Month: April 2017

Patient and caregiver goals for dementia care (Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 2017, 26(3) p. 685-693)

Most health outcome measures for chronic diseases do not incorporate specific health goals of patients and caregivers. To elicit patient-centered goals for dementia care, we conducted a qualitative study using focus groups of people with early-stage dementia and dementia caregivers.
Participants identified 41 goals for dementia care within five domains (medical care, physical quality of life, social and emotional quality of life, access to services and supports, and caregiver support). Caregiver goals included ensuring the safety of the person with dementia and managing caregiving stress. Participants with early-stage dementia identified engaging in meaningful activity (e.g., work, family functions) and not being a burden on family near the end of life as important goals.
Patient- and caregiver-identified goals for care are different than commonly measured health outcomes for dementia. Future work should incorporate patient-centered goals into clinical settings and assess their usefulness for dementia care.

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Staffing, recruitment and retention crisis continues (Australian Nursing & Midwifery Journal, 2017, 24(8) p. 14)

The Irish Nurses and Midwives Organisation (INMO) remains locked in talks to secure meaningful strategies to address staffing, recruitment, and retention problems plaguing the country’s nursing and midwifery workforce.
A campaign to stimulate action kicked oft in late January and led to intensive discussions at the Workplace Relations Commission (WRC) with a range of stakeholders including the Department of Health, Department of Public Expenditure and Reform, and the Health Service Executive (HSE).
It also involved the Services Industrial Professional and Technical Union (SIPTU).
Initial talks revealed health service management had no workforce plan to address ongoing unsafe staffing levels that are compromising patient care and negatively impacting upon the health and safety of nurses and midwives..

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Find yourself a suitable mentor (Nursing Standard, 31(31), p. 39)

Don’t wait to be asked, seek support early on, says Dementia UK head of research Karen Harrison Dening. Karen Harrison Dening has more than 40 years of nursing experience, more than 30 of which are in dementia care. She has worked for charity Dementia UK for the past ten years, initially as a consultant Admiral Nurse specialist and then as head of research and evaluation. For her PhD from University College London she focused on advance care planning and end of life care in dementia. She holds honorary academic positions at the universities of Liverpool and Nottingham, where she lectures and is involved in research.

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Nursing Leadership Influence on Evidence-Based Practice Culture and Integration (Lenhart, N.K., 2017. Nursing Leadership Influence on Evidence-Based Practice Culture and Integration (Doctoral dissertation, Walden University).

Translating research to practice takes 10-20 years or more and evidence-based
practice (EBP) integration remains at 10%-20%, despite recommendations requiring EBP-
guided decisions. EBP integration has been associated with up to 30% decreases in
healthcare system spending, improved quality outcomes, and increased staff satisfaction. Nurse leaders are accountable for EBP enculturation, yet rate quality and safety as the highest priority and EBP as the lowest. This knowledge gap perpetuates low EBP integration rates and hinders EBP enculturation.

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Shifting Landscapes: The Impact of Centralized and Decentralized Nursing Station Models on the Efficiency of Care. (HERD: Health Environments Research & Design Journal, 2017 Jan Epub)

The focus of this research was to analyze the impact of decentralized and centralized hospital design layouts on the delivery of efficient care and the resultant level of caregiver satisfaction. The research concludes that among the factors contributing to caregiver efficiency and satisfaction are nursing station design, an integrated team approach, and the overall physical layout of the space on walkability, allocation of caregiver time, and visibility. However, unit design alone does not solely impact efficiency, suggesting that designers must consider the broader implications of a culture of care and processes.

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A more productive way of working: A group consultation trial in Greater Manchester is enthusing patients and lets nurses take the lead. (Primary Health Care, 2017, 27(3) p.18-19)

This paper discusses how Primary care leaders are trialling nurse-led group consultations across Greater Manchester as part of the primary care transformation programme.

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Vulnerability to burnout within the nursing workforce – the role of personality and interpersonal behaviour. (J Clin Nurs, 2017 Mar Epub)

The aim of this paper was to study the combination of personality and interpersonal behaviour of staff nurses in general hospitals in relation to burnout and its separate dimensions. A total of 880 Belgian general hospital nurses were invited to participate in the study. It concludes that the study confirmed the influence of the Big Five personality factors on the separate dimensions of burnout. Interpersonal behaviour made a significant contribution to the predictive capacity of the regression models of all three dimensions of burnout. Additional longitudinal research is required to confirm the causal relationship between these individual factors and burnout.

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Quality of life on the views of older family carers of people with dementia. (Dementia, 2017 Jan. Epub)

Older family carers of people with dementia represent an increasing but overlooked population of family carers. This research aimed to explore how these individuals make sense of their own quality of life and to identify the factors that enhance or compromise this. Four focus groups were conducted in 2014 with 19 older family carers in community-based support groups in Nottinghamshire, United Kingdom. Data were transcribed verbatim and analysed using Interpretative Phenomenological Analysis. Thirty-three subthemes emerged and were collated into three superordinate themes: 1) aspects of care and caregiving, 2) feelings and concerns, and 3) satisfaction with life and caregiving. This study identified a broad range of aspects that are of particular importance to the quality of life of older family carers of people with dementia. These findings are expected to inform future research as well as health and social care providers with the aim of improving life quality for this population.

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