Dissertations / Theses: 'Gerontological and geriatric nursing'

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Anders, Judith E. "Senior Graduating Nursing Students: Career Choices in Gerontological Nursing in Response to Expanding Geriatric Population." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc103285/.

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Access to healthcare is needed and wanted by people of all ages and especially by those of the older population. The number of people in the 65 years of age and older population is rapidly growing with their needs expected to have a significant impact on the existing healthcare system and healthcare providers. The impact will be critical given the severe shortage of healthcare providers, especially of nurses and the rate of services being more often provided in non-hospital settings. The objectives of the study were to discover the plans of graduating nursing students as they choose their first place of employment, if they have future plans to pursue a nursing advance practice degree, and if they are very happy with their decision to become a nurse. Data for the study were obtained from a questionnaire presented to senior graduating nursing students. The findings were: (a) Most students prefer a hospital setting. (b) Younger students are three times as likely to seek out the hospital, and 1/3 of the students seek out the hospital setting because they were encouraged to become a nurse. (c) About 70% of the students want to work with their friends while 1/3 will seek the hospital worksite, as it is perceived as being the strongest resource in paying back loans. (d) Nearly 87% are considering the nursing advance practice role, and 52% have interest in the nurse practitioner role. The majority of students identified as very happy with their decision to become a nurse. This study provided insight for schools of nursing as they make curriculum decisions and to businesses as they learn of the preferences and plans of the new emerging nurses.

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Earthy, Anne Elizabeth. "Survey of gerontological curricula in Canadian generic baccalaureate nursing programs." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/30546.

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The current status of gerontological nursing curricula in Canadian generic baccalaureate nursing programs has not been studied. As the Canadian society changes the health care system is struggling to provide adequate health care to the growing population over the age of 65. Nurses must be prepared to assist the elderly in the community and in institutions to cope with increasing disabilities. Therefore, the study of gerontological nursing should be a requirement in a nurses' basic education to prepare them to work with older clients in all settings. This study used a survey methodology to determine the present status of gerontological content in baccalaureate nursing education curricula. Questionnaires were sent to each of the 22 deans/directors of the Canadian generic baccalaureate nursing programs and to 31 provincial reputational "experts" in the field of gerontology. A return rate of 90% and 93% was obtained respectively. The study asked five questions: 1) What nursing model or concepts are used by the generic baccalaureate schools of nursing? 2) What gerontological content is included in these programs? 3) What gerontological content is integrated in courses or taught in required or elective specific gerontology courses? 4) What gerontological clinical experiences are required? and 5) Are faculty academically prepared to teach gerontological content? Answers to these questions were compared with similar questions asked of reputational "experts". A quarter of the schools did not use nursing concepts or models while many schools chose a nursing model which was not consistent with their philosophy of health. Ninety percent of the schools taught gerontology content in integrated courses; half of the schools also offered a specific gerontology course of which 40% were elective courses. Even though all 49 listed gerontology topics and 28 patient problems and care techniques were taught by the majority of the schools there is little evidence the schools are producing gerontology prepared nurses. The gerontology clinical hours accounted for only 7.4% of the total clinical experiences. The "experts" recommended gerontology receive 21% of the clinical hours and that it be dispersed in a variety of community and clinical settings. Few (5%) faculty members were prepared with a post graduate degree in gerontology to act as positive role models for the students. Few (2%) students chose a gerontology practicum in their last year. The findings and recommendations are meant to assist educators with the task of expanding the gerontological curricula in generic baccalaureate nursing programs. The nine recommendations address ways to assist schools to reevaluate their curriculum and improve nursing care to the elderly in Canadian society.
Education, Faculty of
Educational Studies (EDST), Department of
Graduate

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Bolina, Alisson Fernandes. "Vulnerabilidade e indicadores da condição de saúde de idosos: um inquérito de base populacional." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-25012018-105821/.

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Introdução: a vulnerabilidade é um conceito que visa ampliar a compreensão da condição de saúde do ser humano. Posto isto, o objetivo geral deste estudo foi analisar a vulnerabilidade individual, social e programática entre idosos que vivem no domicílio e sua associação com os desfechos adversos relacionados aos indicadores da condição de saúde, e mapeá-los espacialmente. Método: trata-se de um estudo epidemiológico de base populacional, do tipo inquérito domiciliar, transversal e observacional, desenvolvido no município de Uberaba (MG). Constituíram a amostra final 701 idosos selecionados por meio da amostragem por conglomerado em múltiplo estágio. Para avaliação do componente individual recorreu-se ao fenótipo de fragilidade; o programático por meio de um indicador de acesso e utilização do serviço de saúde; o social mediante a distribuição espacial dos setores censitários do município deste estudo. Procedeu-se análise descritiva, análise de componentes principais, teste qui-quadrado e modelos de regressão logística, logística multinomial e linear (p<0,05). A análise espacial foi realizada por meio de mapas temáticos. Resultados: constatou-se que 32,0 % dos idosos apresentava as três condições de vulnerabilidade (individual, social e programática) concomitantemente. Evidenciaram-se como fatores associados à condição de fragilidade física: sexo feminino (p=0,015) e faixas etárias de 70 a 79 anos (p=0,013) e 80 anos ou mais (p<0,001). Para condição de elevada/muito elevada vulnerabilidade social predominaram: faixas etárias de 60+ 70 anos (p=0,009) e 70+ 80 anos (p=0,039); ausência de escolaridade (p<0,001) (p<0,001) e 1+4 anos de estudo (p=0,001); e renda mensal < 1 salário mínimo (p=0,007), 1 salário (p=0,013) e 1+3 salários (p=0,027). Já os fatores associados à moderada vulnerabilidade programática foram: faixa etária 70+ 80 anos (p=0,039); não possuir escolaridade (p=0,017), 1+4 anos de estudo (p=0,003) e 4+9 anos de estudo (p=0,029). Na análise de associação entre os componentes da vulnerabilidade, constatou-se menor proporção de idosos frágeis com elevada vulnerabilidade programática quando comparados aos pré-frágeis e não frágeis (p=0,011). Na distribuição espacial dos desfechos adversos de saúde segundo a vulnerabilidade social, houve maior ocorrência de quedas, dependência para AIVD e péssima/má autopercepção de saúde entre idosos residentes em áreas de elevada/muito elevada vulnerabilidade social comparados aos demais. Em relação à associação entre os componentes de vulnerabilidade e os desfechos de saúde, observou-se associação da fragilidade física com todos os desfechos analisados (quedas, hospitalização, dependência para ABVD e AIVD, autopercepção de saúde e número de morbidade). O componente social associou-se à dependência para ABVD e AIVD e à autopercepção de saúde. Já o componente programático permaneceu associado apenas ao maior número de morbidade. Conclusão: os resultados evidenciaram que os idosos estão sujeitos às condições de vulnerabilidade sob as perspectivas biológica, social e no acesso e utilização de serviços de saúde. Infere-se que os componentes individual, social e programático de vulnerabilidade podem influenciar nas condições de saúde de idosos, sendo que a fragilidade física se relacionou a todos os desfechos analisados
Vulnerability is a concept intended to broaden understanding regarding the health condition of people. This study\'s general objective was to analyze the individual, social and programmatic vulnerability of elderly individuals living in the community and its association with adverse outcomes related to health status indicators, in addition to mapping them spatially. Method: This population-based, cross-sectional and observational epidemiological study included a survey conducted in the individuals\' homes in the city of Uberaba, MG, Brazil. The final sample included 701 elderly individuals selected through multistage cluster sampling. The fragility phenotype was used to assess the individual component; the programmatic component was verified through an indicator for access and attendance to health services; and the social component was verified through the spatial distribution of the census sector of the city under study. Descriptive analysis, principal components analysis, and the Chi-square test, in addition to logistic regression models and multinomial logistic regression (p<0.05) were performed. Spatial analysis was conducted using thematic maps. Results: 32.0% of the elderly individuals concomitantly presented three vulnerability conditions (individual, social and programmatic). The factors that appeared associated with a physically frail condition were: being a woman (p=0.015), aged from 70 to 79 years old (p=0.013) or 80 years old or older (p<0.001). The following predominated for conditions of high social vulnerability: aged from 60+ 70 years old (p=0.009) and 70+ 80 years old (p=0.039); no formal education (p<0.001) (p<0.001) and 1+4 years of schooling (p=0.001); and monthly income < 1 times the minimum wage (p=0.007), 1 times the minimum wage (p=0.013) and 1+3 times the minimum wage (p=0.027). The factors associated with moderate programmatic vulnerability were: ages between 70+ 80 (p=0.039); no formal education (p=0.017), 1+4 years of schooling (p=0,003) and 4+9 years of schooling (p=0,029). Analysis of association among vulnerability components revealed a lower proportion of frail elderly individuals with high programmatic vulnerability when compared to their pre-frail and non-frail counterparts (p=0.011). The spatial distribution of adverse health outcomes according to social vulnerability revealed a greater occurrence of falls, dependency for IADLs, and poor/very poor self-perception of health status among those living in areas of high/very high social vulnerability compared to their counterparts. In regard to association among vulnerability components and health outcomes, physical frailty was associated with all outcomes (falls, hospitalization, dependency for ADLs and IADLs, self-perception of health and number of morbidities). The social component was associated with ADL and IADL dependency and self-perception of health. The programmatic component remained associated only with a greater number of morbidities. Conclusion: The results evidenced that elderly individuals are subject to vulnerable conditions from a biological and social perspective also considering access and use of health services. The results suggest that individual, social and programmatic components of vulnerability influence the health conditions of elderly individuals, while physical frailty was related to all the outcomes under study

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Wadensten, Barbro. "Gerotranscendence from a Nursing Perspective - from Theory to Implementation /." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3544.

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Ribeiro, Mônica Priscila. "A avaliação geriátrica ampla: a contribuição da enfermagem na promoção da saúde do idoso." Pontifícia Universidade Católica de São Paulo, 2011. https://tede2.pucsp.br/handle/handle/12386.

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Made available in DSpace on 2016-04-27T18:47:07Z (GMT). No. of bitstreams: 1 Monica Priscila Ribeiro.pdf: 349438 bytes, checksum: a17979035d105c63cfa49a32e4e7252c (MD5) Previous issue date: 2011-06-16
In this work, the focus of the inquiry is come back toward (1) the configuration of Ample Geriatric Evaluation and the effect of its use in the scope of the Alive Program more good best age (a set of activities proposals for an operator of plans of health in the São Paulo city) e, also, for (2) the quarrel of the contribution of the nursing in the promotion of health of the aged one. The use of the Ample Geriatric Evalution , disgnostic instrument considered by Warren (1930), has been tied with the adoption of new a paradigm in the attention to the health of the aged one, in function of the instauration of a differentiated look - more full and humanized - to approach the health condition and to guide therapeutical come back toward the improvement of the quality of life of this age segment. A qualitative boarding of the data - gotten through the accomplishment of interviews half-structuralized with participant citizens of the related Program associates to the notations, made for me (observing participant) of the accompaniment of the same ones -, was taken as one of the ways (beyond the quarrel properly theoretician) to make possible the commitment of inquiry with the object of this study. One notices that I gave priority when saying of the aged ones. I clarify, still, that the directed reflection took as reference theoretician-methodological the works of Canguilhem (1966), Beauvoir (1970), Geertz (1989) e Bogdan (1994). In the first chapter, I explore the concepts of health and illness and the way as such reflection (directed in the Medicine) has produced effect in the field of the Gerontology. I looked for to make to be valid the beddings of this field (that if distance of an exclusively biological vision of the aging and the oldness) to problematize the subjective-social condition of the aged ones submitted to the Ample Geriatric Evaluation. In as the chapter, what it is in cause is the joint of the team to multidiscipline required for the accomplishment of ample the geriatric evaluation - with prominence for the contribution of the nursing. What it was intended was, from a critical reading of representative authors of this field, to designate its necessary opening to the beddings that underpin the reflection directed in the gerontological studies. Finally, in the third chapter, I offer an interpretation of the data collected in the field research. The results of this enterprise had indicated that she is necessary to place in relief, in the specific formation required the nurse, a resizing of the health notion that includes the opening of listening for the complex demands restored in the practical one of care with the aged one. This creates the requirement of installation of the paradigm to interdisciplinary in the area of the health, what it implies, of my point of view, to take the aged one as protagonist of changes so that to live the oldness well it is possibility each time next to the reality (in such a way of the social point of view, as subjective). I wait that the debate carried through here contributes the reflection and awareness of the multiprofessional team of health on ample the geriatric evaluation and its function of disgnostic complementation, with emphasis in the education in health
Neste trabalho, o foco da investigação está voltado para (1) a configuração da Avaliação Geriátrica Ampla (AGA) e os efeitos da sua utilização no âmbito do Programa Viva melhor a melhor idade (um conjunto de atividades propostas por uma operadora de planos de saúde na cidade São Paulo) e, também, para (2) a discussão da contribuição da enfermagem na promoção de saúde do idoso. A utilização da AGA, instrumento diagnóstico proposto por Warren (1930), tem sido vinculada à adoção de um novo paradigma na atenção à saúde do idoso, em função da instauração de um olhar diferenciado - mais integral e humanizado para abordar a condição de saúde e orientar terapêuticas voltadas para a melhoria da qualidade de vida desse segmento etário. Uma abordagem qualitativa dos dados - obtidos através da realização de entrevistas semi-estruturadas com sujeitos participantes do referido Programa associadas às anotações, feitas por mim (observadora participante) do acompanhamento dos mesmos -, foi tomada como um dos meios (além da discussão propriamente teórica) para viabilizar o compromisso de investigação com o objeto deste estudo. Note-se que dei prioridade ao dizer dos idosos. Esclareço, ainda, que a reflexão encaminhada tomou como referencial teórico-metodológico os trabalhos de Canguilhem (1966), Beauvoir (1970), Geertz (1989) e Bogdan (1994). No primeiro capítulo, exploro os conceitos de saúde e doença e o modo como tal reflexão (encaminhada na Medicina) tem produzido efeitos no campo da Gerontologia. Procurei fazer valer os fundamentos deste campo (que se distancia de uma visão exclusivamente biológica do envelhecimento e da velhice) para problematizar a condição subjetivo-social dos idosos submetidos à AGA. No segundo capítulo, o que está em causa é a articulação da equipe multidisciplinar requerida para a realização da avaliação geriátrica ampla - com destaque para a contribuição da enfermagem. O que se pretendeu foi, a partir de uma leitura crítica de autores representativos desse campo, assinalar sua necessária abertura aos fundamentos que alicerçam a reflexão encaminhada nos estudos gerontológicos. Finalmente, no terceiro capítulo, ofereço uma interpretação dos dados coletados na pesquisa de campo. Os resultados desse empreendimento indicaram que é preciso colocar em relevo, na formação específica requerida ao enfermeiro, um redimensionamento da noção de saúde que inclua a abertura da escuta para as complexas demandas instauradas na prática de cuidado com o idoso. Isso cria a exigência de assunção do paradigma interdisciplinar na área da saúde, o que implica, do meu ponto de vista, tomar o idoso como protagonista de mudanças para que viver bem a velhice seja possibilidade cada vez mais próxima da realidade (tanto do ponto de vista social, como subjetivo). Espero que o debate aqui realizado contribua a reflexão e conscientização da equipe multiprofissional de saúde sobre a avaliação geriátrica ampla e a sua função de complementação diagnóstica, com ênfase na educação em saúde

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Clark, Leanne June. "Strong Minds, Gentle Hands: Training the Next Generation of “Gerontological Physicians”." Oxford, Ohio : Miami University, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1091220109.

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Roberts, Erica. "Developing gerontological nursing in British Columbia : an oral history study." Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/5116.

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The population of older adults has grown rapidly in recent years and is expected to continue to grow into the middle of this century. The aging of the population means that nurses need to have specialized gerontological knowledge in order to properly care for older adults. In spite of the current need for specialists in this field, gerontological nursing is not a popular choice and nurses often lack adequate preparation to care for older adults. The complex reasons behind these issues are rooted in the history of the development of this specialty. This study takes a historical look at the development of gerontological nursing in British Columbia through the stories of seven nurse educators who were leaders and innovators in their field. The findings of the study tell a story of the nurses’ work to change unacceptable nursing practice, improve standards of care and professional status of gerontological nursing and advocate for older adults. In doing so, these nurses challenged cultural values about aging and care of older adults and worked toward giving gerontological nurses a voice in policy and decision-making. The findings from this study can be used to guide today’s gerontological nurses as they continue to develop this specialized field of nursing knowledge.

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Tolson, Deborah. "An investigation of the nursing care of hearing-impaired elderly hospital residents." Thesis, Glasgow Caledonian University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.261522.

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Sewell, Linda. "Characteristics and Resource Utilization of Patients of a Proprietary Home Health Agency in Rural South Central Kentucky." TopSCHOLAR®, 1997. http://digitalcommons.wku.edu/theses/355.

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The home health industry's introduction to managed care raises the prospect of reduced access to health care and poor outcomes for a vulnerable segment of our population—the rural elderly. Before effective intervention strategies can be accurately evaluated, a clearer picture of the sociodemographic features and home care service consumption is needed for this understudied group. The study was intended to provide a basis for future research into the evaluation of alternative methods of delivering effective care in terms of outcome and decreased cost for this population. A retrospective descriptive analysis was made of the patient record for the first six months of care from a proprietary home health agency. Eighty-one charts were examined and features such as age, race, gender, socioeconomic level, functional limitations, family support and literacy were analyzed to provide a profile of the patient population. Resource consumption was measured in terms of the type and frequency of disciplines intervening in each case. Comparison was made between the characteristics of the sample and the resource use. The study provided a composite view of the typical patient: Caucasian, literate, low income female, between 70-80 years of age, without family support. No clear linkage between specific characteristics and resource consumption was found; there was a broad range in the numbers of visits made to patients.

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Cabrera, Amparita L. "The role of group activity participation in depression among institutionalized elderly." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/1954.

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The role of group activity participation in depression among a group of residents (N=65), age 80 and older, in a nursing home was examined using the framework of Roy's Adaptation Theory and Nolen-Hoeksema's Response Style Theory of Depression. Roy views depression as a maladaptation. Nolen-Hoeksema views group activity participation as a therapeutic distraction to break depressed moods and thus allow for positive adaptation. This study utilized data from medical records, group activity attendance, and self-report questionnaires. Demographic distributions were computed and correlational statistics were performed between subjects' participation and their degree of depression, pain experience, functional status, presence of social support, and perception of benefits. Results show a negative correlation between frequency of participation and Geriatric Depression Scale score (GDS). The wide range of measured frequencies among low GDS-scored subjects suggests that less depressed individuals exercise more freedom of choice to participate than those who are more depressed. Significant finding show a positive correlation of group activity participation with functional status in terms of ambulation. Data shows that the experience of pain was not a significant deterrent to participation. The presence of social support from the staff and family did not increase participation. However there is a lesser GDS score among subjects who had recent family/friends visit suggesting a positive role of family in decreasing depression. These results are significant not only for optimizing group therapeutic effects but also for understanding basic human and environmental correlates of depression. Study limitations are pointed out and recommendations are presented.

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Hansebo, Görel. "Assessment of patients' needs and resources as a basis in supervision for individualised nursing care in nursing home wards : evaluation of an intervention study /." Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4531-4/.

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Walters, Veronica Jeanne. "Geriatric Patient Satisfaction with Discharge Medication Information." University of Toledo Health Science Campus / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=mco1149002272.

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Tramer, Beth A. "Case Study: Geriatric Group Art Therapy in a Nursing Home." Ursuline College / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=urs1210555128.

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Dinsmore, Kimberly R., and L. Lee Glenn. "Effect Size in Clinical Education Using Standardized Geriatric Patient Simulation." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/7456.

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The recommendation by Skinner (2017) that a standardized geriatric patient simulation should be integrated into community health courses was not fully supported by the data and findings. First, in addition to the lack of statistical significance noted by the authors, the effect size was calculated to determine the difference in aging knowledge test scores before and after the simulation and found it was only r = 9.1%, which is low according to Cohen's criteria ( Cohen, 1988 ); therefore, there was not even a trend toward effectiveness in increasing knowledge of aging. Second, in a qualitative component, many of the student participants made positive statements about how much was learned about older adults, but this conflicted with the unimproved knowledge scores. No negative statements were presented. The discrepancy between the quantitative and qualitative findings can be possibly explained by the absence of any methods for assessing the credibility or dependability of the qualitative findings, such as the classic methods of Lincoln and Guba (1985).

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Garrison, Christopher M. "Nursing students' attitude, subjective norm, perceived behavioral control and intent regarding implementation of gerontological competencies." Thesis, Nova Southeastern University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3630862.

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Background: There is a growing need for skilled gerontological nursing care. Nursing students often fail to appreciate the importance of implementing gerontological nursing competencies.

Purpose: The problem is that nursing education research on students' attitudes about gerontology has been hampered by a lack of valid and reliable instruments.

Theoretical framework. This study is based on and tests the propositions of the theory of planned behavior.

Methods. Qualitative interviews were conducted to determine the terms used to describe the constructs by the target population. Using these terms, an instrument was developed and subjected to tests for psychometric estimates. A pretest-posttest design was used to test the impact of an educational intervention on students' attitudes.

Results. The instrument demonstrated acceptable reliability and validity. Students' scores increased significantly for attitude, subjective norm and behavioral intention regarding implementing gerontological competencies from pretest to posttest. Attitude and subjective norm predicted behavioral intention in the regression model.

Conclusions: The results support that an educational intervention can positively impact nursing students' intent to implement gerontological competencies.

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Garrison, Christopher. "Nursing students' attitude, subjective norm, perceived behavioral control and intent regarding implementation of gerontological competencies." Thesis, NSUWorks, 2014. https://nsuworks.nova.edu/hpd_con_stuetd/3.

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Background: There is a growing need for skilled gerontological nursing care. Nursing students often fail to appreciate the importance of implementing gerontological nursing competencies. Purpose: The problem is that nursing education research on students' attitudes about gerontology has been hampered by a lack of valid and reliable instruments. Theoretical framework. This study is based on and tests the propositions of the theory of planned behavior. Methods. Qualitative interviews were conducted to determine the terms used to describe the constructs by the target population. Using these terms, an instrument was developed and subjected to tests for psychometric estimates. A pretest-posttest design was used to test the impact of an educational intervention on students' attitudes. Results. The instrument demonstrated acceptable reliability and validity. Students' scores increased significantly for attitude, subjective norm and behavioral intention regarding implementing gerontological competencies from pretest to posttest. Attitude and subjective norm predicted behavioral intention in the regression model. Conclusions: The results support that an educational intervention can positively impact nursing students' intent to implement gerontological competencies.

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Bergeron, Carole Hersey. "Nurses' experience of leadership in assisted living a situational analysis /." [Yellow Springs, Ohio] : Antioch University, 2008. http://www.ohiolink.edu/etd/send-pdf.cgi/Bergeron%20Carole%20H.pdf?acc_num=antioch1209080819.

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Thesis (Ph.D.)--Antioch University, 2008.
Title from PDF t.p. (viewed Apr. 29, 2008). Advisor: Elizabeth Holloway, PhD. "Submitted to the Ph.D. in Leadership & Change Program of Antioch University in partial fulfillment of the requirements for the degree of Doctor of Philosophy January 2008."--from the title page. Keywords: nursing, leadership, assisted living, situational analysis, grounded theory. Includes bibliographical references (p. 192-206).

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Weierbach, Florence M. "Panel III, Care Giving Daily Care, Services, Solutions and Economics." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7372.

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Andrews, Sheila Bernadette. "Skilled nursing facility based rehabilitation outcomes of the geriatric stroke patient." CSUSB ScholarWorks, 1995. https://scholarworks.lib.csusb.edu/etd-project/1000.

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Flint, James A. "Epidemiology of methicillin resistant Staphylococcus aureus in South Australian nursing homes /." Title page, table of contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmf624.pdf.

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Koritor, Christine N. "A study comparing two health care delivery systems, for gerontological patients, and the incidence of hospitalization /." Staten Island, N.Y. : [s.n.], 1994. http://library.wagner.edu/theses/nursing/1994/thesis_nur_1994_korit_study.pdf.

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Weierbach, Florence M. "Testing an Innovative Model of Caregiver Health." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7398.

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Weierbach, Florence M. "Facilitator for Quarterly in Service Focusing on Health of Paraprofessional Caregiver and Client Bondaries." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7403.

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Weierbach, Florence M. "Changes and Contributors to Caregiver’s Health." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7404.

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Weierbach, Florence M. "Health Caregivers Workshop." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7405.

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Weierbach, Florence M. "Caregiver Support Group Facilitator." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7406.

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Hagerty, Marylyn A. "Fall Reduction Among the Geriatric Population in Assisted Living Facilities." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5626.

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Incidents of falls among the elderly increase with age. About $31 million is spent annually in the United States on medical costs related to fall injuries in the elderly. This project evaluated the outcomes of a fall reduction program implemented in an assisted living facility (ALF). The Stop Elderly Accidents, Death & Injury program developed by the Centers for Disease Control and Prevention was implemented by the ALF for 60 days prior to the outcome evaluation project. The program included a convenience sample of 62 residents and involved medication evaluation, exercises, assistive devices, environmental risk reduction, and evaluation of blood pressure. Bandura's theory on self-efficacy was applied in guiding the implementation process. The practice-focused question compared the fall rate among the ALF's elderly residents during the 30-day period following implementation of the program, and the previous 12months. The fall rates were analyzed with descriptive statistics. Results showed the preintervention fall rate was 6.6 falls per month, while at the end of the 30-day postimplementation period, that rate was reduced by 39.4% to 4 falls per month. The conclusion of this outcome-evaluation project is that falls among the elderly in the ALF can be reduced with evidence-based programs. The recommendation is that ALFs should have fall reduction programs, thereby avoiding unnecessary complications of falls among elderly residents. Implications for nursing practice include improved understanding of falls as a safety issue for ALF residents and the need for nurse practitioners to take a more active role as advocates for fall prevention programs in ALFs. The positive societal change produced is improved safety and reduction in fall injuries among the elderly in assisted living facilities.

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Chan, Pui-yan, and 陳培欣. "An evidence-based guideline of skin care management for older adults with incontinence-associated dermatitis." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193038.

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Background Incontinence-associated dermatitis (IAD) is a common and preventable condition in older adults with incontinence. People suffering from IAD are usually disdained by individuals, professionals, policy makers, caregivers, and communities. To date, a standard guideline on IAD management is still lacking in Hong Kong. Thus, it is important to develop an evidence-based incontinence-associated guideline for older adults with incontinence in Hong Kong. Objectives This thesis aims to identify the best available evidence for skin care management for people suffering from IAD and to develop an evidence-based practice guideline to reduce the incidence of IAD. Methods Review of literature related to the management of IAD was performed on electronic database according to the inclusion and exclusion criteria. The inclusion criteria included randomized controlled trials and quasi-experiments. In addition, the studies should be in English and should contain the full text. The target participants should be patients aged 60 or above who are suffering from urinary, fecal, or double incontinence and are using diapers. Participants should include cognitively impaired patients, as well as those experiencing skin redness or injury at the perineal or thigh area resulting from incontinence. All non-medical regimens, skin care products, and absorbent diapers or pads designed for managing incontinence related to skin breakdown in older adults with incontinence were also included. The quality of the literatures was assessed according to the checklist provided by the Scottish Intercollegiate Guidelines Network (SIGN) (2011), and the data obtained from the reviewed papers were extracted and summarized in eight tables of evidence. Then, an IAD skin care management guideline was developed based on these pieces of evidence. The transferability, the feasibility, and the cost-benefit ratio of implementing the proposed IAD skin care management guideline were assessed. In addition, the communication plan, the evaluation plan, and the pilot study of the proposed guideline were included in this thesis. Results The proposed IAD skin care management guideline is a structured skin care management program for older adults with incontinence. With the help of the proposed guideline, registered nurses could provide a standard IAD skin care program based on best available evidence. Moreover, reviewed studies show that the IAD severity score, which is used to evaluate the prevalence of IAD, can be reduced by 47 % by implementing the proposed guideline. In addition, a systematic communication plan with stakeholders, an evaluation plan, and a pilot study were designed to examine the feasibility and the transferability of the proposed guideline. Patient outcome is the main outcome measure, and this measure is directly related to the IAD severity score. In this study, the IAD severity score was reduced, indicating that the proposed IAD skin care management program is effective, feasible, and cost-effective in the local setting. Conclusion The proposed skin care management guideline for caring for older adults with IAD was developed based on best available evidence. The prevalence of IAD is expected to be reduced after the implementation of this guideline.
published_or_final_version
Nursing Studies
Master
Master of Nursing

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Reed, J. "All dressed up and nowhere to go : Nursing assessment in geriatric care." Thesis, University of Newcastle Upon Tyne, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.234416.

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Shaw, Fiona E. "Nursing culture, communication rules and job satisfaction in geriatric long stay wards." Thesis, University of Edinburgh, 1990. http://hdl.handle.net/1842/20179.

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An exploratory, descriptive questionnaire survey was conducted in wards providing continuing care for elderly people, to describe nursing staff perceptions of ward culture and its relation to job satisfaction. The study was designed to answer three principal research questions:1. To what extent are management practices in geriatric long stay wards perceived as participative (open) by nursing staff?2. Is the degree of ward openness positively associated with nursing staff levels of job satisfaction?3. Are perceptions of ward openness and levels of job satisfaction related to nursing staff grade? Study participants were recruited from 79 wards in two mainland health boards to provide a stratified random sample of 474 nursing staff, comprising first level nurses, second level nurses and nursing auxiliaries. The study was based on a communication rules approach to understanding organisational culture. Likert's (1961) description of a hypothetical 'participative group' management system, where there was free flow of information, participative decision-making and high job satisfaction levels was used to develop a 30-item 'Communication Rules' questionnaire to assess nursing staff perceptions of management 'openness' in geriatric long stay wards. Quinn and Staines' (1979) Facet Free Job Satisfaction Test was used to assess levels of job satisfaction among ward nursing staff and the relationships between staff grade, perceptions of openness and job satisfaction were explored. Ward members mean 'openness' and mean 'job satisfaction' scores were used to provide simple indices of 'ward openness' and 'ward satisfaction' in order to explore differences among wards. The majority of wards were perceived as open; the score differences between those wards with the highest and those with the lowest openness indices were statistically significant. A positive association was found between ward openness and staff job satisfaction. Further, ratings of openness and levels of job satisfaction correlated positively with respondents' reports in the frequency of 'good days', negatively with 'bad days'. Openness ratings and levels of job satisfaction were also associated with nursing staff grade. Through advances in organisation theory that include 'culture' concepts, the 'communication rules approach' provided new insights about nursing staff perceptions of ward openness and its relation to levels of job satisfaction. Further, in-depth research on the relationship between ward openness and nursing staff job satisfaction is recommended. The implications of the study for information sharing, decision-making, change management, education and nursing practice are considered. It is recommended that the findings should be used to guide future approaches to nursing management and skill development in the nursing care of elderly people in long stay wards.

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Obeng, Gladys K. "Reducing the Symptoms of Depression among Geriatric Population Using Walking Activity." Thesis, Brandman University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=13424583.

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Depression among the elderly is a significant concern due to the limited evidence-based treatment options and its overall global burden. Walking activity as a form of physical activity serves as an evidence-based intervention in addressing the issue of depression among the elderly. The depression level among elderly patients was examined (n = 17, Mage = 68.71, SD = 3.04) before walking activity using the Geriatric Depression Scale (GDS) – 15 questionnaire version. Thirty minutes of a bi-weekly walking activity was implemented for eight weeks followed by the depression level measured using the GDS-15. There were statistically significant differences across the variables before walking activity (Mbefore = 7.71, Sbefore = 1.53) and after walking activity (Mafter = 6.59, Safter = 1.58, P = .00) determined through the utilization of the Statistical Package for Social Sciences (SPSS) version 24. The finding supports the consistent usage of walking activity in reducing the symptoms of depression consequently decreasing mortality and morbidity rate, reducing healthcare expenditure as well as addressing the overall depression related public health concerns.

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Sinfield, Melissa. "Respectful relationships : an approach to ethical decision-making for gerontic nursing /." View thesis, 2001. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20030924.140531/index.html.

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Smolen-Hetzel, Ann. "Geropsychiatric Nursing Staff: The Role of Empowerment, Geriatric Caregiving Self-efficacy, and Emotional Labor at Work." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2288.

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The current research examined the influence of the emotional labor strategies of faking emotion and suppression of emotion, empowerment, and geriatric caregiving self-efficacy on the relationship between work stress and emotional exhaustion—one dimension of burnout—for a sample of nursing staff members employed in a state-level geriatric psychiatric hospital. The total sample included 79 participants, which included registered nurses (n = 15), licensed practical nurses (n = 23) , and human service care workers (n = 41) who completed the Stress in General scale (Stanton, Balzer, Smith, Parra, & Ironson, 2001), Maslach Burnout Inventory (Human Services Survey; Maslach, Jackson & Leiter, 1996), Discrete Emotions Emotional Labor Scale (Glomb & Tews, 2004), Psychological Empowerment Scale (Spreitzer, 1995), and Geriatric Nursing Self-efficacy Scale (Mackenzie & Peragine, 2003). The mean emotional exhaustion score for the sample fell in the moderate range of burnout. First, it was hypothesized that work stress and emotional labor strategies (i.e., faking emotion and suppression of emotion) would have positive relationships with the burnout domain of emotional exhaustion while empowerment and geriatric caregiving self-efficacy would have negative relationships with this outcome. Next, a series of regression analyses tested emotional labor (i.e., faking emotion and suppression of emotion), empowerment, and geriatric caregiving self-efficacy as moderators for the relationship between stress and burnout. Results indicated that study variables were all related to emotional exhaustion in the expected direction, although several relationships fell short of statistical significance. In addition, emotional labor was a significant predictor of emotional exhaustion, with suppression of emotion playing a larger role. There was no support for the potential moderating role of emotional labor or empowerment on the relationship between work stress and burnout. However, geriatric caregiving self-efficacy was a significant moderator of this relationship. More specifically, when staff reported high work stress, those who had low self-efficacy experienced the highest emotional exhaustion values. However, when self-efficacy was high for this group, their emotional exhaustion scores decreased. For this sample, higher levels of self-efficacy appeared to play a protective role from experiencing more emotional exhaustion when in a high stress condition.

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Maalouf, Elizabeth W. "Assessment of the knowledge and attitudes of nurses caring for patients with Alzheimer's disease / by Elizabeth W. Maalouf." Access Digital Full Text version, 1995. http://pocketknowledge.tc.columbia.edu/home.php/bybib/11751095.

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Thesis (Ed.D.)--Teachers College, Columbia University, 1995.
Includes tables. Typescript; issued also on microfilm. Sponsor: Barbara Wallace. Dissertation Committee: Marie O'Toole. Includes bibliographical references (leaves 95-103).

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Weierbach, Florence M. "A Model of Health for Family Caregivers." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7386.

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Weierbach, Florence M. "Determinants of Health for Rural Caregivers." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7374.

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Terriquez-Kasey, Laura. "Disaster preparedness education program for elders in the community| The geriatric passport project." Thesis, State University of New York at Binghamton, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3713647.

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Over the last half a century, the frequency and intensity of tornados, floods, and other severe weather events have underscored the need for disaster preparedness, particularly for older adults. Functional limitations, cognitive decline, and medical comorbidities such as heart disease and diabetes create additional vulnerabilities, regardless of the type of disaster. Still, elders are capable of self-identifying needs and can be empowered to prepare communication plans, assemble disaster kits, and learn how to respond to threats posed by specific disasters. By increasing the level of disaster preparedness through training, many of the health problems faced by elders during a disaster could be alleviated and their overall response improved. Yet despite their abilities and the known benefits of disaster preparedness, disaster education and planning for elders has not been widely implemented.

The purpose of the Geriatric Passport Project was to increase the level of disaster preparedness through implementation of a disaster education program among community-dwelling older adults over the age of 55. Recruitment strategies included media, engaging key staff from program sites, and word of mouth.

The project used a pre-post reflexive control design. Knowledge about the elements to include in a disaster communication plan increased as did knowledge about items to include in a disaster kit. Notably, self-rated level of stress associated with evacuation to a shelter remained unchanged. Most importantly, the perceived level of disaster preparedness increased, suggesting that those who participated in the Geriatric Passport Project felt more prepared to respond to a disaster as a result of having attended the disaster education program.

The Geriatric Passport Project appears to have beneficial effects and the success of the pilot project supports exploring the feasibility of expanding the program to a wider geographic region and conducting a more rigorous evaluation of program effectiveness, efficacy, and efficiency.

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Diggle-Fox, B. Suzy. "A comparison of two teaching strategies on nursing students' knowledge and self-efficacy regarding their geriatric nursing care." Thesis, Capella University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3606856.

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The purpose of this study was to examine the effectiveness of the most frequently utilized teaching strategy of lecturing followed by discussion and to compare it with lecturing followed by role playing to determine how to best prepare nursing students both in terms of knowledge and self-efficacy. The primary goal of the study was to learn how to educate nursing students who will be better prepared to meet societal needs by learning to become confident, knowledgeable, and therefore competent healthcare providers. The study revealed there was not a statistically significant relationship between type of teaching strategy to which the students were exposed and either of the final self-efficacy or knowledge posttest scores of the students. This was true even after controlling for pretest scores as well as for any other potentially influential demographic variables. There were significant increases in both the knowledge and self-efficacy scores of the students for both of the teaching strategy groups. Three associate nursing programs were utilized and all the participants completed two pretests and two posttests, one for self-efficacy and one for knowledge, related to geriatric care. Analysis of covariance was utilized because significant extraneous variables were considered in this quantitative nonrandomized quasiexperiment. For example, the number of years of college education was not a significant predictor of pretest or posttest scores. Demographic data were analyzed in this study to investigate if they affected the results in any way. The study revealed that an individual's age, school, and exposure to geriatric care in a work environment were related to pretest knowledge scores. In addition, self-efficacy posttest scores were not different according to the research groups, even after adjusting for any potential demographic or pretest influences. Both of the research groups increased their knowledge and self-efficacy tests significantly even after adjusting for any potential demographic and pretest influences. The study revealed the pretest scores were predictors of the posttest scores.

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Willis, Melissa Ann. "Literature Review for the Non-pharmacological Treatment of Geriatric Depression." Kent State University Honors College / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ksuhonors1463052971.

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Tran, Michael. "Factors associated with postoperative delirium in the geriatric population : implications for nursing intervention." Honors in the Major Thesis, University of Central Florida, 2001. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/306.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Health and Public Affairs
Nursing

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Fort, Fachecia L. "Type 2 Diabetes Management for Geriatric Veterans." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5462.

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Managing diabetes in the geriatric long-term care population can be challenging, yet important because diabetes is a chronic, progressive disease. The purpose of this project was to identify clinical practice guidelines for managing Type 2 diabetes in geriatric veterans and to develop a class to educate providers on diabetes management in the geriatric long-term care population at a community living and rehabilitation center. The practice focused question asked if providing education to providers about the clinical practice guidelines for managing Type 2 diabetes in geriatric long-term care veterans would improve knowledge as measured by a pre- and posttest. The project was based on the stage theory of organizational change and focused on the goal of improving diabetes management in the long-term care geriatric population by using clinical practice guidelines. The American Medical Directors Association's and Diabetes Association's updated clinical practice guidelines and systematic review literature on diabetes provided the evidence to support the educational project. A pretest, posttest, and summative evaluation were used to evaluate the project. A paired t test was used to compare the pretest and posttest scores for all participants. Posttest results showed a significant improvement in provider knowledge compared to pretest scores (t = -4.416, df = 12, p < .01). Participant evaluation of the program showed that the goals and objectives were met, content was understandable, and presentation was professional. The findings of the project may be beneficial at the organizational level to promote positive social change by improved management of diabetes in the geriatric long-term care population, thus potentially decreasing unwanted side effects and improving geriatric veteran health.

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McDaniel, Vivienne. "Enhancing the Nurse Aide Student's Knowledge of Evidence-Based Geriatric Care Practices." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5903.

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Certified nurse aides provide approximately 65% of care to more than 1.4 million older adults residing in nursing homes who have been diagnosed with 1 or more chronic illnesses or debilitating conditions. Licensed nurses rely on nurse aides to report potentially harmful status changes in geriatric residents. Nurse aides often receive limited education and do not have a structured care process to guide them in their practice in the geriatric population. The purpose of this educational quality improvement project was to develop a geriatric-specific nurse aide care process to increase the knowledge of student nurse aides regarding processes to identify and observe potentially harmful status changes in geriatric residents, and what changes to report immediately to a licensed nurse. The knowledge-to-action model was used to address the practice problem and to guide the translation of this evidence-based project into practice. The methodology used to guide data collection and analysis was a 1-group, quasi experimental, pretest/posttest design to compare participants' knowledge before the intervention with their learning outcomes after the educational intervention was implemented. The findings revealed an increase in the knowledge of student nurse aides after the educational intervention. The project may promote social change on an organizational level by demonstrating the need for a structured geriatric care process for nurse aides prior to their entry into the long-term care workforce to improve care outcomes for geriatric residents. The project may involve social change at the state level because incorporating this process may require additional hours in the nurse aide education program curriculum.

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Buck, Harleah G. "The Geriatric Cancer Experience in End of Life: Model Adaptation and Testing." [Tampa, Fla.] : University of South Florida, 2008. http://purl.fcla.edu/usf/dc/et/SFE0002305.

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Chang, Hui-Chen. "Evidence-based practice in nursing homes a study of Taiwanese nurses' and nursing managers' perceptions /." Connect to full text, 2008. http://hdl.handle.net/2123/3572.

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Thesis (Ph. D.)--University of Sydney, 2008.
Title from title screen (viewed 11 February 2009). Includes tables and questionnaires. Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy to the School of Behavioural and Community Health Sciences, Faculty of Health Sciences. Includes bibliographical references. Also available in print form.

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Hines, Beverly Bass. "Caregivers' preferences for institutional information and support during the geriatric long-term admission process." Thesis, Virginia Tech, 1987. http://hdl.handle.net/10919/45768.

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The focus of this study was to determine what types of information and support families wanted at the time they admitted a relative to a long-term care facility. Twenty families were interviewed by telephone, including both the primary caregiver and, where appropriate caregiving family members. It was found that half of the families felt they wanted no additional information or support than they had received, and that they were basically satisfied with the facility's admission process. The majority of the families felt that the institution also encouraged their continued involvement with their relatives after admission.

The results suggest that researchers and practitioners need to be aware, however, that the admission process if often a stressful time, and that family members may be so involved in making long-term care arrangements that they do not focus on their own needs, but only on those of the elderly patient. Support services and information should be provided on an individual basis, considering such factors as whether the caregiver is employed full-time and the distance the caregiver lives from the facility.

Master of Science

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Pan, I.-Ju. "The effect of an experiential learning strategy on nursing students' knowledge and attitudes toward older people in Taiwan." Queensland University of Technology, 2007. http://eprints.qut.edu.au/16354/.

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The aim of the research was to improve Taiwanese undergraduate nursing students' attitudes toward and knowledge about older people in order to encourage them to work with older people. People aged 65 and over currently make up 9.7% of the Taiwanese population (Department of Statistics 2006). With the increasing population of older people, health care professionals will have more experiences of caring for older people. However, an increasingly large body of literature suggests that most health care professionals have negative attitudes toward older people and little knowledge about older people. Studies from Western countries have indicated that attitudes toward and knowledge about older people can be improved through a variety of educational efforts. Two studies were conducted to examine these issues. Study 1 involved a cross sectional survey of 302 nursing students from four-year and two-year programs in a university in southern Taiwan. Overall, the results showed that nursing students held positive attitudes toward older people but had poor knowledge about older people. Moreover, the findings suggested that nursing students' intention to work with older people and gender were important factors influencing their attitudes toward older people. Age, nursing program, and living with older people were the variables which made independent contributions to knowledge about older people. Study 2 was a quasi-experimental design using pre-post tests with an intervention (experiental based learning) and control group (usual lecture based learning) (n = 60) to test the impact of a gerontological educational subject. Focus group data were also collected to examine students' reactions to the gerontological nursing subject and the experiential learning strategies used in an experiential-based learning group. The sample was students in the second semester of their second year from the same university used for Study 1. All 60 students were randomly assigned into either experiential-based learning or lecture-based learning groups for their gerontological nursing subject. The data were collected across three time points (pre-test, week 16 and week 20) using 2 validated instruments from Study 1. Qualitative data were also collected from the experimental group after students' clinical practice at week 20. In order to test for the effect of the intervention over time, repeated measures analysis of variance was used to determine the effectiveness of the experiential learning approach and clinical practice on each of the dependent variables of attitudes and knowledge. The results of Study 2 indicated that students' attitudes toward and knowledge about older people did not differ between the two groups In addition, there was no change in attitudes following the completion of the gerontological nursing subject. Students in both groups had improved their level of knowledge at the end of the gerontological subject. Therefore, the study hypotheses were not supported. Several factors such as lack of linkage between theoretical concepts and experience, the dominant 'exam culture', students' usual learning style and the structure of the program may explain the results. This was the first study which had introduced experiential learning into the selected university. It was necessary to conduct this initial study to understand the students' reaction to it. Therefore, based on the research findings from both the quantitative and qualitative results, the study indicates that additional studies are needed to continue exploring how experiential learning strategies may be used to improve students' attitudes toward and knowledge about older people.

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Daugherty, Julie A. "The Relationship between Hearing Status and Cognitive Performance and the Influence of Depressive Symptoms in the Older Adult." Scholar Commons, 2015. https://scholarcommons.usf.edu/etd/5467.

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Hearing loss and cognitive impairment are significant health problems, threatening the independent function of older adults. While there appears to be a strong relationship between the two conditions, the mechanisms underlying this association are complex and are not fully elucidated. The purpose of this secondary analysis was to explore the relationship between hearing ability and cognitive performance in older adults. In addition, this study attempted to examine the role of depressive symptoms in the relationship between hearing loss and cognitive performance. Comprehensive measures of peripheral hearing, central auditory processing and cognitive performance were utilized to examine these relationships in a sample (N = 30) of adults aged 60 years and older. The Geriatric Depression Scale (GDS) was used to assess depressive symptoms. Correlational analyses revealed a statistically significant relationship between central auditory processing and executive function. Statistically significant relationships were also observed between speed of processing and peripheral hearing as well as central auditory processing. No significant relationships were noted between depressive symptoms, hearing acuity and cognitive performance. While the correlation coefficients (r) for several of the hearing and cognitive performance measures were not statistically significant, medium effect sizes were detected, suggesting a moderate association may exist between these variables.

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Weierbach, Florence M. "Relationships Between Rural Family Caregiver Health and Health Promotion Activities." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7400.

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Weierbach, Florence M. "Who Provides Care in the Home for the Tri-State Area Elderly: Sn Assessment of Informal Family Caregiver’s Perception of Health?" Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7401.

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Ahmed, Idil. "Medication Errors Involving Geriatric Patients, Perceived Causes and Reporting Behaviours by Nurses." Thesis, Université d'Ottawa / University of Ottawa, 2016. http://hdl.handle.net/10393/34305.

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Background: Drug administration is a main duty of a nurse’s clinical role. It involves great risk in patients’ lives and can potentially cause great harm. Despite many safeguards, preventable medication errors still occur. The aim of this descriptive quantitative study is to explore geriatric nurses’ perceptions of medication errors, perceived causes and their reporting behaviours. Methods: A self- report standardized survey was used to collect data from a purpose sample of nurses (n=17) working on geriatric wards at the Montfort hospital located in the province of Ontario. Data entry and analysis were done by using Statistical Package for the Social Sciences (SPSS) version 12 and presented using frequencies, number and percentage. Results: The most frequently identified causes of medication errors were failure to check patient’s name band with the patient’s medication administration record (MAR), nurses' tiredness, illegible physician handwriting, and nurses’ miscalculations of medication doses. In general, nurses were usually sure of constitutes a medication error and when to report it. However, only 30% of errors were perceived by nurses to be reported to the nurse manager. More than half (64.7%) of participants perceived that, some errors are not reported because nurses are afraid of the reaction they will receive from the nurse manager and the majority of them will notify the physician than to complete an incident report. Conclusion: Recognizing a medication error is the first step to reduce report and eliminate them, especially in acute care settings. Finding suggests that nurses need more educational reenforcement as to various issues related to medication errors, particularly defining and reporting these errors. Furthermore, the introduction of hospital policies and the development of structured protocols on drug administration may decrease medication errors. The hospital administration system needs to stress the importance of reporting errors and adopt a non-punitive approach to safeguard patient safety.

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Dissertations / Theses on the topic 'Gerontological and geriatric nursing'

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