Eleanor Schildwachter McConnell

Journal Article J Health Psychol · December 2024 Diabetes distress (DD) is a negative psychosocial response to living with type 2 diabetes mellitus (T2DM). We sought insight into Veterans' experiences with DD in the context of T2DM self-management. The four domains in the Diabetes Distress Scale (i.e. re ... Full text Open Access Link to item Cite

Improving Postoperative Care for Veterans With Obstructive Sleep Apnea Through Preoperative Education and the Electronic Health Record: A Quality Improvement Project.

Journal Article J Perianesth Nurs · October 29, 2024 PURPOSE: The purpose of this quality improvement (QI) project was to establish and evaluate a process to improve use of positive airway pressure (PAP) therapy on the day of surgery, postoperative day 0 (POD 0), for Veterans using home PAP therapy for obstr ... Full text Link to item Cite

The relationship between caregivers' behaviors and resistant behaviors of persons living with dementia during personal care in long-term care facilities: A lag sequential analysis.

Journal Article Geriatric nursing (New York, N.Y.) · July 2024 Many older adults living with dementia exhibit resistant behaviors. Person-centered care is the gold standard of care; however, the sequential relationship between resistant and caregiving behaviors has not been identified. This study examined the sequenti ... Full text Cite

Psychosocial stressors associated with frailty in community-dwelling older adults in the United States.

Journal Article Journal of the American Geriatrics Society · April 2024 BackgroundFrailty is multifactorial; however, psychosocial stressors contributing to frailty are poorly understood. This study aimed to examine whether gender, race/ ethnicity, and education are associated with differential exposure to psychosocia ... Full text Cite

Implementation Lessons Learned: Distress Behaviors in Dementia Intervention in Veterans Health Administration.

Journal Article The Gerontologist · February 2024 Background and objectivesEvidence-based practices to manage distress behaviors in dementia (DBD) are not consistently implemented despite demonstrated effectiveness. The Veterans Health Administration (VA) trained teams to implement Staff Training ... Full text Cite

Structural determinants and cardiometabolic typologies related to frailty in community-dwelling older adults.

Journal Article Archives of gerontology and geriatrics · February 2024 Frailty is a geriatric syndrome linked to adverse outcomes. Co-occurring cardiometabolic factors increase frailty risk; however, their distinct combinations (typologies) associated with frailty are unclear. We aimed to identify subgroups of older adults wi ... Full text Cite

Improving safety and preventing falls using an evidence-based, front-line staff huddling practice: protocol for a pragmatic trial to increase quality of care in State Veterans Homes.

Journal Article BMJ open · February 2024 IntroductionFalls in nursing homes are a major cause for decreases in residents' quality of life and overall health. This study aims to reduce resident falls by implementing the LOCK Falls Programme, an evidence-based quality improvement intervent ... Full text Cite

Feasibility and Utility of Wearable Bluetooth and RFID Sensors to Measure Care Interactions

Journal Article Work, Aging and Retirement · January 1, 2024 Clinical care interactions influence important health outcomes in older adults such as nosocomial infections, falls, and care satisfaction. However, traditional measurements of interactions are often time-consuming, costly, biased, or they interfere with n ... Full text Cite

Comorbidity Patterns in Older Patients Undergoing Hip Fracture Surgery: A Comorbidity Network Analysis Study.

Journal Article Clinical nursing research · January 2024 Comorbidity network analysis (CNA) is a technique in which mathematical graphs encode correlations (edges) among diseases (nodes) inferred from the disease co-occurrence data of a patient group. The present study applied this network-based approach to iden ... Full text Cite

Health Care Team Interventions to Reduce Distress Behaviors in Older Adults: A Systematic Review.

Journal Article Clin Gerontol · 2024 OBJECTIVES: This review examines health care team-focused interventions on managing persistent or recurrent distress behaviors among older adults in long-term residential or inpatient health care settings. METHODS: We searched interventions addressing heal ... Full text Link to item Cite

Impact of Dementia on Incidence and Severity of Postoperative Pulmonary Complications Following Hip Fracture Surgery Among Older Patients.

Journal Article Clinical nursing research · November 2023 Postoperative pulmonary complications (PPCs) are the leading cause of death following hip fracture surgery. Dementia has been identified as a PPC risk factor that complicates the clinical course. By leveraging electronic health records, this retrospective ... Full text Open Access Cite

Does cumulative psychosocial stress explain frailty disparities in community-dwelling older adults?

Journal Article Archives of gerontology and geriatrics · October 2023 ObjectiveFrailty is a leading predictor of adverse outcomes in older adults. Although disparities in frailty are well-documented, it is unclear whether psychosocial stressors explain these disparities. This study aimed to examine the potential med ... Full text Cite

Nursing Home PRevention of Injury in DEmentia (NH PRIDE): A pilot study of a remote injury prevention service for NH residents.

Journal Article Journal of the American Geriatrics Society · October 2023 BackgroundMedication optimization, including prescription of osteoporosis medications and deprescribing medications associated with falls, may reduce injurious falls. Our objective was to describe a remote, injury prevention service (NH PRIDE) des ... Full text Cite

A call to action to improve the completeness of older adult sexual and gender minority data in electronic health records.

Journal Article Journal of the American Medical Informatics Association : JAMIA · September 2023 Sexual and gender minority (SGM) older adults experience greater health disparities compared to non-SGM older adults. The SGM older adult population is growing rapidly. To address this disparity and gain a better understanding of their unique challenges in ... Full text Cite

Examining Human Capital Among Foreign- and U.S.-Educated Nurses in Long-term Care

Journal Article Journal of Nursing Regulation · July 1, 2023 Background: Recruiting foreign-educated nurses (FENs) is a strategy to reduce staffing shortages of registered nurses (RNs) practicing in long-term care (LTC) in the United States. However, little is known about how FENs compare to U.S.-educated nurses (US ... Full text Cite

Rethinking Rehospitalization in Heart Failure Care Transitions: Heterogeneity in Use Typologies.

Conference Journal of cardiac failure · March 2023 Full text Cite

Impact of Dementia on Long-Term Hip Fracture Surgery Outcomes: An Electronic Health Record Analysis.

Journal Article Journal of the American Medical Directors Association · February 2023 ObjectiveOlder adults with dementia are at higher risk for sustaining hip fracture and their long-term health outcomes after surgery are usually worse than those without dementia. Widespread adoption of electronic health records (EHRs) may allow h ... Full text Cite

Perspectives on Deprescribing in long-term care: qualitative findings from nurses, aides, residents, and proxies.

Journal Article BMC Nurs · January 31, 2023 BACKGROUND: Deprescribing initiatives in the long-term care (LTC) setting are often unsuccessful or not sustained. Prior research has considered how physicians and pharmacists feel about deprescribing, yet little is known about the perspectives of frontlin ... Full text Link to item Cite

Adoption of the Household Model Improves Nursing Home Quality: A Case Study.

Journal Article Journal of nursing care quality · January 2023 Full text Cite

The interagency care team: A new model to integrate social and medical care for older adults in primary care.

Journal Article Geriatr Nurs · 2023 To integrate management of social drivers of health with complex clinical needs of older adults, we connected patients aged 60 and above from primary care practices with a nurse practitioner (NP) led Interagency Care Team (ICT) of geriatrics providers and ... Full text Link to item Cite

Veterans Health Administration Models of Community-Based Long-Term Care: State of the Science.

Journal Article Journal of the American Medical Directors Association · December 2022 The complex care needs of older adults arising at the intersection of age-related illnesses, military service, and social barriers have presented challenges to the US Department of Veterans Affairs (VA) for decades. In response, the VA has invested in cent ... Full text Cite

Care Coordination Processes in Transitional Care for Patients With Heart Failure: An Integrative Review Through a Social Network Lens.

Journal Article The Journal of cardiovascular nursing · November 2022 BackgroundTransitional care components are well studied, but their coordination has not been systematically reviewed. Viewing transitional care through a social network framework can focus attention on processes leading to information and relation ... Full text Cite

Heart Failure and Hospital Utilization Trajectories Before and After Hip Fracture Surgery.

Journal Article Journal of the American Medical Directors Association · November 2022 Full text Cite

Care rejection and aggression among veterans with dementia with and without posttraumatic stress disorder: A multi-group analysis.

Journal Article International journal of nursing studies · November 2022 BackgroundIn residential long-term care, military service veterans with co-occurring posttraumatic stress disorder (PTSD) and dementia encounter a range of physical and social stimuli that may serve as triggers of trauma-related distress that mani ... Full text Cite

A Standardized Positive Physical Approach to Improve Oral Hygiene for Nursing Home Residents With Alzheimer's Disease and Related Dementias.

Journal Article Journal of gerontological nursing · November 2022 Residents with Alzheimer's disease and related dementias (ADRD) in nursing homes (NHs) rely on direct care workers (DCWs) to assist with activities of daily living, such as oral hygiene. The current quality improvement project was implemented to evaluate t ... Full text Cite

Strengthening Resident, Proxy, and Staff Engagement in Injury Prevention in Skilled Nursing Facilities.

Journal Article Gerontologist · September 7, 2022 BACKGROUND AND OBJECTIVES: Engaging residents, their proxies, and skilled nursing facility (SNF) staff through effective communication has potential for improving fall-related injury prevention. The purpose of this study was to understand how multiple stak ... Full text Link to item Cite

Using Technology to Measure Older Adults' Social Networks for Health and Well-Being: A Scoping Review.

Journal Article The Gerontologist · August 2022 Background and objectivesSocial networks affect the health and well-being of older adults. Advancements in technology (e.g., digital devices and mHealth) enrich our ability to collect social networks and health data. The purpose of this scoping re ... Full text Cite

Implementation of Goals of Care Communication Innovation Among Nursing Homes: A Multiple Case Study Design.

Journal Article Journal of the American Medical Directors Association · July 2022 ObjectiveNursing homes (NHs) provide care to residents with serious illness and related complex health care needs. As such, discussions about end-of-life care between NH staff and residents and families are necessary to ensure residents receive ca ... Full text Cite

Examining Face Validity of Visual Stimuli Used in Preference Assessments for Older Adults With Communication Impairments.

Journal Article American journal of speech-language pathology · May 2022 PurposePreference assessment is integral to person-centered treatment planning for older adults with communication impairments. There is a need to validate photographs used in preference assessment for this population. Therefore, this study aimed ... Full text Cite

Surgery and Geriatric Medicine: Toward Greater Integration and Collaboration.

Journal Article Journal of the American Medical Directors Association · April 2022 Full text Cite

Effect of Race/ethnicity, Insurance Status, and Area Deprivation on Hip Fracture Outcomes Among Older Adults in the United States.

Journal Article Clinical nursing research · March 2022 This retrospective cohort study used electronic health records to explore the effect of race/ethnicity, insurance status, and area deprivation on post-discharge outcomes in older patients undergoing hip fracture surgery between 2015 and 2018 (N = 1, ... Full text Cite

Registered Nurse Migration to the United States and the Impact on Long-Term Care.

Journal Article Journal of the American Medical Directors Association · February 2022 Full text Cite

Improving shared decision-making for osteoporosis pharmacologic therapy in nursing homes: a qualitative analysis.

Journal Article Arch Osteoporos · January 3, 2022 UNLABELLED: Decisions on whether to use pharmacologic osteoporosis therapy in skilled nursing facility residents are complex and require shared decision-making. Residents, proxies, and staff desire individualized fracture risk estimates that consider advan ... Full text Link to item Cite

Sensory impairment and cognitive decline among older adults: An analysis of mediation and moderation effects of loneliness.

Journal Article Front Neurosci · 2022 BACKGROUND: Multiple studies have reported that hearing and vision impairment are linked to cognitive decline. Yet little is known about factors that may influence the association between sensory impairment and cognitive decline. This study examined if lon ... Full text Link to item Cite

Veterans' Interpretation of Diabetes Distress in Diabetes Self-Management: Findings From Cognitive Interviews.

Journal Article Sci Diabetes Self Manag Care · October 2021 PURPOSE: The purpose of this project was to identify additional facets of diabetes distress (DD) in veterans that may be present due to the veteran's military-related experience. METHODS: The study team completed cognitive interviews with veterans with typ ... Full text Open Access Link to item Cite

Relational processes in heart failure care transitions: A data-driven case report.

Journal Article Heart & lung : the journal of critical care · September 2021 BackgroundEffective patient care transitions require consideration of social and clinical context, yet how these factors and relational processes in care coordination relate remains poorly described. This case report aims to describe provider netw ... Full text Cite

A mixed methods study on the manifestations of behavioural symptoms of dementia among veterans with and without posttraumatic stress disorder.

Journal Article Journal of advanced nursing · July 2021 AimsTo explore how behavioural symptoms of dementia are manifested among veterans in residential long-term care settings, in the context of personal, interpersonal/social and environmental triggers and how the manifestations differ between veteran ... Full text Cite

Rejection of Care and Aggression among Older Veterans with Dementia: The Influence of Background Factors and Interpersonal Triggers.

Journal Article Journal of the American Medical Directors Association · July 2021 ObjectivesTo test relationships among background factors, interpersonal triggers, rejection of care, and aggression among veterans living with dementia in residential long-term care settings, based on the need-driven dementia-compromised behavior ... Full text Cite

Caregiver Characteristics Associated With Cognitive Complaints in Women With Breast Cancer.

Journal Article Oncology nursing forum · July 2021 ObjectivesTo explore whether caregiver characteristics were associated with cognitive complaints reported by women with breast cancer undergoing chemotherapy.Sample & setting61 dyads of women with breast cancer and their caregivers we ... Full text Cite

The Contribution of Material, Behavioral, Psychological, and Social-Relational Factors to Income-Related Disparities in Cardiovascular Risk Among Older Adults.

Journal Article J Cardiovasc Nurs · July 2021 BACKGROUND: Understanding the factors underlying health disparities is vital to developing strategies to improve health equity in old age. Such efforts should be encouraged in Korea. OBJECTIVE: This study explored how material, behavioral, psychological, a ... Full text Link to item Cite

Mealtime caregiving approaches and behavioral symptoms in persons living with dementia: a longitudinal, observational study.

Journal Article BMC nursing · June 2021 BackgroundBehavioral symptoms during mealtime can prohibit persons living with dementia from obtaining sufficient nutrition. However, little research has examined the relationship between behavioral symptoms and caregiving approaches. This study e ... Full text Cite

Living With Cognitive Impairment in China: Exploring Dyadic Experiences Through a Person-Centered Care Lens.

Journal Article Research on aging · March 2021 China has experienced a substantial increase in the number of older adults with dementia and milder forms of cognitive impairment. Being spouses of Persons with cognitive impairment (PWCI) and living with them for several decades does not necessarily mean ... Full text Cite

Longitudinal Association Between Hearing Loss, Vision Loss, Dual Sensory Loss, and Cognitive Decline.

Journal Article J Am Geriatr Soc · March 2021 BACKGROUND/OBJECTIVES: To better understand the role of sensory loss as a potentially modifiable risk factor for cognitive decline, this study examined cognitive decline in relation to single modality hearing or vision loss and dual sensory loss. DESIGN: L ... Full text Link to item Cite

A 10-year trend in income disparity of cardiovascular health among older adults in South Korea.

Journal Article SSM Popul Health · December 2020 OBJECTIVES: Although cardiovascular disease (CVD) risk has lessened in Korea, it is unclear whether older adults in all socioeconomic strata have benefited equally. This study explored trends in income disparities in CVD risk among older adults in Korea. M ... Full text Link to item Cite

Cognitive Impairment among Veterans in Outpatient Vision Rehabilitation.

Journal Article Optom Vis Sci · June 2020 SIGNIFICANCE: Outpatient vision rehabilitation improves function in veterans with vision impairment, but the prevalence of cognitive impairment and the degree to which it may affect rehabilitation outcomes in the Veterans Affairs system are unknown. PURPOS ... Full text Link to item Cite

Mitigating the effects of a pandemic: facilitating improved nursing home care delivery through technology

Journal Article Journal of Medical Internet Research Aging · May 15, 2020 Full text Cite

Nursing home residents' perspectives on their social relationships.

Journal Article Journal of clinical nursing · April 2020 Aims and objectivesTo explore nursing home residents' perspectives on their relationships with other residents, family members and staff.BackgroundThe cultivation of social relationships is central to promoting well-being in nursing homes ... Full text Cite

Understanding the Associations between Caregiver Characteristics and Cognitive Function of Adults with Cancer: A Scoping Review.

Journal Article Asia-Pacific journal of oncology nursing · April 2020 Cognitive impairment (CI) is one of symptoms that adults with cancer frequently report. Although there are known factors that contribute to a patient's CI, these factors did not sufficiently explain its variability. Several studies conducted in patients wi ... Full text Cite

Measurement of older adults' social networks using technologies in the context of health and social care: a scoping review protocol.

Journal Article JBI evidence synthesis · April 2020 ObjectiveThis scoping review aims to identify and map the use of technology in measuring and analyzing older adults' social networks in the context of health and social care.IntroductionResearch has shown that social networks impact the h ... Full text Cite

Resident Challenges With Pain and Functional Limitations in Chinese Residential Care Facilities.

Journal Article The Gerontologist · January 2020 Background and objectivesPain and functional limitations can severely impede older adults' quality of life. In Chinese residential care facilities, limited research suggests that residents potentially have significant unmet care needs with pain an ... Full text Cite

Directed content analysis of Veterans Affairs policy documents: A strategy to guide implementation of a dementia home safety toolkit for Veterans to promote ageing in place.

Journal Article Health & social care in the community · January 2020 Older adults' preference to age in place, coupled with an increasing prevalence of dementia, creates an imperative to address home safety risks that occur due to cognitive impairment. Providing caregivers with home safety items and education can facilitate ... Full text Cite

Screening for Adverse Drug Reactions in Dementia Patients on Cholinesterase Inhibitor Therapy.

Journal Article Journal of the American Geriatrics Society · January 2020 Full text Cite

Academic-Practice Partnership for Caregiver Training and Support: The Duke Elder Family/Caregiver Training (DEFT) Center.

Journal Article N C Med J · 2020 BACKGROUND After a hospital stay, many older adults rely on their caregivers for assistance at home. Empirical evidence demonstrates that caregiver support programs in hospital-to-home transitions are associated with favorable caregiver and patient outcome ... Full text Link to item Cite

Geriatric Resource Teams: Equipping Primary Care Practices to Meet the Complex Care Needs of Older Adults.

Journal Article Geriatrics (Basel) · October 21, 2019 Primary care practices lack the time, expertise, and resources to perform traditional comprehensive geriatric assessment. In particular, they need methods to improve their capacity to identify and care for older adults with complex care needs, such as cogn ... Full text Link to item Cite

Community Health Centers: a Key Partner to Achieve Medicaid Expansion.

Journal Article Journal of general internal medicine · October 2019 Medicaid expansion is an important feature of the "Affordable Care Act" and also is proposed as a component of some incremental plans for universal healthcare coverage. We describe (1) obstacles encountered with Medicaid coverage, (2) their potential resol ... Full text Cite

Emotional Expression of Persons with Dementia: An Integrative Review with Implications for Evidence-Based Practice.

Journal Article Worldviews on evidence-based nursing · October 2019 BackgroundThe ability to express emotion typically is preserved longer than language and cognitive function in persons living with dementia. Emotional expression may be an important indicator of underlying individual needs and feelings and may the ... Full text Cite

Measurement of older adults' social networks using technologies in the context of health and social care: a scoping review protocol.

Journal Article JBI database of systematic reviews and implementation reports · July 8, 2019 OBJECTIVE:This scoping review aims to identify and map the use of technology in measuring and analyzing older adults' social networks in the context of health and social care. INTRODUCTION:Research has shown that social networks impact the health and wellb ... Full text Cite

Neurocognitive and psychiatric comorbidities of posttraumatic stress disorder among older veterans: A systematic review.

Journal Article International journal of geriatric psychiatry · April 2019 ObjectivesPosttraumatic stress disorder (PTSD) is associated with neurocognitive and psychiatric comorbidities, and older adults experience comorbid illnesses disproportionately. Little is known about the comorbidities of PTSD among older veterans ... Full text Cite

Improving Geriatric Primary Care through Interprofessional Teamwork and Practice Improvement Training

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2019 Link to item Cite

Dementia caregiver interventions in Chinese people: A systematic review.

Journal Article Journal of advanced nursing · March 2019 AimsThe aim of this systematic review was to examine the characteristics and the efficacy of dementia caregiving interventions among the Chinese population.BackgroundIn recent years, an increasing number of dementia caregiving interventio ... Full text Cite

Person-Directed Care Planning in Nursing Homes: Resident, Family, and Staff Perspectives.

Journal Article Journal of applied gerontology : the official journal of the Southern Gerontological Society · February 2019 Empowering individuals to direct their own care is central to person-centered care and health care policy. However, there is limited knowledge of how "person-directed care planning" (PDCP) can be achieved in particular settings. This study identifies key s ... Full text Cite

Gender differences in the association between migration and cognitive function among older adults in China and India.

Journal Article Arch Gerontol Geriatr · 2019 OBJECTIVE: This study aims to examine gender differences in the association between migration and cognitive function among adults in China and India. METHODS: Data from the World Health Organization Study on global AGEing and adult health (SAGE) study were ... Full text Link to item Cite

Person-Centered Dementia Care in China: A Bilingual Literature Review.

Journal Article Gerontology & geriatric medicine · January 2019 We conducted a bilingual literature review of the existing studies focusing on person-centered dementia care in China. We synthesized key findings from included articles according to three overarching themes: Chinese cultural relevance of person-centere ... Full text Cite

Assessing Quality for People Living With Dementia in Residential Long-Term Care: Trends and Challenges.

Journal Article Gerontology & geriatric medicine · January 2019 The global prevalence of dementia is growing rapidly, driving an increased use of residential long-term care (LTC) services. Performance indicators for residential LTC should support targeting of limited resources to promote person-centered care, health, a ... Full text Cite

Person-directed care planning in nursing homes: A scoping review.

Journal Article International journal of older people nursing · December 2018 AimFederal regulations require nursing homes in the United States to support residents in directing their own care rather than having their care plans developed for them without their engagement, but knowledge of person-directed approaches to care ... Full text Cite

Interchangeability of Licensed Nurses in Nursing Homes: Perspectives of Directors of Nursing.

Journal Article Nursing outlook · November 2018 BackgroundLicensed nurse (registered nurse [RN] and licensed practical nurse [LPN]) roles in nursing homes are often viewed as interchangeable. Interchangeability occurs when the differences in RN and LPN education and scopes of practice are not r ... Full text Cite

Dementia caregiver interventions among Chinese population: What we know and we need to do next

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · September 1, 2018 Link to item Cite

Technology-based cognitive training and rehabilitation interventions for individuals with mild cognitive impairment: a systematic review.

Journal Article BMC geriatrics · September 2018 BackgroundIndividuals with mild cognitive impairment (MCI) are at heightened risk of developing dementia. Rapid advances in computing technology have enabled researchers to conduct cognitive training and rehabilitation interventions with the assis ... Full text Cite

Implementation of Individualized Music in Long-Term Care: Application of the PARiHS Framework.

Journal Article Journal of gerontological nursing · August 2018 The need to provide evidence-based, person-centered care for long-term care (LTC) residents, which often include individuals with dementia, has led to a surge of interest in the implementation of individualized music (IM) programs. An exploratory study was ... Full text Cite

Improving Oral Hygiene for Veterans With Dementia in Residential Long-term Care.

Journal Article Journal of nursing care quality · July 2018 Oral hygiene care is neglected in long-term care (LTC) due to patient-, staff-, and systems-level barriers. A dementia-specific oral hygiene program, implemented and evaluated in a Department of Veterans Affairs LTC unit, addressed barriers to oral care at ... Full text Cite

A pilot-feasibility study of measuring emotional expression during oral care.

Journal Article Geriatric nursing (New York, N.Y.) · July 2018 This study explored the feasibility of measuring emotional responses to oral care among individuals with dementia living in residential long-term care (LTC). Eleven residents with dementia were recruited from a U.S. Department of Veterans Affairs LTC unit ... Full text Cite

Resident Vignettes for Assessing Care Quality in Nursing Homes.

Journal Article J Am Med Dir Assoc · May 2018 OBJECTIVES: Validated process measures that correlate with patient outcomes are needed for research and quality improvement. DESIGN: Cross-sectional analysis within a cluster-randomized fall prevention study. SETTING: Nursing homes in North Carolina (n = 1 ... Full text Link to item Cite

Geriatric Resource Team Training: Engaging Primary Care Practices in Improving Care of Older Adults

Conference JOURNAL OF THE AMERICAN GERIATRICS SOCIETY · April 1, 2018 Link to item Cite

A New Community Health Center/Academic Medicine Partnership for Medicaid Cost Control, Powered by the Mega Teaching Health Center.

Journal Article Acad Med · March 2018 Community health centers (CHCs), a principal source of primary care for over 24 million patients, provide high-quality affordable care for medically underserved and lower-income populations in urban and rural communities. The authors propose that CHCs can ... Full text Link to item Cite

Nursing home staff perspectives on adoption of an innovation in goals of care communication.

Journal Article Geriatric nursing (New York, N.Y.) · March 2018 Nursing homes (NH) are important settings for end-of-life care, but limited implementation may impede goals of care discussions. The purpose of this study was to understand NH staff perceptions of adoption and sustainability of the Goals of Care video deci ... Full text Cite

Management Team Perceptions of Risks and Strategies for Preventing Falls Among Short-Stay Patients in Nursing Homes.

Journal Article Health Care Manag (Frederick) · 2018 We sought to understand strategies reported by members of the nursing home management team used to prevent falls in short-stay nursing home patients. Using Donabedian's model of structure, process, and outcomes, we interviewed 16 managers from 4 nursing ho ... Full text Link to item Cite

Migration and cognitive function: a conceptual framework for Global Health Research.

Journal Article Glob Health Res Policy · 2018 BACKGROUND: Migration is a fundamental demographic process that has been observed globally. It is suggested that migration is an issue of global health importance that can have an immediate and lasting impact on an individual's health and well-being. There ... Full text Link to item Cite

Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial.

Journal Article JAMA Intern Med · November 1, 2017 IMPORTANCE: New approaches are needed to enhance implementation of complex interventions for geriatric syndromes such as falls. OBJECTIVE: To test whether a complexity science-based staff training intervention (CONNECT) promoting high-quality staff interac ... Full text Link to item Cite

Experimental Comparison of Efficacy for Three Handfeeding Techniques in Dementia.

Journal Article J Am Geriatr Soc · April 2017 BACKGROUND: Nursing home (NH) residents who require assistance during mealtimes are at risk for malnutrition. Supportive handfeeding is recommended, yet there is limited evidence supporting use of a specific handfeeding technique to increase meal intake. O ... Full text Link to item Cite

Study of Individualization and Bias in Nursing Home Fall Prevention Practices.

Journal Article J Am Geriatr Soc · April 2017 OBJECTIVES: Little is known about how nursing home staff use resident characteristics to individualize care delivery or whether care is affected by implicit bias. DESIGN: Randomized factorial clinical vignette survey. SETTING: Sixteen nursing homes in Nort ... Full text Link to item Cite

Economic Analysis of Primary Care-Based Physical Activity Counseling in Older Men: The VA-LIFE Trial.

Journal Article J Am Geriatr Soc · March 2017 OBJECTIVES: To perform an economic evaluation of a primary care-based physical activity counseling intervention that improved physical activity levels and rapid gait speed in older veterans. DESIGN: Secondary objective of randomized trial that assessed the ... Full text Open Access Link to item Cite

LIVING WITH COGNITIVE IMPAIRMENT: PERSPECTIVES FROM OLDER ADULTS AND THEIR CAREGIVERS

Conference The Gerontologist · November 2016 Full text Cite

Strengths and gaps: Strategies used by nursing home staff during meals for dementia residents

Conference The Gerontologist · November 2016 Full text Cite

COMMUNITIES CARING FOR SENIORS: CONNECTING PRIMARY CARE PRACTICES AND COMMUNITY RESOURCES

Conference GERONTOLOGIST · November 1, 2016 Link to item Cite

Improving Management of Behavioral and Psychological Symptoms of Dementia in Acute Care: Evidence and Lessons Learned From Across the Care Spectrum.

Journal Article Nursing administration quarterly · July 2016 As the prevalence of Alzheimer disease and related dementias increases, dementia-related behavioral symptoms present growing threats to care quality and safety of older adults across care settings. Behavioral and psychological symptoms of dementia (BPSD) s ... Full text Cite

Person-centered nursing home care in the United States, United Kingdom, and Sweden: Why building cross-comparative capacity may help us radically rethink nursing home care and the role of the RN.

Journal Article Nordic journal of nursing research · June 2016 Full text Cite

Effectiveness of Expanded Implementation of STAR-VA for Managing Dementia-Related Behaviors Among Veterans.

Journal Article The Gerontologist · February 2016 Purpose of the studyNonpharmacological, psychosocial approaches are first-line treatments for managing behavioral symptoms in dementia, but they can be challenging to implement in long-term care settings. The Veterans Health Administration impleme ... Full text Cite