Analysis Of Mobile Patient Portal Use, Cherie Noteboom, Mohammad Al-Ramahi

Research & Publications

As the aging population grows, chronic illness increases, and our healthcare costs sharply increase, patient portals are positioned as a central component of patient engagement through the potential to change the physician-patient relationship and enable chronic disease self-management. A patient’s engagement in their healthcare contributes to improving health outcomes, and information technologies can support health engagement. In this chapter, we extend the existing literature by discovering design gaps for patient portals from a systematic analysis of negative users’ feedback from the actual use of patient portals. Specifically, we adopt a topic modeling approach, latent Dirichlet allocation (LDA) algorithm, to discover …

Drug Interactions With Antimalarial Medications In Older Travelers: A Clinical Guide, Jelena Lewis, Tania Gregorian, Ivan Portillo, Jeff Goad

Pharmacy Faculty Articles and Research

Increasingly older adults are traveling to international destinations with malaria as a present risk. Surveillance systems indicate that older adults are more likely to suffer severe complications from malaria. The role of health care providers in selecting an appropriate medication for chemoprophylaxis or treatment of malaria in adults becomes more difficult as older adults undergo physiologic changes that alter the pharmacokinetic and pharmacodynamic nature of medications potentially causing increased drug interactions, adverse events, and altered drug action. A comprehensive literature search from 1970 to present, with a focus on the last 10 years, was conducted on drug interactions, pharmacokinetic and …

2019 November 25 - Graduate Council Minutes, College Of Graduate And Continuing Studies, East Tennessee State University

Graduate Council Agendas and Minutes

No abstract provided.

Efficacy Of The Abcde Bundle In Reducing Delirium In Critically Ill Patients: An Integrative Literature Review, Leah Hanson

Nursing Masters Papers

Delirium is an acute dysfunction of the brain that occurs in up to eighty percent of critically ill patients which has been associated with increased morbidity, mortality and long-term cognitive deficits. In an effort to reduce symptoms associated with Intensive Care Unit (ICU) acquired delirium, leading critical care researchers created the Awakening and Breathing Coordination, Delirium Monitoring/Management and Early mobility (ABCDE) bundle (Balas et al, 2012). Through an integrative literature review, the aim of this scholarly inquiry paper is to determine the efficacy of the ABCDE bundle in reducing the incidence of delirium in critically ill patients and provide supporting …

Concerns And Considerations In Mental Health Practices With Older Culturally Deaf Adults, David M. Feldman

JADARA

The elderly population in America is expected to more than double over the next half century. Consequently, the corresponding growth of the culturally Deaf' elderly population becomes important to examine. Because this population is a subgroup of both the hearing elderly and culturally Deaf populations, the expectation is that mental health professionals working with Deaf elderly clients will have specific concerns and will behave in ways that are specific to this population. Little is known, however, about the issues that challenge mental health professionals working with elderly Deaf clients. At present, mental health professions across all fields are unprepared to …

A Quality Improvement Study On Missed Appointment Management In Primary Care, Aunye' Dina Amos

Dissertations

Abstract

Problem: Patients who miss appointments have poorer health outcomes and increase costs for medical care. The purpose of this quality improvement study was to evaluate the effects of missed appointments on patients’ outcomes for diabetes mellitus, and resulting financial losses to a private primary care practice.

Method: A quality improvement initiative with a retrospective review of patients over a six-month period in 2018 (before) and 2019 (after a missed appointment fee was implemented). All adult patients, aged 18-92 years, were included. For those with diabetes, a HbA1c for each patient who kept or missed their appointment was recorded.

Results: …

Applied Sciences Faculty Member Named Recreation Therapist Of The Year, Staff Report

University of Mississippi News

Health, Exercise Science and Recreation Management unveils new recreational therapy minor

You Learn When You Teach: A Narrative Pedagogy For Faculty And Doctoral-Level Student Teaching Assistants, Lauren A. Acosta Ms, Rn, Phd Candidate, Penny M. Overgaard Phd, Msn, Rn, Natalie M. Pool Phd, Rn, Bsn, Susan M. Renz Phd, Dnp, Rn, Gnp-Bc, Janice D. Crist Phd, Rn, Fwan, Faan

The Qualitative Report

The purpose of this study was to understand the meaning of online co-teaching for PhD faculty and teaching assistants (TAs). Narrative pedagogy underpinned the inquiry, which was designed to advance the discourse on mentorship of PhD future faculty. A faculty member and TA authors kept concurrent weekly journals or after-the-fact written reflections. The authors analyzed data as a team using a five-phase interpretive phenomenological analysis process to interpret the meaning of co-teaching for faculty and TAs. Lines of inquiry, central concerns, exemplars, shared meanings, and paradigm cases supported the overall interpretation, “You Learn When You Teach.” Co-mentorship should be a …

Gc Minutes Nov 21, 2019, Graduate Council

Graduate Council Minutes

No abstract provided.

Social Prescribing For An Aging Population, Amy Clements-Cortés, Joyce Yip

Music Faculty Publications

As the human population is moving toward a demographic of aging individuals, increased levels of stress will be placed on the current health care system. “… As people live longer, there is a tendency or the onset of disease to occur closer to the end of life” (p. 441) and the incidence of mental health illnesses is prevalent in older adults. Currently, the medical model is dominant in the health care system and aims to cure any issue(s) without considerations in the cause or source. Social prescribing/social prescription enables physicians and health care professionals to refer individuals to non-clinical services, …

Academic Service-Learning Experience Embraces The Vincentian Mission In Physician Assistant Education, Alyssa Quinlan, Pamela Gregory-Fernandez, Corinne Alois, Carla Hernandez Goodman

Journal of Vincentian Social Action

Motivated by the belief that health care is a basic human right and driven by a Vincentian mission, St. John’s University Physician Assistant Program incorporates service minded educational experiences created to expose students to the necessity to reach those most in need—“the poor, alienated and the aged.” In Spring 2018, in conjunction with the SJU Academic Service-Learning program, a geriatric service assignment was integrated into the geriatric course curriculum. Working with Selfhelp Virtual Senior Center, local senior centers and nursing homes, students participated in an outreach project to serve senior citizens. Students shared their experiences through reflection and pre- …

Theresa Stretch, Theresa Stretch, Institute Of Child Nutrition. Child Nutrition Archives.

Oral History Project (all interviews)

Theresa Stretch is a native of the State of Illinois. After working as a food service director in both rural and metropolitan districts in Illinois, Theresa accepted a position as an Education and Training Specialist at the Institute of Child Nutrition, where she has been for the past twenty years. Theresa will retire on March 31, 2020.

Gut Microbiota: From The Forgotten Organ To A Potential Key Player In The Pathology Of Alzheimer's Disease, Dong-Oh Seo, David M Holtzman

Open Access Publications

More than 300 years ago, Antony van Leewenhoeck first described observing single-celled microorganisms, which he termed "animalcules," examining his saliva under a microscope. Although the idea of the coexistence of microorganisms in our body is not new, we have only recently been able to investigate their ecological relationship to our body, with the development of high-throughput molecular techniques. The diverse microorganism communities residing in our guts are established and maintained by complex interactions among microorganisms and their host. Notably, their alteration has been implicated in influencing various diseases including neurological diseases. Alzheimer's disease (AD) is the most common cause of …

Deaf Action Centers Senior Citizen Program, Elizabeth C. Criswell

JADARA

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