Respect and dignity: Enduring concepts, enduring challenges.
Explore the source record for details and available documents.
Aged↗
Biomedical subjects
Mary C DiBartolo
Publications and source records attributed to Mary C DiBartolo.
Careful hand feeding: a reasonable alternative to PEG tube placement in individuals with dementia.
Individuals with dementia inevitably experience decreased oral intake when they are no longer able to recognize food, feed themselves independently, or experience swallowing difficulties. There is mounting evidence that routine insertion of a percutaneous endoscopic gastrostomy (PEG) does not significantly affect survival, nor does it reduce the risk of aspiration pneumonia and pressure ulcer formation. Although there is relatively little published on assisted oral feeding, its advantages include allowing the patient to enjoy the gratification of eating and socialization that accompanies mealtime, as well as avoiding restraint use that often accompanies PEG placement. Nurses can play a pivotal role in assessment of feeding difficulties, implementation of innovative mealtime programs, educating families about specific strategies to optimize oral intake, and participating in research to evaluate patient outcomes.
Aged↗
Appraisal, coping, hardiness, and self-perceived health in community-dwelling spouse caregivers of persons with dementia.
Although researchers have suggested that hardiness is associated with improved outcomes in stressful situations, findings regarding its moderating effects have been mixed. Relationships among hardiness, appraisal, coping, self-perceived health, and other antecedent variables were examined in a convenience sample of 72 community-dwelling spouse caregivers for persons with dementia. In this descriptive correlational design, participants completed a mailed survey. Regression analyses were used to detect main and moderating effects. Antecedent variables predicted 27% of the variance in caregiver appraisal, 23% of the variance in emotion-focused coping, and 22% of the variance in self-perceived health. In addition to its significant main effects, hardiness functioned as a significant moderator between the set of antecedent variables and caregiver appraisal. More research is needed to support the presence of main and moderating effects of hardiness in dementia caregivers.
Adaptation, Psychological↗
A profile of accelerated second bachelor's degree nursing students.
With economic uncertainty and the worsening of the nursing shortage, interest in accelerated second bachelor's degree programs has skyrocketed. Despite dramatic increases in the number of programs, little has been published about the characteristics of these students. A descriptive study at a mid-Atlantic public comprehensive university examined demographic characteristics and compared academic performance of students in the accelerated and traditional baccalaureate programs. Data and their implications for recruitment, admission, and curricular design are presented.
Adult↗
A review of intervention studies to promote NCLEX-RN success of baccalaureate students.
Numerous studies have identified factors to predict NCLEX-RN but few have evaluated interventions to promote success. An integrative literature review of intervention studies used in baccalaureate programs to improve NCLEX-RN success demonstrated that although pass rates increased, researchers were limited in their ability to attribute success specifically to the interventions. Further investigation using more rigorous designs with larger, diverse student groups to evaluate both type and timing of various interventions is recommended.
Benchmarking↗