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Articles 1 - 20 of 20
Full-Text Articles in Geriatric Nursing
The Meanings Of Daily Activities And Attitudes Of Older Breast Cancer Survivors: A Case Study Research, Wadha Alquraini
The Meanings Of Daily Activities And Attitudes Of Older Breast Cancer Survivors: A Case Study Research, Wadha Alquraini
Doctoral Dissertations
Objectives: The aim of the study was to explore how older breast cancer survivors made meaning from daily activities and their attitudes to life and behaviors in it. Method: Secondary data was analyzed from nine older women with breast cancer. Data on living women was used to elicit the influence of breast cancer on survivors' attitudes and behaviors. Results: Eight significant themes were identified that were related to breast cancer meanings, attitudes to it, and behaviors that impact participants' survivorship; breast cancer means death or being close to death, survivor-provider relationships, social support, the meaning of dignity or …
Educating Novice Nurses And Nurse Practitioners About Military Sexual Trauma Screening, Alyssa D. Freeman
Educating Novice Nurses And Nurse Practitioners About Military Sexual Trauma Screening, Alyssa D. Freeman
Doctor of Nursing Practice (DNP) Projects
Abstract
Background: Military sexual trauma prevalence has continually increased over the past 25 years. Exposure to sexual trauma, violence, and abuse result in notable health consequences. The Veterans Health Administration has led the integration of universal Military Sexual Trauma (MST) screening and training. Purpose: The purposes of this project were to educate novice nurses and nurse practitioners about MST and to increase their knowledge and comfort in MST screening techniques. Methods: Following an educational session, a pre- and post-study design was used to evaluate improvement in knowledge and comfort screening for MST. Thirty-two participants including PBRNR Nurse Residents, …
Physical Activity, Daily Step Counts And Functional Ability In Older Adults: Using Nhanes Database, Chunfang(Maggie) Chen
Physical Activity, Daily Step Counts And Functional Ability In Older Adults: Using Nhanes Database, Chunfang(Maggie) Chen
Doctoral Dissertations
Maintaining functional ability and independence are essential in the healthcare of older adults. Physical activity(PA) has been acknowledged as effective and economical health promotion strategies in older population. However, the amount of PA needed to maintain functional ability in older adults remains unclear. This investigation used PRISM Dose-response Curves Stimulation Variable slope model to explore the relationships between the amount of PA and functional ability in community-dwelling young-old, middle-old and old-old age group adults. ANOVA analysis was used to examine the relationship between functional ability and self-perceived active level changes compared to 10 years ago. NHANES 2005-2006 older participants datasets …
Improving Telehealth Knowledge And Comfort In An Older Adult Population, Carolyn J. Jones
Improving Telehealth Knowledge And Comfort In An Older Adult Population, Carolyn J. Jones
Doctor of Nursing Practice (DNP) Projects
Background: Telehealth usage is increasing a means of providing healthcare in a more efficient and cost-effective way. Older adults have been left behind from the telehealth movement and this can negatively impact their access to the healthcare system.
Purpose: An educational workshop was offered in a local older adult community with the goal of increasing their knowledge, literacy, motivation, and usage of telehealth.
Methods: The participants completed a pre-assessment survey to determine their baseline knowledge, experience, and perceptions about telehealth. They then participated in an educational workshop, which consisted of a 45-minute presentation given via Zoom with a 15-minute …
Substance Use Disorder: Primary Care Screening, Shari P. Shaltout
Substance Use Disorder: Primary Care Screening, Shari P. Shaltout
Doctor of Nursing Practice (DNP) Projects
Substance use disorder is a significant problem in the United States causing considerable distress and cost to the healthcare system as well as familial, community, and societal resources. Based on evidence-based research, a statement by the United States Preventive Services Task Force in 2015, recommends substance use disorder screening for adults in the primary care setting. A review of the literature concerning screening tools for substance use disorder resulted in twelve studies being included. The purpose of this project is to determine if the more comprehensive substance use disorder screening tool, ASSIST, identifies more at risk patients than the current …
Examining A Fatigue Management Model That Identifies Risk Factors And Consequences Of Fatigue In Older Individuals, Maral Torossian
Examining A Fatigue Management Model That Identifies Risk Factors And Consequences Of Fatigue In Older Individuals, Maral Torossian
Doctoral Dissertations
Fatigue is experienced by 40-74% of older individuals living with a chronic disease. Despite advances in scientific knowledge around risk factors and consequences associated with fatigue, a comprehensive model that can serve as a guide for healthcare providers caring for older individuals with fatigue is lacking. Thus, the purpose of this study was to examine a fatigue model based on the Theory of Unpleasant Symptoms (TUS). The model included psychological, physiological, and situational risk factors of fatigue, as well as fatigue outcomes, such as physical, social, and cognitive performances, perceived health, and quality of life (QOL). This was a secondary …
Nurse-Delivered Shoe-Lacing Intervention: Effect On Comfort And Toe Pressures For Active Community-Dwelling Adults (Age 65+), Mary C. Clayton-Jones
Nurse-Delivered Shoe-Lacing Intervention: Effect On Comfort And Toe Pressures For Active Community-Dwelling Adults (Age 65+), Mary C. Clayton-Jones
Doctoral Dissertations
Significance: Problems with shoe fit are endemic, affect gait and balance and lead to falls. Falls are physically, emotionally, and economically costly. Low-cost, easily implemented interventions, that reduce pain and improve balance meet the “triple aim” of the Institute for Healthcare Improvement. Purpose: Evaluate the impact on community-dwelling adults (65+) of two nursing interventions involving foot repositioning and shoe relacing. Outcome measures: Toe pressures, experiences of pain and comfort. Method: Repeated-measures, mixed-methods lab-based study. Walk #1 Control. Intervention #1, participant’s heel secured to back of shoe, the participant’s chosen lacing pattern snugged. Intervention #2, heel secured to back of …
Elearning Module For Nursing Students To Improve Delirium Identification, Prevention, And Management, Shannon Baker
Elearning Module For Nursing Students To Improve Delirium Identification, Prevention, And Management, Shannon Baker
Doctor of Nursing Practice (DNP) Projects
Background and Review of Literature: Delirium is a serious, acute alteration in cognition and consciousness, which is common amongst older hospitalized patients and has an overwhelmingly negative impact on patient outcomes. Under-recognition by healthcare providers poses a barrier and contributes to poor patient outcomes, including increased morbidity and mortality.
Purpose: To reduce the incidence of delirium amongst acutely ill patients via internet-based education for student nurses on delirium prevention, assessment, and management.
Methods: An eLearning intervention consisting of a virtual lecture with an unfolding case study for undergraduate nursing students. This project utilized the Nurses’ Delirium Knowledge Assessment (NDKA) …
Older Women’S Experiences Of Intimate Partner Violence: A Phenomenological Study, Lourdes Irene
Older Women’S Experiences Of Intimate Partner Violence: A Phenomenological Study, Lourdes Irene
Doctoral Dissertations
Intimate partner violence (IPV) is a global public health problem, linked to long-term health, social, and economic consequences. Despite the growing number of women over age 60 in Puerto Rico, knowledge is lacking about culturally specific IPV in women of this age group. This lack of knowledge is problematic because women experiencing abuse often do not report it, health professionals are not educated to identify cases of abuse in older women, and researchers often includes IPV with other types of abuse, such as negligence by families. Therefore, the purpose of this study was to explore and describe the experiences and …
Increasing Health Literacy Through Noteaid Translational Tool In Nursing, Liz Catherine S. Cory
Increasing Health Literacy Through Noteaid Translational Tool In Nursing, Liz Catherine S. Cory
Doctor of Nursing Practice (DNP) Projects
Background: Many adults in the United States lack health literacy necessary to understand patient education materials given to them, such as discharge summary. Re-hospitalization rates are higher due to poor transition of care planning. Older adults may only be provided with written instruction for their complex chronic conditions with multiple changes in medical or treatment plan, or uncommon surgical procedures. Nurses are instrumental in bridging the gap, as they often educate, advocate, and use health technology.
Purpose: To educate nurses on the availability of NoteAid as a natural language translation system that can help increase their comprehension of electronic health …
In Beers We Trust: Using Deprescribing Tools To Reduce Inappropriate Polypharmacy In Adults Age ≥ 65, Angelica Ferrazzi
In Beers We Trust: Using Deprescribing Tools To Reduce Inappropriate Polypharmacy In Adults Age ≥ 65, Angelica Ferrazzi
Doctor of Nursing Practice (DNP) Projects
Background: Adverse drug events (ADEs) are a significant cause of morbidity and mortality in older adults (age ≥ 65). Polypharmacy and potentially inappropriate medications (PIMs) are especially prevalent in this population and are a notable contributing risk factor for ADEs. Research demonstrates that comprehensive medication reconciliation that includes evaluation of both the risks and benefits of medications, in conjunction with deprescribing practices, can reduce PIMs; therefore, reducing ADEs.
Purpose: The aim of this quality improvement project was to empower clinicians to deprescribe current medications that are inappropriate, as well as reduce the rate of newly prescribed PIMs among patients age …
Improving Mental Healthcare For Older Adults: Community Based Screening For Social And Emotional Loneliness And Major Depressive Disorder, Eunice Kowalczyk
Improving Mental Healthcare For Older Adults: Community Based Screening For Social And Emotional Loneliness And Major Depressive Disorder, Eunice Kowalczyk
Doctor of Nursing Practice (DNP) Projects
Abstract
Purpose: Major depressive disorder (MDD) is a devastating mental health disorder affecting older adults that is often misdiagnosed or untreated due to a lack of screening and the stigma that MDD symptoms are a normal and expected part of aging. The goal of this quality improvement (QI) project was to implement a community-based screening intervention to identify community-dwelling older adults at risk for or suffering from MDD, and facilitate further evaluation and care.
Methods: Participants were community dwelling older adults, age 56 and older, in Massachusetts. Two screening tools were administered in two sites that screened for social and …
Timely Transitioning To Hospice: A Needs Assessment With A Pace Program To Improve End Of Life Care, Kristina Kelley
Timely Transitioning To Hospice: A Needs Assessment With A Pace Program To Improve End Of Life Care, Kristina Kelley
Doctor of Nursing Practice (DNP) Projects
Background: Hospice care has been proven to improve patient outcomes at the end of life. However, patients frequently die without receiving hospice benefits. The challenge of transitioning patients from care with a life prolonging intent to a comfort focused approach can partly be attributed to poor prognostication or misconceptions about hospice. A Program for All Inclusive Care of Elders (PACE) in Massachusetts identified transitioning to hospice as an area for improvement. Purpose: To perform a needs assessment to gain understanding of the barriers to effective transitions to hospice and to provide education aimed at addressing those barriers. Methods: Subjects included …
Using Motivational Interviewing To Increase Walking And Functional Ability In Older Adults: A Quasi-Experimental Study, Erin Lamoureux
Using Motivational Interviewing To Increase Walking And Functional Ability In Older Adults: A Quasi-Experimental Study, Erin Lamoureux
Doctoral Dissertations
The purpose of this study was to determine if brief motivational interviewing (MI) sessions would increase daily steps and functional ability in older adults. Regular exercise in the older adult can slow the physical, psychological, and functional decline that is often associated with aging. However, only 25% of adults aged 65 and older meet the suggested physical activity recommendations of the American Heart Association and the National Institute of Health. Understanding what may contribute to the initiation and adherence of exercise within the older adult population might identify interventions that would successfully increase physical activity. This study focused specifically on …
The Effect Of Social Networks On Self-Care Behaviors And Health Outcomes Among Older People Living With Multiple Chronic Conditions, Raeann G. Leblanc
The Effect Of Social Networks On Self-Care Behaviors And Health Outcomes Among Older People Living With Multiple Chronic Conditions, Raeann G. Leblanc
Doctoral Dissertations
Background: Older adults are the fastest growing segment of the population in the United States. By 2030, 72.1 million Americans will be over sixty-five years of age and many live with and manage multiple chronic conditions. Self-care behaviors are a priority to effectively manage chronic conditions, yet a gap exists in our understanding of how social networks influence the outcomes of self-care behavior and health within the context of aging and managing multiple chronic conditions. Objective: The aim of this study was to determine how social network features and functions influence self-care behaviors and health among community dwelling older adults …
Alzheimer’S Dementia Screening In Primary Care: Quality Improvement Project To Identify Those At Risk, Kirstin Drake
Alzheimer’S Dementia Screening In Primary Care: Quality Improvement Project To Identify Those At Risk, Kirstin Drake
Doctor of Nursing Practice (DNP) Projects
Background: Identifying Mild Cognitive Impairment (MCI) and Alzheimer’s Dementia (AD) in the Primary Care Practice (PCP) setting can initiate intervention early, before negative consequences occur including decreased quality of life and caregiver burden.
Purpose: To identify individuals at risk for AD and initiate early treatment and intervention. Methods: The Montreal Cognitive Assessment (MoCA) and Functional Activities Questionnaire (FAQ) were used as screening tools; adults age 65 and older were participants.
Implementation Procedure: Within the Internal Medicine Clinic, the standard annual wellness visits include Registered Nurses that administer a Mini-Cog screening tool with the patients. The Mini-Cog is a brief …
Cancer Pain Processes In The Hospice Caring Triad: A Grounded Theory Study, Olga Ehrlich
Cancer Pain Processes In The Hospice Caring Triad: A Grounded Theory Study, Olga Ehrlich
Doctoral Dissertations
The author conducted this constructivist grounded theory study to describe perceptions, behaviors, and communication that hospice caring triads engage in while managing cancer pain, specifically how these social processes can be assessed and used to improve poorly-controlled pain. Three hospice caring triads comprised of patients, family caregivers, and nurses along with one nurse-patient dyad, were recruited into this longitudinal qualitative study. Each group was observed during nursing visits. Triad and dyad members were individually interviewed. Nurses participated in a focus group and survey. The author used constant comparative methods of data analysis, including line-by-line gerund coding, theoretical codes from cancer …
Exploring The Balance: A Path Analysis Examination Of The Maintaining The Balance Model, Sheila Pennell
Exploring The Balance: A Path Analysis Examination Of The Maintaining The Balance Model, Sheila Pennell
Doctoral Dissertations
Home is the desired site of care for most adults in the US (Eckert, Morgan & Swamy, 2004). The number of older adults who potentially require supportive care at home is rapidly growing. Our current healthcare infrastructure must evolve to accommodate the preference for homecare. This investigation will provide quantitative testing of a qualitatively-derived model called Maintaining the Balance (MTB) developed by Jacelon (2010). MTB describes the factors that drive a community-dwelling older adult’s ability to achieve OW in the home environment. Secondary analysis of data collected for the National Social Life, Health, and Aging Project (NSHAP) was utilized. Path …
An Integrative Review With Toolkit For Caregivers Of Persons With Dementia, Lea Grippin
An Integrative Review With Toolkit For Caregivers Of Persons With Dementia, Lea Grippin
Doctor of Nursing Practice (DNP) Projects
Abstract
Background: The risk of burnout among caregivers of people with dementia is on the increase. Dementia is a progressive neuropsychiatric disorder affecting the cognitive function resulting in confusion and disorientation leading to greater demands on the caregiver which can lead to depression, social isolation, stress, worsening personal health, anxiety, fatigue, financial losses, and potential for abuse.
Methods: This project focused on creating a toolkit for nursing staff caring for patients with dementia followed by a presentation designed to provide options for caregiver support that can assist the caregiver in decreasing their feelings of stress and burnout. This included strategies …
Feasibility Of Family Participation In A Delirium Prevention Program For The Older Hospitalized Adult, Deborah Rosenbloom-Brunton
Feasibility Of Family Participation In A Delirium Prevention Program For The Older Hospitalized Adult, Deborah Rosenbloom-Brunton
Open Access Dissertations
Objective . To examine the feasibility of family participation in a nurse-supported, multicomponent intervention program for delirium prevention in the older hospitalized adult. Background . Delirium is the leading complication of hospitalization for older adults and is associated with important consequences including increased morbidity and mortality, increased use of health care resources, and increased caregiver burden. The potential role that family caregivers could play in delirium prevention and how nurses could facilitate family participation has been largely unexplored. The Calgary Family Intervention Model (CFIM), operating on the assumptions of a family-centered care philosophy, provided a framework for understanding the feasibility …