July 29, 2015

The Journal of Gerontological Nursing -

·         July 2015        Volume 41 · Issue 7


Revisiting Patient Education in Changing Health Care Times

Effective patient education, although essential with any health care interaction, is especially important at hospital discharge, a time of transition back to home or a new setting. With either brief or extended hospital stays for acute problems, older adults with common sensory impairments and complex acute and chronic care plans are often at special risk for problems.

The current editorial serves to remind nurses to recall best patient education practices, including easily accessible resources, as tools for supporting quality patient care for older adults.

making recommendations for staffing/administration, follow up and transitions of care, education, quality improvement, equipment/supplies, and other policies, procedures, and protocols to be implemented. Awareness of these guidelines, as well as communication barriers, can help improve the delivery of care for older adults during transitions in care, particularly regarding medication safety. [Journal of Gerontological Nursing, 41(7), 8–13.]

The current study applied innovative data mining techniques to a community survey dataset to develop prediction models for two aspects of physical activity (i.e., active transport and screen time) in a sample of urban, primarily Hispanic, older adults ( N = 2,514). Main predictors for active transport (accuracy = 69.29%, precision = 0.67, recall = 0.69) were immigrant status, high level of anxiety, having a place for physical activity, and willingness to make time for physical activity. The main predictors for screen time (accuracy = 63.13%, precision = 0.60, recall = 0.63) were willingness to make time for exercise, having a place for exercise, age, and availability of family support to access health information on the Internet. Data mining methods were useful to identify intervention targets and inform design of customized interventions. [ Journal of Gerontological Nursing, 41 (7), 14–20.]

Evidence-Based Practice Guideline

CNE Article

Feature Article

Preparing nurses to care for a growing population of older adults is one of the most significant challenges for nursing education. The purpose of the current study was to describe baccalaureate nursing students’ knowledge of and attitudes toward older adults, and explore the impact of a gerontological nursing course on their knowledge and attitudes. Results showed that students who had prior experience with older adults had significantly more positive attitudes toward them. Although students who participated in a gerontological nursing course had significantly higher knowledge scores than the comparison group, no significant difierence was noted in overall attitude. In addition, students who were enrolled in the gerontological nursing course or had prior experience with older adults were more likely to report plans to work with this population after graduation. Students who participated in interviews with older adults found the experience meaningful and their attitudes regarding older adults were largely positive. [Journal of Gerontological Nursing, 41(7), 46–56.]

Nursing home placement is one of the most challenging aspects of the caregiving journey. A case study approach was used to understand the experiences of caregivers during the first few months following nursing home placement. Two caregivers were selected from a larger qualitative descriptive study because their experiences exemplified smooth and difficult transitions for both themselves and their older family member. The caregivers were interviewed shortly after placement and 3 months post-placement. Four major contextual issues were identified that indicated the similarities and differences between the two cases, including (a) the caregiver’s relationship with the older adult during the home caregiving time and post nursing home placement, (b) the circumstances surrounding placement, (c) support systems, and (d) continued involvement in care post-placement. Nursing home staff who understand these issues and address concerns through family-centered care can ease the transition and promote successful collaborations between staff and families. [Journal of Gerontological Nursing, 41(7), 58–64.]

 *to get the full text of articles members of AANSW - please email the Library on nsw.library@alzheimers.org.au

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