MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'International Journal of Older People Nursing' source. Wed, 08 Feb 2012 21:54:39 +0100 http://www.medworm.com/index.php?rid=5668935&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00306.x Conclusions.  This study shows nurses’ conceptions of the importance of good nursing care for comforting patients on the edge of life.Implications for practice.  Several obstacles related to resources, communication, cooperation and nurses' professional strength and power need to be overcome if good nursing care can be performed. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5668935 Tue, 07 Feb 2012 05:00:00 +0100 5668935 http://www.medworm.com/index.php?rid=5668934&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2012.00314.x Conclusions.  Specified discharge worker roles, multi‐professional care coordination teams, and information technology systems promote better service satisfaction and subjective quality of life for older people when compared with standard hospital discharge. Improved multi‐professional communication reduces rates of re‐admission and length of stay indicating greater cost effectiveness and efficiency for the health and social care systems. Systems of care emphasizing information exchange, education and negotiation between stakeholders facilitate communication in transitional care contexts for older adults. Conversely, lack of dialogue and lack of understanding of others’ roles are barriers to communication in transitional care.Relevance to clinical practice.  Enhanced multi‐pr... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5668934 Tue, 07 Feb 2012 05:00:00 +0100 5668934 http://www.medworm.com/index.php?rid=5668933&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2012.00318.x Conclusions and implications for practice.  The results highlight the need for early diagnosis of HI and the development of nurse‐led rehabilitation strategies and support services that address the felt stigma and potentially isolating experiences of older people with HI. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5668933 Tue, 07 Feb 2012 05:00:00 +0100 5668933 http://www.medworm.com/index.php?rid=5668932&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2012.00319.x Conclusions.  The study identified the interactions of healthcare staff with bereaved older people in terms of the bereavement journey. Staff demonstrated awareness of difficulties the bereaved person may encounter and showed commitment to providing support. However, lack of flexibility in services restricts meaningful interactions.Implications for Practice.  (i) Healthcare staff may identify gaps in services in terms of preparing relatives and follow‐up post‐bereavement; (ii) Therapeutic relationships between staff and relatives enable ongoing support; (iii) Development of practice guidelines is a key consideration. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5668932 Tue, 07 Feb 2012 05:00:00 +0100 5668932 http://www.medworm.com/index.php?rid=5668931&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2012.00320.x Conclusions.  Ambiguities concerning the nursing home as a home and place to live, a social environment in which the residents experience most of their social life and the institution where professional health service is provided were uncovered. High‐quality care was when ambiguities were managed well and a home could be created within the institution.Implication for practice.  Achieving quality care in nursing homes requires reconciling the ambiguities of the nursing home as a home. This implies helping residents to create a private home distinct from the professional home, allowing residents’ personal habits to guide institutional routines and supporting meaningful activities. Using these resident developed quality indicators is an important step in improving nursing home service... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5668931 Tue, 07 Feb 2012 05:00:00 +0100 5668931 http://www.medworm.com/index.php?rid=5630696&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00305.x Conclusion.  The findings show how factors at the system level, the execution of services and characteristics among older adults and their family may contribute to the individual service recipient being on the verge of being passive. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5630696 Wed, 25 Jan 2012 05:00:00 +0100 5630696 http://www.medworm.com/index.php?rid=5668930&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2012.00316.x Conclusions.  Perceptions of readiness reflect the patient’s reality and may be significant to discharge preparation and arrangements for support.Implications for practice.  Older patients’ perspectives should be included in discharge decisions and in individualised approaches by nurses to discharge preparation. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5668930 Thu, 01 Dec 2011 05:00:00 +0100 5668930 http://www.medworm.com/index.php?rid=5630695&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00307.x Conclusions.  SASE was shown to have sufficient psychometric properties and can be used in research and clinical practice among older persons.Implications for practice.  The psychometric properties of NUFFE can be assessed as sufficient, but further studies are needed regarding the cut‐off point. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5630695 Thu, 01 Dec 2011 05:00:00 +0100 5630695 http://www.medworm.com/index.php?rid=5599622&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00304.x Conclusion.  This review has established there is variance in the usage of the terms ‘special observation’ and ‘constant observation’. It concludes that there is no published research on special or constant observations in relation to older people with dementia/delirium or the purpose of this activity. There is therefore a clear need to establish a research base in the topic.Implications for practice.  Given the limited evidence, practitioners and managers need to be cautious when writing and implementing policies about special observation. However, until gerontological research is improved, research from mental health nursing will need to be drawn on with caution and the purpose of special observation determined locally. To be of therapeutic value and to be cost effective, spe... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5599622 Thu, 01 Dec 2011 05:00:00 +0100 5599622 http://www.medworm.com/index.php?rid=5527251&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00300.x Conclusions.  Factors associated with incontinence need to also be considered when planning and managing care for individuals, and developing and designing systems of care within care homes. Further study in care home populations to change or inform practice and provide effective care is warranted. Preventive studies that maintain continence are required.Implications for practice.  Older people and their families should be involved with decisions regarding their preferred care, goals, management and outcomes for managing incontinence, promoting or maintaining continence. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5527251 Thu, 01 Dec 2011 05:00:00 +0100 5527251 http://www.medworm.com/index.php?rid=5443143&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00302.x Conclusions.  Differences in caregivers’ needs for social support were related to their partner’s disease.Implications for practice.  Counteracting social withdrawal, considering type of illness and gender differences may increase the quality of informal care. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5443143 Fri, 25 Nov 2011 14:34:45 +0100 5443143 http://www.medworm.com/index.php?rid=5423875&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00301.x Conclusions.  From the perspective of older people, the patient‐centeredness in Estonian long‐term care is above average. Providing patient‐centred long‐term care in Estonian hospitals deserves more attention.Relevance to clinical practice.  Older people should be more involved in decision‐making, especially those who need more assistance in daily living activities. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5423875 Sat, 19 Nov 2011 14:48:44 +0100 5423875 http://www.medworm.com/index.php?rid=5410804&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00269.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5410804 Thu, 17 Nov 2011 05:24:44 +0100 5410804 http://www.medworm.com/index.php?rid=5410803&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00303.x gormley k.j. (2011) Falls prevention and support: translating research, integrating services and promoting the contribution of service users for quality and innovative programmes of care. International Journal of Older People Nursing6, 307–314
doi: 10.1111/j.1748‐3743.2011.00303.xFalls are a significant threat to the safety, health and independence of older citizens. Despite the substantial evidence that is available around effective falls prevention programmes and interventions, their translation into falls reduction programmes and policies has yet to be fully realised. While hip fracture rates are decreasing, the number and incidence of fall‐related hospital admissions among older people continue to rise. Given the demographic trends that highlight increasing numbers of older p... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5410803 Thu, 17 Nov 2011 05:24:42 +0100 5410803 http://www.medworm.com/index.php?rid=5410802&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00298.x This article addresses the roles of these additional stakeholders in providing and supporting best practices in fall prevention. Together these stakeholders can assist older adults in self‐management of fall prevention, based on the preferences of the individual, local resources, and available programmes and healthcare services. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5410802 Thu, 17 Nov 2011 05:24:41 +0100 5410802 http://www.medworm.com/index.php?rid=5410800&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00299.x mcmahon s., talley k. & wyman j. (2011) Older people’s perspectives on fall risk and fall prevention programs: a literature review. International Journal of Older People Nursing6, 289–298
doi: 10.1111/j.1748‐3743.2011.00299.xDespite evidence supporting fall prevention methods, fall‐related injury and death rates continue to rise. Understanding older people’s views on fall risk and prevention will help nurses and other health professionals in the design of fall prevention strategies that will broaden their scope, reach and adoption. This literature review synthesised 19 qualitative and quantitative studies examining older people’s perspectives about fall risk and prevention using a social‐ecological framework. Three themes emerged about fall risk; fearing vulnerability... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5410800 Thu, 17 Nov 2011 05:24:39 +0100 5410800 http://www.medworm.com/index.php?rid=5410799&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00293.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5410799 Thu, 17 Nov 2011 05:24:30 +0100 5410799 http://www.medworm.com/index.php?rid=5410797&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00286.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5410797 Thu, 17 Nov 2011 05:24:29 +0100 5410797 http://www.medworm.com/index.php?rid=5185810&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00291.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5185810 Wed, 31 Aug 2011 23:00:00 +0100 5185810 http://www.medworm.com/index.php?rid=5185809&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00288.x clarke c.l., alexjuk j. & gibb c.e. (2011) Information in dementia care: sense making and a public health direction for the UK? International Journal of Older People Nursing6, 237–243doi: 10.1111/j.1748‐3743.2011.00288.xProviding information is a core focus of policy and practice in dementia care. Information is a vehicle through which people can be enabled or disabled, so it is essential that we ensure that information is available in a way that is accessible and relevant for people with dementia and that it enables personal aspiration and collective identity to be advanced in a way that is to the benefit of those living with dementia. People with dementia need information to support autonomy in making decisions and in acting on those decisions. Information must be provided in a... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5185809 Wed, 31 Aug 2011 23:00:00 +0100 5185809 http://www.medworm.com/index.php?rid=5185808&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00290.x Conclusion.  The model worked best in wards organised with a leading registered nurse who could support an auxiliary nurse holding the facilitating function. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5185808 Wed, 31 Aug 2011 23:00:00 +0100 5185808 http://www.medworm.com/index.php?rid=5185807&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00289.x corbett a. & ballard c. (2011) Information provision services in dementia care. International Journal of Older People Nursing6, 217–226doi: 10.1111/j.1748‐3743.2011.00289.xThere are currently 25 million people with dementia worldwide, and this number is rising. Dementia has been highlighted as a major priority for health care and research because of the enormous economical and health burden associated with it. Consultations with people with dementia and carers have highlighted that timely well‐targeted information services are a key priority for enabling them to ‘live well with dementia’. Despite this, the evidence base for the optimal design and delivery of an information provision service is limited. Findings from randomised controlled trials and other studies have indica... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5185807 Wed, 31 Aug 2011 23:00:00 +0100 5185807 http://www.medworm.com/index.php?rid=5185806&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00292.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5185806 Wed, 31 Aug 2011 23:00:00 +0100 5185806 http://www.medworm.com/index.php?rid=5185805&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00256.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5185805 Wed, 31 Aug 2011 23:00:00 +0100 5185805 http://www.medworm.com/index.php?rid=4994659&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00283.x Conclusions.  Many of the bathing strategies described by the PSWs in this study are found in the literature about best bathing practices in dementia care. However, it is evident that further work is needed to support PSWs to manage the most difficult physical responsive/protective behaviours that occur during bathing.Implications for practice.  This study has clear implications for knowledge translation. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4994659 Sun, 03 Jul 2011 23:00:00 +0100 4994659 http://www.medworm.com/index.php?rid=4987660&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00280.x rush k.l., watts w.e. & stanbury j. (2011) Older adults’ perceptions of weakness and ageing. International Journal of Older People Nursing00, 000–000
doi: 10.1111/j.1748‐3743.2011.00280.xBackground.  Age‐related weakness, or sarcopenia, has been related to functional disability, falls, frailty and mortality. Although it is one of the most common symptoms older adults link to their functional abilities, to date, no studies have explored older adults’ perceptions of weakness and its association with ageing.Aims and objectives.  To understand the meaning of weakness for older adults’ and their perceptions of its association with ageing.Designs.  A qualitative descriptive design involved in‐depth interviews with 13 community‐dwelling older adults.Results.  Weakn... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4987660 Wed, 29 Jun 2011 23:00:00 +0100 4987660 http://www.medworm.com/index.php?rid=5081559&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00287.x Conclusion.  Some residents might have stayed at home longer had they been given appropriate home care and the opportunity of rehabilitation. Pain management and social activities are areas where more staff knowledge seems to be needed.Implications for practice.  Resources to enable old people to remain at home need to be explored before their entry into nursing homes. Whereas providing services at the appropriate level is important for society as well as older people. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=5081559 Tue, 31 May 2011 23:00:00 +0100 5081559 http://www.medworm.com/index.php?rid=4994658&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00285.x Conclusions.  Protection and promotion of respect for autonomy, integrity and dignity especially with older adults must be evidenced in practice. The use of an ethical framework can enable nurses to make transparent and defensible decisions about the appropriate use of bedrails, thereby fulfilling professional, moral, and legal requirements.Implications for practice.  Bedrail use has implications beyond falls prevention. Protection and promotion of respect for autonomy, integrity and dignity with older adults must be considered in decision‐making. Physical safety must be assessed as part of a holistic assessment. Nurses may need support and training to ensure ‘safe and sound’ surrogate decision‐making in practice. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4994658 Tue, 31 May 2011 23:00:00 +0100 4994658 http://www.medworm.com/index.php?rid=4987659&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00281.x Conclusions.  The experience of loss on the death of an older person is described by nurses in the context of the care they give at end of life, and the relationships nurses developed with the older person’s family. Where the older person has no contact with family, nurses become the ‘family’ and this contributed to the feeling of loss experienced. Finally, the loss experienced by nurses when an older person dies suddenly can often be emotive.Relevance to clinical practice.  Supporting nurses in their provision of end‐of‐life care to older persons is essential. Nurses’ attempts to keep memories of deceased residents alive by remembrance, helps place loss in the context of acknowledgment of the person’s life. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4987659 Tue, 31 May 2011 23:00:00 +0100 4987659 http://www.medworm.com/index.php?rid=4978862&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00282.x Conclusions.  Person‐centred care that comes from the perspective of respect for the individual transcends all these issues. People with dementia require more support to settle after transfer. Family involvement can assist in facilitating a smooth transition.Implications for practice.  Nurses who understand the specific needs of patients with dementia can develop ways of working with patients to ensure person‐centred care. More conversations with people with dementia are needed to investigate how this can be achieved. Orientation procedures should ensure that support for people with dementia is optimized during the settling‐in phase. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4978862 Tue, 31 May 2011 23:00:00 +0100 4978862 http://www.medworm.com/index.php?rid=4963225&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00284.x Conclusion.  Watching a dance performance is an active process for older persons with dementia.Implications for practice.  Reminiscence about the dance performance gives the older person an opportunity to deal with the experiences evoked by the performance. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4963225 Tue, 31 May 2011 23:00:00 +0100 4963225 http://www.medworm.com/index.php?rid=4784317&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00272.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4784317 Thu, 05 May 2011 20:36:27 +0100 4784317 http://www.medworm.com/index.php?rid=4784316&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00271.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4784316 Thu, 05 May 2011 20:36:26 +0100 4784316 http://www.medworm.com/index.php?rid=4784315&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00270.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4784315 Thu, 05 May 2011 20:36:26 +0100 4784315 http://www.medworm.com/index.php?rid=4727575&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00274.x Conclusion.  The results indicate that an education leaflet enhanced patients’ knowledge relating to pressure ulceration. Printed education materials increase knowledge and understanding which may lend to older adults adopting healthy behaviours.Implications for practice.  An education leaflet can help older adults and their carers to be more empowered as active participants in reducing the incidence of pressure ulceration. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4727575 Mon, 18 Apr 2011 23:00:00 +0100 4727575 http://www.medworm.com/index.php?rid=4727577&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00277.x Conclusions.  Because RNs and PNs, unlike other professionals, see older rehabilitation patients 24 hours a day and are able to assess their possibilities of coping independently with essential tasks, nursing staff could have an active role in the rehabilitation team. The education of nursing staff must focus on boosting self‐esteem and teaching independent decision‐making in promoting the rehabilitation of older persons and the assessment of their progress.Implications for practice.  Nurse managers must arrange further education for nurses in promoting the rehabilitation of older persons. Nurse managers must also arrange time for the multiprofessional team to discuss and agree joint rehabilitation goals. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4727577 Sun, 17 Apr 2011 23:00:00 +0100 4727577 http://www.medworm.com/index.php?rid=4727576&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00278.x Conclusions.  The Theory of Finding Home was generated from the data. This theory describes the factors critical to ‘finding home’ in long‐term care settings.Implications for practice.  The Theory of Finding Home gives insight into what matters to older people living in long‐term care settings. Strategies to help generate a feeling of home in long‐term care settings are shared. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4727576 Sun, 17 Apr 2011 23:00:00 +0100 4727576 http://www.medworm.com/index.php?rid=4688405&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00275.x Conclusions.  The best predictors of family caregiver burden, using the resiliency model, were the older persons’ activities of daily living dependence, family support, quality of relationship, care continuity, coping strategies and spiritual well‐being.Implications for practice.  It is vital for nurses to assess family caregivers’ needs and resources and the quality of the older person–family caregiver relationship in developing a plan of care that reduces family caregiver burden. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4688405 Thu, 07 Apr 2011 23:00:00 +0100 4688405 http://www.medworm.com/index.php?rid=4688404&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00276.x Conclusion.  Nurses conceived their position as clinical Champions broadly and reported that they used this role to promote service improvements for older people. Those who established networks with other Champions and older people’s groups found this useful. Their role as Champions appeared to encourage a proactive and outward‐looking perspective and provides evidence of the workings of one model of Championship.Implications for practice.  Embedding championing roles within organisations may be one way of bringing about change in the way that services to older people are developed. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4688404 Thu, 07 Apr 2011 23:00:00 +0100 4688404 http://www.medworm.com/index.php?rid=4727574&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00279.x Conclusion.  The identification and handling of abused older clients are a challenging issue for community care, and more knowledge and support are needed.Implications for practice.  The concept of elder abuse must be clarified, and strategies for its identification and intervention must be developed. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4727574 Tue, 01 Mar 2011 00:00:00 +0100 4727574 http://www.medworm.com/index.php?rid=4688407&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00257.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4688407 Tue, 01 Mar 2011 00:00:00 +0100 4688407 http://www.medworm.com/index.php?rid=4688406&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00258.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4688406 Tue, 01 Mar 2011 00:00:00 +0100 4688406 http://www.medworm.com/index.php?rid=4688403&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00273.x sidani s., streiner d. & leclerc c. (2011) Evaluating the effectiveness of the abilities‐focused approach to morning care of people with dementia. International Journal of Older People Nursing doi: 10.1111/j.1748‐3743.2011.00273.xBackground and purpose.  The abilities‐focused approach demonstrated efficacy in promoting engagement of residents with dementia in care. The extent to which these resident outcomes can be replicated when the abilities‐focused approach is implemented by nursing staff under the conditions of day‐to‐day practice was investigated in this study. The aim was to examine changes in resident outcomes before and after nursing staff’ implementation of the abilities‐focused approach and the contribution of this approach to resident outcomes.Methods.�... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4688403 Tue, 01 Mar 2011 00:00:00 +0100 4688403 http://www.medworm.com/index.php?rid=4452248&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2011.00268.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4452248 Wed, 09 Feb 2011 19:12:05 +0100 4452248 http://www.medworm.com/index.php?rid=4452247&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00262.x hughes c., lapane k. & kerse n. (2011) Prescribing for older people in nursing homes: challenges for the future. International Journal of Older People Nursing6, 63–70
doi: 10.1111/j.1748‐3743.2010.00262.xAs the population continues to age, long‐term care for older people will be required, although the setting and method of delivery may differ depending on people’s needs. We anticipate that nursing homes will continue to be part of the overall long‐term care delivery model, but will face a number of challenges if they are to be considered as much sought‐after places. This paper highlights three issues in relation to prescribing that have been largely ignored to date, but which need to be considered by practitioners, policy makers and researchers alike: culture; resident�... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4452247 Wed, 09 Feb 2011 19:12:05 +0100 4452247 http://www.medworm.com/index.php?rid=4452246&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00263.x parsons c., alldred d., daiello l. & hughes c. (2011) Prescribing for older people in nursing homes: strategies to improve prescribing and medicines use in nursing homes. International Journal of Older People Nursing6, 55–62
doi: 10.1111/j.1748‐3743.2010.00263.xInterventions to improve prescribing in the nursing home environment are many and varied. The critical literature review presented in Paper 1 (Parsons et al., 2011, International Journal of Older People Nursing6, 45–54) in this series discussed the main issues repeatedly identified as problematic, and this paper summarises the main approaches which have been used to attempt to improve prescribing. These include national legislation which demands documented justification for the prescribing of medicines, medication revi... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4452246 Wed, 09 Feb 2011 19:12:04 +0100 4452246 http://www.medworm.com/index.php?rid=4452245&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00264.x parsons c., lapane k., kerse n. & hughes c. (2011) Prescribing for older people in nursing homes: a review of the key issues. International Journal of Older People Nursing6, 45–54
doi: 10.1111/j.1748‐3743.2010.00264.xPrescribing of medication is one of the most common interventions that residents in nursing homes will experience. There is little doubt that medication has greatly contributed to improvements in symptom control, long‐term management of medical conditions and greater longevity. However, the quality of prescribing has also been criticised and this paper outlines the issues that have proved to be most problematic and have been repeatedly highlighted in the literature. There have been numerous reports of over‐use of inappropriate medicines for which there is no cl... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4452245 Wed, 09 Feb 2011 19:12:04 +0100 4452245 http://www.medworm.com/index.php?rid=4452244&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00265.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4452244 Wed, 09 Feb 2011 19:12:03 +0100 4452244 http://www.medworm.com/index.php?rid=4452243&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00255.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4452243 Wed, 09 Feb 2011 19:12:03 +0100 4452243 http://www.medworm.com/index.php?rid=4452242&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00267.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4452242 Wed, 09 Feb 2011 19:12:00 +0100 4452242 http://www.medworm.com/index.php?rid=4452241&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00266.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4452241 Wed, 09 Feb 2011 19:12:00 +0100 4452241 http://www.medworm.com/index.php?rid=4299538&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00259.x Conclusion.  Nurses are a key group to advocate for actions needed to prevent social isolation.Implications for practice.  Nurses can play a vital role in minimising social isolation through a variety of educational, prevention and political lobbying activities. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4299538 Thu, 30 Dec 2010 00:00:00 +0100 4299538 http://www.medworm.com/index.php?rid=4297510&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00260.x bull m.j. (2010) Delirium in older adults attending adult day care and family caregiver distress. International Journal of Older People Nursing
doi: 10.1111/j.1748‐3743.2010.00260.xBackground.  Delirium is a critical, costly, frequently reversible problem in older adults. Findings of previous studies indicate that delirium occurs in up to 65% of hospitalised older adults and up to 80% of terminally ill patients. Few studies address the frequency of delirium in community dwelling older adults and the extent to which delirium symptoms create distress for their family caregivers.Aims.  To determine the frequency of delirium in older people attending two adult day centers (ADC) in the United States and identify the extent to which delirium symptoms were associated with family caregiv... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4297510 Tue, 28 Dec 2010 00:00:00 +0100 4297510 http://www.medworm.com/index.php?rid=4297509&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00261.x Conclusion.  A critique of the literature shows that an algorithmic approach is feasible for translation into a clinical practice guideline for assessment and management of pain in older people within the acute care setting.Implications for practice.  Implementation of any algorithmic approach requires consideration of the environment, culture and availability of resources. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4297509 Tue, 28 Dec 2010 00:00:00 +0100 4297509 http://www.medworm.com/index.php?rid=4176858&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00252.x This article challenges the fundamental assumptions that underlie current care practices and, instead, promotes systems and processes that elevate nourishing and stimulating relationships with basic dignity, as well as personal agency, in the later days of life. Healthcare professionals still base current care systems on a medical model that emphasises the diagnosis, treatment and cure of disease (Kane RL & West JC, 2005It Shouldn’t Be This Way: The Failure of Long‐Term Care, Vanderbilt University Press, Nashville, Tennessee). In contrast, we highlight principles of relating that support care to older people during the final stages of life, and promote systems, processes, and design elements that constitute compassionate care. To do so, it is necessary to move from a model that res... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4176858 Thu, 18 Nov 2010 10:11:26 +0100 4176858 http://www.medworm.com/index.php?rid=4176857&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00251.x Conclusions.  Findings from this work suggest that there are a number of significant processes that help people to deliver compassionate care. These need to be articulated, shared more widely across practice, policy and education so that we can build on this excellent practice.Implications for practice.  Appreciative action research adopted in this project is an important methodology to supporting practitioners to identify what it is they do well and develop practice to try to make the best caring practice happen most of the time. Academics, policy makers and practitioners should consider the approach of appreciative action research as key to supporting developments in care. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4176857 Thu, 18 Nov 2010 10:11:25 +0100 4176857 http://www.medworm.com/index.php?rid=4176856&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00250.x reed j. (2010) Appreciative inquiry and older people – finding the literature. International Journal of Older People Nursing
5, 292–298
doi: 10.1111/j.1748‐3743.2010.00250.xThis paper describes the results of a literature search which sought papers specifically on appreciative inquiry (AI) and older people. The results of this search suggested that there were not many papers which met these criteria, and those that did were more often discussion papers rather than research papers. This lack of publication belies the observation that research with older people could benefit from the positive approach entailed in an AI approach. The reasons for this are discussed in the paper, but the possibility is explored that some authors may be using AI, but not classifying their studies as ... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4176856 Thu, 18 Nov 2010 10:11:24 +0100 4176856 http://www.medworm.com/index.php?rid=4176855&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00253.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4176855 Thu, 18 Nov 2010 10:11:24 +0100 4176855 http://www.medworm.com/index.php?rid=4176854&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00249.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4176854 Thu, 18 Nov 2010 10:11:21 +0100 4176854 http://www.medworm.com/index.php?rid=4112332&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00254.x Kang Y., Moyle W. & Venturato L. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4112332 Tue, 31 Aug 2010 23:00:00 +0100 4112332 http://www.medworm.com/index.php?rid=4075774&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00244.x ludwick r (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=4075774 Tue, 31 Aug 2010 23:00:00 +0100 4075774 http://www.medworm.com/index.php?rid=3974773&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00247.x sævareid h.i., thygesen e., lindstrom t.c. & nygaard h.a. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3974773 Tue, 31 Aug 2010 23:00:00 +0100 3974773 http://www.medworm.com/index.php?rid=3970923&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00241.x callen b.l. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3970923 Tue, 31 Aug 2010 23:00:00 +0100 3970923 http://www.medworm.com/index.php?rid=3937441&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00246.x horttana b.m., fahlström g. & ahlström g. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3937441 Tue, 31 Aug 2010 23:00:00 +0100 3937441 http://www.medworm.com/index.php?rid=3917885&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00245.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3917885 Tue, 31 Aug 2010 23:00:00 +0100 3917885 http://www.medworm.com/index.php?rid=3901353&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00234.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3901353 Thu, 26 Aug 2010 07:05:47 +0100 3901353 http://www.medworm.com/index.php?rid=3897799&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00243.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3897799 Wed, 25 Aug 2010 06:57:30 +0100 3897799 http://www.medworm.com/index.php?rid=3883422&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00242.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3883422 Fri, 20 Aug 2010 06:52:05 +0100 3883422 http://www.medworm.com/index.php?rid=3867991&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00230.x Moyle W. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3867991 Mon, 16 Aug 2010 08:11:59 +0100 3867991 http://www.medworm.com/index.php?rid=3867990&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00231.x manthorpe j., iliffe s., samsi k., cole l., goodman c., drennan v. & warner j. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3867990 Mon, 16 Aug 2010 08:11:59 +0100 3867990 http://www.medworm.com/index.php?rid=3867989&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00236.x venturato l. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3867989 Mon, 16 Aug 2010 08:11:59 +0100 3867989 http://www.medworm.com/index.php?rid=3867988&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00214.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3867988 Mon, 16 Aug 2010 08:11:58 +0100 3867988 http://www.medworm.com/index.php?rid=3867987&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00240.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3867987 Mon, 16 Aug 2010 08:11:57 +0100 3867987 http://www.medworm.com/index.php?rid=3867986&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00239.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3867986 Mon, 16 Aug 2010 08:11:56 +0100 3867986 http://www.medworm.com/index.php?rid=3810732&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00237.x Conclusions. A deeper understanding of the palliative care philosophy is needed to further develop and tailor care for the dying persons in nursing homes.Relevance to clinical practice. To get public support for palliative care, the silence surrounding dying and death must be broken. Employees must receive education to prepare for all aspects of their work, and management must account for employees' situation when planning the care. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3810732 Mon, 02 Aug 2010 23:00:00 +0100 3810732 http://www.medworm.com/index.php?rid=3917886&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00248.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3917886 Sat, 31 Jul 2010 23:00:00 +0100 3917886 http://www.medworm.com/index.php?rid=3759978&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00238.x Conclusions. The results of quantitative and qualitative analysis supported that the internet users were relatively younger, more educated, male, had a higher income, received more support from others and all from large senior centres.Implications for practice. This study is important because the results can provide valuable insights into the potential for health education and health communication for older adults in Korea using the internet. It could affect health promotion, policy and education for older adults in Korea. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3759978 Thu, 15 Jul 2010 23:00:00 +0100 3759978 http://www.medworm.com/index.php?rid=3697753&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00229.x Conclusions. This study indicates that MMC helped the nurses to gain knowledge about how to improve interactions with residents suffering from dementia. Further research is warranted into the effectiveness of MMC. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3697753 Fri, 25 Jun 2010 23:00:00 +0100 3697753 http://www.medworm.com/index.php?rid=3697754&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00228.x Conclusions and implications for practice. Home healthcare nurses could give more attention to pressure ulcer prevention. Regular self-checks of quality indicators may remind the nurses of the importance of prevention. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3697754 Thu, 24 Jun 2010 23:00:00 +0100 3697754 http://www.medworm.com/index.php?rid=3674169&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00235.x Conclusion. The optimal management of aggressive and violent actions from residents with dementia living in nursing homes was a person-centred approach to the resident. Qualitative studies focusing on violence were sparsely found, and this underlines the importance of further research in this area to elucidate how violence and aggressiveness is experienced and understood by both staff and patients.Relevance to clinical practice. To communicate with people with dementia provides a challenge for nurses and other health caregivers. To satisfy the needs of good nursing care, an important aspect is therefore to get knowledge and understanding about aggressive and violent behaviour and its management. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3674169 Fri, 18 Jun 2010 23:00:00 +0100 3674169 http://www.medworm.com/index.php?rid=3660992&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00233.x Conclusions. Patients would like nurses to work with them in more transparent ways. Patients are very conscious that nurses are busy and attempt to share the coping with the busy workload by limiting their expectations of the nurse.Relevance to clinical practice. Person-centred strategies must enhance the capacity of not only older patients and their ability to assert self, but also the capacity of their nurses. Nurses must work to actively recruit the patient in all decision making. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3660992 Mon, 14 Jun 2010 23:00:00 +0100 3660992 http://www.medworm.com/index.php?rid=3638708&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00226.x Conclusion. The magnitude of violence in care homes crosses cultural boundaries. Fear of being blamed, job insecurity and resignation that abuse should be accepted as part of the job is unique to this care setting. The cumulative effect of psychological abuse leads to emotional exhaustion and depersonalisation which results in care workers emotionally and physically withdrawing from residents. Being subjected to abuse, feeling undervalued, unsupported and lacking essential skills may compromise a workforces' ability to provide person-centred care. A rising ageing population and prevalence of dementia will place demands on commissioners and providers to deliver high quality care. Consistent recording and reporting procedures, dementia specific training and infrastructures to support staff i... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3638708 Mon, 07 Jun 2010 23:00:00 +0100 3638708 http://www.medworm.com/index.php?rid=3638707&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00227.x Conclusions and implications for practice. Deterioration of the nutritional status of older people is accompanied by a reduction in energy and some nutrient intake. The investigation of food intake in older people could provide important information about nutritional risk. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3638707 Mon, 07 Jun 2010 23:00:00 +0100 3638707 http://www.medworm.com/index.php?rid=3638706&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00232.x Conclusions. This study adds to the body of knowledge that NEECHAM discriminates for delirium. It is a valid and reliable screening instrument for predicting delirium. The instrument can be used for clinical practice to identify patients who are at risk of contracting delirium and when considering prevention measures. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3638706 Mon, 07 Jun 2010 23:00:00 +0100 3638706 http://www.medworm.com/index.php?rid=3837917&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00220.x palese a., granzotto d., broll m.g. & carlesso n. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837917 Mon, 31 May 2010 23:00:00 +0100 3837917 http://www.medworm.com/index.php?rid=3837916&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00223.x helgesen a.k., larsson m. & athlin e. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837916 Mon, 31 May 2010 23:00:00 +0100 3837916 http://www.medworm.com/index.php?rid=3837915&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00221.x kontos p.c., mitchell g.j., mistry b. & ballon b. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837915 Mon, 31 May 2010 23:00:00 +0100 3837915 http://www.medworm.com/index.php?rid=3837914&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00219.x mckeown j., clarke a., ingleton c., ryan t. & repper j. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837914 Mon, 31 May 2010 23:00:00 +0100 3837914 http://www.medworm.com/index.php?rid=3837913&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00218.x yalden b.j. & mccormack b. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837913 Mon, 31 May 2010 23:00:00 +0100 3837913 http://www.medworm.com/index.php?rid=3837911&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00224.x smith s., dewar b., pullin s. & tocher r. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837911 Mon, 31 May 2010 23:00:00 +0100 3837911 http://www.medworm.com/index.php?rid=3837910&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00217.x heath h. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837910 Mon, 31 May 2010 23:00:00 +0100 3837910 http://www.medworm.com/index.php?rid=3837909&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00215.x wadensten b. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837909 Mon, 31 May 2010 23:00:00 +0100 3837909 http://www.medworm.com/index.php?rid=3837908&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00216.x mccormack b., dewing j., breslin l., coyne‐nevin a., kennedy k., manning m., peelo‐kilroe l., tobin c. & slater p. (2010) (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837908 Mon, 31 May 2010 23:00:00 +0100 3837908 http://www.medworm.com/index.php?rid=3837907&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00222.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837907 Mon, 31 May 2010 23:00:00 +0100 3837907 http://www.medworm.com/index.php?rid=3837898&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00232.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837898 Mon, 31 May 2010 23:00:00 +0100 3837898 http://www.medworm.com/index.php?rid=3837897&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00233.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837897 Mon, 31 May 2010 23:00:00 +0100 3837897 http://www.medworm.com/index.php?rid=3837894&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00237.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837894 Mon, 31 May 2010 23:00:00 +0100 3837894 http://www.medworm.com/index.php?rid=3601426&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00225.x bohman d.m., van wyk n.c. & ekman s.-l. (2010) South Africans' experiences of being old and of care and caring in a transitional period. International Journal of Older People Nursingdoi: 10.1111/j.1748-3743.2010.00225.x This focused ethnographic study aimed to illuminate a group of South Africans' experiences of being old and of care and caring in a transitional period. With a growing number of older people in Africa, studies on the individual experiences may help to develop care which is more sensitively based on the needs for older people in a changing Southern Africa context. Data were collected through group and individual in-depth interviews and participant observations which involved 16 individuals, aged 52[ndash]76. Data were analysed using a qualitative content analysis. The study ... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3601426 Wed, 26 May 2010 23:00:00 +0100 3601426 http://www.medworm.com/index.php?rid=3837895&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00225.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837895 Fri, 30 Apr 2010 23:00:00 +0100 3837895 http://www.medworm.com/index.php?rid=3484894&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00220.x Conclusion. After the personhood-centred multi-method programme, seven persons have modified their bowel elimination pattern, and they were no longer constipated. The programme has also reduced the use of invasive procedures. The reduction of invasive practises might have affected positively the persons' quality of life, their comfort and also the workload of the nurses, reducing the time they needed for constipation management and using it for prevention strategies. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3484894 Mon, 19 Apr 2010 23:00:00 +0100 3484894 http://www.medworm.com/index.php?rid=3281553&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00213.x Conclusions. Preventive home visitor communication skills and professionalism, and practical actions after the visits characterized cases, where favourable changes in behaviour were obtained in non-disabled home-dwelling older people in Japan.Relevance to clinical practice. Education should be emphasized, because preventive home visitor competence may be the most important element of proactive assessment schemes to obtain beneficial outcomes. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3281553 Thu, 18 Feb 2010 00:00:00 +0100 3281553 http://www.medworm.com/index.php?rid=3229418&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00208.x Conclusion. Bourdieu's Model of Practice assists in explaining why care is as it is. There is a clear need to improve current practice.Relevance to clinical practice. It is imperative that innovative methods of developing practice are implemented and evaluated. Education alone will not lead to sustained changes in practice. Further research into this subject needs to be undertaken. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3229418 Tue, 02 Feb 2010 00:00:00 +0100 3229418 http://www.medworm.com/index.php?rid=3218600&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00209.x Conclusion. Geriatric emergency management nurses work collaboratively with the emergency department team to facilitate change in the way that emergency department care is provided to the older person experiencing health emergencies.Implications for practice. Known strategies that have been effective in improving outcomes for older people within the hospital and residential care setting can be generalized into emergency department care. Further research into the effectiveness of these strategies in this environment is recommended. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3218600 Fri, 29 Jan 2010 00:00:00 +0100 3218600 http://www.medworm.com/index.php?rid=3218599&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00211.x Conclusion and relevance to clinical practice. A prerequisite for the professionals being able to support the care receivers adequately is that they have a sense of security themselves, and that they are allowed to operate in a system that facilitates for the care receivers to maintain trustworthy and reliable relations over time. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3218599 Fri, 29 Jan 2010 00:00:00 +0100 3218599 http://www.medworm.com/index.php?rid=3214384&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00207.x Conclusion. No single comprehensive and measurable definition was found. However, three major components were identified (place, relationship and experience) and used to define home as a place to which one is attached, feels comfortable and secure and has the experience of dwelling.Relevance to clinical practice. Every day assumptions about the meaning of home and home as just another place where health care is provided are called into question. Increased awareness and dialogue is needed among health-care providers working with older adults in their homes. Future research needs to explore the impact of home care on the older adult's meaning of home and its potential impact on recovery. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3214384 Thu, 28 Jan 2010 00:00:00 +0100 3214384 http://www.medworm.com/index.php?rid=3214383&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00210.x Conclusion. The Patient-Centred Communication Intervention is feasible and has demonstrated potential for a larger-scale study.Relevance to clinical practice. Providing tailored approaches to communication-enhancement education may be necessary for changes in practice to occur. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3214383 Thu, 28 Jan 2010 00:00:00 +0100 3214383 http://www.medworm.com/index.php?rid=3837900&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00210.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837900 Fri, 01 Jan 2010 00:00:00 +0100 3837900 http://www.medworm.com/index.php?rid=3837899&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2010.00211.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837899 Fri, 01 Jan 2010 00:00:00 +0100 3837899 http://www.medworm.com/index.php?rid=3024696&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00196.x Conclusions. The study reveals that nurses-to-be, who are generally expected to be part of the joint force to protect older people against abuse, did not find themselves adequately prepared to fulfil this responsibility.Relevance to clinical practice. The findings provide useful information from which more comprehensive content about elder abuse can be developed in the gerontological nursing curriculum, to better prepare future nurses by increasing their basic understanding of elder abuse. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3024696 Wed, 25 Nov 2009 00:00:00 +0100 3024696 http://www.medworm.com/index.php?rid=2979395&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00201.x Conclusion. Older people and families view the end of life with broader psychosocial and spiritual meanings shaped by a lifetime of experiences. Advance care planning led to a different level of appreciation of personal entity and transcendence. However, advance care planning demands concerted action and support by everyone involved. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2979395 Wed, 11 Nov 2009 00:00:00 +0100 2979395 http://www.medworm.com/index.php?rid=2979396&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00200.x Conclusion. The findings of the current study provided nurses with evidence of the positive nature of experiences of older people, family members, and nurses themselves with advanced care planning in an attempt to better implement and practise advanced care planning. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2979396 Tue, 10 Nov 2009 00:00:00 +0100 2979396 http://www.medworm.com/index.php?rid=3837904&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00200.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837904 Sun, 01 Nov 2009 00:00:00 +0100 3837904 http://www.medworm.com/index.php?rid=3837903&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00201.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837903 Sun, 01 Nov 2009 00:00:00 +0100 3837903 http://www.medworm.com/index.php?rid=3837901&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00196.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837901 Sun, 01 Nov 2009 00:00:00 +0100 3837901 http://www.medworm.com/index.php?rid=2888578&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00194.x Conclusions. Personal control and social control were both found to be predictors of functional health status. Major findings are supported by previous studies.Relevance to clinical practice. Nurses should create programs and plan activities to assist older adults to enhance their perceptions of social control or personal control in order to improve the health status of older adults and minimize associated health care costs. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2888578 Tue, 13 Oct 2009 23:00:00 +0100 2888578 http://www.medworm.com/index.php?rid=2881947&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00190.x Conclusions. The older persons and/or their relatives felt prepared at the time of discharge if their needs were satisfied in the three significant areas of preparation. Not only were the professionals' skills of the utmost importance in preparing the older persons/relatives, but also the latter's own approach if the professionals were unskilled.Relevance for clinical practice. A knowledge of the preparation areas and skills can be of use for improving the quality of the discharge process from the older persons' and their relatives' perspective, i.e. through policies, checklists and teaching programmes. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2881947 Sun, 11 Oct 2009 23:00:00 +0100 2881947 http://www.medworm.com/index.php?rid=3837905&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00190.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837905 Wed, 30 Sep 2009 23:00:00 +0100 3837905 http://www.medworm.com/index.php?rid=2848875&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00191.x Conclusion. Several common favourable processes and mediating factors were identified in the psychosocial group rehabilitation intervention that led to alleviation of loneliness among older people.Relevance to clinical practice. The psychosocial group rehabilitation intervention gives nurses an effective tool to support older people's psychosocial resources by activating them and alleviating their loneliness. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2848875 Wed, 30 Sep 2009 23:00:00 +0100 2848875 http://www.medworm.com/index.php?rid=2848874&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00192.x Conclusion. As the location of care for older people continues to move closer to home it is crucial that the implicit qualities that are valued within nurse[ndash]patient relationships within this context of care, and which contribute to the quality of care, are recognized and made more explicit at the organizational and policy level.Practice implications. For nurses working within the home there is a clear impetus to clearly define and articulate the full breadth of their role, the nature of relationships and issues surrounding professional boundary construction within this environment. There is also a need for the core qualities that underpin the receipt of care within the home and the facets of the nurse[ndash]patient relationship valued by older people to be fully recognized and accoun... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2848874 Wed, 30 Sep 2009 23:00:00 +0100 2848874 http://www.medworm.com/index.php?rid=2848873&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00193.x Conclusions. Predisposing, enabling and need factors are strong predictors of health services utilization among Mexican older persons. In addition, gender differences exist among this population in relation to health status, but not to health services demands. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2848873 Wed, 30 Sep 2009 23:00:00 +0100 2848873 http://www.medworm.com/index.php?rid=2848872&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00195.x Conclusions. Physical pain may be relieved by various means of pain management. The residents experienced pain as suffering because pain management was not timely, inappropriate, or insufficient and also because of the nature of their social situation in nursing homes.Relevance to clinical practice. Caregivers in nursing homes need to understand how it feels for residents to live with pain, to be interested in and aware of their needs and finally to know how to respond to their pain and suffering. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2848872 Wed, 30 Sep 2009 23:00:00 +0100 2848872 http://www.medworm.com/index.php?rid=2830338&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00183.x This study used an exploratory qualitative design involving personal interviews with geriatric nurse aides.Methods. Interviewers carried out 90-minute interviews with 16 nurse aides who worked at an assisted living facility or a nursing home. Of interest was the extent to which established systems for coding interactions could be used to code nurse aide/resident interactions, or whether new categories would emerge.Results. The novel finding that all of the aides used a communication strategy that could be characterized as 'giving positive regard', defined as acknowledging the resident, treating the resident with respect.Relevance to clinical practice. The category of 'giving positive regard' included specific behaviours which can be included as content in communication skill training progr... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2830338 Thu, 24 Sep 2009 23:00:00 +0100 2830338 http://www.medworm.com/index.php?rid=2830337&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00184.x Conclusion. Qualitative insights into aged-care nurses' intrinsic and extrinsic work values suggest that work satisfaction is low. Workforce policy makers and employers of nurses in aged-care need to comprehend the relationship between job satisfaction, retention and work values.Relevance to clinical practice. These findings have implications for recruitment, retention and workforce planning within the aged-care environment. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2830337 Thu, 24 Sep 2009 23:00:00 +0100 2830337 http://www.medworm.com/index.php?rid=2830336&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00185.x Conclusion. Despite the limitations imposed by living with COPD participants revealed a determination to live as normal a life as possible. The pulmonary maintenance program was pivotal in assisting participants to improve exercise capacity, hope and wellbeing. Nurses may have a role to play in helping people with COPD maintain or regain hope. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2830336 Thu, 24 Sep 2009 23:00:00 +0100 2830336 http://www.medworm.com/index.php?rid=2830335&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00188.x Conclusion. Nursing homes in Egypt fulfil different functions for different types of older persons. Charitable institutions are a last resort for those with no income and a disrupted social network. For better-off older persons, nursing homes may provide the benefits of socialising with peers and receiving medical treatment. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2830335 Thu, 24 Sep 2009 23:00:00 +0100 2830335 http://www.medworm.com/index.php?rid=2830334&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00189.x Conclusions. This study identified the major barriers to and facilitators of self-management adherence specific to Korean older adults with diabetes, which can be used to develop better diabetes self-management education programmes for this population.Relevance to clinical practice. Korean nurses working with Korean older adults with diabetes can utilize the findings of this study to structure better tailored and culturally appropriate self-management programmes specific to older adults. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2830334 Thu, 24 Sep 2009 23:00:00 +0100 2830334 http://www.medworm.com/index.php?rid=2830339&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00187.x sada k., uchiyama j., ohnishi t., ninomiya i. & masino y. (2009) Effects of clear visual input and change in standing sequence on standing sway related to falls during night toilet use. International Journal of Older People Nursingdoi: 10.1111/j.1748-3743.2009.00187.xAim. The aim of this study is to provide objective evidence that clear visual input and change in standing sequence can reduce fall risk related to night toilet use among hospitalized older patients.Background. In hospitalized older patients, falls are likely to occur during night toileting needs.Method. Using a stabilometer, we measured and compared maximal standing sway for 10 seconds immediately after standing with three visual input modes in two standing patterns, comparing healthy younger adults (n = 22) and older patient... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2830339 Wed, 23 Sep 2009 23:00:00 +0100 2830339 http://www.medworm.com/index.php?rid=2822438&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00186.x Conclusions. Concurrent measurements of staff, care recipients and relatives' care quality perceptions can provide a broad evaluation of an organization's strength and limitations.Relevance to clinical practice. Staff, care recipients' and relatives' perceptions can be useful for older people care organizations and decision makers in developing care processes and outcomes of care. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2822438 Tue, 22 Sep 2009 23:00:00 +0100 2822438 http://www.medworm.com/index.php?rid=2773631&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00177.x Conclusions. The older people's families depend on institutional networks for their health maintenance. Spirituality and religion are mixed and are very expressive sources of support.Relevance to clinical practice. Assessing social support and networks can favour nursing interventions in order to intensify social interactions, promote leisure and help the families of older people to cope with life changes. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2773631 Mon, 07 Sep 2009 23:00:00 +0100 2773631 http://www.medworm.com/index.php?rid=3837906&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00189.x (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=3837906 Mon, 31 Aug 2009 23:00:00 +0100 3837906 http://www.medworm.com/index.php?rid=2655558&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00176.x mclafferty e., dingwall l. & halkett a. (2009) Using gaming workshops to prepare nursing students for caring for older people in clinical practice. International Journal of Older People Nursingdoi: 10.1111/j.1748-3743.2009.00176.xBackground. Older people are the least satisfied with the care they receive when they are acutely ill. Furthermore, within nurse education, nursing older people has been submerged rather than embedded in the acute focus of nursing curricula. Lecturers designed a 1-day gaming workshop to stimulate interest in nursing older people.Aim. To explore the influence of gaming workshops on undergraduate nursing students' learning about nursing older people.Methods. Both quantitative and qualitative methods were used. A survey questionnaire was distributed pre- and postgami... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2655558 Thu, 30 Jul 2009 23:00:00 +0100 2655558 http://www.medworm.com/index.php?rid=2616242&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00175.x Conclusion. The results show that the OPC instrument provides a good overview of the patient's care needs and is a reliable instrument within primary health care for older people. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2616242 Sun, 19 Jul 2009 23:00:00 +0100 2616242 http://www.medworm.com/index.php?rid=2586460&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00173.x Conclusions. Dying in residential aged care has been hidden and unacknowledged by the community. The challenge of providing more equitable care has recently received significant government policy attention.Relevance to clinical practice. Policy influences practice; both aged care and palliative care nurses, could benefit from understanding the place of policy in implementing changes on behalf of those in their care. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2586460 Thu, 09 Jul 2009 23:00:00 +0100 2586460 http://www.medworm.com/index.php?rid=2572396&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00174.x Conclusion. Staying in the stream of life is about being the author of one's own meaningful life. It takes into account life phenomena embodied in the maintenance aspect of health care; dignity in relation to identity and integrity; and an understanding of the dialectical relation between frailty and strength.Relevance to clinical practice. Rather than focusing exclusively on patient participation and goal-directed activity, nursing actions should integrate life phenomena as key aspects of rehabilitation with older people in their own right. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2572396 Sun, 05 Jul 2009 23:00:00 +0100 2572396 http://www.medworm.com/index.php?rid=2572397&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00172.x Conclusion. Our results indicate that health status is scored lower for patients after total hip replacement. This implies that there might be a need for further postoperative rehabilitation based on the identification of problems experienced by patients in the postoperative period.Relevance to clinical practice. Patients health status is a predictor for well-being, quality of life and survival. Older people need rehabilitation after surgery to reduce dysfunction and improve perception of health. Our results demonstrate a need for further studies examining problems experienced by patients in the postoperative period. Intervention research is needed before such a programme can be implemented. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2572397 Sat, 04 Jul 2009 23:00:00 +0100 2572397 http://www.medworm.com/index.php?rid=2558348&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00171.x armstrong m.l., saunders j.c., owen d.c., roberts a.e. & koch j.r. (2009) Need for uniqueness in older women: an exploratory look. International Journal of Older People Nursingdoi: 10.1111/j.1748-3743.2009.00171.xProblem. Information about older women dwells on age-related illness and disabilities yet, other empowering traits could be promoting positive forces.Aim. While everyone desires some distinctiveness, this study explores higher levels of the motivational construct need for uniqueness (NU) in older women. NU concepts are: 1) perceived feelings of being or thinking different, 2) outspoken social behaviour, and 3) creative consumer consumption.Design. An exploratory, descriptive cross-sectional study provided quantitative data and focus groups generated qualitative data.Major results.... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2558348 Tue, 30 Jun 2009 23:00:00 +0100 2558348 http://www.medworm.com/index.php?rid=2492784&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00170.x Conclusions. The nursing staff had theoretical knowledge of what constitutes a good caring encounter, but they seemed to need more supervision and training to develop their ways of encountering older people as well as to become stronger in their professional role. When performing such training with staff, the methodology of appreciative inquiry could be a powerful tool.Relevance to clinical practice. It is important to help staff become empowered and to help them develop and improve their encounters with older care recipients. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2492784 Wed, 24 Jun 2009 23:00:00 +0100 2492784 http://www.medworm.com/index.php?rid=2480933&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2009.00169.x Conclusions. Primary factors influencing the facilitation of best aged care in LTC homes appear to be largely relational in nature and intimately connected to the emotionality of those who work within these settings. Enhancing the interactional patterns amongst staff and leaders as well as promoting a positive emotional climate may be particularly effective in promoting better aged care nursing practice. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2480933 Tue, 16 Jun 2009 04:00:00 +0100 2480933 http://www.medworm.com/index.php?rid=2189861&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00151.x Conclusion. This pilot study was not powered to detect an effect of the intervention, however, feasibility for a fully powered trial was established.Relevance to clinical practice. Completion of the NEECHAM screen every shift was not considered burdensome for either nurses or patients and may help identify acute delirium. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2189861 Tue, 17 Feb 2009 05:00:00 +0100 2189861 http://www.medworm.com/index.php?rid=2162823&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00150.x Conclusions. Multiple barriers were found to negatively impact on daily oral healthcare provision, including lack of care provider education, oral health values, availability of resources, implementation of supportive policies, documentation and oral health assessment tools.Relevance to clinical practice. The nursing profession, at all levels, must become pro-active in removing financial, political and workforce barriers that impact negatively on oral health outcomes. A multi-faceted approach is required to address these barriers, including development and implementation of oral health education programmes, assessment screening tools, care plans, documentation, supply of oral hygiene aids and the appointment of oral care 'champions'. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2162823 Thu, 05 Feb 2009 05:00:00 +0100 2162823 http://www.medworm.com/index.php?rid=2143779&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00149.x Conclusions. Very wide understandings of risk are identifiable, ranging from avoidance of physical harm through to managed risk taking to improve quality of life, and to an appreciation of the impact of organizational and professional patterns of behaviour resulting in harm to the person with dementia.Relevance to clinical practice. Obtaining information about the perspectives of others may help to illuminate some of the dilemmas experienced by staff in this study, and the development of risk assessment frameworks may assist staff to resolve some of these. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2143779 Fri, 30 Jan 2009 04:20:40 +0100 2143779 http://www.medworm.com/index.php?rid=2124461&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00155.x mccarthy g., mccormack b., coffey a., wright j. & slater p. (2009) International Journal of Older People NursingIncontinence: prevalence, management, staff knowledge and professional practice environment in rehabilitation unitsBackground. Bladder and bowel incontinence is a major health care problem, which adversely affects the lives of many individuals living at home or in health service facilities. Current approaches to continence care emphasize comfort, safety and reduction of risk, rather than detailed individualized assessment and management. The literature illustrates a gap between evidence and actual practice and emphasizes the context of care as being a key element for successful implementation of evidence based practice.Aims. To identify prevalence of bowel and bladder incontinenc... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2124461 Thu, 22 Jan 2009 05:00:00 +0100 2124461 http://www.medworm.com/index.php?rid=2119694&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00152.x Conclusions. The provision of high-quality community care for older people is a globally significant challenge and one that requires creative solutions, both at a local and strategic level.Relevance to clinical practice. Nurses and other health and social care professionals need to understand the significance of 'home' for older people and take steps to ensure that additional and appropriate resources are targeted towards community care. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2119694 Thu, 22 Jan 2009 04:59:58 +0100 2119694 http://www.medworm.com/index.php?rid=2119695&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00148.x Conclusion. Coaching patients to self-care is a primary activity and technology of rehabilitation nursing.Relevance to clinical practice. Patients in a variety of settings would benefit from nurses incorporating coaching skills into their nurse[ndash]patient interactions. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2119695 Mon, 19 Jan 2009 05:00:00 +0100 2119695 http://www.medworm.com/index.php?rid=2097295&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00154.x Conclusions. Future research is recommended to examine the long-term effects of alternative designs of educational sessions. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2097295 Mon, 12 Jan 2009 05:00:00 +0100 2097295 http://www.medworm.com/index.php?rid=2097294&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00147.x Conclusions. Professional caregivers attempt to relieve the men of their care obligations entirely. A reciprocal arrangement involving the men as partners, instead, may help them to regard their caring experience as valuable, which is important to their self-image.Relevance to clinical practice. These men's socially based networks need to be recognized by professional caregivers as important, to reframe the men's identity and notion of masculinity. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2097294 Mon, 12 Jan 2009 05:00:00 +0100 2097294 http://www.medworm.com/index.php?rid=2097293&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00153.x Conclusions. The results reveal that nursing home staff members deal with a moral conflict between what they are able to deliver and what they would like to provide in the care of older people.Relevance to clinical practice. To promote older people's dignity, there is a need to take account of staff members' work situation. Supervision and continuous education could be one way of achieving this. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2097293 Mon, 12 Jan 2009 05:00:00 +0100 2097293 http://www.medworm.com/index.php?rid=2097292&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00156.x This study was therefore carried out aiming to explore older people's lived experiences of what good and bad care meant to them, when it was offered by community care services. Nineteen older persons in three Swedish communities participated in the study, which used a phenomenological[ndash]hermeneutic approach. Data were collected through unstructured interviews and Colaizzi's framework was utilized in the analysis of the data. The key theme arising from the analysis was that of being encountered as a human being by caregivers who, through the provision of safe and secure care, provide opportunities for living life as usual. When any of these circumstances are lacking, bad care will be the consequence. As the general intention in society is to ensure good quality of care to older people a... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2097292 Mon, 12 Jan 2009 05:00:00 +0100 2097292 http://www.medworm.com/index.php?rid=2097291&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00160.x cheater f.m. (2009) International Journal of Older People NursingOvercoming the barriers to optimum continence care: the need for an expanded approach to implementation In spite of a growing body of evidence to show that urinary incontinence is treatable or symptoms can be significantly improved in the majority of older people significant shortfalls in the quality of continence care are highlighted consistently in the international literature. The key barriers to providing optimal continence care for older people points to a need to address change not only from an individual practitioner perspective but also at the levels of the multidisciplinary team and organization. Examples of some emerging implementation frameworks that incorporate the broader context in which change occurs in 'real w... International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2097291 Mon, 12 Jan 2009 05:00:00 +0100 2097291 http://www.medworm.com/index.php?rid=2097290&cid=s_32346_27_f&fid=32346&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1748-3743.2008.00161.x Conclusions. One way for RNs in Sweden to get a university specialist education in the care of older people is to have a distance web-based course, as it allows flexibility and improves the students' theoretical and professional knowledge and communication skills.Relevance for clinical practice. Managers working in care for older people settings and educators will be interested in this study's finding that distance learning is a useful strategy for providing education for RNs who work with older people. (Source: International Journal of Older People Nursing) International Journal of Older People Nursing journals http://www.medworm.com/rss/comments.php?id=2097290 Mon, 12 Jan 2009 05:00:00 +0100 2097290