Month: May 2017

Music-based therapeutic interventions for people with dementia. (Cochrane Database Syst Rev, 2017 May. Epub)

Dementia is a clinical syndrome with a number of different causes which is characterised by deterioration in cognitive, behavioural, social and emotional functions. Pharmacological interventions are available but have limited effect to treat many of the syndrome’s features. Less research has been directed towards non-pharmacological treatments. In this review, we examined the evidence for effects of music-based interventions as a treatment.

Providing people with dementia with at least five sessions of a music-based therapeutic intervention probably reduces depressive symptoms but has little or no effect on agitation or aggression. There may also be little or no effect on emotional well-being or quality of life, overall behavioural problems and cognition. We are uncertain about effects on anxiety or social behaviour, and about any long-term effects. Future studies should employ larger sample sizes, and include all important outcomes, in particular ‘positive’ outcomes such as emotional well-being and social outcomes. Future studies should also examine the duration of effects in relation to the overall duration of treatment and the number of sessions.

This article is not available from the Academy Library’s collection. If you would like us to request it from another library, please call 0161 291 5778 or email the UHSM Academy Library

Role of domiciliary and family carers in individualised nutrition support for older adults living in the community. (Maturitas, 2017, vol 98, p. 20-29)

Protein-energy malnutrition is common amongst people aged 65 years and older, has a multifactorial aetiology, and numerous negative outcomes. This review provides insight into the role of both domiciliary and family carers in providing individualised nutrition support for older, community-dwelling adults with malnutrition.

There is moderate evidence to support the role of domiciliary carers in implementing nutrition screening and referral pathways, and emerging evidence suggests they may have a role in malnutrition interventions when supported by health professionals. Moderate evidence also supports the engagement of family carers as part of the nutrition care team for older adults with malnutrition. Interventions such as group education, skill-development workshops and telehealth demonstrate promise and have significantly improved outcomes in older adults with dementia.

Click here to access the article. An OpenAthens login is required. Alternatively call 0161 291 5778 or email Academy Library for a copy of the article.

Grouped factors of the ‘SSADE: signs and symptoms accompanying dementia while eating’ and nutritional status-An analysis of older people receiving nutritional care in long-term care facilities in Japan. (Int J Older People Nurs, 2017 Apr, Epub)

Behavioural and psychological symptoms of dementia (BPSD) are very common among older people, and previous studies showed that BPSD affects eating behaviour negatively, possibly resulting in undernutrition. In a previous study, we constructed a set of 11 items based on direct observations of older people with dementia during mealtime and named them ‘SSADE: signs and symptoms accompanying dementia while eating’.

We expected the SSADE to contribute to the prevention and improvement of undernutrition, through the development of a concrete strategy for nutritional care planning by professional teams including dietitians in long-term care facilities.

Click here to access the article. An OpenAthens login is required. Alternatively call 0161 291 5778 or email Academy Library for a copy of the article.

Initiating activities of daily living contributes to well-being in people with dementia and their carers. (Int J Geriatr Psychiatry, 2017 May, Epub)

Problems with everyday functioning are linked to reduced well-being in people with dementia (PwD) and their carers. However, previous research has almost solely investigated the performance of everyday activities, and global functioning without analysing individual activities. This study explored how deficits in initiating and performing individual activities were associated with carer burden and poorer quality of life of carers and PwD.
Findings from this study can have direct implications for improving care management early in the disease. Post-diagnostic support needs to provide more opportunities for PwD, and their carers, to engage in social groups, whilst interventions targeted at living well with dementia need to particularly improve the initiative of engaging in individual hobbies.

Click here to access the article. An OpenAthens login is required. Alternatively call 0161 291 5778 or email Academy Library for a copy of the article.

Admiral Nurses delivering workplace clinics for family carers: Innovative practice. (Dementia (London). 2017 Jan, Epub)

Dementia UK and The Charity for Civil Servants teamed up to test the acceptability and feasibility of delivering a work-based Admiral Nurse clinic to support family carers during their employed working hours. This paper presents some of the learning from this innovative approach.

This article is not available from the Academy Library’s collection. If you would like us to request it from another library, please call 0161 291 5778 or email the UHSM Academy Library

Dreams and disappointments regarding nursing: student nurses’ reasons for attrition and retention. A qualitative study design (Nurse Education Today, 2017 Apr. Epub)

In the Netherlands, hundreds of students register annually for a nursing programme, but not all of these students manage to complete their training. The main aim of this study was to examine which factors affect student nurses’ decision to leave or complete their programme.
Student nurses started their studies with many dreams, such as caring for people and having the opportunity to deliver excellent nursing care. When their expectations were not met, their dreams became disappointments which caused them to consider stopping and even to leave (attrition). The role of lecturers and mentors seems invaluable in protecting and guiding students through their programme and placements. Optimal cooperation between lecturers and mentors is of paramount importance to retain student nurses in their training programmes.

This article is not available from the Academy Library’s collection. If you would like us to request it from another library, please call 0161 291 5778 or email the UHSM Academy Library

Influence of Nurse Manager and Peer Group Caring Behaviors as Perceived by Nurses on Intention to Retention (J Korean Acad Nurs Adm. 2017, 23(2), p. 191-200)

This study was conducted to identify the influence of nurse manager and peer group caring behaviors as perceived by nurses on intention to retention. The scores for ‘manager and peer group caring behaviors’ and intention to retention were all at a moderate level, although the subjects perceived ‘peer group caring behaviors’ as higher compared to ‘manager caring behaviors’ To improve nurses’ intention to retention, it may be necessary to alter the transfer and arrangement strategies of their working environments to better consider nurses’ aptitude and competence, and thereby increase both manager and peer group caring behaviors.

This article is not available from the Academy Library’s collection. If you would like us to request it from another library, please call 0161 291 5778 or email the UHSM Academy Library

The Baptist Health Nurse Retention Questionnaire: A Methodological Study, Part 1 (Journal of Nursing Administration, 2017, vol 47(5), p. 289-93)

The purposes of this study were to develop and test the Baptist Health Nurse Retention Questionnaire (BHNRQ) and examine the importance of nurse retention factors. The results of the principal components analysis revealed 3 subscales: nursing practice, management, and staffing. Analyses demonstrate that the BHNRQ is a reliable, valid and clinically useful instrument for measuring important factors related to nurse retention.

This article is not available from the Academy Library’s collection. If you would like us to request it from another library, please call 0161 291 5778 or email the UHSM Academy Library

The effectiveness of and experience with an innovative split-sleep schedule in healthy nurses: a mixed method study.

Shift work is currently becoming increasingly more common, however it has two major hazards: It increases the risk of occupational accidents and injuries, as well as the development of (chronic) disease. This masters thesis reports on an innovative split-sleep schedule which appears to be promising for the majority of shift workers. The split-sleep schedule is beneficial shortly after a night-shift series as well. Important implementation strategies are personalizing the split-sleep schedule and informing society about split-sleep and its advantages. However, current results are preliminary and further research is therefore needed.

Access the paper by clicking here.

The experiences of people with young-onset dementia: A meta-ethnographic review of the qualitative literature. (Maturitas, 2016, vol 92, p. 102-9)

Dementia is usually diagnosed in later life but can occur in younger people. The experiences of those with older-onset dementia are relatively well understood but little is known about the experiences of those with young-onset dementia (aged less than 65 years). Diagnosis felt unexpected, ‘out of time’ and led to changes in self-identity, powerlessness and changes in relationships

Social exclusion was common. Loss of meaningful activity exacerbated a difficult situation. However, the diagnosis did not mean people’s lives were over and many with YOD try to regain control by seeking connections with others with the same condition – sometimes a very important source of support. Overall, people living with YOD face unique social challenges which go beyond those of older people living with dementia and which result in an even greater negative impact on their lives. Interventions that facilitate peer support and allow people with YOD to engage in meaningful activity should be developed and could perhaps be provided by the voluntary sector.

Click here to access the article. An OpenAthens login is required. Alternatively call 0161 291 5778 or email Academy Library for a copy of the article.