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Ge S, Zhu Z, Wu B, McConnell ES. TECHNOLOGY-BASED COGNITIVE INTERVENTIONS FOR INDIVIDUALS WITH MILD COGNITIVE IMPAIRMENT: A SYSTEMATIC REVIEW. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- S Ge
- Duke University School of Nursing, Durham, North Carolina, United States
| | - Z Zhu
- School of Nursing, Fudan University, Shanghai, China; Fudan University Centre for Evidence-Based Nursing: a Joanna Briggs Institute Center of Excellence, Shanghai, China
| | - B Wu
- Rory Meyers College of Nursing, New York City, NY, USA; Ashman Department of Periodontology & Implant Dentistry, New York City, NY, USA
| | - E S McConnell
- Duke University School of Nursing, Durham, NC, USA; Geriatric Research, Education and Clinical Center (GRECC) of the Department of Veterans Affairs Medical Center, Durham, NC, USA
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Kang B, Karel MJ, Corazzini K, Pan W, McConnell ES. BEHAVIORAL SYMPTOMS AMONG VETERANS WITH CO-OCCURRING POSTTRAUMATIC STRESS DISORDER AND DEMENTIA. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- B Kang
- Duke University School of Nursing, Durham, North Carolina, United States
| | - M J Karel
- Office of Mental Health and Suicide Prevention, US Department of Veterans Affairs (VA) Central Office, Washington, DC, USA
| | - K Corazzini
- Duke University School of Nursing, Durham, NC, USA
| | - W Pan
- Duke University School of Nursing, Durham, NC, USA
| | - E S McConnell
- Geriatric Research, Education and Clinical Center, Durham Department of Veterans Affairs Medical Center, Durham, NC, USA; Duke University School of Nursing, Durham, NC, USA
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Wang J, Corazzini KN, Xu H, Wei S, McConnell ES, Ding D, Wu B. LIVING WITH COGNITIVE IMPAIRMENT IN CHINA: EXPLORING DYADIC EXPERIENCES THROUGH A PERSON-CENTERED CARE LENS. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J Wang
- Duke University, Durham, North Carolina, United States
| | | | - H Xu
- Duke University School of Nursing, Durham, NC, USA; Duke Global Health Institute, Durham, NC, USA
| | - S Wei
- Duke University School of Nursing, Durham, NC, USA
| | | | - D Ding
- Huashan Hospital Affiliated to Fudan University, Shanghai, China
| | - B Wu
- New York University Rory Meyers College of Nursing, New York, NY, USA
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Wu B, Petrovsky DV, Wang J, Xu H, Zhu Z, McConnell ES, Corazzini KN. INTERVENTIONS IN CHINESE POPULATION: A SYSTEMATIC REVIEW. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- B Wu
- New York University, New York, New York, United States
| | - D V Petrovsky
- New York University Rory Meyers College of Nursing, New York, NY, USA
| | - J Wang
- Duke University School of Nursing, Durham, NC, USA
| | - H Xu
- Duke University School of Nursing, Durham, NC, USA
| | - Z Zhu
- School of Nursing,MSN,Fudan University, Shanghai, China, Affiliation; Fudan University Centre for Evidence-based Nursing: A Joanna Briggs Institute Centre of Excellence, Shanghai, China
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Xu H, Østbye T, Dupre ME, Vorderstrasse AA, McConnell ES, Wu B. GENDER DIFFERENCES IN THE ASSOCIATION BETWEEN MIGRATION AND COGNITION: A CROSS-COUNTRY COMPARISON. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- H Xu
- Duke University, DURHAM, North Carolina, United States
| | - T Østbye
- Department of Community and Family Medicine, Duke University, Durham, NC, USA; School of Nursing, Duke University, Durham, NC, USA; Duke Global Health Institute, Duke University, Durham, NC, USA
| | - M E Dupre
- Department of Population Health Sciences, Duke University, Durham, NC, USA; Duke Clinical Research Institute, Duke University, Durham, NC, USA; Department of Sociology, Duke University, Durham, NC, USA
| | - A A Vorderstrasse
- New York University Rory Meyers College of Nursing, New York, NY, USA
| | - E S McConnell
- School of Nursing, Duke University, Durham, NC, USA; Geriatric Research, Education and Clinical Center, Durham Department of Veterans Affairs Healthcare System, Durham, NC, USA
| | - B Wu
- New York University Rory Meyers College of Nursing, New York, NY, USA
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Lee K, Yeon Lee J, Boltz M, McConnell ES. UTILIZATION OF EMOTIONAL EXPRESSION IN PERSONS WITH DEMENTIA IN LONG-TERM CARE. Innov Aging 2018. [DOI: 10.1093/geroni/igy023.3073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- K Lee
- Yonsei University, Seoul, Seoul-t’ukpyolsi, Republic of Korea
| | - J Yeon Lee
- Yonsei University College of Nursing, Seoul, Korea
| | - M Boltz
- Pennsylvania State University, College of Nursing, University Park, PA, USA
| | - E S McConnell
- Duke University School of Nursing, Durham, NC, USA; Geriatric Research, Education and Clinical Center (GRECC) Department of Veterans Affairs (VA) Medical Center, Durham, NC, USA
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Culp K, Mentes JC, McConnell ES. Studying acute confusion in long-term care: clinical investigation or secondary data analysis using the minimum data set? J Gerontol Nurs 2001; 27:41-8. [PMID: 11915155 DOI: 10.3928/0098-9134-20010401-09] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Clinical investigations of acute confusion have largely been initiated in the acute care setting, where no uniform patient assessment exists. No reliable estimates of the prevalence of acute confusion in long-term care (LTC) residents have been reported. Delirium indicators are present in the nursing home Minimum Data Set (MDS), suggesting that MDS assessments could be used to facilitate studies of acute confusion in LTC. Methods to study acute confusion in LTC are discussed, with an emphasis on the advantages and disadvantages of using secondary analysis of MDS assessments as one research strategy.
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Affiliation(s)
- K Culp
- University of Iowa College of Nursing, VA Medical Center, Iowa City, IA 52242, USA
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Olson DM, Borel CO, Laskowitz DT, Moore DT, McConnell ES. Quiet time: a nursing intervention to promote sleep in neurocritical care units. Am J Crit Care 2001; 10:74-8. [PMID: 11244674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
BACKGROUND Patients in intensive care units are often sleep deprived, yet little research exists on the impact of nursing care on promoting sleep. OBJECTIVES To determine if implementing a "quiet time" protocol to reduce external environmental stimuli is associated with increased frequency of sleep among patients in a neurocritical care unit. METHODS Patients were observed 8 times each day before and after implementation of a protocol in which environmental sounds and lights were decreased from 2 AM to 4 AM and from 2 PM to 4 PM. Data collected at 2:45 AM, 3:30 AM, 2:45 PM, and 3:30 PM on patients with scores of 10 or greater on the Glasgow Coma Scale were analyzed. A total of 2975 observations were made on a total of 239 patients: 1446 observations on 118 patients in the control group and 1529 observations on 121 patients in the intervention group. RESULTS The percentage of patients observed asleep was significantly higher during the months the quite-time period was implemented than during the control period before the intervention was started. The increase in sleep behavior was associated with decreased sound and light levels achieved during the quiet time. Patients observed during the intervention period were 1.6 times more likely to be asleep during the quiet time than were patients observed during the control period (P < .001). CONCLUSIONS A concentrated effort by staff to reduce environmental stimuli at discrete preset intervals increases the likelihood of sleep during scheduled quiet time in the neurocritical care unit.
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Affiliation(s)
- D M Olson
- Neurocritical Care Unit, Duke University Medical Center, Durham, NC, USA
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Olson DM, Borel CO, Laskowitz DT, Moore DT, McConnell ES. Quiet time: a nursing intervention to promote sleep in neurocritical care units. Am J Crit Care 2001. [DOI: 10.4037/ajcc2001.10.2.74] [Citation(s) in RCA: 88] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND: Patients in intensive care units are often sleep deprived, yet little research exists on the impact of nursing care on promoting sleep. OBJECTIVES: To determine if implementing a "quiet time" protocol to reduce external environmental stimuli is associated with increased frequency of sleep among patients in a neurocritical care unit. METHODS: Patients were observed 8 times each day before and after implementation of a protocol in which environmental sounds and lights were decreased from 2 AM to 4 AM and from 2 PM to 4 PM. Data collected at 2:45 AM, 3:30 AM, 2:45 PM, and 3:30 PM on patients with scores of 10 or greater on the Glasgow Coma Scale were analyzed. A total of 2975 observations were made on a total of 239 patients: 1446 observations on 118 patients in the control group and 1529 observations on 121 patients in the intervention group. RESULTS: The percentage of patients observed asleep was significantly higher during the months the quite-time period was implemented than during the control period before the intervention was started. The increase in sleep behavior was associated with decreased sound and light levels achieved during the quiet time. Patients observed during the intervention period were 1.6 times more likely to be asleep during the quiet time than were patients observed during the control period (P < .001). CONCLUSIONS: A concentrated effort by staff to reduce environmental stimuli at discrete preset intervals increases the likelihood of sleep during scheduled quiet time in the neurocritical care unit.
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Purser JL, Pieper CF, Duncan PW, Gold DT, McConnell ES, Schenkman MS, Morey MC, Branch LG. Reliability of physical performance tests in four different randomized clinical trials. Arch Phys Med Rehabil 1999; 80:557-61. [PMID: 10326921 DOI: 10.1016/s0003-9993(99)90199-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
OBJECTIVES (1) To assess the test-retest reliability of physical performance tests in subject groups with different levels of impairment and disability, and (2) to assess the stability of these tests over different time intervals. DESIGN Test-retest, repeated measures reliability design. SETTING (1) A university's center for aging and research center, (2) a continuing care retirement community, and (3) an extended care and rehabilitation center at a Veterans Affairs medical center. SUBJECTS Twenty-four community-dwelling elders, 15 community-dwelling elders with Parkinson disease, 12 older women with vertebral osteoporosis and compression fractures, and 14 elderly nursing home residents. MEASURES Lower extremity isometric strength (ankle dorsiflexion, hip abduction), spinal configuration (thoracic kyphosis, lumbar lordosis), lumbosacral motion (flexion, extension), and timed measures of the ability to get in and to get out of bed at a usual pace. RESULTS Most of the within-group intraclass correlation coefficients (ICCs) were good to excellent (.70 to .97). Overall, ICCs for all groups combined were between .70 and .96, and no decrement in reliability was noted after controlling for group membership. In addition, no decrement in the ICC was observed for short (1 day) vs. longer (1 week) intervals of testing. CONCLUSIONS These performance-based measures may be used reliably across a wider range of testing environments and elderly populations than has been reported.
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Affiliation(s)
- J L Purser
- Claude D. Pepper Older Americans Independence Center, Center for the Study of Aging and Human Development, Department of Physical and Occupational Therapy, Duke University Medical Center, Durham, NC 27710, USA
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Abstract
1. Nurses in this study often made diagnoses pertaining to physiological or physical problems rather than psychosocial problems. One diagnostic category, "impaired home maintenance management," was consistently used incorrectly, suggesting a need for careful clinical training of nursing staff in diagnostic reasoning. 2. Patients who had a greater number of nursing diagnoses had greater improvements in function during the hospital stay. One explanation is that more nursing diagnoses may lead to more independent nursing actions, resulting in improvements in functional abilities. 3. Functional status on admission measured by the Katz ADL was the most powerful predictor of functional status at discharge. The scale can readily be used by nurses to document basic functioning and to quickly identify patients needing or coordinated discharge planning. 4. Institutionalized had a higher mean number of nursing diagnoses than those who were discharged to their own homes. The most powerful predictor of institutionalization was the Katz ADL score.
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