La bibliothèque de Louvain-la-Neuve sera fermée les samedis jusque septembre.
Mention de date : November/December 2017
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Exemplaires (1)
| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| REV | Périodique papier | Woluwe (Promenade de l'Alma) | périodiques | Exclu du prêt |
Dépouillements
Ajouter le résultat dans votre panierA qualitative study to examine older adults' perceptions of health / Rifky Tkatch in Geriatric Nursing, Vol. 38, n°6 (November/December 2017)
Titre : A qualitative study to examine older adults' perceptions of health : Keys to aging successfully Type de document : Article Auteurs : Rifky Tkatch ; Shirley Musich ; Stephanie MacLeod ; [et al.] Année de publication : 2017 Article en page(s) : p. 485-490 Langues : Anglais (eng) Descripteurs : HE Vinci
Bilan de sante ; Gériatrie ; Perception ; Personne âgée ; Recherche qualitative ; VieillissementMots-clés : Vieillissement réussi Résumé : Older adult health is often defined in clinical terms. Research has demonstrated that many older adults self-report aging successfully regardless of clinical health status. This qualitative study used claims data to identify older adults on three levels of health status: healthy and active, managing diseases, or very sick, to better understand how health is defined and maintained. In total, 32 participants from two cities were interviewed. Interviews were audio- and video-recorded and then transcribed. Thematic analysis identified five themes: disconnectedness between objective and subjective health; health defined to include psychological and social components; resilience and coping mechanisms indicative of successful aging; social support systems integral to health; and the goal of maintaining functioning. These results indicate the importance of individual perceptions of health rather than just counts of chronic diseases. Health management programs should provide holistic approaches to maximize health outcomes and to promote successful aging. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 485-490[article] A qualitative study to examine older adults' perceptions of health : Keys to aging successfully [Article] / Rifky Tkatch ; Shirley Musich ; Stephanie MacLeod ; [et al.] . - 2017 . - p. 485-490.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 485-490
Descripteurs : HE Vinci
Bilan de sante ; Gériatrie ; Perception ; Personne âgée ; Recherche qualitative ; VieillissementMots-clés : Vieillissement réussi Résumé : Older adult health is often defined in clinical terms. Research has demonstrated that many older adults self-report aging successfully regardless of clinical health status. This qualitative study used claims data to identify older adults on three levels of health status: healthy and active, managing diseases, or very sick, to better understand how health is defined and maintained. In total, 32 participants from two cities were interviewed. Interviews were audio- and video-recorded and then transcribed. Thematic analysis identified five themes: disconnectedness between objective and subjective health; health defined to include psychological and social components; resilience and coping mechanisms indicative of successful aging; social support systems integral to health; and the goal of maintaining functioning. These results indicate the importance of individual perceptions of health rather than just counts of chronic diseases. Health management programs should provide holistic approaches to maximize health outcomes and to promote successful aging. Disponible en ligne : Non Exemplaires (1)
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Titre : Effectiveness of a balance-focused exercise program for enhancing functional fitness of older adults at risk of falling : A randomised controlled trial Type de document : Article Auteurs : Y. Zhao ; Pak-Kwong Chung ; Tom K. Tong Année de publication : 2017 Article en page(s) : p. 491-497 Langues : Anglais (eng) Descripteurs : HE Vinci
* ; Efficacité ; Essai clinique ; Exercice physique ; Personne âgée ; Programme ; RisqueMots-clés : Essai contrôlé randomisé Résumé : This study examined the effectivenss of a balance-focused training program (i.e., Exercise for Balance Improvement Program, ExBP) in improving functional fitness of older nonfallers at risk of falling. Sixty-one participants were randomly assigned to receive 16 weeks of ExBP or Tai Chi (TC) training, or no treatment (CON) with an 8-week follow-up. The Senior Fitness Test battery was applied to assess functional fitness. After the intervention, results revealed significant improvements in all fitness components in the ExBP group. Compared with the CON group, the ExBP group demonstrated more improvements in lower extremity muscle strength, agility and balance, and aerobic endurance. The ExBP group also displayed more improvements in aerobic endurance than the TC group in posttest and follow-up test. Therefore, the balance-focused exercise can be applied as an effective way in improving overall functional fitness among older nonfallers who are at risk of falling. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 491-497[article] Effectiveness of a balance-focused exercise program for enhancing functional fitness of older adults at risk of falling : A randomised controlled trial [Article] / Y. Zhao ; Pak-Kwong Chung ; Tom K. Tong . - 2017 . - p. 491-497.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 491-497
Descripteurs : HE Vinci
* ; Efficacité ; Essai clinique ; Exercice physique ; Personne âgée ; Programme ; RisqueMots-clés : Essai contrôlé randomisé Résumé : This study examined the effectivenss of a balance-focused training program (i.e., Exercise for Balance Improvement Program, ExBP) in improving functional fitness of older nonfallers at risk of falling. Sixty-one participants were randomly assigned to receive 16 weeks of ExBP or Tai Chi (TC) training, or no treatment (CON) with an 8-week follow-up. The Senior Fitness Test battery was applied to assess functional fitness. After the intervention, results revealed significant improvements in all fitness components in the ExBP group. Compared with the CON group, the ExBP group demonstrated more improvements in lower extremity muscle strength, agility and balance, and aerobic endurance. The ExBP group also displayed more improvements in aerobic endurance than the TC group in posttest and follow-up test. Therefore, the balance-focused exercise can be applied as an effective way in improving overall functional fitness among older nonfallers who are at risk of falling. Disponible en ligne : Non Exemplaires (1)
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Titre : Feasibility of the Translating Innovations into Practice-toolbox (TIP-toolbox) : A mixed-methods study for implementing activity innovations in nursing homes Type de document : Article Auteurs : Nienke O. Kuk ; Gerrie J.J.W. Bours ; Jan P.H. Hamers ; [et al.] Année de publication : 2017 Article en page(s) : p. 498-504 Langues : Anglais (eng) Descripteurs : HE Vinci
Evidence-based nursing ; Infirmière ; Personne âgée ; Plan de soinsMots-clés : Boîte à outils Évaluation de la faisabilité Activité fonctionnelle Résumé : This mixed-methods study evaluated the feasibility of the Translating Innovations into Practice (TIP)-toolbox. This toolbox guided nursing staff in 6 practical steps in developing a structured and tailored implementation plan to sustainably implement an innovation. For 9 weeks, 12 registered nurses (RNs) at 3 nursing homes in the Netherlands used the TIP-toolbox to develop an implementation plan related to promoting functional activity among nursing home residents. Data were collected by questionnaires, telephone interviews, participant observations, and focus group interviews. The RNs conducted most steps according to the plan. The main hampering and facilitating factors were a lack of support and collaboration. Most RNs were satisfied with the TIP-toolbox, but some considered it somewhat complex. To increase satisfaction and reduce the toolbox's complexity, the participants made suggestions for improvements. The findings of this study indicate that the TIP-toolbox was feasible and supported nursing staff in developing an implementation plan, although minor adaptations are needed. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 498-504[article] Feasibility of the Translating Innovations into Practice-toolbox (TIP-toolbox) : A mixed-methods study for implementing activity innovations in nursing homes [Article] / Nienke O. Kuk ; Gerrie J.J.W. Bours ; Jan P.H. Hamers ; [et al.] . - 2017 . - p. 498-504.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 498-504
Descripteurs : HE Vinci
Evidence-based nursing ; Infirmière ; Personne âgée ; Plan de soinsMots-clés : Boîte à outils Évaluation de la faisabilité Activité fonctionnelle Résumé : This mixed-methods study evaluated the feasibility of the Translating Innovations into Practice (TIP)-toolbox. This toolbox guided nursing staff in 6 practical steps in developing a structured and tailored implementation plan to sustainably implement an innovation. For 9 weeks, 12 registered nurses (RNs) at 3 nursing homes in the Netherlands used the TIP-toolbox to develop an implementation plan related to promoting functional activity among nursing home residents. Data were collected by questionnaires, telephone interviews, participant observations, and focus group interviews. The RNs conducted most steps according to the plan. The main hampering and facilitating factors were a lack of support and collaboration. Most RNs were satisfied with the TIP-toolbox, but some considered it somewhat complex. To increase satisfaction and reduce the toolbox's complexity, the participants made suggestions for improvements. The findings of this study indicate that the TIP-toolbox was feasible and supported nursing staff in developing an implementation plan, although minor adaptations are needed. Disponible en ligne : Non Exemplaires (1)
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Titre : Factors affecting nursing staff use of a communication tool to reduce potentially preventable acute care transfers in long-term care Type de document : Article Auteurs : Stephanie A. Ballard ; Matteo Peretti ; Ovidiu Lungu ; [et al.] Année de publication : 2017 Article en page(s) : p. 505-509 Langues : Anglais (eng) Descripteurs : HE Vinci
Communication ; Démarche qualité ; Interdisciplinarité ; Long sejour (hospitalisation) ; Maisons de repos ; Transfert (deplacement)Mots-clés : Outil de communication Résumé : Although specialized communication tools can effectively reduce acute care transfers, few studies have assessed the factors that may influence the use of such tools by nursing staff at the individual level. We evaluated the associations between years of experience, tool-related training, nursing attitudes, and intensity of use of a communication tool developed to reduce transfers in a long-term care facility. We employed a mixed methods design using data from medical charts, electronic records, and semi-structured interviews. Experienced nurses used the tool significantly less than inexperienced nurses, and training had a significant positive impact on tool use. Nurses found the purpose of the tool to be confusing. No significant differences in attitude were observed based on years of experience or intensity of use. Project findings indicate that focused efforts to enrich training may increase intervention adherence. Experienced nurses in particular should be made aware of the benefits of utilizing communication tools. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 505-509[article] Factors affecting nursing staff use of a communication tool to reduce potentially preventable acute care transfers in long-term care [Article] / Stephanie A. Ballard ; Matteo Peretti ; Ovidiu Lungu ; [et al.] . - 2017 . - p. 505-509.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 505-509
Descripteurs : HE Vinci
Communication ; Démarche qualité ; Interdisciplinarité ; Long sejour (hospitalisation) ; Maisons de repos ; Transfert (deplacement)Mots-clés : Outil de communication Résumé : Although specialized communication tools can effectively reduce acute care transfers, few studies have assessed the factors that may influence the use of such tools by nursing staff at the individual level. We evaluated the associations between years of experience, tool-related training, nursing attitudes, and intensity of use of a communication tool developed to reduce transfers in a long-term care facility. We employed a mixed methods design using data from medical charts, electronic records, and semi-structured interviews. Experienced nurses used the tool significantly less than inexperienced nurses, and training had a significant positive impact on tool use. Nurses found the purpose of the tool to be confusing. No significant differences in attitude were observed based on years of experience or intensity of use. Project findings indicate that focused efforts to enrich training may increase intervention adherence. Experienced nurses in particular should be made aware of the benefits of utilizing communication tools. Disponible en ligne : Non Exemplaires (1)
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Titre : Identifying distinct risk profiles to predict adverse events among community-dwelling older adults Type de document : Article Auteurs : Melissa O'Connor ; Alexandra Hanlon ; Elizabeth Mauer ; [et al.] Année de publication : 2017 Article en page(s) : 510-519 Langues : Anglais (eng) Descripteurs : HE Vinci
Logement ; Maladie chronique ; Personne âgéeMots-clés : Modèle de gestion des soins infirmiers Profil à risque Logement communautaire Résumé : Preventing adverse events among chronically ill older adults living in the community is a national health priority. The purpose of this study was to generate distinct risk profiles and compare these profiles in time to: hospitalization, emergency department (ED) visit or death in 371 community-dwelling older adults enrolled in a Medicare demonstration project. Guided by the Behavioral Model of Health Service Use, a secondary analysis was conducted using Latent Class Analysis to generate the risk profiles with Kaplan Meier methodology and log rank statistics to compare risk profiles. The Vuong-Lo-Mendell-Rubin Likelihood Ratio Test demonstrated optimal fit for three risk profiles (High, Medium, and Low Risk). The High Risk profile had significantly shorter time to hospitalization, ED visit, and death (p Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - 510-519[article] Identifying distinct risk profiles to predict adverse events among community-dwelling older adults [Article] / Melissa O'Connor ; Alexandra Hanlon ; Elizabeth Mauer ; [et al.] . - 2017 . - 510-519.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - 510-519
Descripteurs : HE Vinci
Logement ; Maladie chronique ; Personne âgéeMots-clés : Modèle de gestion des soins infirmiers Profil à risque Logement communautaire Résumé : Preventing adverse events among chronically ill older adults living in the community is a national health priority. The purpose of this study was to generate distinct risk profiles and compare these profiles in time to: hospitalization, emergency department (ED) visit or death in 371 community-dwelling older adults enrolled in a Medicare demonstration project. Guided by the Behavioral Model of Health Service Use, a secondary analysis was conducted using Latent Class Analysis to generate the risk profiles with Kaplan Meier methodology and log rank statistics to compare risk profiles. The Vuong-Lo-Mendell-Rubin Likelihood Ratio Test demonstrated optimal fit for three risk profiles (High, Medium, and Low Risk). The High Risk profile had significantly shorter time to hospitalization, ED visit, and death (p Disponible en ligne : Non Exemplaires (1)
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Titre : Reframing continence care in care-dependence Type de document : Article Auteurs : Joan Ostaszkiewicz Année de publication : 2017 Article en page(s) : p. 520-526 Langues : Anglais (eng) Descripteurs : HE Vinci
Démence ; Dignité ; Education ; Incontinence ; Maisons de repos ; Personne âgée ; Soins infirmiersRésumé : International guidelines promote active investigation and treatment of incontinence; however, these guidelines do not fully accommodate the psychosocial aspects associated with providing continence care i.e. the caregiving dynamics. The author developed a new framework that aims to support nurses and care workers in their efforts to identify and meet the continence care needs of individuals with complex health conditions who are dependent on another person for assistance to manage incontinence or to maintain continence. The framework is underpinned by two core concepts: ‘dignity’ and ‘care’, and is characterized by a focus on: empathic continence care; personhood in dementia; therapeutic communication; authentic partnership in continence care; acknowledging stigma, social taboos and courtesy stigma; and the need for a foundational continence assessment. This paper describes the Dignity in Continence Care Framework and suggests strategies for its use in the future education of nurses and care workers about continence care. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 520-526[article] Reframing continence care in care-dependence [Article] / Joan Ostaszkiewicz . - 2017 . - p. 520-526.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 520-526
Descripteurs : HE Vinci
Démence ; Dignité ; Education ; Incontinence ; Maisons de repos ; Personne âgée ; Soins infirmiersRésumé : International guidelines promote active investigation and treatment of incontinence; however, these guidelines do not fully accommodate the psychosocial aspects associated with providing continence care i.e. the caregiving dynamics. The author developed a new framework that aims to support nurses and care workers in their efforts to identify and meet the continence care needs of individuals with complex health conditions who are dependent on another person for assistance to manage incontinence or to maintain continence. The framework is underpinned by two core concepts: ‘dignity’ and ‘care’, and is characterized by a focus on: empathic continence care; personhood in dementia; therapeutic communication; authentic partnership in continence care; acknowledging stigma, social taboos and courtesy stigma; and the need for a foundational continence assessment. This paper describes the Dignity in Continence Care Framework and suggests strategies for its use in the future education of nurses and care workers about continence care. Disponible en ligne : Non Exemplaires (1)
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Titre : Hearing loss education for older adults in primary care clinics : Benefits of a concise educational brochure Type de document : Article Auteurs : Margaret I. Wallhagen ; William J. Strawbridge Année de publication : 2017 Article en page(s) : p. 527-530 Langues : Anglais (eng) Descripteurs : HE Vinci
Brochure ; Education thérapeutique ; Personne âgée ; Sante (centre) ; Soins de santé primairesMots-clés : Perte d'audition Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 527-530[article] Hearing loss education for older adults in primary care clinics : Benefits of a concise educational brochure [Article] / Margaret I. Wallhagen ; William J. Strawbridge . - 2017 . - p. 527-530.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 527-530
Descripteurs : HE Vinci
Brochure ; Education thérapeutique ; Personne âgée ; Sante (centre) ; Soins de santé primairesMots-clés : Perte d'audition Disponible en ligne : Non Exemplaires (1)
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Titre : Nursing home care trajectories for older adults following in-hospital palliative care consultation Type de document : Article Auteurs : Joan G. Carpenter ; Patricia H. Berry ; Mary Ersek Année de publication : 2017 Article en page(s) : p. 531-536 Langues : Anglais (eng) Descripteurs : HE Vinci
Consultation médicale ; Hospitalisation ; Personne âgée ; Plan de soins ; Recherche qualitative ; Sante (centre) ; Soins à domicile ; Soins palliatifsRésumé : Palliative care consultation (PCC) during hospitalization is increasingly common for older adults with life-limiting illness discharged to nursing homes. The objective of this qualitative descriptive study was to describe the care trajectories and experiences of older adults admitted to a nursing home following a PCC during hospitalization. Twelve English-speaking adults, mean age 80 years, who received a hospital PCC and discharge to a nursing home without hospice. Data were collected from medical records at five time points from hospital discharge to 100 days after nursing home admission and care trajectories were mapped. Interviews (n = 15) with participants and surrogates were combined with each participant’s medical record data. Content analysis was employed on the combined dataset. All PCC referrals were for goals of care conversations during which the PCC team discussed poor prognosis. All participants were admitted to a nursing home under the Medicare skilled nursing facility benefit. Seven were rehospitalized; six of the 12 died within 6 weeks of initial nursing home admission. The two care trajectories were Focus on Rehabilitative Care and Comfort Care Continuity. There was a heavy emphasis on recovering functional status through rehabilitation and skilled nursing care, despite considerable symptom burden and poor prognosis. Regardless of PCC with recommendations for palliative interventions, frail older adults with limited life expectancy and their family caregivers often perceive that rehabilitation will improve physical function. This perception may contribute to inappropriate, ineffective care. More emphasis is needed to coordinate care between PCC recommendations and post-acute care. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 531-536[article] Nursing home care trajectories for older adults following in-hospital palliative care consultation [Article] / Joan G. Carpenter ; Patricia H. Berry ; Mary Ersek . - 2017 . - p. 531-536.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 531-536
Descripteurs : HE Vinci
Consultation médicale ; Hospitalisation ; Personne âgée ; Plan de soins ; Recherche qualitative ; Sante (centre) ; Soins à domicile ; Soins palliatifsRésumé : Palliative care consultation (PCC) during hospitalization is increasingly common for older adults with life-limiting illness discharged to nursing homes. The objective of this qualitative descriptive study was to describe the care trajectories and experiences of older adults admitted to a nursing home following a PCC during hospitalization. Twelve English-speaking adults, mean age 80 years, who received a hospital PCC and discharge to a nursing home without hospice. Data were collected from medical records at five time points from hospital discharge to 100 days after nursing home admission and care trajectories were mapped. Interviews (n = 15) with participants and surrogates were combined with each participant’s medical record data. Content analysis was employed on the combined dataset. All PCC referrals were for goals of care conversations during which the PCC team discussed poor prognosis. All participants were admitted to a nursing home under the Medicare skilled nursing facility benefit. Seven were rehospitalized; six of the 12 died within 6 weeks of initial nursing home admission. The two care trajectories were Focus on Rehabilitative Care and Comfort Care Continuity. There was a heavy emphasis on recovering functional status through rehabilitation and skilled nursing care, despite considerable symptom burden and poor prognosis. Regardless of PCC with recommendations for palliative interventions, frail older adults with limited life expectancy and their family caregivers often perceive that rehabilitation will improve physical function. This perception may contribute to inappropriate, ineffective care. More emphasis is needed to coordinate care between PCC recommendations and post-acute care. Disponible en ligne : Non Exemplaires (1)
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Titre : Evaluating the older adult experience of a web-based, tablet-delivered heart failure self-care program using gerontechnology principles Type de document : Article Auteurs : Harleah Buck ; Anthony Pinter ; Erika Poole ; [et al.] Année de publication : 2017 Article en page(s) : p. 537-541 Langues : Anglais (eng) Descripteurs : HE Vinci
Arrêt cardiaque ; Autosoin ; Evaluation ; Gériatrie ; Insuffisance cardiaque ; Internet ; TechnologieMots-clés : Programme d'autogestion Résumé : The goals of gerontechnology are to develop technology that facilitates goal attainment and improves satisfaction with life for older adults. Few mHealth technology systems have been evaluated using these criteria. The purpose of this paper was to present the qualitative analysis of participant post-intervention interviews from the tablet-delivered Penn State Heart Assistant intervention. Semi-structured interviews (n = 12) were conducted after the completion of a 30 day study protocol. Interviews were transcribed verbatim by a professional transcriptionist, then analyzed using an iterative process of coding, categorization, and thematic development using DeDoose software and a gerontechnology interpretive lens. Two themes with six subthemes arose: Benefits – information sharing with others, usability and learnability, use of help resources; Suggestions – continuing use after the study, technical problems, participant suggested improvements. Interviews suggested improved goal attainment and satisfaction with life for the older adults with use of the tablet. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 537-541[article] Evaluating the older adult experience of a web-based, tablet-delivered heart failure self-care program using gerontechnology principles [Article] / Harleah Buck ; Anthony Pinter ; Erika Poole ; [et al.] . - 2017 . - p. 537-541.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 537-541
Descripteurs : HE Vinci
Arrêt cardiaque ; Autosoin ; Evaluation ; Gériatrie ; Insuffisance cardiaque ; Internet ; TechnologieMots-clés : Programme d'autogestion Résumé : The goals of gerontechnology are to develop technology that facilitates goal attainment and improves satisfaction with life for older adults. Few mHealth technology systems have been evaluated using these criteria. The purpose of this paper was to present the qualitative analysis of participant post-intervention interviews from the tablet-delivered Penn State Heart Assistant intervention. Semi-structured interviews (n = 12) were conducted after the completion of a 30 day study protocol. Interviews were transcribed verbatim by a professional transcriptionist, then analyzed using an iterative process of coding, categorization, and thematic development using DeDoose software and a gerontechnology interpretive lens. Two themes with six subthemes arose: Benefits – information sharing with others, usability and learnability, use of help resources; Suggestions – continuing use after the study, technical problems, participant suggested improvements. Interviews suggested improved goal attainment and satisfaction with life for the older adults with use of the tablet. Disponible en ligne : Non Exemplaires (1)
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Titre : Pilot testing a digital pet avatar for older adults Type de document : Article Auteurs : Nai-Ching Chi ; Olivia Sparks ; Shih-Yin Lin ; [et al.] Année de publication : 2017 Article en page(s) : p. 542-547 Langues : Anglais (eng) Descripteurs : HE Vinci
Animal ; Interaction sociale ; Personne âgée ; Solitude ; TechnologieMots-clés : Animal de compagnie numérique Isolement Étude pilote Résumé : Social isolation in older adults is a major public health concern. An embodied conversational agent (ECA) has the potential to enhance older adults' social interaction. However, little is known about older adults' experience with an ECA. In this paper, we conducted a pilot study to examine the perceived acceptance and utility of a tablet-based conversational agent in the form of an avatar (termed “digital pet”) for older adults. We performed secondary analysis of data collected from a study that employed the use of a digital pet in ten older adults' homes for three months. Most of the participants enjoyed the companionship, entertainment, reminders, and instant assistance from the digital pet. However, participants identified limited conversational ability and technical issues as system challenges. Privacy, dependence, and cost were major concerns. Future applications should maximize the agent's conversational ability and the system's overall usability. Our results can inform future designs of conversational agents for older adults, which need to include older adults as system co-designers to maximize usability and acceptance. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 542-547[article] Pilot testing a digital pet avatar for older adults [Article] / Nai-Ching Chi ; Olivia Sparks ; Shih-Yin Lin ; [et al.] . - 2017 . - p. 542-547.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 542-547
Descripteurs : HE Vinci
Animal ; Interaction sociale ; Personne âgée ; Solitude ; TechnologieMots-clés : Animal de compagnie numérique Isolement Étude pilote Résumé : Social isolation in older adults is a major public health concern. An embodied conversational agent (ECA) has the potential to enhance older adults' social interaction. However, little is known about older adults' experience with an ECA. In this paper, we conducted a pilot study to examine the perceived acceptance and utility of a tablet-based conversational agent in the form of an avatar (termed “digital pet”) for older adults. We performed secondary analysis of data collected from a study that employed the use of a digital pet in ten older adults' homes for three months. Most of the participants enjoyed the companionship, entertainment, reminders, and instant assistance from the digital pet. However, participants identified limited conversational ability and technical issues as system challenges. Privacy, dependence, and cost were major concerns. Future applications should maximize the agent's conversational ability and the system's overall usability. Our results can inform future designs of conversational agents for older adults, which need to include older adults as system co-designers to maximize usability and acceptance. Disponible en ligne : Non Exemplaires (1)
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Titre : Using spontaneous commentary of nursing home residents to develop resident-centered measurement tools : A case study Type de document : Article Auteurs : Lauren R. Bangerter ; Katherine Abbott ; Allison Heid Année de publication : 2017 Article en page(s) : p. 548-550 Langues : Anglais (eng) Descripteurs : HE Vinci
Communication ; Maisons de repos ; Personne âgée ; Présentations de casMots-clés : Élaboration d'outil de mesure Commentaires spontanés des résidents Résumé : Nursing home (NH) residents routinely complete surveys that assess their health, well-being, preferences, and care needs. Such surveys reveal important information, however, are largely based on the concerns of providers as opposed to the concerns of residents. Thus, researchers must enhance efforts to ensure that these surveys are guided by the priorities, needs, and concerns of residents. We present a case study to demonstrate how spontaneous commentary of NH residents holds particular efficacy for ensuring that measurement tools are guided by the needs, concerns, and priorities of residents. Spontaneous comments from NH residents (N = 370) collected as part of a study developing the Preferences for Everyday Living Inventory for NH residents (PELI-NH) were used to refine the PELI-NH across key phases of measurement development. This work demonstrates how the spontaneous commentary of NH residents may contribute to the refinement of NH measurement tools, and allow researchers to base these tools on the needs and priorities of NH residents. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 548-550[article] Using spontaneous commentary of nursing home residents to develop resident-centered measurement tools : A case study [Article] / Lauren R. Bangerter ; Katherine Abbott ; Allison Heid . - 2017 . - p. 548-550.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 548-550
Descripteurs : HE Vinci
Communication ; Maisons de repos ; Personne âgée ; Présentations de casMots-clés : Élaboration d'outil de mesure Commentaires spontanés des résidents Résumé : Nursing home (NH) residents routinely complete surveys that assess their health, well-being, preferences, and care needs. Such surveys reveal important information, however, are largely based on the concerns of providers as opposed to the concerns of residents. Thus, researchers must enhance efforts to ensure that these surveys are guided by the priorities, needs, and concerns of residents. We present a case study to demonstrate how spontaneous commentary of NH residents holds particular efficacy for ensuring that measurement tools are guided by the needs, concerns, and priorities of residents. Spontaneous comments from NH residents (N = 370) collected as part of a study developing the Preferences for Everyday Living Inventory for NH residents (PELI-NH) were used to refine the PELI-NH across key phases of measurement development. This work demonstrates how the spontaneous commentary of NH residents may contribute to the refinement of NH measurement tools, and allow researchers to base these tools on the needs and priorities of NH residents. Disponible en ligne : Non Exemplaires (1)
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Titre : Testing the reliability and validity of a Transition Map for older adults in long term care settings Type de document : Article Auteurs : Steven M. Savvas ; Stephen J. Gibson ; Paki Rizakis ; [et al.] Année de publication : 2017 Article en page(s) : p. 551-558 Langues : Anglais (eng) Descripteurs : HE Vinci
Long sejour (hospitalisation) ; Personne âgéeMots-clés : Fiabilité Validité Carte de transition Gestion des soins Résumé : Mapping individual patterns of decline in older adults may aid coordinating long term aged care. This study developed a new scale (Transition Maps) to summarise the overall care pathway for long term aged care residents, in a simplified manner incorporating mapping concepts. Transition Maps were developed using mixed methods in two phases, and based on expert opinion, literature review, and input from aged care health professionals. Four professions (primary physician, nurse, allied health, lifestyle services) generated 147 Transition Maps for 38 residents living in a long term care. Preliminary construct validity and inter-rated reliability were evaluated. Results showed that Inter-rater reliability of agreement with the overall care pathway for each resident was kappa = 0.492. Consensus was lowest between nurse care managers and primary physicians (kappa = 0.384), and highest between nurse managers and Lifestyle Services (kappa = 0.77). Preliminary testing of the Transition Map scale provides initial support of construct validity and inter-rater reliability and provides some evidence that Transition Maps can improve the coordination of long term aged care. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 551-558[article] Testing the reliability and validity of a Transition Map for older adults in long term care settings [Article] / Steven M. Savvas ; Stephen J. Gibson ; Paki Rizakis ; [et al.] . - 2017 . - p. 551-558.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 551-558
Descripteurs : HE Vinci
Long sejour (hospitalisation) ; Personne âgéeMots-clés : Fiabilité Validité Carte de transition Gestion des soins Résumé : Mapping individual patterns of decline in older adults may aid coordinating long term aged care. This study developed a new scale (Transition Maps) to summarise the overall care pathway for long term aged care residents, in a simplified manner incorporating mapping concepts. Transition Maps were developed using mixed methods in two phases, and based on expert opinion, literature review, and input from aged care health professionals. Four professions (primary physician, nurse, allied health, lifestyle services) generated 147 Transition Maps for 38 residents living in a long term care. Preliminary construct validity and inter-rated reliability were evaluated. Results showed that Inter-rater reliability of agreement with the overall care pathway for each resident was kappa = 0.492. Consensus was lowest between nurse care managers and primary physicians (kappa = 0.384), and highest between nurse managers and Lifestyle Services (kappa = 0.77). Preliminary testing of the Transition Map scale provides initial support of construct validity and inter-rater reliability and provides some evidence that Transition Maps can improve the coordination of long term aged care. Disponible en ligne : Non Exemplaires (1)
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Titre : The Responsive Leadership Intervention: Improving leadership and individualized care in long-term care Type de document : Article Auteurs : Sienna Caspar ; Anne Le ; Katherine S. McGilton Année de publication : 2017 Article en page(s) : p. 559-566 Langues : Anglais (eng) Descripteurs : HE Vinci
Autorité ; Communication ; Gériatrie ; Groupe ; Long sejour (hospitalisation) ; Prise de décision ; Qualité des soins de santéRésumé : The Responsive Leadership Intervention (RLI) is a multi-faceted intervention. We evaluated the influence of the RLI on i) responsive leadership practices by team leaders; ii) health care aides’ (HCAs) self-determination; iii) HCAs' perceived ability to provide individualized care. A quasi-experimental repeated measures non-equivalent control group design was used to assess participant outcomes in four long-term care facilities (two control, two intervention) across four time periods. Change from baseline to 1-month post-intervention was greater in the intervention group than control group for Individualized Care (IC) (p = 0.001), but not for Self Determination (p = 0.26). Perceived levels of responsive leadership was greater following the intervention among participants with baseline measures that were less than the median (p = 0.007), but not if greater. At 3-months post-intervention, the intervention group retained 32% of the difference from control in IC, and 49% of the difference from control in responsive leadership; at 6-months post-intervention, 35% and 28%, respectively. The RLI is a feasible method for improving responsive leadership practices and individualized care. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 559-566[article] The Responsive Leadership Intervention: Improving leadership and individualized care in long-term care [Article] / Sienna Caspar ; Anne Le ; Katherine S. McGilton . - 2017 . - p. 559-566.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 559-566
Descripteurs : HE Vinci
Autorité ; Communication ; Gériatrie ; Groupe ; Long sejour (hospitalisation) ; Prise de décision ; Qualité des soins de santéRésumé : The Responsive Leadership Intervention (RLI) is a multi-faceted intervention. We evaluated the influence of the RLI on i) responsive leadership practices by team leaders; ii) health care aides’ (HCAs) self-determination; iii) HCAs' perceived ability to provide individualized care. A quasi-experimental repeated measures non-equivalent control group design was used to assess participant outcomes in four long-term care facilities (two control, two intervention) across four time periods. Change from baseline to 1-month post-intervention was greater in the intervention group than control group for Individualized Care (IC) (p = 0.001), but not for Self Determination (p = 0.26). Perceived levels of responsive leadership was greater following the intervention among participants with baseline measures that were less than the median (p = 0.007), but not if greater. At 3-months post-intervention, the intervention group retained 32% of the difference from control in IC, and 49% of the difference from control in responsive leadership; at 6-months post-intervention, 35% and 28%, respectively. The RLI is a feasible method for improving responsive leadership practices and individualized care. Disponible en ligne : Non Exemplaires (1)
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Titre : Predicting inpatient delirium: The AWOL delirium risk-stratification score in clinical practice Type de document : Article Auteurs : Ethan Brown ; Andrew S. Josephson ; Noriko Anderson ; [et al.] Année de publication : 2017 Article en page(s) : p. 567-572 Langues : Anglais (eng) Descripteurs : HE Vinci
Delirium tremens ; Hospitalisation ; Pratique professionnelle
Autres descripteurs
scoreMots-clés : Score de satisfaction Types de pratiques des médecins Résumé : Inpatient delirium improves with multicomponent interventions by hospital staff, though the resources needed are often limited. Risk-stratification to predict delirium is a useful first step to help triage resources, but the performance of risk-stratification as part of a functioning multicomponent pathway has not been assessed. We retrospectively studied the performance of a validated delirium prediction rule, the AWOL score, as a part of a multicomponent delirium care pathway in practice on a university hospital ward. We reviewed the hospitalizations of patients 50 years or older for evidence of delirium and extracted the AWOL score from nursing documentation (n = 347). The area under the receiver operating characteristic curve (AUC) was 0.83 (95% CI 0.77–0.89) for all cases and 0.73 (95% CI 0.60–0.85) when cases of prevalent delirium were removed. Involving minimal additional assessment, this nursing-based risk stratification score performed well as part of a multicomponent delirium care pathway. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 567-572[article] Predicting inpatient delirium: The AWOL delirium risk-stratification score in clinical practice [Article] / Ethan Brown ; Andrew S. Josephson ; Noriko Anderson ; [et al.] . - 2017 . - p. 567-572.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 567-572
Descripteurs : HE Vinci
Delirium tremens ; Hospitalisation ; Pratique professionnelle
Autres descripteurs
scoreMots-clés : Score de satisfaction Types de pratiques des médecins Résumé : Inpatient delirium improves with multicomponent interventions by hospital staff, though the resources needed are often limited. Risk-stratification to predict delirium is a useful first step to help triage resources, but the performance of risk-stratification as part of a functioning multicomponent pathway has not been assessed. We retrospectively studied the performance of a validated delirium prediction rule, the AWOL score, as a part of a multicomponent delirium care pathway in practice on a university hospital ward. We reviewed the hospitalizations of patients 50 years or older for evidence of delirium and extracted the AWOL score from nursing documentation (n = 347). The area under the receiver operating characteristic curve (AUC) was 0.83 (95% CI 0.77–0.89) for all cases and 0.73 (95% CI 0.60–0.85) when cases of prevalent delirium were removed. Involving minimal additional assessment, this nursing-based risk stratification score performed well as part of a multicomponent delirium care pathway. Disponible en ligne : Non Exemplaires (1)
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Titre : A pilot exploration of the effect of designated Function Focused Care on mobility, functional dependence and falls frequency in Dutch nursing home residents Type de document : Article Auteurs : Eva S. Van der Ploeg ; Marleen L. Leermakers Année de publication : 2017 Article en page(s) : p. 573-577 Langues : Anglais (eng) Descripteurs : HE Vinci
* ; Exercice physique ; Maisons de repos ; Pays-Bas ; Personne âgée ; Rééducation et réadaptationMots-clés : Étude pilote Mobilité Dépendance fonctionnelle Soins focalisés Résumé : In recent years, there has been a gradual change in nursing home care from care providers doing as many things as possible for residents to a philosophy where patients are encouraged to become more involved in their care and activities of daily living. Function Focused Care (FFC) is a methodology to stimulate the involvement of residents on a daily basis that has shown to be safe and effective in improving ADL-functioning. We implemented FFC in four nursing homes with 53 residents. This first pilot project in Dutch nursing homes has replicated the finding that FFC inspires functional independence, but also revealed a reduction in the number of falls among fallers. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 573-577[article] A pilot exploration of the effect of designated Function Focused Care on mobility, functional dependence and falls frequency in Dutch nursing home residents [Article] / Eva S. Van der Ploeg ; Marleen L. Leermakers . - 2017 . - p. 573-577.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 573-577
Descripteurs : HE Vinci
* ; Exercice physique ; Maisons de repos ; Pays-Bas ; Personne âgée ; Rééducation et réadaptationMots-clés : Étude pilote Mobilité Dépendance fonctionnelle Soins focalisés Résumé : In recent years, there has been a gradual change in nursing home care from care providers doing as many things as possible for residents to a philosophy where patients are encouraged to become more involved in their care and activities of daily living. Function Focused Care (FFC) is a methodology to stimulate the involvement of residents on a daily basis that has shown to be safe and effective in improving ADL-functioning. We implemented FFC in four nursing homes with 53 residents. This first pilot project in Dutch nursing homes has replicated the finding that FFC inspires functional independence, but also revealed a reduction in the number of falls among fallers. Disponible en ligne : Non Exemplaires (1)
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Titre : Accuracy of documentation in the nursing care plan in long-term institutional care Type de document : Article Auteurs : Astrid Tuinman ; Mathieu H.G. de Greef ; Wim P. Krijnen ; [et al.] Année de publication : 2017 Article en page(s) : p. 578-583 Langues : Anglais (eng) Descripteurs : HE Vinci
Démarche de soins infirmiers ; Documentation ; Maisons de repos ; Personne âgée ; Plan de soinsMots-clés : Soins de longue durée documentation en santé Étude transversale Résumé : Nursing staff working in long-term institutional care attend to residents with an increasing number of severe physical and cognitive limitations. To exchange information about the health status of these residents, accurate nursing documentation is important to ensure the safety of residents. This study examined the accuracy of nursing documentation in 197 care plans of five long-term institutional care facilities. Based on the phases of the nursing process, the D-Catch instrument measures the accuracy of the content and coherence of documentation. Inadequacies were especially found in the description of residents' care needs and stated nursing diagnoses as well as in progress and outcome reports. In somatic and psycho-geriatric units, higher accuracy scores were determined compared with residential care units. Investments in resources (e.g., time), reasoning skills of nursing staff, and implementation of professional standards in accordance with legal requirements may be needed to enhance the quality of nursing documentation. Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 578-583[article] Accuracy of documentation in the nursing care plan in long-term institutional care [Article] / Astrid Tuinman ; Mathieu H.G. de Greef ; Wim P. Krijnen ; [et al.] . - 2017 . - p. 578-583.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 578-583
Descripteurs : HE Vinci
Démarche de soins infirmiers ; Documentation ; Maisons de repos ; Personne âgée ; Plan de soinsMots-clés : Soins de longue durée documentation en santé Étude transversale Résumé : Nursing staff working in long-term institutional care attend to residents with an increasing number of severe physical and cognitive limitations. To exchange information about the health status of these residents, accurate nursing documentation is important to ensure the safety of residents. This study examined the accuracy of nursing documentation in 197 care plans of five long-term institutional care facilities. Based on the phases of the nursing process, the D-Catch instrument measures the accuracy of the content and coherence of documentation. Inadequacies were especially found in the description of residents' care needs and stated nursing diagnoses as well as in progress and outcome reports. In somatic and psycho-geriatric units, higher accuracy scores were determined compared with residential care units. Investments in resources (e.g., time), reasoning skills of nursing staff, and implementation of professional standards in accordance with legal requirements may be needed to enhance the quality of nursing documentation. Disponible en ligne : Non Exemplaires (1)
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Titre : Adverse drug events reported by rural older adults Type de document : Article Auteurs : Marcia Y. Shade ; Ann M. Berger ; Claudia Chaperon ; [et al.] Année de publication : 2017 Article en page(s) : p. 584-588 Langues : Anglais (eng) Descripteurs : HE Vinci
Effets secondaires indésirables des médicaments ; Erreur ; Milieu rural ; Personne âgée ; Troubles de la veille et du sommeilMots-clés : Traitements médicamenteux Évaluation des impacts sur la santé Résumé : Adverse drug events (ADEs) impact the health and safety of older adults. ADEs may lead to unplanned medical visits that influence health and related costs. The purpose of this study was to explore ADEs reported by rural, community-dwelling older adults. Data were collected on 138 participants' demographics, physical and mental health, sleep, medications, and ADEs. One or more ADEs were reported by 48% of participants, including central nervous symptom disturbances (16%), dry mouth (12%), hoarseness, gastrointestinal irritation, and decreased libido (all 8%). Poor sleep and poor physical health were associated with higher reported ADEs (p Disponible en ligne : Non
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 584-588[article] Adverse drug events reported by rural older adults [Article] / Marcia Y. Shade ; Ann M. Berger ; Claudia Chaperon ; [et al.] . - 2017 . - p. 584-588.
Langues : Anglais (eng)
in Geriatric Nursing > Vol. 38, n°6 (November/December 2017) . - p. 584-588
Descripteurs : HE Vinci
Effets secondaires indésirables des médicaments ; Erreur ; Milieu rural ; Personne âgée ; Troubles de la veille et du sommeilMots-clés : Traitements médicamenteux Évaluation des impacts sur la santé Résumé : Adverse drug events (ADEs) impact the health and safety of older adults. ADEs may lead to unplanned medical visits that influence health and related costs. The purpose of this study was to explore ADEs reported by rural, community-dwelling older adults. Data were collected on 138 participants' demographics, physical and mental health, sleep, medications, and ADEs. One or more ADEs were reported by 48% of participants, including central nervous symptom disturbances (16%), dry mouth (12%), hoarseness, gastrointestinal irritation, and decreased libido (all 8%). Poor sleep and poor physical health were associated with higher reported ADEs (p Disponible en ligne : Non Exemplaires (1)
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