ORCID Profile
0000-0002-8305-0585
Current Organisation
Western Sydney University
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Publisher: SAGE Publications
Date: 13-05-2023
DOI: 10.1177/14713012231173817
Abstract: This systematic review examined the effectiveness of Montessori-based programmes for in iduals with dementia living in residential aged care. Nine databases were searched between January 2010 to October 2021, including Scopus, CINAHL, MEDLINE, Web of Science, SocINDEX with Full Text, PubMed, PsycINFO, Cochrane library and Cochrane Registry. Publications were included if they used Montessori-based programmes as interventions for in iduals with dementia living in residential aged care and were qualitative, quantitative, mixed-method, or pilot studies. The quality of eligible studies was assessed using Joanna Briggs Institute critical appraisal instruments and the Mixed Method Critical Appraisal Tool. The findings were tabulated and narratively synthesised. Fifteen studies were included in this review. The quality scores of the 15 studies ranged from 62 to 100 out of 100. Four key categories of outcomes were observed: (1) significantly improved engagement (2) significantly improved mental health outcomes, including affect, depression, agitation, excessive eating and psychotropic medication prescriptions (3) significantly improved feeding difficulty but mixed results regarding nutritional status and (4) no significant changes in the activities of daily living and quality of life of in iduals with dementia. Cognitive capacity, personal preferences, in idual care needs and the design of Montessori-based activities are pivotal to tailoring personalised Montessori-based activities for in iduals with dementia in residential aged care and to maximise intervention outcomes. The synergistic effect of integrating Spaced Retrieval with Montessori-based activities in improving the eating ability and nutritional status of in iduals with dementia was also noticed. The study summarised evidence about the effectiveness of Montessori-based programmes for in iduals with dementia and informed healthcare professionals about how to implement in idualised Montessori-based programmes.
Publisher: SAGE Publications
Date: 24-08-2017
Abstract: To explore as a pilot study the effects of group reminiscence therapy upon depression of people living with dementia within dementia-specific day care centers. A unique pre-test-post-test, quasi-experimental design counterbalanced with a qualitative grounded theory video analysis of facial expression and behavior was used to measure the effects of group reminiscence therapy. The study recruited 21 participants in total from two dementia-specific day care centers. The findings highlighted improvements in depression, communication, and positive mood after group reminiscence intervention. The results also showed that participants scored higher on average during the Chinese New Year and marriage reminiscence activities compared to the other activities, revealing the subject matters extraordinarily significance. This study provides evidence supporting the proposition that undertaking a cultural focus reminiscence therapy may produce significant psychosocial improvements for a person with dementia.
Publisher: Wiley
Date: 17-09-2007
DOI: 10.1111/J.1440-1797.2007.00839.X
Abstract: Peripheral arterial disease (PAD) is a leading cause of morbidity in haemodialysis (HD) patients. Recent evidence suggests that adiponectin, an adipose-derived cytokine, may play a role in atherosclerosis. However, the association between plasma levels of the adiponectin and the ankle-brachial index (ABI), an indicator of the presence and severity of PAD, has not been thoroughly studied in HD patients. The present cross-sectional study attempted to examine the relationship between plasma adiponectin and PAD in a cohort of 136 chronic HD patients. The ABI was used as an estimate of the presence of PAD. Plasma adiponectin, high-sensitivity C-reactive protein (hsCRP), tumour necrosis factor-alpha and lipid profiles were measured. Logistic regression was used to estimate the association between presence of PAD and adiponectin as well as other potential risk factors. Plasma levels of adiponectin were significantly lower among patients with evidence of PAD than among those without (8.51 +/- 5.75 vs 17.15 +/- 11.53 P < 0.001). Univariate analysis showed a positive correlation between ABI values and plasma adiponectin levels (r = 0.369, P < 0.001), high-density lipoprotein cholesterol levels, diastolic blood pressure, Kt/V and serum phosphate. On the other hand, negative correlations between ABI and log-transformed triglyceride, hsCRP, fasting blood sugar, girth circumference and white blood cell counts were noted. Using logistic regression, plasma adiponectin was found to be associated with PAD independently of classical risk factors for atherosclerosis. In addition, models that incorporated plasma adiponectin were significantly better at predicting PAD than models limited to classical confounding factors. We conclude that there was a significant inverse correlation between plasma adiponectin levels and the presence of PAD in dialysis patients. This suggests that plasma adiponectin level may have a role in the atherosclerotic process of PAD.
Publisher: Springer Science and Business Media LLC
Date: 16-02-2023
Publisher: Elsevier BV
Date: 2022
DOI: 10.1016/J.NEDT.2021.105161
Abstract: This review aimed to examine the changes of knowledge, attitude and working intention in nursing students after an undergraduate geriatric nursing education. A systematic review of the literature. Five databases which included CINAHL, MEDLINE, PubMed, Scopus and Web of Science were searched for this literature review from January 2010 to October 2020. The review was registered in PROSPERO registry with registration number CRD42020215703. The review examined undergraduate nursing education programs in terms of knowledge, attitude and working intention towards geriatric care among undergraduate nursing students as outcomes. We used JBI critical appraisal tools and Mixed Methods Appraisal Tool to evaluate and assess the quality of the retrieved research papers. The search yielded 19 studies included in the final review, 14 of which were quantitative studies and five were qualitative studies. Four types of education programs were identified. These were type 1, a four-year undergraduate gerontology program consisting of geriatric theory and geriatric care clinical placement type 2, stand-alone geriatric subject and geriatric clinical placement program type 3, integrated geriatric subject and geriatric clinical placement program type 4, solely geriatric clinical placement program. The review found that the type 2 program demonstrated the best educational outcomes in undergraduate students. This review provided the most recent literature evidence pertaining to undergraduate geriatric education program and its educational outcomes. Future research should focus on the evaluating the content of each type of geriatric education program to inform the development of undergraduate geriatric nursing education.
Publisher: Elsevier BV
Date: 08-2022
Publisher: SAGE Publications
Date: 03-01-2019
Abstract: To explore the application, diagnostic accuracy and predictors effecting the performance of the Rowland Universal Dementia Assessment Scale (RUDAS) in older populations living outside Australia. A literature review was conducted using a simplified approach of thematic analysis. A comprehensive computerized search of peer reviewed published papers (2004–2017) was conducted in Academic Search Complete (EBSCO), Medline with Full-text, Pubmed and Google Scholar using the following search terms: Rowland Universal Dementia Assessment Scale, sensitivity and specificity. Inclusion criteria were papers in which the RUDAS was used with older populations outside Australia and written in English. Database and manual searching identified a total of 289 papers and after reviewing the abstracts, titles and full-text papers, 12 papers were included in this review. Outside the target populations of culturally and linguistically erse communities in Australia, the RUDAS is applied internationally in Asia, Europe and Africa. The psychometric properties of the RUDAS were measured across these non-target population groups: sensitivity and specificity means, respectively were 80.9 (SD ±6.24 95% CI) and 76.1 (SD ±12.2 95% CI) RUDAS-MMSE mean correlation was 0.70 (SD ±0.14 95% CI) and mean AUC (area under curve) for RUDAS was 0.83 (SD ±0.08 95% CI). Findings from this literature review showed that the RUDAS has strong psychometric properties across many population groups who are culturally and linguistically erse in several countries. These findings provide support to undertake further research to evaluate the use of the RUDAS within culturally and linguistically erse communities in other countries.
Publisher: Elsevier BV
Date: 2021
Publisher: Elsevier BV
Date: 07-2022
DOI: 10.1016/J.IJNURSTU.2022.104239
Abstract: Delirium presents a serious health problem in critically ill patients in intensive care units. However, knowledge regarding the selections of the optimal non-pharmacological interventions remains unclear. To compare the effects of non-pharmacological interventions by combining direct and indirect evidence on the incidence and duration of delirium in intensive care units. A systematic review and network meta-analysis. A comprehensive search of five electronic databases, including PubMed, EMBASE, CINAHL, Cochrane CENTRAL, and ProQuest Dissertations and Theses A&I were conducted. Only randomized control trials published from the inception to December 28, 2021 were included. Two reviewers independently screened the title and abstract for eligibility according to the inclusion and exclusion criteria. The random-effect network meta-analysis was used to estimate the comparative effects of non-pharmacological interventions in reducing delirium incidence and duration. A total of 29 studies with 7005 critically ill patients were enrolled. Twenty-six and eleven studies reported the delirium incidence and duration, respectively. Component-based intervention comparison revealed that multicomponent strategy was the most effective non-pharmacological intervention compared to usual care in reducing incidence of ICU delirium (Odd ratio [OR]=0.43, 95% CI= 0.22-0.84) but not ICU delirium duration. Treatment-based intervention comparisons indicated that specific multi-treatment interventions significantly reduced the ICU delirium incidence and duration, particularly the involvement of early mobilization and family participation (OR = 0.12 with 95% CI = 0.02 to 0.83 mean difference = -1.34 with 95% CI = -2.52 to -0.16, respectively). Our study suggests that the multicomponent strategy was the most effective non-pharmacological intervention in reducing the incidence of ICU delirium. Early mobilization and family participation involvement in non-pharmacological interventions seemed to be more effective in reducing the incidence of ICU delirium. These results of network-meta analysis could be an important evidence-based for clinical healthcare providers to optimize the critical care protocol. Network meta-analysis of 29 randomised controlled trials with 7005 patients finds that multicomponent interventions, particularly those involving early mobilization, family participation, cognitive stimulation, reorientation, sensory stimulation, environment control and clinical adjustment, is the most effective non-pharmacological strategy to reduce the incidence of delirium in intensive care units.
Publisher: Hindawi Limited
Date: 10-10-2021
DOI: 10.1111/ECC.13519
Publisher: Wiley
Date: 08-2023
DOI: 10.1111/JOCN.16474
Abstract: To evaluate the influence of an ageing simulation intervention on qualified acute care nurses' empathy towards older people. Life expectancy is increasing globally with an increased incidence of older people accessing healthcare services. As such, it is essential for qualified nurses within hospital settings to connect with older people by establishing healthful relationships. Empathy is an essential component of healthful nurse‐patient relationships. Fortunately, empathy can be taught through education. A convergent mixed‐methods design was utilised. Nurses ( N = 95) undertook an 8‐hour ageing simulation intervention. Data were collected from April 2019 to May 2020 across three time points: before the intervention (T0) immediately after (T1) and at three months follow‐up (T2). A mix of convenience (intervention) and purposeful (follow‐up) s ling techniques were utilised. Quantitative data were collected via the Interpersonal Reactivity Index survey ( n = 86) and analysed using repeat measures ANOVA to compare mean scores across time points. Qualitative data were collected via debriefing discussions ( N = 95) and focus groups ( n = 38), and analysed using a systematic thematic analysis method. Data convergence occurred during the interpretation phase. Study reported with the TREND checklist. Primarily, when quantitative and qualitative findings were merged they confirmed each others' empathy outcomes. Quantitative results showed a statistically significant increase in affective and cognitive empathy levels among nurses post‐intervention. Qualitative findings expanded on quantitative results and revealed an increase in nurses' affective, cognitive and behavioural empathy represented in themes ‘enhancing my empathy’, ‘impact of ageing’, ‘from self to others’ and ‘person‐centred moments’. This study adds empirical evidence how a mixed‐methods design can be used to evaluate the influence of an ageing simulation intervention on nurses' empathy levels. Ageing simulation interventions are a suitable experiential educational approach to improve acute care nurses' affective, cognitive and behavioural empathy towards older people.
Publisher: SAGE Publications
Date: 20-06-2022
DOI: 10.1177/14713012221110003
Abstract: Home-based dementia care is common in the Chinese-Australian community. However, dementia education programs for Chinese-Australians in the language of their choice are scarce. The World Health Organization has developed iSupport for Dementia, an online education program for informal caregivers. Cultural adaptation of the program for Chinese-Australian caregivers is an opportunity to address this gap in caregiver support. The aims of the study were (1) to understand stakeholders’ perspectives on the cultural and linguistic appropriateness of the Chinese iSupport for Dementia content and design and (2) to explore factors affecting the future implementation of the Chinese iSupport program in Australia. A qualitative descriptive design was applied to address the aims of the study. Focus group discussions with Chinese-Australian caregivers and community aged care workers were conducted to collect data. Thematic analysis was used to analyse data. In total, six focus groups were conducted with 18 Chinese-Australian caregivers and 17 care workers. Six themes were identified and described as follows: (1) appropriateness of the Chinese iSupport content (2) acceptability of the online Chinese iSupport design (3) motivations to engage in the iSupport program (4) desire to interact with peers and professional facilitators (5) concerns about program accessibility and (6) the need to extend the iSupport program to care workers. Engagement with Chinese-Australian caregivers and care workers will inform further revisions of the Chinese iSupport program contents to ensure the program is culturally congruent to Chinese-Australian caregivers. Factors affecting the implementation of the program identified in the study will be considered in the intervention phase of the program.
Publisher: Wiley
Date: 08-2020
DOI: 10.1111/WVN.12462
Abstract: Critical care nurses are in the best position to detect and monitor delirium in critically ill patients. Therefore, an optimum delirium assessment tool with strong evidence should be identified with critical care nurses to perform in the daily assessment. To evaluate and compare the diagnostic performance of delirium assessment tools in diagnosing delirium in critically ill patients. We searched five electronic databases including the Cochrane Library, PubMed, Embase, CINAHL, and a Chinese database for eligible diagnostic studies published in English or Mandarin up to December 2018. This diagnostic test accuracy meta-analysis was limited to studies in intensive care unit (ICU) settings, using the Diagnostic and Statistical Manual of Mental Disorders (DSM) as a standard reference to test the accuracy of delirium assessment tools. Eligible studies were critically appraised by two investigators independently. The summary of evidence was conducted for pooling and comparing diagnostic accuracy by a bivariate random effects meta-analysis model. The pooled sensitivities and specificities, summary receiver operating characteristic curve (sROC), the area under the curve (AUC), and diagnostic odds ratio (DOR) were calculated and plotted. The possibility of publication bias was assessed by Deeks' funnel plot. We identified and evaluated 23 and 8 articles focused on CAM-ICU and ICDSC, respectively. The summary sensitivities of 0.85 and 0.87, and summary specificities of 0.95 and 0.91 were found for CAM-ICU and ICDSC, respectively. The AUC of the CAM-ICU was 0.96 (95% CI, 0.94-0.98), with DOR at 99 (95% CI, 55-177). The AUC of the ICDSC was 0.95 (95% CI, 0.92-0.96), and the DOR was 65 (95% CI, 27-153). CAM-ICU demonstrated higher diagnostic test accuracy and is recommended as the optimal delirium assessment tool. However, the results should be interpreted with caution due to the between-study heterogeneity of this diagnostic test accuracy meta-analysis.
Publisher: Informa UK Limited
Date: 18-09-2020
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 22-04-2022
DOI: 10.1097/JNR.0000000000000487
Abstract: Delirium remains significantly undetected in the intensive care unit (ICU). Little is known regarding the level of delirium care knowledge among critical care nurses in Taiwan. This study was designed to investigate the level of knowledge about delirium care among critical care nurses using a multiple-choice question quiz. A descriptive, cross-sectional approach was used, and data were collected using a web-based survey. The demographic characteristics including age, years worked as critical care nurse, gender, advanced ICU training, educational level, and type of ICU, along with a delirium care knowledge quiz, were collected. The quiz consisted of 16 items measuring (a) symptoms, types, and outcomes (b) high-risk groups (c) predisposing and precipitating factors and (d) assessment and detection of delirium. Data were collected between October 6 and November 16, 2020. In total, 324 critical care nurses completed the survey. The rate of correct response on the delirium care quiz for each domain was measured: (a) symptoms, types, and outcomes: 67.1% (b) high-risk groups: 76.2% (c) predisposing and precipitating factors: 78.9% and (d) assessment and detection: 41.5%. The item with the lowest correct response rate was related to the interpretation of delirium assessments. The findings of this study suggest that future studies and education should focus on the use and interpretation of the assessment using a valid delirium assessment tool to improve the ability of critical care nurses to detect delirium in ICU settings.
Publisher: Wiley
Date: 30-03-2021
Publisher: Hindawi Limited
Date: 08-01-2022
DOI: 10.1111/NUF.12687
Abstract: Caring for older people has become a focus for simulation-based education. Specifically, aging simulation has emerged as an innovative and effective educational approach that utilizes aging-suits for nurses to gain insight into the aging process and the everyday difficulties faced by older people. There is limited evidence within the literature about how researchers and educators support decision-making processes in the design, implementation, and evaluation of aging simulation programs. This is a theoretical development paper and its purpose is to explore the practical application of the Jeffries Simulation Theory in the design, implementation, and evaluation of an aging simulation program to contribute to knowledge development and guide educational practices for nurse educators and researchers. The authors describe a practical application of the theory to an aging simulation program using the five key theory components: context, background, design, simulation experience, and outcomes. Specific theory strengths are highlighted in practical ex les generated from the authors aging simulation interventional study ex le: engaging stakeholders, consideration of additional observer simulation roles, reflective debrief discussions, influence of facilitator and participant personal attributes, and outcomes beyond the participants. The Jeffries Simulation Theory is well suited for underpinning the design, implementation, and evaluation of aging simulation programs.
Publisher: Hindawi Limited
Date: 11-07-2022
DOI: 10.1111/ECC.13644
Abstract: The objective of this review is to synthesise and present the best available evidence on the prevalence, predictors and information needs about sexual health among female Arab cancer survivors. The databases searched included MEDLINE, Embase and CINAHL from inception of the database until March 2020. The review was undertaken according to the JBI guidelines. Proportional meta-analysis using a random effects model was used for statistical pooling through JBI SUMARI. Seven studies involving female Arab cancer survivors were included in the review. The overall prevalence of sexual dysfunction ranged from 16.7 to 67% (pooled estimate 51%, 95% CIs 21.7% to 80.2%). Dyspareunia and erectile dysfunction were the two main types of sexual dysfunction reported after diagnosis, and the overall prevalence ranged from 42.5% to 65% and 38% to 61%, respectively. The prevalence of vaginal dryness was ranged from 19.8% to 54.2%, and dyspareunia ranged from 22.2% to 65%. The lack of sexuality information and communication with health care providers (HCPs) was also reported in the included studies. Cancer and its treatment may result in significant difficulties with sexual activity and sexual functioning among cancer survivor. Communication between the health care professionals and cancer survivors is essential to overcome this problem and improve the quality of life of female Arab cancer survivors.
Publisher: Elsevier BV
Date: 12-2022
Publisher: SLACK, Inc.
Date: 04-2022
DOI: 10.3928/00989134-20220308-02
Abstract: Applying person-centered, nonpharmacological interventions to manage psychotic symptoms of dementia is promoted for health care professionals, particularly gerontological nurses, who are responsible for care of older adults in nursing homes. A knowledge graph is a graph consisting of a set of concepts that are linked together by their interrelationship and has been widely used as a formal representation of domain knowledge in health. However, there is lack of a knowledge graph for nonpharmacological treatment of psychotic symptoms in dementia. Therefore, we developed a comprehensive, human- and machine-understandable knowledge graph for this domain, named Dementia-Related Psychotic Symptom Nonpharmacological Treatment Ontology (DRPSNPTO). This graph was built by adopting the established NeOn methodology, a knowledge graph engineering method, to meet the quality standards for biomedical knowledge graphs. This intuitive graph representation of the domain knowledge sets a new direction for visualizing and computerizing gerontological knowledge to facilitate human comprehension and build intelligent aged care information systems. [ Journal of Gerontological Nursing, 48 (4), 49–55.]
Publisher: SAGE Publications
Date: 28-12-2020
Abstract: This review aimed to summarise the validity and reliability of feeding difficulties assessment tools for In idual with dementia. PubMed, PsycINFO, MEDLINE, CINAHL and Scopus were searched for feeding difficulty measurements studies published between 1990 and 2019. Sixteen publications were included and identified three tools: Edinburgh Feeding Evaluation in Dementia (EdFED), Feeding Behaviour Inventory (FBI), and Feeding Difficulty Index (FDI). Results showed the EdFED was translated and tested in various languages. The EdFED and FDI demonstrated high content and construct validity. The FBI was not validated. The EdFED had high inter-rater reliability, with Cronbach’s alpha ranging from 0.75 to 0.90. The FDI and FBI showed moderate inter-rater reliability. Although the EdFED has been tested and widely used, unlike FDI, which addresses multi-aspects of feeding difficulty. The FDI have higher clinical utility but future research needs to test the psychometric properties of FDI to determine its effectiveness in assessing feeding difficulties.
Publisher: Wiley
Date: 21-10-2022
DOI: 10.1002/NOP2.1420
Abstract: This study aimed to examine the differences in health status between patients with confirmed COVID‐19 and those suspected (other diagnosis) and to identify nursing diagnoses using a structured checklist from a hospital in China. Cross‐sectional study design was used. One hundred sixty COVID‐19 confirmed, and suspected patients were conveniently selected. A structured survey and checklist were utilized. Independent t test and chi‐square test were employed to compare the mean between patients with confirmed coronavirus infection and others. A two‐sided p ‐value of .05 or less is considered statistically significant. The study yielded a response rate of 93.6%. The result indicated that patients with confirmed coronavirus infection have a higher proportion of perceived General Health Status than inpatients with suspected (other) diagnoses. The finding also indicated that ineffective airway clearance, hyperthermia, imbalanced nutrition less than body requirement and sleep pattern disturbance were the main nursing diagnoses identified.
Publisher: Wiley
Date: 04-09-2021
DOI: 10.1111/WVN.12536
Abstract: Postoperative delirium is the most common complication of surgery particularly in older patients. The current study aimed to summarize the commonly used delirium assessment tools in assessing postoperative delirium (POD) and to estimate the incidence rates of POD. A systematic review that included empirical cohort studies reporting the use of delirium assessment tools in assessing POD between 2000 and 2019. Five core databases were searched for eligible studies. The methodological quality assessment of the included studies was undertaken using the Joanna Briggs Institute (JBI) critical appraisal checklist to examine the risk of bias. Pooled incidence estimates were calculated using a random effects model. Nineteen studies with a total of 3,533 postsurgery older patients were included in this review. The confusion assessment method (CAM) and CAM‐ICU were the most commonly used tools to assess POD among older postoperative patients. The pooled incidence rate of POD was 24% (95% CI [0.20, 0.29]). The pooled incidence estimates for mixed (noncardiac) surgery, orthopedic surgery, and tumor surgery were 23% (95% CI [0.15, 0.31]), 27% (95% CI [0.20, 0.33]), and 19% (95% CI [0.15, 0.22]), respectively. More than 50% of included studies used CAM to assess POD in different types of postoperative patients. Using CAM to assess delirium is less time‐consuming and it was suggested as the most efficient tool for POD detection. We identified that CAM could be implemented in different settings for assessing POD. The incidence and risk factors for POD introduced can be used for future research to target these potential indicators. The incidence rate, risk factors, and predictors of POD explored can provide robust evidence for clinical practitioners in their daily practice.
Publisher: Elsevier BV
Date: 05-2021
Publisher: SLACK, Inc.
Date: 2010
DOI: 10.3928/00989134-20091204-04
Abstract: To date, there is a paucity of research investigating nurses' perceptions of evidence-based practice (EBP) in nursing homes, especially in non-Western countries. This descriptive, quantitative study investigated attitudes toward and perceived barriers and facilitators to research utilization among 89 Taiwanese RNs. The majority of nurses expressed positive attitudes toward research and EBP. The most frequently cited barriers were related to insufficient authority to change practice, difficulty understanding statistical analyses, and a perceived isolation from knowledgeable colleagues with whom to discuss the research. EBP facilitators included improved access to computers and Internet facilities in the workplace, more effective research training, and collaboration with academic nurses. These findings are similar to those from research conducted in Western countries and indicate that further education and training in research for nurses working in nursing homes would be beneficial.
Publisher: Wiley
Date: 12-2008
DOI: 10.1111/J.1440-1797.2008.00999.X
Abstract: The CD40-CD40L system has been implicated in the pathogenesis of atherothrombotic complications in cardiovascular disease. The aim of this study was to determine the relationship between plasma soluble CD40 ligand (sCD40L) and symptomatic coronary heart disease (CHD) in end-stage renal disease (ESRD) patients on maintenance haemodialysis (HD). This cross-sectional study included 57 HD patients, 31 of whom had symptomatic CHD. Lipid profile, markers of endothelial activation such as sCD40L, and both inflammatory and oxidative stress markers were measured and analyzed. The sCD40L concentration was significantly higher in HD patients than in controls (1.34 +/- 0.53 vs 0.86 +/- 0.12 ng/mL, P < 0.01). Plasma concentration of sCD40L (P < 0.01), soluble vascular adhesion molecule-1 (sVCAM-1 P < 0.01) and high-sensitivity CRP (hsCRP P < 0.01) were higher in HD patients with symptomatic CHD than in those without CHD. In addition, we also found that oxidative stress biomarkers such as nitrotyrosine (NT), malonaldehyde (MDA) and protein carbonyl (PC) were significantly elevated in patients with symptomatic CHD compared to those without. There was a strong overall positive relationship between sCD40L concentration and sVCAM-1 (r = 0.54, P < 0.001), MDA (r = 0.365, P < 0.01), NT (r = 0.293, r < 0.05) and log-transformed triglycerides (r = 0.275, P < 0.05). Circulating concentrations of sCD40L were elevated in HD patients with symptomatic CHD. This study suggests that CD40-CD40L may play a potentially important role in the atherosclerotic complications of HD patients.
Publisher: SLACK, Inc.
Date: 05-2018
DOI: 10.3928/00989134-20180626-02
Abstract: The current integrative literature review explored the impact of interactive delirium care education in facilitating knowledge transfer to health care practitioners and improving health outcomes for older adults. Academic databases, including MEDLINE, CINAHL, and Web of Science, were searched using the terms delirium and simulation or interactive education . Selected articles were analyzed using Critical Appraisals Skills Programme tools. Twenty studies were reviewed and three themes generated to explain the current understanding of the impact of interactive delirium care education on outcomes for: (a) in iduals with delirium (b) organizational health care and (c) health care practitioners. The current review demonstrated that interactive education is a promising contemporary approach for raising awareness about best practice delirium care by health care practitioners. Due to gaps in the literature, future educational research in the area of delirium care education needs to adopt a more consistent method of reporting findings to ensure successful transferability across care settings. [ Journal of Gerontological Nursing, 44 (8), 41–48.]
Publisher: Wiley
Date: 22-06-2021
DOI: 10.1111/JAN.14938
Abstract: To evaluate the effects of a simulation‐based education programme on critical care nurses’ knowledge, confidence, competence and clinical performance in providing delirium care. Single‐blinded randomized controlled trial. Registered nurses who work in intensive care units were recruited from a university‐affiliated acute major metropolitan teaching hospital. The intervention group received: (i) five online‐learning delirium care videos, (ii) one face‐to‐face delirium care education session and (iii) a simulation‐based education programme with a role‐play scenario‐based initiative and an objective structured clinical examination. The control group received only online videos which were the same as those provided to the intervention group. Delirium care knowledge, confidence, competence, and clinical performance as outcomes were collected at: baseline, immediately after intervention, and within 6 weeks post‐intervention to test whether there were any changes and if they were sustained over time. Data were collected between 2 October and 29 December 2020. The repeated‐measures analysis of variance was used to examine for changes in delirium care knowledge, confidence, and competence within groups. Seventy‐two critical care nurses participated with 36 each allocated to the intervention group and control group. No statistically significant difference was observed between the two groups in outcome variables at 6 weeks post‐intervention. In the intervention group, significant within‐group changes were observed in terms of delirium care knowledge, confidence, and competence over time. By contrast, no significant changes were observed in outcome measures over time in the control group. The simulation‐based education programme is an effective and feasible strategy to improve delirium care by enhancing the knowledge, confidence, competence and clinical performance of critical care nurses. Our findings provide evidence regarding the development and implementation of a simulation‐based education programme in hospitals for health professional education in Taiwan.
Publisher: Elsevier BV
Date: 09-2023
Publisher: Informa UK Limited
Date: 04-05-2022
Publisher: Wiley
Date: 26-07-2019
DOI: 10.1111/PHN.12646
Abstract: This study evaluated the Integrated Behavioral Model and examined oral self-care behavior of community-dwelling middle-aged and older people. A cross-sectional design was used. Purposive s ling was employed to recruit middle and older age community-dwelling in iduals, with research locations in public health centers in northern Taiwan. Structured questionnaires comprised: participant demographics, oral health literacy, oral self-care attitude, self-efficacy, intention, and behavior, and significant others' perceptions and beliefs as well as environmental constraints. The Model verification was evaluated by path analysis. Two hundred and sixty-three participants (N = 263) completed the questionnaire survey. Results identified significant direct effects of the independent variables of oral health care literacy, intention of oral self-care, and perception of environmental constraints on the dependent variable of oral self-care behavior and significant indirect effects on attitude of oral self-care, perception of significant other beliefs, self-efficacy of oral self-care. Public health nurses work with the whole community and can potentially improve the oral self-care behavior of middle-aged and older adults by enhancing their oral health knowledge, maintaining their positive attitudes, assisting acceptance of recognition and support from others, increasing their ability to perform oral self-care, reducing environmental constraints, and thereby enhancing their oral self-care awareness.
Publisher: SLACK, Inc.
Date: 06-2020
DOI: 10.3928/00989134-20200504-01
Abstract: The current integrative review explored the prevalence of delirium among Thai older adults and the role of nurses and physicians in detecting delirium. Several academic databases were searched for relevant studies using a set of predetermined search terms and limits. Study quality was assessed using the National Health and Medical Research Council's Principles of Peer Review. Thirteen studies were reviewed, and three themes were identified: (a) Epidemiology ( n = 9), (b) Detection ( n = 5), and (c) Role of Nurses and Physicians ( n = 4). Higher priority cases were treated for immediate problems by physicians, but they did not routinely screen for delirium, which remained underdiagnosed. Lack of delirium screening guidelines or protocols was found to be the greatest barrier to detection. The ability of nurses to perform delirium screening was disregarded in most studies. There is limited research exploring delirium in Thai older adults, including lack of guidelines or protocols for health care professionals and lack of knowledge of delirium detection, management, and prevention. Further validation of screening tools and developing the training of health care professionals, specific to detecting delirium, is required. [ Journal of Gerontological Nursing, 46 (6), 43–52.]
Publisher: Elsevier BV
Date: 2017
DOI: 10.1053/J.JRN.2016.08.003
Abstract: Obesity is becoming increasingly common in hemodialysis (HD) patients and is associated with inflammation and increased mortality. The primary aim of the present study was to evaluate the accuracy and variability of the bioimpedance device in measuring body fat in Taiwanese dialysis patients. Cross-sectional study. One hundred twenty-two adult patients receiving HD in a single hospital in Taiwan. We compared the results of fat mass (FM) measured by dual-energy x-ray absorptiometry (DEXA) and bioelectrical impedance spectroscopy device (Body composition monitor, BCM). FM measured by BCM was calculated by subtracting fat-free mass (FFM) from body mass assuming fractional hydration of FFM of 0.73 or the proprietary prediction equations from the BCM model. Assessment of whole-body composition showed that percentage FM measured using the 2 techniques was highly correlated when using the BCM model or estimating from total body water using constant (0.73) hydration (r = 0.87, P < .001). There was no evident difference in measurement between patients gender. The Bland-Altman plot also showed good agreement of percentage of FM (t = 3.82 P < .001). In female patients, it was found that BCM significantly underestimated mean FM as compared to DEXA. However, the mean differences of the estimates between the methods were small (0.35 ± 3.00 kg) and with Bland-Altman plot the limits of agreements were -5.5 to 6.2 kg (P = .40) for FM in female patients. Using DEXA as the reference test, BCM is a valid tool for the assessment of total body fat in HD patients. Hence, it may provide a more accessible tool for early detection of changes in body composition in these high-risk patients.
Publisher: Wiley
Date: 19-11-2019
DOI: 10.1111/PHN.12688
Abstract: This study aimed to translate the Oral Health Literacy Adult Questionnaire into a Mandarin version (MOHL-AQ) and to examine its psychometric properties. A methodological research using psychometric testing and evaluation of a translated instrument. A convenience s le of 402 participants from northern Taiwan were recruited for the validation of the MOHL-AQ. Internal consistency reliability, split-half reliability, inter-rater reliability, face validity, content validity, and construct validity were evaluated. The value of internal consistency and split-half reliability of the MOHL-AQ were 0.77 and 0.78, respectively. Content validity reported a high content validity index (CVI = 95%). Exploratory factor analysis (EFA) and parallel analysis (PA) were used to determine a unidimensional model and confirmatory factor analysis (CFA) was employed to confirm the model. The indices of good fit model were achieved at GFI = 0.93, AGFI = 0.92, RMSEA = 0.04, CFI = 0.90, PGFI = 0.73, χ MOHL-AQ demonstrates adequate psychometric properties for measuring the oral health literacy in Mandarin-speaking population. Public health nurses can use MOHL-AQ to assess oral health literacy in the community settings and further screen potential population with inadequate oral health literacy.
Publisher: SLACK, Inc.
Date: 02-2013
DOI: 10.3928/00989134-20130110-02
Abstract: This article reports findings from a qualitative study on nurse managers’ perspectives of evidence-based practice (EBP) in residential aged care facilities (RACFs) in Taiwan. Six RACFs were randomly selected for inclusion in the study. The s le consisted of the nurse manager from each facility ( N = 6) who participated in an in-depth interview. Thematic qualitative content analysis was used to identify patterns of experience. The majority of managers expressed positive attitudes toward research and EBP but reported little experience in its implementation. Barriers to EBP included in idual barriers such as lack of motivation and confidence to embrace change. Research-related barriers included difficulty in finding and understanding research articles, and systemic barriers included lack of funding and time, lack of authority, and workplace culture. Some implications of these findings for policy and practice are discussed.
Publisher: SLACK, Inc.
Date: 04-2022
DOI: 10.3928/00989134-20220309-01
Abstract: Using a suite of artificial intelligence technologies, the current study sought to determine the prevalence of agitated behaviors in people with dementia in residential aged care facilities (RACFs) in Australia. Computerized natural language processing allowed extraction of agitation instances from the free-text nursing progress notes, a component of electronic health records in RACFs. In total, 59 observable agitated behaviors were found. No difference was found in dementia prevalence between female and male clients (44.1%), across metropolitan and regional facilities (42.1% [ SD = 17.9%]), or for agitation prevalence in dementia (76.5% [ SD = 18.4%]). The top 10 behaviors were resisting, wandering, speaking in excessively loud voice, pacing, restlessness, pushing, shouting, complaining, frustration, and using profane language. Four to 17 agitated behaviors coexisted in 53% of people with dementia agitation, indicating high caregiver burden in these RACFs. Improving workforce training and redesigning care models are urgent for sustainability of dementia care in RACFs. [ Journal of Gerontological Nursing, 48 (4), 57–64.]
Publisher: Elsevier BV
Date: 04-2020
DOI: 10.1016/J.ICCN.2019.102784
Abstract: To review and examine the evidence on diagnostic test accuracy of PRE-DELIRIC (PREdiction of DELIRium in ICu patients) for predicting delirium risk in critically ill patients. This meta-analysis included studies reporting the diagnostic performance of PRE-DELIRIC between 2012 and 2019. The Cochrane Library, MEDLINE, Embase, CINAHL and Chinese Electronic Periodical Services databases were searched for eligible diagnostic studies. Risk of bias was assessed using a standard procedure according to the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) criteria. We included seven studies involving a total of 7941 critically ill patients in intensive care units settings. Results indicated that PRE-DELIRIC had a summary sensitivity of 0.76 (95% CI 0.60-0.87), and specificity of 0.66 (95% CI 0.45-0.82), suggesting that diagnostic performance of PRE-DELIRIC is useful to predict delirium risk in ICU patients. The area under the summary receiver operator characteristics (SROC) curve was 0.78 (95% CI 0.74-0.81), which also confirmed good accuracy of PRE-DELIRIC. We suggest that the PRE-DELIRIC model can be applied in the intensive care unit according to its good diagnostic test accuracy. However, this finding should be interpreted with caution due to the heterogeneity of this meta-analysis.
Publisher: Wiley
Date: 02-05-2023
DOI: 10.1111/WVN.12649
Abstract: With the increase in life expectancy around the globe, the incidence of postoperative delirium (POD) among older people (≥65 years) is growing. Previous studies showed a wide variation in the incidence of POD, from 4% to 53%, with a lack of specific evidence about the incidence of POD by specific surgery type among older people. The aim of this systematic review and meta‐analysis was to determine the incidence of POD by surgery type within populations 65 years and over. Databases including PubMed, Cochrane library, Embase, and CINAHL were searched until October 2020. Due to the relatively higher number of meta‐analyses undertaken in this area of research, a streamlined systematic meta‐analysis was proposed. A total of 28 meta‐analyses (comprising 284 in idual studies) were reviewed. Data from relevant in idual studies ( n = 90) were extracted and included in the current study. Studies were grouped into eight surgery types and the incidence of POD for orthopedic, vascular, spinal, cardiac, colorectal, abdominal, urologic, and mixed surgeries was 20%, 14%, 13%, 32%, 14%, 30%, 10%, and 26%, respectively. POD detection instruments were different across the studies, with Confusion Assessment Method (CAM & CAM‐ICU) being the most frequently adopted. This study showed that POD incidence in older people undergoing surgery varied widely across surgery type. The more complex surgeries like cardiac and abdominal surgeries were associated with a higher risk of POD. This highlights the need to include the level of surgery complexity as a risk factor in preoperative assessments.
Publisher: Wiley
Date: 02-2023
DOI: 10.1111/SDI.13142
Abstract: Introduction: Arteriovenous fistula or arteriovenous graft is essential to long‐term survival and quality of life in patients receiving hemodialysis. To date, no research has examined the clinical impacts of different puncture methods. This study compared the rope ladder and area puncture techniques in terms of vascular patency, pain, and quality of life among patients receiving hemodialysis. Methods: A prospective longitudinal study was performed with 6‐month follow‐up. A total of 98 participants recruited from a hemodialysis center in Taiwan were randomly assigned to receive the rope ladder technique (experimental group) or the area puncture technique (control group). Vascular patency was assessed by examining access flow and percutaneous transluminal angioplasty rate. Pain and quality of life were measured using the Numerical Pain Rating Scale (NPRS) and Kidney Disease Quality of Life Instrument (KDQOL‐36™), respectively. All outcome variables were measured repeatedly and analyzed using a generalized estimating equation. Results: Overall, quality of life was significantly better for the experimental group than for the control group ( β = 47.23, p 0.001). The percutaneous transluminal angioplasty rate was lower for the experimental group than for the control group (12.0% vs. 18.8%). However, no significant differences were found in access flow and pain level between the two groups over time. Conclusion: Hemodialysis patients who received the rope ladder puncture technique had a lower percutaneous angioplasty rate and better quality of life than patients who received the area puncture technique, suggesting that the rope ladder technique could be implemented as a routine cannulation method in hemodialysis clinics.
Publisher: Wiley
Date: 23-09-2020
DOI: 10.1111/JOCN.15484
Publisher: Wiley
Date: 27-02-2021
DOI: 10.1111/NICC.12608
Publisher: Wiley
Date: 28-03-2023
DOI: 10.1111/AJAG.13192
Abstract: This systematic review and meta‐analysis aimed to examine non‐pharmacological interventions for helping people with dementia who experience feeding difficulties in order to improve their nutritional status. The articles were searched using PsycINFO, Medline, PubMed, CINAHL and Cochrane. Two independent investigators critically appraised eligible studies. The PRISMA guidelines and checklist were used. The possibility of risk of bias was assessed using a tool to assess the quality of randomised control trials (RCT) and non‐RCT studies. A narrative synthesis was conducted as a method of synthesis. The Cochrane Review Manager (RevMan 5.4) was used for meta‐analysis. The systematic review and meta‐analysis included seven publications. Six interventions were identified and categorised as: eating ability training for people with dementia, staff training and feeding assistance and support. The meta‐analysis found evidence of the effect of eating ability training on feeding difficulty, quantified by the Edinburgh Feeding Evaluation in Dementia scale (EdFED) with a weighted mean difference of −1.36 (95% confidence interval: −1.84 to −0.89, p 0.001) and on self‐feeding time. A spaced retrieval intervention showed a positive effect on EdFED. The systematic review discovered that while feeding assistance had a positive effect on feeding difficulty, staff training had no effect. According to the meta‐analysis, these interventions had no effect on improving the nutritional status of people with dementia. None of the included RCTs met the Cochrane risk‐of‐bias criteria for randomised trials. This review found that direct training for people with dementia and indirect feeding support from care staff resulted in fewer mealtime difficulties. More RCT studies are needed to determine the efficacy of such interventions.
Publisher: Elsevier BV
Date: 05-2021
Publisher: Wiley
Date: 28-04-2023
DOI: 10.1111/JOCN.16729
Abstract: To understand the nutritional status, observing eating difficulties during mealtimes for people living with dementia in acute care settings. Changed eating behaviours caused by declining cognitive function is common in people living with dementia which can lead to malnutrition. Malnutrition is associated with prolonged hospitalisation and increased mortality. People living with dementia in acute care settings are at high risk of malnutrition. This highlights the importance of better understanding the nutritional intake and eating behaviours of people living with dementia in acute care settings. This study is a cross‐sectional, observational study. Data of mealtime difficulties and nutritional status of people living with dementia were collected in four geriatric care wards (in acute or sub‐acute hospitals) by using Feeding Difficulty Index and Mini Nutritional Assessment Short‐Form. The STROBE checklist was used throughout this study. The study included 94 people living with dementia. The median age of the participants was 85.86 years old, with a Feeding Difficulty Index of 8.27 and had stayed in hospitals for average 14.46 days, with an average total feeding time of 24.61 min. Only 1.2% of participants were considered to be in normal nutritional status, whereas 72.1% were malnourished. All participants required partial or full assistance during mealtime. Participants with higher scores on the Feeding Difficulty Index have longer total feeding times, compared to those with lower scores. Malnutrition is prevalent in people living with dementia. People living with dementia demonstrate varying mealtime difficulties depending on the level of dependence. Mealtime assistance training programs are warranted and are beneficial for nursing staff and family members to improve their feeding skills and knowledge. This study did not involve patients, service users, caregivers or members of the public. The study is relevant to clinical practice by identifying changed eating behaviours or mealtime difficulties in people living with dementia in acute care settings can significantly decrease the risk of malnutrition.
Publisher: Elsevier BV
Date: 10-2021
Publisher: Wiley
Date: 14-03-2022
DOI: 10.1111/JAN.15216
Abstract: To describe a nurse‐led multicentre randomized controlled trial protocol developed to evaluate the effectiveness and cost‐effectiveness of a Chinese iSupport for Dementia program in Australia and Greater China including mainland China, Taiwan, Hong Kong and Macau. A multicentre randomized controlled trial following the SPIRIT checklist. Participants in the study will be recruited from Australia and Greater China and will be randomly assigned to the intervention group or the usual care group. Interventions will include self‐learning of the iSupport program, virtual peer support and nurse program facilitator support for 6 months. Primary outcome measures will be the 12‐Item Short‐Form Health Survey. Secondary outcome measures will include: Revised Scale for Caregiving Self‐efficacy Quality of Social Support Scale Revised Memory and Behaviour Problem Checklist the Quality of Life in Alzheimer's Disease‐Proxy usages of care services and cost‐effectiveness of the intervention. Outcomes will be measured at baseline, 6 months and 9 months from the baseline. Caregivers' experiences of the peer support will be explored. This project was funded by the National Foundation for Australia‐China Relations, Australian Government (Project ID: NFACR216). The total amount is $440,000 Australian dollars (or £ 236,231). Approximately, 20% of people living with dementia in the world live in Australia and Greater China. Older Chinese are usually cared for by family caregivers at home due to the influence of Confucianism. However, free and online psychoeducation programs for this large cohort of caregivers are not available or accessible. The World Health Organization iSupport for Dementia is an evidence‐based online psychoeducation program for caregivers. Implementing a culturally adapted Chinese iSupport program will address this gap in supporting caregivers. This study will provide research evidence on effectiveness and cost‐effectiveness of an online psychoeducation program for caregivers. Findings will inform policy and practice development.
Publisher: Springer Science and Business Media LLC
Date: 11-2022
DOI: 10.1186/S12888-022-04282-7
Abstract: Depression is among the common mental health problems in late-life and an important public health problem. Studies from both middle- and high-income countries have shown that depression is more common among older people than in adolescents. Many older people with depression are overlooked, and fewer efforts are made to mitigate their suffering. Despite depression being a major public health problem among older adults, its overall magnitude, and its main predictors were not determined for the development of appropriate measures. Hence, the objective of this study was, therefore, to estimate the overall prevalence of depression and identify its predictors among older adults in Ethiopia. Available articles were searched by means of different databases using the PRISMA guideline. The quality of the included studies was assessed using a JBI quality appraisal tool. STATA version 14.0 (STATA Corporation, College Station, Texas, USA) statistical software was used to analyze the eligible studies. Subgroup and sensitivity analyses were performed. Cochran’s Q and the I 2 test were used to assess heterogeneity. The presence of publication bias was evaluated by using Egger’s test and visual inspection of the symmetry in funnel plots. In this meta-analysis, we included 11 articles that assessed 6521 older adults. The overall prevalence of depression among older adults in Ethiopia was 41.85 (33.52, 50.18). The finding was higher in the Oromia region with a prevalence of 48.07% (95% CI: 35.62, 60.51). The finding also demonstrated that being female (AOR = 1.76, 95% CI: 1.17, 2.63), no formal education (AOR = 1.82, 95% CI: 1.03, 3.19), with chronic diseases (AOR = 2.46, 95% CI: 1.00-6.06), and no social support (AOR = 2.01, 95% CI: 1.06, 3.83) were found to be independent predictors of depression in older Ethiopian adults. Our systematic review and meta-analysis showed that almost two out of five older adults had depression. Female sex, no formal education, having chronic diseases, and no social support were the independent predictors of depression among older adults in Ethiopia. The study emphasizes that depression among older adults in Ethiopia calls for appropriate screening and interventions to reduce the occurrence and its overwhelming consequences.
Publisher: Wiley
Date: 2020
DOI: 10.1002/TRC2.12061
Abstract: A large volume of clinical care data has been generated for managing agitation in dementia. However, the valuable information in these data has not been used effectively to generate insights for improving the quality of care. Application of artificial intelligence technologies offers us enormous opportunities to reuse these data. For health data science to achieve this, this study focuses on using ontology to coding clinical knowledge for non‐pharmacological treatment of agitation in a machine‐readable format. The resultant ontology—Dementia‐Related Agitation Non‐Pharmacological Treatment Ontology (DRANPTO)—was developed using a method adopted from the NeOn methodology. DRANPTO consisted of 569 concepts and 48 object properties. It meets the standards for biomedical ontology. DRANPTO is the first comprehensive semantic representation of non‐pharmacological management for agitation in dementia in the long‐term care setting. As a knowledge base, it will play a vital role to facilitate the development of intelligent systems for managing agitation in dementia.
Publisher: Wiley
Date: 27-10-2023
DOI: 10.1111/AJAG.13144
Abstract: To compare a cross‐professional facilitated delirium group objective structured clinical examination (GOSCE) educational intervention with standard delirium education for medical students during clinical placement, and explore the differences in the examiner's written feedback between the two groups. A non‐randomised clustered controlled designed study at a single metropolitan university across several c uses in Sydney, Australia. A convenience s le of third‐year medical students was recruited. Students' knowledge, communication, and clinical reasoning skills were assessed using a delirium case mock OSCE at the end of the academic year. The OSCE marks and the examiner's feedback for the intervention and control group were compared. The intervention group ( n = 41) had a higher total mean OSCE mark compared to the control group ( n = 29) (36.5, SD 2.9 vs. 33.7, SD 2.9, p 0.001). Content analysis of the examiner's feedback showed the intervention group had a greater understanding of the need for forward planning and future cognitive assessments, and the roles of the interdisciplinary team in delirium care. The innovative cross‐professional facilitated delirium GOSCE education was effective in increasing delirium knowledge, communication, and clinical reasoning skills compared to conventional education for medical students during clinical placement. Further studies are needed to investigate how this is translated into practice.
Publisher: BMJ
Date: 22-09-2023
Publisher: Wiley
Date: 06-12-2021
DOI: 10.1111/AJAG.13021
Abstract: With longer life expectancies, cardiovascular diseases are increasingly common among older adults, which also leads to functional changes that severely impact their quality of life. This study aimed to identify the predictors of health‐related quality of life (HRQOL) among older New Zealanders with cardiovascular health problems. A cross‐sectional data analysis of the 2015/16 New Zealand Health Survey was performed. In total, 2203 older New Zealanders with cardiovascular health problems were identified and included in the final analyses. The association between demographics, physical activity, health measurements, and HRQOL was examined using a multiple linear regression model. Significant differences in HRQOL were identified between the demographics and cardiovascular risk factors. Predictors of higher HRQOL among older New Zealanders with cardiovascular conditions were increased physical activity ( β = 0.218), age ( β = −0.067), employed ( β = 0.137), lower waist circumference ( β = −0.261), male ( β = 0.127), and being without a history of diabetes ( β = −0.071). Physical activity is the strongest predictor of HRQOL in older adults with cardiovascular problems. Older female New Zealanders with cardiovascular health problems have lower perceptions of their health status. These predictors should be considered while designing and developing intervention and health education that aims to improve the HRQOL of older adults.
Publisher: Elsevier BV
Date: 10-2021
Publisher: Wiley
Date: 17-02-2021
DOI: 10.1111/OPN.12370
Publisher: Wiley
Date: 22-02-2022
DOI: 10.1111/NHS.12926
Abstract: This study aimed to explore the experiences of nurses in Wuhan Hospital as front‐line workers during the COVID‐19 pandemic. A descriptive qualitative study of such nurses was conducted from a tertiary hospital in Wuhan. Semi‐structured in idual interviews were undertaken with 8 registered nurses who were front‐line health workers in one of the COVID‐19 wards and 3 nursing managers from the response team. Five discrete themes were identified from the narratives of nurses' experiences during the COVID‐19 outbreak in Wuhan: “content of fundamental care,” “teamwork,” “reciprocity,” “nurses’ own worries,” and “lifelong learning and insights.” Nurses in the front line of care during the COVID‐19 pandemic can contribute important information from their hands‐on experience for providing a holistic response to an infectious outbreak like COVID‐19. The concerns nurses raised at both personal and professional levels have implications for nursing education and clinical practice settings, particularly in the time of a pandemic when nurses' well‐being requires attention, and at the same time for considering organizational factors that enable nurses to provide care to patients with confidence. Hospital policies and nursing management need to be ready and adhere to flexible work planning systems and approaches during a pandemic.
Publisher: Elsevier BV
Date: 02-2012
DOI: 10.1016/J.EJON.2011.01.002
Abstract: The aim of this study was to investigate the implications of the alterations to lifestyle of cancer patients, from the onset of abnormal symptoms, followed by diagnosis and treatment, and then subsequent acceptance of the condition. Seven cancer patients from medical centers in Taiwan participated in the study. Exploratory, qualitative study based on grounded theory methods. Each participated in a semi-structured interview with open-ended questions. All interviews were audio recorded and transcribed. Qualitative content analysis was used for the data. Three themes emerged from the data analysis to exhibit the critical coping processes of the cancer patients. These included negative feelings, self-adjustment and self-reinterpretation. According to the results this study concluded that the coping processes used by some cancer sufferers enables them to draw upon various strengths and strategies to develop particular attitudes and skills to assist them to live with cancer. Overall, the findings tend to support the developmental interpretation, although the contextual interpretation also applies.
Publisher: SAGE Publications
Date: 11-08-2022
DOI: 10.1177/10547738221114013
Abstract: This study aimed to compare the Kessler Psychological Distress Scale (K10) and Short-Form 12-Item Health Survey Mental Component Score (SF-12 MCS) for the effectiveness as screening tools for depression in Asian New Zealanders. A national, representative New Zealand Health Survey (NZHS) data set was used. In total, 1,277 participants were included in the analyses. The sensitivity and specificity values, as well as the areas under the receiver operating characteristics curves (AUROC), for the K10 and the SF-12 MCS scores were examined. The AUROCs for K10 and SF-12 MCS were 0.787 (95% CI [0.736, 0.837]) and 0.725 (95% CI [0.656, 0.793]), respectively. A less than optimal sensitivity and positive predictive value of K10 support the need to reexamine the optimal cut-off point according to the results of the Youden index. Strengthening the K10 predictive accuracy will increase the practical application among Asian populations.
Publisher: Elsevier BV
Date: 12-2022
Publisher: SLACK, Inc.
Date: 05-2019
DOI: 10.3928/00989134-20190404-02
Abstract: A cross-sectional research study was conducted to explore factors associated with and predictors of emergency department (ED) use among community-dwelling older adults. Data were collected using questionnaires regarding demographic characteristics, health literacy, comprehensive assessment instruments, and ED use. Age, fall frequency, number of diseases, number of medications, health literacy, nutritional status, cognitive function, and activities of daily living were associated with ED use. Age (adjusted odds ratio [aOR] = 1.04, 95% confidence interval [CI] [1.00, 1.07]), health literacy (aOR = 0.89, 95% CI [0.79, 0.99]), number of diseases (aOR = 1.34, 95% CI [1.01, 1.78]), and cognitive function (aOR = 0.73, 95% CI [0.55, 0.96]) were significant predictors of ED use. Health care professionals, researchers, and education providers need to assess patients' health literacy, number of diseases, and cognitive function and take approaches to improve health literacy in older adults to maintain their health as well as reduce ED use. [ Journal of Gerontological Nursing, 45 (5), 31–38.]
Start Date: 2023
End Date: 2022
Funder: National Health and Medical Research Council
View Funded ActivityStart Date: 2020
End Date: 2022
Funder: Department of Foreign Affairs and Trade
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