The Evolution of Community-Based Long-Term Care
(Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - February 3, 2014 Category: Geriatrics Authors: Gaugler, J. E. Tags: Editorial Source Type: research
Direct Care Worker's Perceptions of Job Satisfaction Following Implementation of Work-Based Learning
This article presents a conceptual model for understanding how these categories are interrelated and the implications for WBL programs. Job satisfaction is an important topic that has been linked to quality of care and reduced turnover in long-term care settings. (Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - January 10, 2014 Category: Geriatrics Authors: Lopez, C., White, D. L., Carder, P. C. Tags: Process Evaluation Source Type: research
Medical Staff Involvement in Nursing Homes: Development of a Conceptual Model and Research Agenda
Medical staff (physicians, nurse practitioners, physicians’ assistants) involvement in nursing homes (NH) is limited by professional guidelines, government policies, regulations, and reimbursements, creating bureaucratic burden. The conceptual NH Medical Staff Involvement Model, based on our mixed-methods research, applies the Donabedian "structure–process–outcomes" framework to the NH, identifying measures for a coordinated research agenda. Quantitative surveys and qualitative interviews conducted with medical directors, administrators and directors of nursing, other experts, residents and family members...
Source: Journal of Applied Gerontology - January 10, 2014 Category: Geriatrics Authors: Shield, R., Rosenthal, M., Wetle, T., Tyler, D., Clark, M., Intrator, O. Tags: Articles Source Type: research
Top Nurse-Management Staffing Collapse and Care Quality in Nursing Homes
This study is a longitudinal case analysis of a nursing home (n = 97 staff) with 400% director of nursing turnover during the study time period. Data included 100 interviews, observations and documents collected over 9 months and were analyzed using immersion and content analysis. Turnover events at all staff levels were nonlinear, socially mediated and contributed to dramatic care deficits. Federal mandated, quality assurance mechanisms failed to ensure resident safety. High multilevel turnover should be elevated to a sentinel event for regulators. Suggestions to magnify positive emergence in extreme conditions and to imp...
Source: Journal of Applied Gerontology - January 10, 2014 Category: Geriatrics Authors: Hunt, S. R., Corazzini, K., Anderson, R. A. Tags: Articles Source Type: research
Hand Hygiene Deficiency Citations in Nursing Homes
Hand hygiene (HH) is recognized as an effective way to decrease transmission of infections. Little research has been conducted surrounding HH in nursing homes (NHs). In this research, deficiency citations representing potential problems with HH practices by staff as identified in the certification process conducted at almost all US NHs were examined. The aims of the study were to identify potential relationships between these deficiency citations and characteristics of the NH and characteristics of the NH environment. We used a panel of 148,900 observations with information primarily coming from the 2000 through 2009 Onlin...
Source: Journal of Applied Gerontology - January 10, 2014 Category: Geriatrics Authors: Castle, N., Wagner, L., Ferguson, J., Handler, S. Tags: Articles Source Type: research
Relationships Among Employees' Working Conditions, Mental Health, and Intention to Leave in Nursing Homes
Employee turnover is a large and expensive problem in the long-term care environment. Stated intention to leave is a reliable indicator of likely turnover, but actual predictors, especially for nursing assistants, have been incompletely investigated. This quantitative study identifies the relationships among employees’ working conditions, mental health, and intention to leave. Self-administered questionnaires were collected with 1,589 employees in 18 for-profit nursing homes. A working condition index for the number of beneficial job features was constructed. Poisson regression modeling found that employees who repor...
Source: Journal of Applied Gerontology - January 10, 2014 Category: Geriatrics Authors: Zhang, Y., Punnett, L., Gore, R., The CPH-NEW Research Team Tags: Articles Source Type: research
The Challenge of Workforce Retention in Long-Term Care
(Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - January 10, 2014 Category: Geriatrics Authors: Gaugler, J. E. Tags: Editorial Source Type: research
Degree of Rurality is not Related to Dementia Caregiver Distress, Burden, and Coping in a Predominantly Rural Sample
Earlier research suggests that geographic location matters for informal caregivers of persons with dementia: rural caregivers tend to rely on more informal supports and may report more psychological distress and burden than urban caregivers. Differential access to services may underlie these findings, but degree of rurality is typically measured with population size. In contrast, the current article measured degree of rurality with standardized scale of access to metropolitan centers. In a large sample we found nonsignificant and trivial associations between metropolitan access with self-reported caregiver distress, (N = 2...
Source: Journal of Applied Gerontology - November 13, 2013 Category: Geriatrics Authors: O'Connell, M. E., Germaine, N., Burton, R., Stewart, N., Morgan, D. G. Tags: Articles Source Type: research
Social Capital and Self-Rated Health Among Older Korean Immigrants
The objective of this article is to investigate determinants of self-rated health and describe their association with social capital and socioeconomic characteristics among older Korean immigrants.
Method:
A cross-sectional study of 205 older Korean immigrants (aged 60 years and older) was conducted in Los Angeles county. Independent variables included age, gender, marital status, income of the older Koreans, and social capital included social norms, trust, partnership with the community, information sharing, and political participation. Self-rated health was the dependent variable.
Results:
Descriptive analyses were don...
Source: Journal of Applied Gerontology - November 13, 2013 Category: Geriatrics Authors: Kim, B. J., Harris, L. M. Tags: Articles Source Type: research
Older Adults' Driving Reduction and Cessation: Perspectives of Adult Children
Purpose of the Study.
Adult children are often directly affected by aging parents’ decision to limit or stop driving. This qualitative study examined the process of driving reduction and cessation (DRC) from the perspective of adult children, with a focus on family communication.
Design and Methods.
Four focus group interviews were conducted with 37 adult children (29/37 female; mean age = 45.5) of older parents using a structured protocol. Transcripts were analyzed by two independent coders to identify major themes.
Results.
Themes represented three aspects of the DRC process: family communication and dynamics (i....
Source: Journal of Applied Gerontology - November 13, 2013 Category: Geriatrics Authors: Connell, C. M., Harmon, A., Janevic, M. R., Kostyniuk, L. P. Tags: Articles Source Type: research
State Long-Term Care Ombudsmen's Perceptions of Their Program's Disaster Preparedness Roles and Readiness
A telephone survey of 43 state long-term care ombudsmen (LTCO) assessed their familiarity with relevant long-term care disaster resources, their provision of disaster aids and training to staff, and their perceived preparedness to lead their programs during public crises. Thirty-four directors (78%) reported being fairly well to fully prepared to support their local programs during public emergencies. However, ANOVAs showed that the 27 disaster experienced ombudsmen felt no better prepared to help their local paid and volunteer staff deal with public emergencies than disaster inexperienced ombudsmen. Those directly involve...
Source: Journal of Applied Gerontology - November 13, 2013 Category: Geriatrics Authors: Nelson, H. W., Agley, D., Netting, F. E., Borders, K. W., Huber, R. Tags: Articles Source Type: research
Use of a Dementia Training Designed for Nurse Aides to Train Other Staff
Problematic resident behaviors may escalate in long-term care facilities (LTCs). If nurse aides (NAs) are not nearby, the nearest staff to intervene may be nondirect care workers (NDCWs), who have little or no dementia training. This pilot research tested Internet dementia-training program, designed for NAs, on NDCWs in a LTC setting. Sixty-eight NDCWs participated, filling out two baseline surveys at 1-month intervals and a posttest survey after training. The surveys included video-situation testing, items addressing psychosocial constructs associated with behavior change, and measures training-acceptance. Paired t tests ...
Source: Journal of Applied Gerontology - November 13, 2013 Category: Geriatrics Authors: Irvine, A. B., Beaty, J. A., Seeley, J. R., Bourgeois, M. Tags: Process Evaluation Source Type: research
In-Hospital Mortality and Unintentional Falls Among Older Adults in the United States
Purpose of the Study:
To estimate the odds of death associated with documented unintentional falls and acute care hospitalization among older adults in the United States.
Design and Method:
Data were abstracted from the 2005 Nationwide Inpatient Sample (NIS) and odds of death were modeled using logistic regression.
Results:
The age 65 and older fall rate per 1,000 discharges was 53.0 while the mortality rate for those who fell was 33.2. Older-old (odds ration [OR] = 2.93; confidence interval [CI] = [2.50, 3.43]), men (OR = 1.64, CI = [1.54, 1.75]), and non-White (OR = 1.09; CI = [1.01, 1.19]) had higher odds of death com...
Source: Journal of Applied Gerontology - November 13, 2013 Category: Geriatrics Authors: Moudouni, D. K. M., Phillips, C. D. Tags: Brief Report Source Type: research
Editor's Update
(Source: Journal of Applied Gerontology)
Source: Journal of Applied Gerontology - November 13, 2013 Category: Geriatrics Authors: Gaugler, J. E. Tags: Editorial Source Type: research
Caregiver Burden and Depression in Mild Cognitive Impairment
We examined caregiver burden and depression in 43 caregivers for patients with MCI as well as their associations with patients’ neuropsychological status and behavioral symptoms. Almost 30% of caregivers reported clinically significant burden, whereas <5% reported significant depression. Increased caregiver burden was associated with greater disinhibited behaviors by patients, whereas increased caregiver depressive symptoms were associated with greater disinhibited behaviors as well as instrumental activity of daily living (ADL) impairments. Caregiver burden and depression were not associated with patients’ ...
Source: Journal of Applied Gerontology - September 9, 2013 Category: Geriatrics Authors: Springate, B., Tremont, G. Tags: Brief Reports Source Type: research
