Gerontological nursing research: challenges for the new millennium.
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Biomedical subjects
Publications and source records attributed to M L Wykle.
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The purpose of this study was to establish the equivalence and to examine the psychometric properties of a Korean translation of the Caregiving Satisfaction Scale (CSS). A convenience sample of 44 bilingual Koreans was selected. The Cronbach's alpha for the English and Korean versions were .87 and .90, respectively. There was significant mean difference between items 3 and 12 of the English items and their Korean translations. Pearson's Correlations demonstrated that 13 of the 15 CSS items had significant correlations (r = .35-.75, p < .05) between two versions. The correlation between total scores of both versions was .86 (p < .001). Overall, none of the items would be regarded as having unacceptable numeric properties. According to the fine process for translation, back-translation, and bilingual field test, the Korean version of the CSS appears to have concrete construct validity and reliability for use in measuring caregiver satisfaction in the Korean population.
"The present article joins two generally separate streams of research, gerontologic and immigration research in the United States. The paper considers data from several studies of seniors in Cleveland, Ohio in the 1990s; the 'Black and White Caregivers' and the 'Use of Services of Black and White Elderly'. These are considered not in terms of their original research goals, but rather in terms of a reflective examination of assumptions regarding the identity of the elders and caregivers that framed the two studies." The authors conclude that identifying elderly people by race tends to conceal rather than clarify ethnic and cultural differences among this population.
The purpose of this study was to describe the behaviors that caregivers report carrying out to maintain their own health, and to compare the health-promoting behaviors of Black and White caregivers. Although many studies have examined health-promoting behaviors, few have examined health promotion among caregivers. Reported studies of caregivers' health-promoting behaviors have not compared cultural groups. The sample for this study was selected by random digit dialing, and included 136 Black and 257 White caregivers of frail elders. Content analysis of respondents' answers to the open-ended question, "In general, what do you do to stay healthy?" was used to address the research questions. Most caregivers reported specific behaviors they engaged in for the purpose of staying healthy. Although most of their behaviors addressed physical health, caregivers also mentioned behaviors that contribute to mental and spiritual health. Both differences and similarities were found in Black and White caregivers' self-reported health behaviors, which have important implications for nursing practice and research in the future.
Using data from a larger study of caregivers of the elderly, this study explores the extent to which religiosity variables function as mediators of the effects of situational/demographic factors on perceived caregiver rewards. In the parent project, random digit dialing was used to select 136 Black and 255 White caregivers of community-dwelling elders for face-to-face interviews. Regression analyses revealed that Black caregivers perceived higher levels of rewards than Whites and the relationship between race and perceived rewards was mediated by comfort from religion and prayer. Blacks and Whites with more education reported fewer perceived rewards than caregivers with less education.
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Geriatric mental health treatment should be considered an integral part of the services provided by home health care agencies or community mental health centers. Public policy is needed to cover in-home psychiatric services to caregivers and elders, one way to respond effectively to their needs. This policy should include the provision of adequate numbers of geriatric mental health specialists who are specifically trained for work with the aged in their homes.
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The care of patients with AD has had an major impact on the practice of nursing. Nurses are concerned with identifying the special care needs of a dementia patient and developing appropriate nursing interventions to maintain the patient's quality of life. AD is a major challenge for clinical nursing and nursing research because of the degenerative nature of the disease and its subsequent functional impairment.
Elderly African-Americans are admitted to nursing homes at between half and three-quarters of the rate of elderly whites. This review examines the theoretical approaches and the nature of the evidence typically brought to bear in addressing this issue. The double jeopardy hypothesis effectively describes but does not explain apparent racial inequities in the use of institutional care. Explanations based on the hypothesized African-American subculture will remain inadequate until they are grounded in data and take into account inequality.
Increased cognitive impairment relates to poorer balance, to greater dependence in activities in daily living (ADL), and to perceptions of greater balance. Also, greater depression relates to better balance, to less dependence in ADL, and to perceptions of poorer balance. Those who fell were significantly younger and more dependent in ADL than residents who did not fall. However, there were no significant differences between these two groups for sex, length of institutionalization, depression, cognitive impairment, balance, or perceptions of balance. The findings that actual balance and perceptions of balance may not be congruent among cognitively impaired and depressed elderly has important implications for assessment and intervention. Perceptions are central to the decision of a person to ambulate or transfer and engage in other activities, and discrepancies between actual and perceived abilities may lead them to perform activities that they are unable to do safely.
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This article focuses on psychiatric mental health nursing care and research, with particular attention to collaboration with other health professionals in the area of geriatric mental health. Various components of the NIMH Task Force on Nursing report and recommendations are emphasized. These include research focused on: (a) improving the understanding, treatment, and rehabilitation of the mentally ill; (b) preventing mental illness and promoting mental health; (c) continuous care of persons who are acutely or chronically mentally ill or who are at risk for mental illness; (d) therapeutic interventions with ill persons or those at risk; and (e) the design, implementation, and evaluation of new and existing models of care delivery. An illustrative model of research in geriatric mental health nursing is presented. Particular attention is given to collaborative relationships developed by the primary nursing research team and the nursing staff in an acute care setting, colleagues providing nursing home care, and physician colleagues in geriatric mental health, gerontology, and neurology. Strategies to enhance collaboration and develop collegial relationships for better patient care are presented.