...Research Critique, Part 1 XXX Grand Canyon University: NRS 433V XXX Research Critique: A Qualitative Study Researchers completed a study seeking out barriers to the implementation of non pharmacological interventions for patients with dementia by nursing home staff. To better recognize and understand these barriers and to in hopes of providing a stronger evidence base for cultural change, researchers elicited nursing staff, recreational therapists, activity personnel and medical directors in a study titled “Its About Time: Use of Nonpharmacological Interventions in the Nursing Home.” Problem Statement Dementia is one of the most common diagnoses on the rise amongst the geriatric population. Alzheimer’s The most common form of dementia is Alzheimers, affecting well over 5 million people nationally. Institutionalization is common amongst this population as the disease begins to progress, typically bringing on behavioral and psychological symptoms of dementia (BPSD) including agitation, aggression and depression. This population is recognized as vulnerable and fragile, both mentally and physically. Many frequently have physical comorbidities along with dementia. This issue of suffering from comorbidities brings on the prescribing of multiple medications, which over time interact and accelerate their functional decline (Kolanowski, Fick, Frazer, Penrod, 2009). Due to the lack of beneficial effects when weighted against both short and long term adverse effects of various...
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...UNITS FOR DEMENTIA IN BRITISH COLUMBIA by Annie Murray B.A. St. Thomas University 1998 A PROJECT SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN THE GERONTOLOGY PROGRAM Annie Murray 2001 SIMON FRASER UNIVERSITY JUNE 2001 All rights reserved. This work may not be Reproduced in whole or in part, by photocopy Or other means, without the permission of the author. ii APPROVAL Name: Degree: Title of Project: Annie Murray Master of Arts Environmental characteristics and staff ratings of newer and older special care units for dementia in British Columbia Examining Committee: Chair: Dr. Barbara Mitchell _______________________________________________ Dr. Gloria Gutman, Senior Supervisor _______________________________________________ Dr. Kate Oakley, Supervisor _______________________________________________ Dr. Robert Horsfall, External Examiner Date Approved: _______________________________________________ iii Abstract Due to the greater availability of community resources as well as changes in admission policies, seniors are entering care facilities at an older average age and with higher levels of health needs than was the case twenty years ago. The number of dementia cases has also increased dramatically as well as Special Care Units (SCUs) to house persons with dementia. The purpose of this study was twofold. First it described the physical and operational characteristics of a sample of SCUs for dementia currently...
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...greater problem solving skills (Johnson, 1988). Additionally, the baccalaureate nurse shows greater nursing diagnosis skills and implementation of appropriate nursing interventions (Giger, 1990). Dr. Patricia Benner & team- Carnegie Foundation for the Advancement of Teaching , suggests the requirement of all entry level registered nurses (associate degree) become baccalaureate trained, additionally, that within 10 years of any nurses primary licensure (associate or baccalaureate) that the education level of masters be obtained. The purposes of these proposals are to have better educated nurses as many new graduates are lacking in education, not meeting todays current practice demands (Benner, 2009). Registered Nurses are key in direct patient care and coordination of care with other disciplines. In many cases, the nurse is dealing with members of an interdisciplinary team, the majority holding a bachelors/maters level degree or higher. The nurse, frequently the person most directly involved...
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...application in end-of-life studies. Journal of Advanced Nursing 65(12), 2719–2732. doi: 10.1111/j.1365-2648.2009.05157.x Abstract Title. The use of theory in qualitative approaches to research: application in end-of-life studies. Aim. This paper is a report of an analysis of the use of theory in qualitative approaches to research as exemplified in qualitative end-of-life studies. Background. Nurses researchers turn to theory to conceptualize research problems and guide investigations. However, researchers using qualitative approaches do not consistently articulate how theory has been applied, and no clear consensus exists regarding the appropriate application of theory in qualitative studies. A review of qualitative, end-of-life studies is used to illustrate application of theory to study design and findings. Data sources. A review of theoretical literature was carried out, focusing on definitions and use of theory in qualitative end-of-life studies published in English between 1990 and 2008. Discussion. The term ‘theory’ continues to be used in a variety of ways by theorists and researchers. Within the reviewed end-of-life studies, the use of theory included theory creation or provision of a comparative framework for data analysis and interpretation. Implications for nursing. Nurses who...
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...Quantitative Research article Critique Grand Canyon University Introduction to research NRS 433 Citation Mancuso, J. (2010) Impact of health literacy and patient trust on glycemic control in an urban USA population. Nursing &health sciences 12(1), 94-104.doi:10,1111/j,1442-2018,2009.00506.x. Introduction This critique examines the research reported by Mancuso (2010) that examined the health literacy and patient trust as predictors of glycemic control. This study also examined others factors like demographics, socioeconomic status, diabetes knowledge, self care activities and depression as related to glycemic control. Th epurpose of this critique is to determine the quality of the research on the basis of the information provided in the report, as well as the potential usefulness for nursing practice or improvement in nursing knowledge (Mancuso, 2010). The author recommended implementing evidence–based interventions to improve diabetes outcome, avoid public health crisis from diabetes mortality and morbidity, and economic cost with the population growth, obesity on rise and aging. Problem Statement The problem statement was as stated in the article.Mancuson provided statistical information from Centers for Disease control showing in 2006,diabetes was the seventh leading cause of death in USA.Diabetes has no cure and can lead to serious complications which include heart, kidney, nervous system, and dental diseases, stroke, blindness, hypertension, amputation, sexual...
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...Recent studies by Reed and others have extended the scope of the theory to include additional and various populations of adolescent and adult age groups, patients, and nonpatients, who may have increased awareness of mortality (Palmer et al., 2010). Examples include Japanese institutionalized older adults (Hoshi & Reed, 2011), Korean family caregivers and Korean older adults caregivers (Kim et al., 2014), Amish adults in rural Ohio (Sharpnack et al., 2010), caregivers of older adults with dementia (Kidd et al., 2011), low-income older adults (McCarthy, 2011), Norwegian older adult patients (Haugan et al., 2013), and Taiwanese nursing students (Chen & Walsh, 2009). Furthermore, Reed was awarded funding to investigate self-transcendence as it relates to end-of-life decisions and well-being in family caregivers (Teixeira, 2008). Self-transcendence theory guides the initial questions and may undergo further refinement as this inquiry progresses (Reed, 2016). Moreover, the theory has been utilized in the field of information technology. For example, DiNapoli et al. (2014) proposed a theory-based, computer-mediated...
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...Health Promotion is the provision of information and/or education to individuals, families, and communities that-encourage family unity, community commitment, and traditional spirituality that make positive contributions to their health status. Health Promotion is also the promotion of healthy ideas and concepts to motivate individuals to adopt healthy behaviors. According to the World Health Organization, Health promotion is the process of enabling people to increase control over, and to improve their health. Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals, but also action directed towards changing social, environmental and economic conditions so as to alleviate their impact on public and individual health. Health promotion is the process of enabling people to increase control over the determinants of health and thereby improve their health. Participation is essential to sustain health promotion action. The Ottawa Charter identifies three basic strategies for health promotion. These are advocacy for health to create the essential conditions for health indicated above; enabling all people to achieve their full health potential; and mediating between the different interests in society in the pursuit of health. These strategies are supported by five priority action areas as outlined in the Ottawa Charter for health promotion: * Build healthy public...
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...NIH Public Access Author Manuscript Aging Ment Health. Author manuscript; available in PMC 2008 February 19. NIH-PA Author Manuscript Published in final edited form as: Aging Ment Health. 2005 March ; 9(2): 105–118. Family Involvement in Residential Long-Term Care: A Synthesis and Critical Review* Joseph E. Gaugler The University of Kentucky Abstract The objective of this review is to critically synthesize the existing literature on family involvement in residential long-term care. Studies that examined family involvement in various long-term care venues were identified through extensive searches of the literature. Future research and practice must consider the complexity of family structure, adopt longitudinal designs, provide direct empirical links between family involvement and resident outcomes, and offer rigorous evaluation of interventions in order to refine the literature. NIH-PA Author Manuscript Keywords Family Involvement; Nursing Homes; Assisted Living Facilities; Family Care Homes; Family Caregiving; Informal Care NIH-PA Author Manuscript Over the past several decades, various research studies have demonstrated that family members remain involved in the lives of their loved ones following placement in residential long-term care facilities (e.g., Bowers, 1988; Maas et al., 2000; Rowles & High, 1996; Smith & Bengston, 1979; York & Calsyn, 1977; Zarit & Whitlatch, 1992, to name a few). These collective findings have helped debunk...
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...PL3236 - Abnormal Unit 3 Notes – Assessment and Diagnosis Term | Info | Intro | * Clinical Assessment - the process of gathering information about a person and his or her environment to make decisions about the nature, status, and treatment of psychological problems * Typically begins with a set of Referral Questions developed in response to a request for help * Determine the goals of the assessment and select appropriate psych tests or measures | Goals of Assessment | * What procedures and instruments to use – age, med condition, and symptoms influence tools – psychologist’s theoretical perspective also affects scope. * Integrate findings to develop preliminary answers – shares this – process sometimes has therapeutic effect – feedback | Screening | * Screening - an assessment process that attempts to identify psychological problems or predict the risk of future problems among people who are not referred for clinical assessment * All members of group are given a brief measure for which some identified cutoff score indicates the possibility of significant problems, e.g. Centre for Epidemiological Studies-D (CES-D) – possibility of depression. * General Health Questionnaire (GHQ) – broad-based – indicates if more thorough evaluation is needed. * AUDIT test – 10-item screen to identify substance abuse * To evaluate usefulness of screening, they must have: * Sensitivity – ability of the screener/instrument to identify a problem that actually exists...
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...levels among nurses range from low to welldeveloped and there is clearly debate about what constitutes empathy and how it can be measured and improved. Data sources. Searches were made of the CINAHL, MEDLINE and PsycINFO databases, using the terms ‘empathy’, ‘tool’, ‘scale’, ‘measure’, ‘nurse’, and ‘nursing’, singly or in combination to identify literature published in the English language between 1987 and 2007. Methods. A systematic review was carried out. The included papers were critically reviewed, relevant data were extracted, and a narrative synthesis was conducted. Results. Thirty papers representing 29 studies met the inclusion criteria. Three types of studies were identified: descriptive studies (n = 12), studies of empathy and patient outcomes (n = 6), and evaluational studies (n = 11). Twenty...
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...In Depressive Outpatients 18 Limitations 19 4. Adaptive Behavior Assessment System Second Edition 19 Rationale: 20 What’s New in ABAS–II 20 ABAS–II Rating Forms 21 Scores Reported 22 Sample Items: 22 Psychometric Properties: 23 Standardization 23 Validity 25 Advantages of Using ABAS–II 25 Adaptive behaviour assessment system in Pakistan: 26 5. Symptom Assessment-45 26 Purpose: 26 Description: 26 SA-45 Scales: 27 Psychometric properties: 28 Reliability and Validity: 28 Norms: 29 Research in Pakistani context: 30 Diagnostic Testing Diagnosis is the identification of the nature and cause of anything. Diagnostic describes a procedure or test, which is performed to determine what is wrong with a patient, or what illness they have. Diagnostic procedures do not attempt to treat or cure anything, but are more informational and exploratory in...
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... Heart failure (HF) is a major cardiovascular problem and the number of people living with HF continues to climb. Throughout the illness continuum, patients and their family caregivers are involved in decision making. As the illness worsens and patients can no longer make decisions, decision making becomes the responsibility of their caregivers who may have little preparation for the role. The purpose of this grounded theory study was to examine how caregivers of family members with HF make decisions. A nonlinear decision-making process consisting of several actions was identified, which included actualizing; seeking input, information, or support; reflecting; choosing; evaluating; and validating the decision. Keywords: decision making; heart failure; caregiving; grounded theory eart failure (HF), a complex cardiovascular syndrome, is increasing in incidence throughout the world. In 2003, the World Health Organization (WHO) noted that cardiovascular disease accounted for more than 16.7 million deaths (29.2%) of all deaths worldwide with 7.2 million of these deaths attributed to ischemic heart disease. According to the American Heart Association (AHA), almost H © 2011 Springer Publishing Company DOI: 10.1891/0889-7182.25.1.55 55 56 Sanford et al. 6 million Americans have HF with more than 670,000 new patients who are 45 years of age or older diagnosed each year (AHA, 2009). In 2003, the Study Group on HF Awareness...
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...This article was downloaded by: [Washington University in St Louis] On: 27 October 2013, At: 12:41 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH, UK Aging & Mental Health Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/camh20 Life-review therapy with computer supplements for depression in the elderly: A randomized controlled trial Barbara Preschl , Andreas Maercker , Birgit Wagner , Simon Forstmeier , Rosa M. Baños a c d a a b a , Mariano Alcañiz , Diana Castilla & Cristina Botella e f d f Department of Psychopathology and Clinical Intervention , University of Zurich , Zurich , Switzerland b Clinic for Psychotherapy and Psychosomatic Medicine, University Hospital Leipzig, Leipzig , Germany c Departamento Personalidad, Evaluación y Tratamientos Psicológicos , Universidad de Valencia , Valencia , Spain d e f CIBER Fisiopatología Obesidad y Nutrición (CB06/03), Instituto Carlos III , Spain LabHuman , Universidad Politécnica de Valencia , Valencia , Spain Departamento de Psicología Básica , Clinica y Psicobiología, Universitat Jaume I , Castellón , Spain Published online: 13 Jul 2012. To cite this article: Barbara Preschl , Andreas Maercker , Birgit Wagner , Simon Forstmeier , Rosa M. Baños , Mariano Alcañiz , Diana Castilla & Cristina Botella (2012) Life-review...
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...Chapter 1: Ethical Theory Meta-ethical positions include: * Ethical non-cognitivism (concept that ethics is a matter of feelings) * Ethical relativism (concept that ethics is relative to a particular point of view) * Ethical objectivism (notion that ethics is objective in nature). Meta-Ethical Positions Ethical Non-cognitivism The basis of ethical non-cognitivism is that ethical disagreement can be a highly emotional affair where no amount of reasoning is likely to convince the other party. * Example: “Let’s just agree to disagree” Ethical Relativism * Ethical relativism says that while ethical statements are cognitively meaningful, they do not hold in any objective sense because they depend on our point of view. * If we accept ethical relativism, then ethical disagreement among people who do not share the same perspective becomes impossible. * It assumes that if people agree on something, then it must be true. * Ethical relativism is suspect for a pragmatic reason: it is fundamentally at variance with our social practice. * Example: “To each his own”, or the belief that what’s right for one group isn’t necessarily right for another Ethical Objectivism * Ethical objectivism holds that right and wrong are objective phenomena. * Example: “I’m right and you’re wrong” What is Ethics? * As a discipline, ethics is a branch of philosophy. * It deals with questions of right and wrong conduct, and with what we ought to do and what...
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...Health Services Research r Health Research and Educational Trust DOI: 10.1111/j.1475-6773.2011.01274.x RESEARCH ARTICLE Staffing Ratios and Quality: An Analysis of Minimum Direct Care Staffing Requirements for Nursing Homes John R. Bowblis Objective. To study the impact of minimum direct care staffing (MDCS) requirements on nurse staffing levels, nurse skill mix, and quality. Data Sources. U.S. nursing home facility data from the Online Survey Certification and Reporting (OSCAR) System merged with MDCS requirements. Study Design. Facility-level outcomes of nurse staffing levels, nurse skill mix, and quality measures are regressed on the level of nurse staffing required by MDCS requirements in the prior year and other controls using fixed effect panel regression. Quality measures are care practices, resident outcomes, and regulatory deficiencies. Data Extraction Method. Analysis used all OSCAR surveys from 1999 to 2004, resulting in 17,552 unique facilities with a total of 94,371 survey observations. Principle Findings. The effect of MDCS requirements varied with reliance of the nursing home on Medicaid. Higher MDCS requirements increase nurse staffing levels, while their effect on nurse skill mix depends on the reliance of the nursing home on Medicaid. MDCS have mixed effects on care practices but are generally associated with improved resident outcomes and meeting regulatory standards. Conclusions. MDCS requirements change staffing levels and skill mix, improve certain aspects of...
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