A5025773210- Frailty in Older Adults
- Geriatric Care and Nursing Homes
- Health Systems, Economic Evaluations, Quality of Life
- Nutrition and Health in Aging
- Hip and Femur Fractures
- Interprofessional Education and Collaboration
- Health Policy Implementation Science
- Health Sciences Research and Education
- Nursing education and management
- Chronic Disease Management Strategies
- Palliative Care and End-of-Life Issues
- Nursing Diagnosis and Documentation
- Health disparities and outcomes
- Heart Failure Treatment and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Clinical practice guidelines implementation
- Resilience and Mental Health
- Nursing Roles and Practices
- Family and Patient Care in Intensive Care Units
- Healthcare cost, quality, practices
- Health and Well-being Studies
- Aging and Gerontology Research
- Simulation-Based Education in Healthcare
- COVID-19 and Mental Health
- Nosocomial Infections in ICU
University of North Carolina at Greensboro
2011-2024
Agency for Healthcare Research and Quality
2021
Grand Valley State University
2021
Patient-Centered Outcomes Research Institute
2021
VA Tennessee Valley Healthcare System
2021
Greensboro College
2019
Duke University
2007-2011
Duke University Hospital
2010
Duke Medical Center
2010
Healthcare costs due to unplanned readmissions are high and negatively affect health wellness of patients. Hospital readmission is an undesirable outcome for elderly Here, we present risk prediction using five machine learning approaches predicting 30-day patients (age ≥ 50 years). We use a comprehensive curated set variables that include frailty, comorbidities, high-risk medications, demographics, hospital, insurance utilization build these models. conduct large-scale study with electronic...
The purpose of the current study was to explore resilience in senior-level baccalaureate nursing students. Twenty-seven participants completed an online questionnaire assessing three stressors that pertained marriage or divorce, death loss family members close friends, and extreme financial hardship past 1 year. Resilience measured using 25-item Connor-Davidson Scale (CD-RISC-25) one open-ended question about experience resilience. Mean CD-RISC-25 score 73.26 ( SD = 10.7; range 45 96); only...
To identify barriers to and facilitators of the diffusion clinical practice guidelines (CPGs) protocols in nursing homes (NHs).Qualitative analysis.Four randomly selected community homes.NH staff, including physicians, nurse practitioners, administrative nurses, certified assistants (CNAs).Interviews (n=35) probed use CPGs protocols. Qualitative analysis using Rogers' Diffusion Innovation stages-of-change model was conducted produce a conceptual thematic description.None NHs systematically...
Frailty, a clinical syndrome of decreased physiologic reserve and dysregulation in multiple systems, is associated with increased risk for adverse outcomes.The aim this retrospective, cross-sectional, correlational study was to characterize frailty older adults admitted tertiary-care hospital using biopsychosocial assessment determine associations between time in-hospital mortality 30-day rehospitalization.The sample included 278 patients ≥55 years old medicine units. Frailty determined data...
Despite improvements in many aspects of health, African American women experience early onset disease and disability increased mortality because health disparities. stress disadvantages the interaction multiplicative effects race, gender, class, age. Sojourner Syndrome is an illustrative symbolic representation that describes multiple roles social identities on basis historical referents adaptive behaviors fostered survival resilience under oppressive circumstances. Adaptive also...
This article presents a qualitative, descriptive study of how registered nurses (RNs) (N=33) in leadership roles institutional, long-term care settings delegate care. Findings from this include both the strategies and processes these used for delegating also their perceptions barriers to effective delegation potential benefits delegation. Nurses reported two key approaches delegation, including “follow job description” approach, which emphasized adherence facility-level descriptions,...
Evidence-based practice holds tremendous potential to optimize care outcomes for older adults, yet many nurses are ill prepared identify, interpret, and apply the best evidence their practice. The Geriatric Nursing Innovations through Education (GNIE) Institute is a 39-contact-hour, hybrid distance learning continuing education model designed strengthen RNs' clinical knowledge, leadership skills, capacity implementing evidence-based geriatric care. GNIE combines reflective, learner-centered...
OBJECTIVES: To determine whether satisfaction of on‐site nurses with after‐hours telephone communication off‐site physicians improved in one long‐term care (LTC) facility after a nurse‐oriented intervention. DESIGN: Longitudinal quality improvement study. SETTING: Extended Care and Rehabilitation Center (ECRC), Durham Veterans Affairs Medical Center. PARTICIPANTS: Eighteen registered nurses. INTERVENTION: Communicating Health Assessments by Telephone (Project CHAT), program individualized...
NC Med J March/April 2010, Volume 71, Number 2 Nationally, over 3 million certified nursing assistants and licensed nurses work in long-term care (LTC). Of these providers, about 2.5 are (CNAs) the remaining 500,000 evenly divided between practical (LPNs) registered (RNs).1 With aging of our population, experts estimate that demand for this workforce will double coming decades, requiring up to 5 direct workers, 868,000 RNs, 231,000 LPNs nationally.2 In 2007, an estimated 109,900 full-time...
Poor understanding of factors influencing integration new practices into long-term care (LTC) hinders timely implementation evidence-based (EBPs). Using the Diffusion Innovations (DOI) framework, a instrument measuring staff perceptions an EBP was developed as part DOI-LTC measurement battery and tested in cross-sectional survey North Carolina LTC nursing personnel. Valid questionnaires were received from 95 licensed nurses 102 certified assistants (CNAs). Internal consistency reliability...
Research indicates that diabetes mellitus (DM) may be a risk factor for frailty and individuals with DM are more likely to frail than without DM; however, there is limited research in hospitalised older adults.To determine the extent of adults using 16-item Frailty Risk Score (FRS) assess role predicting 30-day rehospitalisation, discharge an institution in-hospital mortality.The study was retrospective, cohort, correlational design secondary analysis data set consisting electronic health...
Frailty is a syndrome of impaired homeostasis and poor response to stressors leading adverse health outcomes. The aim the current study was explore lay perspectives about frailty among African American adults. Thirteen men women participated in two focus groups. Content analysis yielded six themes: (a) Physical Impairment With Loss Independence ; (b) Can Happen Anyone, At Any Age, Time (c) Mind–Body Connection (d) Affects All Aspects Life (e) Positive Attitude Prayer Guard Against (f) Be In...
The purpose of the current study was to investigate predictive properties five definitions a frailty risk score (FRS) and three comorbidity indices using data from electronic health records (EHRs) hospitalized adults aged ≥50 years for 3-day, 7-day, 30-day readmission, identify an optimal model FRS combination. Retrospective analysis EHR dataset performed, multivariable logistic regression area under curve (AUC) were used examine readmission comorbidity. sample ( N = 55,778) mostly female...
OBJECTIVES: To describe after‐hours telephone calls from nurses in long‐term care (LTC) facilities to doctors a geriatric medicine training program. DESIGN: Evaluation of 1,928 LTC over 10‐month period 2005/06. SETTING: Geriatrics fellowship program and three affiliated facilities. PARTICIPANTS: Eight geriatrics fellows 40 interns. MEASUREMENTS: Data were collected on call characteristics (such as reason for outcome) physician attitudes about the call, scored using 5‐point Likert scale....
Background: Faculty who teach gerontological nursing are challenged to deliver competency-based baccalaureate education. Because our courses divided into multiple sections and taught by a variety of faculty, the need for peer-reviewed, curated repository learning materials was conceived. Method: Syllabi prelicensure RN-to-baccalaureate (BSN) degree were reviewed. Stufflebeam's Content, Input, Process Product (CIPP) model program evaluation provided framework guide process identifying...
Abstract The association between polypharmacy and frailty among hospitalized adults was explored using a secondary data analysis of the EHR in aged 50 years or older (N=46,645) medical-surgical units 2013 2017. A Frailty Index (FI) created based on accumulation deficit theoretical framework (Mitnitski et al., 2001). FI constructed following guidance provided by Searle al. (2008) Theou (2023). This study’s unique because it included indicators from nursing flowsheets, ICD-10 codes, laboratory...