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Acta Bio-medica : Atenei Parmensis Dec 2018Numbers of elderly people worldwide continue to grow. Increasingly these individuals require nursing and residential care to meet their needs. Nursing is an occupation... (Review)
Review
BACKGROUND AND AIM OF THE WORK
Numbers of elderly people worldwide continue to grow. Increasingly these individuals require nursing and residential care to meet their needs. Nursing is an occupation associated with burnout amongst its workforce, associated with increases of emotional exhaustion, depersonalisation and decreases in personal accomplishment. This review of literature provides a more detailed picture of the associations and predictors of burnout within this setting, and also considers the implications this holds for patient care, before providing recommendations for managers of such settings.
METHODS
Literature searches were conducted across a range of academic databases with a series of relevant keywords.
RESULTS
Examination of search results suggested several factors relating to staff burnout including occupational aspects, types of setting, staff perceptions, coping strategies, education and training and the impact of burnout on care delivery.
CONCLUSIONS
Studies from across the globe suggest that burnout is prevalent amongst staff working in nursing and residential homes caring for elderly people, with implications for the patients, staff and homecare providers. Factors associated with burnout appear to include perceptions of job stress and occupational aspects, as well as the types of coping mechanisms staff employ. Managing grief associated with death of patients at work, as well as staff perceptions of both clients and their illnesses also appear related to burnout as well as the specific type of healthcare setting.
Topics: Adaptation, Psychological; Attitude of Health Personnel; Attitude to Health; Burnout, Professional; Burnout, Psychological; Caregivers; Compassion Fatigue; Geriatric Nursing; Grief; Homes for the Aged; Humans; Nurses; Nurses, Community Health; Nursing Homes; Occupational Stress; Professional-Patient Relations
PubMed: 30539935
DOI: 10.23750/abm.v89i7-S.7830 -
International Journal of Environmental... May 2021Geriatric nursing activities are closely related to patient safety; therefore, nurses' efforts to improve patient safety in geriatric hospitals are important. In the...
Geriatric nursing activities are closely related to patient safety; therefore, nurses' efforts to improve patient safety in geriatric hospitals are important. In the present study, we investigated the relationships between person-centered care practice, patient safety competence, and patient safety during nursing activities in geriatric hospitals. We used the following tools to investigate the factors affecting patient safety during nursing activities: (a) the Korean version of the Person-Centered Care Assessment Tool (P-CAT), (b) the Patient Safety Competence Assessment Tool for Nurses, and (c) the Patient Safety Nursing Activities Assessment Tool for geriatric nurses. The questionnaire survey was completed by 186 geriatric nurses in 12 geriatric hospitals from 1 August to 31 August 2018. We analyzed the survey data using a -test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression. We identified patient safety skills (β = 0.417, < 0.001) and age (β = 0.209, = 0.035) as key factors that influence patient safety during nursing activities. Therefore, to improve the quality of patient safety during nursing activities conducted by geriatric nurses, it is necessary to develop strategies to improve patient safety skills and expand the pool of competent nurses with clinical experience.
Topics: Aged; Clinical Competence; Geriatric Nursing; Hospitals; Humans; Nurses; Nursing Staff, Hospital; Patient Safety; Patient-Centered Care; Surveys and Questionnaires
PubMed: 34068125
DOI: 10.3390/ijerph18105169 -
Bioscience Trends 2019Japan is experiencing unprecedented aging of its population. People age 65 years or older accounted for 28.1% of the total population in 2018, and that proportion is...
Japan is experiencing unprecedented aging of its population. People age 65 years or older accounted for 28.1% of the total population in 2018, and that proportion is expected to reach 33.3% in 2036 and 38.4% in 2065. In 2017, the average life expectancy in Japan was 81.09 years for men and 87.26 years for women. By 2065, it is expected to reach 84.95 years for men and 91.35 years for women. Population aging affects health and long-term care systems. The government proposed the establishment of "a community-based integrated care system" by 2025 with the purpose of comprehensively ensuring the provision of health care, nursing care, preventive care, housing, and livelihood support. This will require health care and nursing care professionals who are capable of fully understanding the physical and mental characteristics of elderly people and the fostering of organic collaboration with others professionals in the community-based integrated care system. A department of gerontology or geriatric medicine is desired to be established in each medical school to teach students medicine and efficient medical care, to conduct research, and to develop personnel to facilitate this paradigm shift. In 2018, there were 263 colleges of nursing with an admissions capacity of 23,667. In Japan, Certified Nurse Specialists can specialize in 13 areas as of December 2016. The number of Certified Nurse Specialists increased to 2,279 as of December 2018. One hundred and forty-four of those specialists specialized in Gerontological Nursing while 53 specialized in Home Care Nursing. The number of nurses specializing in Gerontological Nursing and Home Care Nursing is desired to be increased in order to implement and improve community-based comprehensive care.
Topics: Delivery of Health Care; Delivery of Health Care, Integrated; Female; Geriatric Nursing; Geriatrics; Home Care Services; Humans; Japan; Male
PubMed: 31327797
DOI: 10.5582/bst.2019.01173 -
Seminars in Oncology Nursing Feb 2016This article summarizes the evolution of gero-oncology nursing and highlights key educational initiatives, clinical practice issues, and research areas to enhance care... (Review)
Review
OBJECTIVES
This article summarizes the evolution of gero-oncology nursing and highlights key educational initiatives, clinical practice issues, and research areas to enhance care of older adults with cancer.
DATA SOURCES
Peer-reviewed literature, position statements, clinical practice guidelines, Web-based materials, and professional organizations' resources.
CONCLUSION
Globally, the older adult cancer population is rapidly growing. The care of older adults with cancer requires an understanding of their diverse needs and the intersection of cancer and aging. Despite efforts to enhance competence in gero-oncology and to develop a body of evidence, nurses and health care systems remain under-prepared to provide high-quality care for older adults with cancer.
IMPLICATIONS FOR NURSING PRACTICE
Nurses must take a leadership role in integrating gerontological principles into oncology settings. Working closely with interdisciplinary team members, nurses should utilize available resources and continue to build evidence through gero-oncology nursing research.
Topics: Aged; Aged, 80 and over; Clinical Competence; Geriatric Nursing; Humans; Leadership; Neoplasms; Nurse's Role; Nurse-Patient Relations; Oncology Nursing
PubMed: 26830263
DOI: 10.1016/j.soncn.2015.11.002 -
Nursing Open Sep 2021This integrative review aims to explore the willingness of nursing students to work in geriatric care over the past 10 years and to explore the factors influencing... (Review)
Review
AIMS
This integrative review aims to explore the willingness of nursing students to work in geriatric care over the past 10 years and to explore the factors influencing nursing students to work in geriatric care.
DESIGN
An integrative review.
METHODS
Studies investigating nursing students' willingness in gerontological nursing work and related influencing factors published in English in Cochrane Library, MEDLINE, Embase, PsycINFO and CINAHL between 2010-2020 were included. Data collected in April 2020.
RESULTS
Twenty-four studies were analysed. Most studies presented a contradictory or negative attitude about the willingness of nursing students to engage in gerontological nursing work. In most studies that rank the intention to work in nursing fields, gerontological care received the lowest or a relatively low ranking. The main factors affecting work related to gerontological nursing include prior experience caring for older adults, attitudes towards geriatrics, anxiety about ageing, clinical practice environment and living experience with older family members.
Topics: Aged; Education, Nursing, Baccalaureate; Geriatric Nursing; Humans; Intention; Students, Nursing
PubMed: 34388864
DOI: 10.1002/nop2.726 -
Journal of Gerontological Nursing Feb 2021Person-centered care (PCC) is the gold standard in care delivery for all people, including older adults. Key players, such as the National Academies of Sciences,... (Review)
Review
Person-centered care (PCC) is the gold standard in care delivery for all people, including older adults. Key players, such as the National Academies of Sciences, Engineering, and Medicine, the Institute for Healthcare Improvement, and the Centers for Medicare & Medicaid, have highlighted PCC as a means to better meet people's needs and improve their quality of care. Nurses are often a person's primary point of contact throughout their care trajectory, thus essential in planning, coordinating, and delivering PCC. However, limited literature focuses on the application and evaluation of nursing-related PCC for older adults. The current article aims to provide a nursing-focused conceptual review of PCC for older adults across care settings. This review describes PCC from a gerontological nursing perspective and presents setting-specific approaches and person-centered nursing practice outcomes. [Journal of Gerontological Nursing, 47(2), 7-12.].
Topics: Aged; Delivery of Health Care; Geriatric Nursing; Humans; Medicare; Patient-Centered Care; Self Care; United States
PubMed: 33497445
DOI: 10.3928/00989134-20210107-02 -
Health Information and Libraries Journal Dec 2016Gerontological nursing is a highly interdisciplinary specialty. English-language bibliometric research is scarce. (Review)
Review
BACKGROUND
Gerontological nursing is a highly interdisciplinary specialty. English-language bibliometric research is scarce.
OBJECTIVES
Study gerontological nursing literature to identify journals useful for nurses and researchers working with older adults, help librarians assist gerontological nursing authors to find publication outlets and make library collection decisions.
METHODS
Using a combination of methods, the authors identified cited journals in the Journal of Gerontological Nursing (JGN) and Geriatric Nursing (GN) from 2008 to 2010 using part of the Nursing and Allied Health Resources (NAHRS) Section protocol. A list was generated and compared to the results of an earlier unpublished NAHRS study and an earlier review article. A second list was developed following set criteria of bibliometric indicators and journal lists.
RESULTS
Zone 1 showed 28 journals, and Zone 2 had 1472 titles. Zone 1 journals were examined further based on the inclusion of certain bibliometrics and journal lists.
DISCUSSION
Providing insight into the complementary use comparative review and citation mapping, this study reports an increase in gerontological nursing research from 2008 to 2010 across a diverse group of highly cited journals.
CONCLUSION
A list of new journal titles is presented to aid collection development and suggestions of places to publish gerontological research.
Topics: Bibliometrics; Geriatric Nursing; Humans; Nursing Research; Research Report
PubMed: 27870316
DOI: 10.1111/hir.12162 -
Journal of Healthcare Engineering 2022This study aimed to conduct a literature search to determine research hotspots in the field of gerontological care education in China and abroad. A knowledge of the...
BACKGROUND
This study aimed to conduct a literature search to determine research hotspots in the field of gerontological care education in China and abroad. A knowledge of the focus of research conducted abroad may assist Chinese educators in determining the shape of gerontological care education in the future.
METHODS
The "Web of Science Core Collection" and "CNKI" databases were searched for literature on gerontological care education published from 2010 to 2020. CiteSpace software was used to display the knowledge map of co-occurrence of keywords, and an evolution trend map of research hotspots in recent 10 years was constructed.
RESULTS
From 2010 to 2020, the focus of foreign gerontological nursing education research was on the training of gerontological nursing personnel; the development of elderly care services; and education and training in dealing with patients with senile delirium and dementia. The focus of gerontological nursing education research in China was primary care education, training of senior elderly nursing personnel, talent training mode reform, training of nursing staff, and career development paths for geriatric nursing staff.
CONCLUSIONS
Foreign geriatric nursing education research focuses on cultivating talents, mental health services for the elderly, innovating the mode of pension, and the care of patients with disorders such as dementia and delirium, while in China, the emphasis remains on gerontological nursing personnel training. Attention to research developments in other countries may assist Chinese educators to promote the development of geriatric nursing education in our country.
Topics: Aged; China; Delirium; Dementia; Geriatric Nursing; Geriatrics; Humans
PubMed: 35480150
DOI: 10.1155/2022/1796485 -
Nursing Open Jan 2022The study aimed to describe and explain the self-assessed gerontological nursing competence levels of Finnish nursing students and factors relating to it.
AIM
The study aimed to describe and explain the self-assessed gerontological nursing competence levels of Finnish nursing students and factors relating to it.
DESIGN
A cross-sectional study design, reported by The Strengthening the Reporting of Observational studies in Epidemiology guidelines.
METHODS
Data were collected with the GeroNursingCom instrument, which features 53 items relating to 11 competence factors. The K-clustering technique and the Chi-squared, Kruskal-Wallis and Mann Whitney tests were used to analyse the data.
RESULTS
Seven hundred and ninety-nine nursing students from nine randomly selected higher education institutions were invited to participate in 2019. Three distinct student profiles were identified according to the data (N = 274): Profile A-lower intermediate competence (23.1% of students), Profile B-intermediate competence (45.8%) and Profile C-high competence (31.1%). The strongest competence area for all students was appreciative encounter and interaction, and the weakest was supporting the older person's sexuality. Nursing students have diverse backgrounds and their overall competence in gerontological nursing is shaped in part by their previous education, motivations and work experience.
RELEVANCE TO CLINICAL PRACTICE
Recognizing students' different gerontological nursing competence profiles enables the implementation of targeted education to improve competence in clinical practice.
Topics: Aged; Clinical Competence; Cross-Sectional Studies; Geriatric Nursing; Humans; Students, Nursing; Surveys and Questionnaires
PubMed: 34534403
DOI: 10.1002/nop2.1054 -
Journal of Gerontological Nursing Mar 2017
Topics: Career Mobility; Geriatric Nursing; Humans; Job Satisfaction; Mentoring; Models, Nursing; Peer Group
PubMed: 28231353
DOI: 10.3928/00989134-20170214-01