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Articles 1 - 28 of 28
Full-Text Articles in Medicine and Health Sciences
Implementing Gerontological Education Into Undergraduate Nursing Curricula, Amanda Gleason
Implementing Gerontological Education Into Undergraduate Nursing Curricula, Amanda Gleason
Non-Thesis Student Work
The United States has an ever-increasing older adult population, with nearly one-fifth of US citizens over the age of 65 (United States Census Bureau, 2022). America is already in need of nurses trained to work with aging patients and that need is only expected to grow. Many registered nurses (RNs) choose specialties other than gerontological care, with only approximately four percent of RNs currently working in long-term care facilities or retirement or nursing homes (Smiley et al., 2021). Nursing students often, knowingly or unknowingly, have preconceived notions of older adults or older patients that can affect their interest, or lack …
The Relationship Between New Graduate Registered Nurse Knowledge, Experiences, Attitudes, And Age Bias Toward The Older Adult, Michelle Fox
The Relationship Between New Graduate Registered Nurse Knowledge, Experiences, Attitudes, And Age Bias Toward The Older Adult, Michelle Fox
USF Tampa Graduate Theses and Dissertations
There had been a lack of research on the relationship between a new graduate Registered Nurses’ knowledge, experiences, attitudes, and age bias toward older adults. The purpose of this study was to investigate whether there was a relationship between new graduate Registered Nurses’ knowledge, experiences, attitudes, and age bias toward older adults.
The researcher used correlational, non-experimental, quantitative design for this study. The instruments used in this study were the Facts on Aging Quiz, the Kogan Attitude Toward Old People scale, and a demographic questionnaire. Descriptive statistics were used to analyze the demographic data and correlation coefficients were used to …
Exploring The Lived Experiences Of Female Retirement Living Seniors And Their Social Relationships, Kathy Procyk
Exploring The Lived Experiences Of Female Retirement Living Seniors And Their Social Relationships, Kathy Procyk
Theses and Dissertations (Comprehensive)
Objective
This research examines the lived experiences of seniors living within a retirement home (RH) and their social relationships with friends, family, and RH peers. The phenomena is explored through two perspectives (the senior and their support person) in order to better understand how retirement home living affects individuals’ social patterns and social well-being.
Methods
The theoretical orientation used to guide this study was phenomenology. After completing a background questionnaire, one-on-one semi-structured interviews were conducted with 11 women living in a retirement home and 7 primary support persons. Interviews were transcribed verbatim for further data analysis. Field notes, member checks, …
Successful Aging In The United States And China : A Theoretical Basis To Guide Nursing Research, Practice, And Policy., Valerie Lander Mccarthy, Hong Ji, Jiying Ling
Successful Aging In The United States And China : A Theoretical Basis To Guide Nursing Research, Practice, And Policy., Valerie Lander Mccarthy, Hong Ji, Jiying Ling
Valerie L. McCarthy
Successful aging is an idea gaining increasing attention given the exponential growth in the older adult population. Criteria and definitions within multiple disciplines vary greatly in Western literature, with no consensus on its meaning. Moreover, sociocultural, economic and political differences between the Western view of successful aging and its use in China – with the world’s largest older adult population – add to the confusion. Similarities and differences in the meaning of successful aging in the United States and China are examined and the potential for a common definition that is useful to nursing in both countries is explored. Using …
Pat Owens, Pat Owens, Kelsey Duinkerken
Pat Owens, Pat Owens, Kelsey Duinkerken
Jefferson Nursing Oral Histories
From a young age Pat Owens had a strong interest in nursing, and as a high school student she was even the President of her school’s Future Nurses Club. However, she also really liked home economics so when she went to college she decided to pursue home economics rather than nursing. After working as at the Dairy Council as a nutrition consultant and later at Campbell’s Soup in their test kitchen, Ms. Owens decided that she wanted to instead pursue a career in nursing. After looking into different programs in the Philadelphia area, she chose Jefferson, entering in 1990 and …
Spiritual Well-Being, Religiosity, Hope, Depression, And Other Mood States In Elderly People Coping With Cancer, Richard Fehring, Judith Miller, Christine Shaw
Spiritual Well-Being, Religiosity, Hope, Depression, And Other Mood States In Elderly People Coping With Cancer, Richard Fehring, Judith Miller, Christine Shaw
Richard J Fehring
PURPOSE/OBJECTIVES: To determine the relationships among spiritual well-being, religiosity, hope, depression, and other mood states in elderly people coping with cancer and if differences in hope, depression, and other mood states exist between those elderly with high and low intrinsic religiosity and spiritual well-being. DESIGN: Descriptive correlational and descriptive comparison. SETTING: Acute care units of two hospitals located in the midwestern United States. SAMPLE: 100 elderly people with diagnosis of cancer and a mean age of 73 years. Thirty-three of the subjects were male, and 67 were female. Sixty-two percent had either lung, breast, or colon cancer. METHODS: Each subject …
Sleep, Depressive Symptoms And Cognition In Older Adults And Caregivers Of Persons With Dementia, Glenna Shemida Brewster
Sleep, Depressive Symptoms And Cognition In Older Adults And Caregivers Of Persons With Dementia, Glenna Shemida Brewster
USF Tampa Graduate Theses and Dissertations
Caregivers of persons with dementia, who are often older adults, report sleep disturbance, high rates of depressive symptoms and may be at risk for impaired cognition. This dissertation examined sleep, depressive symptoms, and cognition in older adults and caregivers of persons with dementia. The aims of the review of literature were to understand, in community dwelling adults 60 years and older, the relationships among sleep parameters (sleep onset latency, wake after sleep onset, sleep efficiency, total sleep time, and general sleep complaints), and the domains of cognition (Executive Function, Attention, Episodic Memory, Working Memory, Processing Speed), and global cognition. Based …
Relationships Among Uncertainty, Coping, And Psychological Distress In Older Adults With Mild Cognitive Impairment, Jennifer Sjostedt Avery
Relationships Among Uncertainty, Coping, And Psychological Distress In Older Adults With Mild Cognitive Impairment, Jennifer Sjostedt Avery
Dissertations (1934 -)
Mild cognitive impairment (MCI) has an average prevalence of 18.9% and most often affects people 60 years of age or older. It is a cognitive stage between normal functioning and dementia (Petersen, 2003; Petersen, 2011; Petersen et al., 2014). MCI can be broken into two subtypes classified by the presence of memory impairment (amnestic MCI) or the lack thereof (nonamnestic MCI). Medical diagnostic criteria are commonly used to guide research with older adults with MCI. A theoretical framework that addresses the antecedents and consequences of MCI, specifically one examining the relationships among MCI, uncertainty, coping and psychological distress, is essential …
Successful Aging In The United States And China : A Theoretical Basis To Guide Nursing Research, Practice, And Policy., Valerie Lander Mccarthy, Hong Ji, Jiying Ling
Successful Aging In The United States And China : A Theoretical Basis To Guide Nursing Research, Practice, And Policy., Valerie Lander Mccarthy, Hong Ji, Jiying Ling
Faculty Scholarship
Successful aging is an idea gaining increasing attention given the exponential growth in the older adult population. Criteria and definitions within multiple disciplines vary greatly in Western literature, with no consensus on its meaning. Moreover, sociocultural, economic and political differences between the Western view of successful aging and its use in China – with the world’s largest older adult population – add to the confusion. Similarities and differences in the meaning of successful aging in the United States and China are examined and the potential for a common definition that is useful to nursing in both countries is explored. Using …
International Health Care Issues And Services Identified While Mapping The Gerontological Nursing Literature, Marcia Henry, Marilia Antunez, Dorice Vieira, Kent Randell
International Health Care Issues And Services Identified While Mapping The Gerontological Nursing Literature, Marcia Henry, Marilia Antunez, Dorice Vieira, Kent Randell
Marilia Y. Antúnez
Bibliometric analysis of cited references; analyzed keywords, subject content, and authors to discern global issues of aging and collaborations of the articles published in three leading gerontological journals from 2008-2010.
Breast Health And Mammography Screening In Older Women, Martha A. Ibarra Phd, Msn, Anp, Rn
Breast Health And Mammography Screening In Older Women, Martha A. Ibarra Phd, Msn, Anp, Rn
Dissertations
Age-related health disparities in breast cancer screening are a public health concern. From 2002 to 2006, the median age for newly diagnosed cases of breast cancer was 61 years and the median age for breast cancer mortality was 68 years of age (Surveillance Epidemiology and End Results [SEER], 2009). Mammography is the best available screening tool for breast cancer detection (Susan G. Komen Foundation, 2008). The Centers for Medicare and Medicaid Services (CMS, 2006) reported that only about half of older women who are eligible for mammograms through Medicare obtain a mammogram every two years. The literature identifies psychosocial barriers, …
Documentation: Delirium In The Hospitalized Older Adult, Jacqueline Fitzgerald Close Phd
Documentation: Delirium In The Hospitalized Older Adult, Jacqueline Fitzgerald Close Phd
Dissertations
Background: Delirium is a common, life threatening and preventable geriatric syndrome. Because this condition is frequently addressed by administering dangerous antipsychotic drugs, it is imperative that accurate systematic assessments are charted to determine the actual need for these medications. The purpose of the study was to describe medical record documentation of a systematic assessment of delirium in older adults who had been administered an antipsychotic medication. Methods: A descriptive correlational retrospective design was used for this medical record data based study. The setting was a 107 bed acute care community hospital located in southern California. Inclusion criteria were medical records …
Surgical Delay For Hip Fracture Clients And The Use Of Clopidogrel: An Integrative Review, Phoebe Genevieve Waller
Surgical Delay For Hip Fracture Clients And The Use Of Clopidogrel: An Integrative Review, Phoebe Genevieve Waller
Senior Honors Theses
Abstract
Hip fractures in elderly patients have very high postoperative mortality rates and the number of hip fractures in the United States is expected to increase exponentially before 2030. Early surgery is essential to improve outcomes, but patients on clopidogrel (Plavix) have a high risk for increased bleeding if surgery is performed within the usual 72 hour window. This paper presents literature and research addressing the dangers of delaying surgery versus undergoing surgery before the effects of the clopidogrel are gone. Based on articles published after 2006, most researchers advocated earlier surgical intervention than previously recommended and emphasized an individualized …
Nutritional Status And Clinical Outcomes Of Residents Admitted To A Nursing Home, Sheryl Nespor Phd
Nutritional Status And Clinical Outcomes Of Residents Admitted To A Nursing Home, Sheryl Nespor Phd
Dissertations
Purpose The purpose of this research study was to describe the nutritional status (well nourished, at risk for malnutrition, or malnourished) of residents admitted to nursing homes and adverse clinical outcomes in those residents after four weeks. Methodology A descriptive, correlational design utilizing medical record data was used to examine the relationship between nutritional status and adverse clinical outcomes of weight loss and pressure ulcers. Results The sample (n=69) was predominately Caucasian (90%) with 38% having one or more pressure ulcers on admission. Most of the residents were admitted from an acute care facility (97%) and were either malnourished or …
Battery And Abuse In The Elderly: A Forensic Analysis, Amy Y. Carney Phd, Mfs, Np
Battery And Abuse In The Elderly: A Forensic Analysis, Amy Y. Carney Phd, Mfs, Np
Dissertations
Elder abuse is a recognized social problem in the United States. First labeled as "granny battering" and originally studied under the umbrella of family violence, maltreatment of the elderly has received more funding and research in recent years. Multiple aspects of elder abuse have been examined in the literature including measures for detection, assessment, and documentation. Although studies have examined the circumstances surrounding abuse as well as theories of causation and characteristics of the abuser and the abused, studies of the relationship between the abuser and the abused are less well documented. The purpose of this research was to examine …
Annual Report, Western Kentucky University College Of Health & Human Services, Dr. John Bonaguro, Dean
Annual Report, Western Kentucky University College Of Health & Human Services, Dr. John Bonaguro, Dean
College of Health & Human Services Publications
No abstract provided.
Lived Experience Of Diabetes Among Older, Rural People, S.R. George, Sandra Thomas
Lived Experience Of Diabetes Among Older, Rural People, S.R. George, Sandra Thomas
Faculty Publications and Other Works -- Nursing
This paper is a report of a study conducted to elucidate experiences and perceptions of self-management of diabetes as narrated by older people diagnosed with insulin-dependent diabetes living in a rural area.
Lived Experience Of Diabetes Among Older, Rural People, S.R. George, Sandra Thomas
Lived Experience Of Diabetes Among Older, Rural People, S.R. George, Sandra Thomas
Sandra Thomas
This paper is a report of a study conducted to elucidate experiences and perceptions of self-management of diabetes as narrated by older people diagnosed with insulin-dependent diabetes living in a rural area.
Spirituality And Symptom Self Management Of Osteoarthritis, Lois M. Kannan Phd
Spirituality And Symptom Self Management Of Osteoarthritis, Lois M. Kannan Phd
Dissertations
Healthcare providers need to identify holistic self-care techniques that are endorsed by patients as effective strategies for symptom management of osteoarthritis, which is the single most common cause of disability in older adults. Research in this area may direct the development of interventions to ensure that older adults are afforded every opportunity to remain active and productive, with an improved health related quality of life, despite age related musculoskeletal conditions. The purpose of this study was to describe the relationships among symptom experience, symptom management, and symptom outcome based on spiritual well-being. A quantitative, descriptive, correlational, and noninterventional study design, …
Reducing Inpatient Falls And Fall Related Injuries In Acute Care Settings, Channing Williams, Nikita Lewis, Victoria Thomas
Reducing Inpatient Falls And Fall Related Injuries In Acute Care Settings, Channing Williams, Nikita Lewis, Victoria Thomas
McCabe Thesis Collection
Falls are a continually rising issue in today's healthcare. In acute care settings, patient falls make up 38% of all adverse events in which include physical injury, undesirable emotional and financial outcomes for the client (Angn, Mordiffi, Wong, Devi, & Evans, 2007). Falls in the hospitals lead to fear, pain, decreased healing, longer in-patient stays, further health-related complications. Falls may also cause patient discomfort and affect quality of life. Prevention of falls is an important goal of hospitals world-wide. Research has been conducted to determine the clinical effectiveness and implementation of a fall prevention. Although falls in hospitals cannot always …
Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns
Mortality Prognostication In Long-Term Care Residents: The Mds-Chess Scale, Caroline Etland Phd, Msn, Cns
Dissertations
Quality end of life (EOL) care for the elderly continues to be a challenge, in part due to late referral for palliative and/or hospice services. The purpose of this study was to determine the accuracy of the MDS-CHESS scale (Hirdes, Frijters & Teare, 2003) in predicting 6-month mortality in a stable American nursing home (NH) population. A secondary aim was to determine any differences in mortality between the 2 sites. A sample of 191 residents of two NHs was analyzed in a retrospective, correlational cohort study, using data collected from the federal MDS database. Correlational statistics and logistic regression were …
Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd
Older Single Women In Transition: Moving To A Supportive Retirement Community, Linda L. Hansen-Kyle Phd
Dissertations
This study explored role changes, resilience, social, and health challenges encountered by older women who transitioned to a retirement community that provided social, health, and safety support structures. The aim of this study was to analyze and describe the transition from the viewpoint of the participants. Although previous research has shown transitions lead to psychosocial, emotional, physical, and health changes, the importance of this study stems from the lack of research on older women moving to supportive communities and their unique challenges. A convenience sample of 39 women, aged 70-94, who had been living alone before moving to a church …
Factors Influencing Middle-Aged And Older Latin American Women's Participation In Physical Activity, Stephanie Vaughn Phd
Factors Influencing Middle-Aged And Older Latin American Women's Participation In Physical Activity, Stephanie Vaughn Phd
Dissertations
Ethnographic methodology was used to explore the factors that influence middle-aged and older Latin American women's participation in physical activity. Semi-structured interviews and field observations were used to elicit information from the twenty five Latin American women in this study sample. Perceptions of health, the health activities in which the women engage, and the factors that influenced their participation in physical activity comprised the three categories of responses. Facilitators and barriers were identified as the two primary groups and were further sorted into intrinsic or extrinsic factors. A sense of self, decreased feelings of stress, wellbeing, managing chronic disease, the …
Resilience: The Lived Experience Of Elderly Widowers Following The Death Of A Spouse, Dorothy Battersby Crummy Phd, Msn, Rn
Resilience: The Lived Experience Of Elderly Widowers Following The Death Of A Spouse, Dorothy Battersby Crummy Phd, Msn, Rn
Dissertations
Aged widowers are at risk for increased incidence of health problems and higher mortality rates following the death of a spouse. Mens' abilities for dealing with loss have been questioned, but little research has been done with this group. Surviving widowers provided significant insights illuminating the experience of resilience and providing relevant information regarding this population. Utilizing interpretive phenomenology, a methodology advocated by van Manen, in-depth interviews were conducted researching the lived experience of resilience among nineteen elderly widowers between 71 years and 100 years of age. Participants, identified by network sampling, lived independently and had survived the death of …
A Study Of Quality Of Life Issues In Community-Dwelling Elders, Kimberly S. Mcclane Phd
A Study Of Quality Of Life Issues In Community-Dwelling Elders, Kimberly S. Mcclane Phd
Dissertations
In the year 2000, there were approximately 35 million people in the United States who were 65 years of age or older, a ten-fold increase since 1900. The growth of this population has presented opportunities and challenges to American society. Health care needs, physical changes of aging, and the allocation of health care resources are several of the issues that need to be addressed (Federal Interagency Forum on Aging-Related Statistics, 2000). Quality of life measurement tools have been used to assess the health and social needs of aging people both in the United States and internationally since their conception in …
Being Alone: The Experience Of Elderly Homebound Females, Sharon Davis Burt Dnsc, Msn, Rn
Being Alone: The Experience Of Elderly Homebound Females, Sharon Davis Burt Dnsc, Msn, Rn
Dissertations
Elderly women comprise one of the fastest growing segments of the population in the United States. This growth is due in large part to increasing longevity, and a woman's life expectancy has now reached 79 years. However, along with those added years comes an increase in morbidity and a greater likelihood of living alone. This study describes the life experience of a specific group of elderly women, those who are homebound and living alone. When elderly women are included in research, the same combination of descriptors used for the participants in this study has not been incorporated. Consequently, while much …
Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn
Elders Caring For Elders: Risk Of Abuse And Neglect?, Marjorie F. Bendik Dnsc, Msn, Rn
Dissertations
This study was designed to examine the phenomena of mood disturbance and associated potential to abuse in an elderly caregiver population. The data from which the results were obtained came from structured interviews, using quantitative measures, with 110 men and women caregivers aged 55 and over, living at home and caring for another physically or mentally ill elder (usually a spouse or other relative) who was living with them. A causal model was developed to examine the effects of locus of control, social support, physical health, stress perception, and coping efficacy on total mood disturbance and potential to abuse. Standardized …
Well-Being Of Elderly Women: Rural-Urban Differences, Betty J. Gale Dnsc, Ms, Rn
Well-Being Of Elderly Women: Rural-Urban Differences, Betty J. Gale Dnsc, Ms, Rn
Dissertations
Using a stress-coping theoretical framework, this path analytic study examined the effects of hardiness, self-esteem, social support, and stress on coping, service utilization, and well-being of elderly women. Fifty-five rural and fifty-five urban females living in the community comprised the sample whose mean age was 75 years. The overall level of well-being of these women was high. Hardiness was associated with greater social support and well-being. Self-esteem was related to lower stress. Hardiness and self-esteem were also associated with decreased use of emotion-focused coping. Stress had a positive relationship with service utilization and a negative relationship with well-being. Problem-focused coping …