Article
Geriatrics & Gerontology
Wen Liu, Ying-Ling Jao, Anju Paudel, Si On Yoon
Summary: This study examined the language characteristics in staff-resident mealtime interactions in nursing homes. The findings showed that staff dominated conversations and had more positive and longer utterances compared to residents. As residents' dementia progressed, both residents and staff produced shorter utterances. Staff named residents more often, especially those with more severe dementia. The study highlights the importance of staff-initiated, resident-oriented communication in mealtime care, particularly for residents with severe dementia.
Article
Nursing
Wen Liu, Yong Chen
Summary: This study aimed to examine the sequential relationships of food intake, and the moderating role of intake characteristics and resident conditions. The results showed that successful intake increased the probability of subsequent intake, while comorbidities were associated with decreased odds of subsequent intake in staff-facilitated episodes. Furthermore, staff-facilitated intake during liquid intake and longer intervals between adjacent episodes increased the odds of subsequent solid intake.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Geriatrics & Gerontology
Wen Liu, Yelena Perkhounkova, Kristine Williams, Melissa Batchelor, Maria Hein
Summary: This study examined the mealtime nonverbal behaviors of nursing home staff and residents with dementia and found that staff used person-centered behavioral strategies to deal with challenging behaviors exhibited by residents, while residents primarily exhibited resistive behaviors and chewing/swallowing difficulties. The nonverbal behaviors of both parties were correlated with individual characteristics.
Article
Geriatrics & Gerontology
Doreen Stoehr, Hanna Mayer, Eva Soom Ammann
Summary: Observing eating practices in nursing homes reveals the complex constraints imposed by institutional logics on residents, as well as the elaborate strategies developed by residents to cope with the institutional circumstances.
Article
Nursing
Wen Liu, Kristine Williams, Melissa Batchelor, Yelena Perkhounkova, Maria Hein
Summary: Staff spoke more often than residents during mealtimes, and their verbal interactions were primarily positive. The interactions were dynamic and complex, associated with multiple individual characteristics such as staff care-giving length, resident gender, and staff years worked as a caregiver. Residents' positive utterances were significantly associated with staff care-giving length, while negative utterances were associated with resident gender and staff years of experience. Staff positive and negative utterances were not significantly associated with any participant characteristics.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Geriatrics & Gerontology
M. A. Kromhout, N. Rius Ottenheim, H. Putter, M. E. Numans, W. P. Achterberg
Summary: This study aimed to investigate the relationship between caffeine consumption and behavioral symptoms in 206 older individuals with both diabetes and dementia in Dutch nursing homes. Results showed that an increase in caffeine consumption was associated with a decrease in affect and agitation symptoms, but differences were observed in disinhibition and depression. Additionally, dementia severity influenced agitation, anxiety, and affect and psychomotor symptoms.
JOURNAL OF NUTRITION HEALTH & AGING
(2021)
Article
Geriatrics & Gerontology
Elizabeth E. Hathaway, Jennifer L. Carnahan, Kathleen T. Unroe, Timothy E. Stump, Erin O'Kelly Phillips, Susan E. Hickman, Nicole R. Fowler, Greg A. Sachs, Daniel R. Bateman
Summary: Most long-stay NH residents transferred for behavioral concerns were admitted to the hospital, with common discharge diagnoses including dementia-related behaviors and altered mental status. Significant opportunities exist to improve pretransfer management of NH transfers for behavioral concerns.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Geriatrics & Gerontology
Antoinette B. Coe, Ana Montoya, Chiang-Hua Chang, Pil S. Park, Julie P. W. Bynum, Theresa I. Shireman, Tingting Zhang, Ellen M. McCreedy, Lauren B. Gerlach
Summary: The COVID-19 pandemic disrupted nursing home care and led to increased depression symptoms and CNS-active medication use among long-stay NH residents with dementia. Regular assessment of depression symptoms and appropriate medication use are necessary during periods of increased isolation.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Nutrition & Dietetics
Pushpa Nair, Yolanda Barrado-Martin, Kanthee Anantapong, Kirsten Moore, Christina Smith, Elizabeth Sampson, Jill Manthorpe, Kate Walters, Nathan Davies
Summary: This study explores the experiences of ethnic minority groups in managing eating and drinking difficulties in dementia. It found that food and drink are strongly linked to identity, culture, and emotions. Providing culturally familiar foods and supporting previous food-related roles promoted reminiscence and encouraged eating and drinking for people with dementia. Social interactions also played a role, but could lead to distress in individuals with advanced dementia.
Article
Geriatrics & Gerontology
Dukyoo Jung, Eunju Choi, Leeho Yoo, Hyesoon Lee
Summary: A Mealtime Difficulties Scale (MDSD) for older patients with dementia was developed and validated, showing good validity and reliability. This tool can assess mealtime difficulties among older patients with dementia from different perspectives.
Article
Pediatrics
Bobbie L. L. Smith, Amanda K. Ludlow
Summary: This study explores the differences in food approach and food avoidant eating behaviors in children with Tourette syndrome and their relationship to caregiver mealtime actions. The findings reveal that children with Tourette syndrome exhibit more food approach behaviors and positive persuasion is uniquely identified as a mealtime strategy adopted by caregivers of children with Tourette syndrome.
FRONTIERS IN PEDIATRICS
(2022)
Article
Nursing
Angela M. H. J. Mengelers, Vincent R. A. Moermans, Michel H. C. Bleijlevens, Hilde Verbeek, Elizabeth Capezuti, Frans Tan, Koen Milisen, Jan P. H. Hamers
Summary: This study aimed to investigate the demand, use, and associated factors of involuntary treatment in people with dementia (PwD) receiving professional home care in the Netherlands and Belgium. The findings revealed that more than half of the PwD living at home received involuntary treatment, including nonconsensual care, psychotropic medication, and physical restraints. The use of involuntary treatment was influenced by living status, ADL dependency, cognitive ability, caregiver burden, and the country where home care was received. The study highlights the need for further research on variations in prevalence and the prevention of involuntary treatment in dementia.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Nutrition & Dietetics
Elizabeth L. Adams, Laura J. Caccavale, Jessica Gokee LaRose, Hollie A. Raynor, Melanie K. Bean
Summary: This study examined the effects of food security status on changes in the home food environment, dietary quality, energy intake, and body weight during adolescent obesity treatment. The results showed that food secure households had better improvements in the home food environment and dietary quality compared to food insecure households, and both groups experienced decreases in energy intake and body weight.
Article
Nursing
Kate Flint, Kylie Matthews-Rensch, Dylan Flaws, Alison Mudge, Adrienne Young
Summary: This study investigated the energy and protein adequacy of meals and dietary intake of older psychiatric inpatients and identified factors influencing intake. Poor dietary intake was common among the participants, with barriers such as missing meals, inadequate food provided, and the need for increased mealtime assistance. The findings highlight the importance of nurses and multidisciplinary teams ensuring patients receive adequate food and proactive mealtime assistance.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Nursing
Alvisa Palese, Btissam Achbani, Mark Hayter, Roger Watson
Summary: Factors affecting fidelity in intervention studies promoting eating independence in nursing homes residents with cognitive decline are multi-faceted, requiring continuous adjustments of the intervention to enhance fidelity.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Nursing
Rebecca A. McCaughey, Ann Marie Mccarthy, Erin Maughan, Maria Hein, Yelena Perkhounkova, Michael W. Kelly
Summary: This article presents previously unpublished results from a national survey on the emergency use and management of medications in schools. Findings highlight the need for further policy development and emphasize the important role of school nurses in ensuring student safety.
JOURNAL OF SCHOOL NURSING
(2022)
Article
Nursing
Wen Liu, Lilian Dindo, Katherine Hadlandsmyth, George Jay Unick, M. Bridget Zimmerman, Barbara St Marie, Jennie Embree, Toni Tripp-Reimer, Barbara Rakel
Summary: This study compared the performance of the PROMIS(R) anxiety short form 6a and the Generalized Anxiety Disorder 7-item scale in a sample of U.S. military veterans, finding that the former performed better in terms of item difficulty estimates and distribution of response categories. However, further validation is needed in larger, more diverse samples.
WESTERN JOURNAL OF NURSING RESEARCH
(2022)
Review
Gerontology
Sohyun Kim, Wen Liu
Summary: This review summarized the characteristics and evaluated the psychometric properties of instruments assessing dyadic communication and environment between persons with dementia and their caregivers. The study found that the existing instruments are still in the early stages of development and validation in the dementia population, and further testing and validation are needed.
Article
Engineering, Industrial
Amany Farag, L. D. Scott, Y. Perkhounkova, S. Saeidzadeh, M. Hein
Summary: Nurses play a crucial role in intercepting errors at the point of care, facing significant levels of acute and total fatigue. Factors such as staffing adequacy, exercise, and sleep are strong predictors in managing nurse fatigue comprehensively.
APPLIED ERGONOMICS
(2022)
Article
Geriatrics & Gerontology
Wen Liu, Yelena Perkhounkova, Kristine Williams, Melissa Batchelor, Maria Hein
Summary: This study examined the mealtime nonverbal behaviors of nursing home staff and residents with dementia and found that staff used person-centered behavioral strategies to deal with challenging behaviors exhibited by residents, while residents primarily exhibited resistive behaviors and chewing/swallowing difficulties. The nonverbal behaviors of both parties were correlated with individual characteristics.
Article
Nursing
Wen Liu, Yong Chen
Summary: This study aimed to examine the sequential relationships of food intake, and the moderating role of intake characteristics and resident conditions. The results showed that successful intake increased the probability of subsequent intake, while comorbidities were associated with decreased odds of subsequent intake in staff-facilitated episodes. Furthermore, staff-facilitated intake during liquid intake and longer intervals between adjacent episodes increased the odds of subsequent solid intake.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Geriatrics & Gerontology
Wen Liu, Yelena Perkhounkova, Maria Hein
Summary: This study examines the interactions between staff and residents during mealtime care and the effects on positive and challenging behaviors. The findings suggest that staff person-centred approaches are associated with resident positive verbal behaviors and challenging behaviors, while task-centred approaches have no association with resident mealtime behaviors.
INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING
(2023)
Review
Geriatrics & Gerontology
Sohyun Kim, Kyuri Lee, Wen Liu
Summary: The study aimed to synthesize the characteristics and psychometric quality of instruments that assess the chewing and swallowing abilities of persons living with dementia. A systematic review was conducted, and 35 eligible instruments were identified. The results showed that the psychometric quality of instruments assessing chewing ability was low, while only 3 out of 27 instruments assessing swallowing ability had moderate psychometric quality. Further validation of these instruments is needed to expand their use in diverse care settings.
INNOVATION IN AGING
(2023)
Article
Geriatrics & Gerontology
Wen Liu, Yelena Perkhounkova, Maria Hein, Roger Bakeman
Summary: This study examined the temporal relationships between staff approaches and resident behaviors during mealtimes. The findings showed that when staff used a person-centered approach, residents were more likely to exhibit positive and resistive behaviors, while the use of task-centered approaches decreased the likelihood of positive verbal and resistive behaviors. Additionally, resident behaviors influenced the subsequent staff approaches, with positive/neutral behaviors leading to more person-centered approaches.
INNOVATION IN AGING
(2023)
Article
Geriatrics & Gerontology
Wen Liu, Ying-Ling Jao, Anju Paudel, Si On Yoon
Summary: This study examined the language characteristics in staff-resident mealtime interactions in nursing homes. The findings showed that staff dominated conversations and had more positive and longer utterances compared to residents. As residents' dementia progressed, both residents and staff produced shorter utterances. Staff named residents more often, especially those with more severe dementia. The study highlights the importance of staff-initiated, resident-oriented communication in mealtime care, particularly for residents with severe dementia.
Review
Nursing
Clarissa A. Shaw, Kyu Ri Lee, Alexander Williams, Nathan A. Shaw, Delaney Weeks, Lainie Jackson, Kristine N. Williams
Summary: This article aims to identify effective communication practices while wearing facemasks. The study found that standard surgical masks have the least impact on speech perception and that recognizing emotions is less accurate with facemasks, requiring compensatory actions. Basic strategies such as selecting an appropriate mask type, reducing extraneous noise, using microphones, verbalizing emotions, and employing clear speech appear to be beneficial.
JOURNAL OF NURSING SCHOLARSHIP
(2023)
Article
Nursing
Bettina Voelzer, Monira El Genedy-Kalyoncu, Alexandra Fastner, Tsenka Tomova-Simitchieva, Konrad Neumann, Kathrin Hillmann, Ulrike Blume-Peytavi, Elisabeth Hahnel, Janna Sill, Katrin Balzer, Jan Kottner
Summary: The study aimed to evaluate the effects of implementing a skincare and prevention package on older nursing home residents. The results indicate that tailored and evidence-based nursing routines can improve skin health and safety in residential long-term care, but there was no significant impact on the skin barrier function.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)
Review
Nursing
Han Fu, Dongjiang Hou, Ran Xu, Qian You, Hang Li, Qing Yang, Hao Wang, Jing Gao, Dingxi Bai
Summary: This study systematically reviewed published studies on risk prediction models for DVT in patients with acute stroke and found a high risk of bias. Future studies should focus on developing new models with larger samples, rigorous study designs, and multicenter external validation.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)
Article
Nursing
Laura Peutere, Jaana Pentti, Annina Ropponen, Mika Kivimaki, Mikko Harmae, Oxana Krutova, Jenni Ervasti, Aki Koskinen, Marianna Virtanen
Summary: Nurse understaffing and limited nursing work experience are associated with patient mortality during hospital stays, especially among patients with comorbidities. The use of administrative data to monitor and improve nurses' working conditions is crucial for reducing in-hospital mortality.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)
Review
Nursing
Yuanyuan Zhang, Lining Wang, Wenbi Wu, Shi Zhang, Min Zhang, Wenjing She, Qianqian Cheng, Nana Chen, Pengxia Fan, Yuxin Du, Haiyan Song, Xianyu Hu, Jiajie Zhang, Caiyan Ding
Summary: This meta-analysis identifies comorbid factors and behavioral factors that are significantly associated with inadequate bowel preparation in older adults undergoing colonoscopy.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)
Article
Nursing
Long Huang, Bing-yue Zhao, Xiao-ting Li, Shui-xiu Huang, Ting-ting Chen, Xiao Cheng, Si-jia Li, Hao Li, Rong -fang Hu
Summary: This study investigated the impact of a family-focused online parenting support intervention on parents' well-being and preterm infants' outcomes. The intervention showed significant improvements in parents' sense of competence, caregiving ability, depression, and social support. However, there were no significant differences in preterm infants' weight and length, or in family functioning.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2024)