Nursing workforce crisis is self-inflicted. (Nursing Standard. 2017, 31(42) p. 29)

The article discusses the author’s views on the nursing shortage in Great Britain, and mentions topics including the impact of the British exit or Brexit from the European Union (EU), the government’s efforts in eliminating gaps in nursing staffing, and policy changes that affect the nurse supply.

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Do nurse staffing levels affect patient mortality in acute secondary care? (Br J Nurs. 2017 26(12) p. 698-704)

This systematic literature review explores and considers whether registered nurse staffing levels affect patient mortality in acute secondary care settings. A discussion makes particular reference to the philosophical foundations of contrasting research approaches used within the literature. Effective management and leadership of acute clinical areas requires appropriate nurse:patient ratios. In practice settings, patient to staff ratios are based on care being provided by highly skilled and competent nurses providing best-quality, evidence-based practice.

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A comprehensive intervention following the clinical pathway of eating and swallowing disorder in the elderly with dementia: historically controlled study. (BMC Geriatr. 2017, Vol. 17(1))

This study was a single-arm, non-randomized trial looking at whether comprehensive geriatric assessment (CGA) might potentially clarify the etiology of decreased oral intake in people with dementia; thus improving their clinical outcomes. It concludes that the use of CGA with multidisciplinary interventions could improve the functional status of eating and allow elderly patients with severe eating problems and dementia to survive independently without the need for AHN.

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The association of eating performance and environmental stimulation among older adults with dementia in nursing homes: A secondary analysis. (Int J Nurs Stud. 2017 Jun, Vol.71, p. 70-79)

This study examined the association between environmental stimulation and eating performance among nursing home residents with dementia.

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The role of compassion, suffering, and intrusive thoughts in dementia caregiver depression. (Aging & Mental Health, 2017, 21(9) p. 997-1004)

Exposure to suffering of a relative or friend increases the risk for psychological and physical morbidity. However, little is known about the mechanisms that account for this effect. We test a theoretical model that identifies intrusive thoughts as a mediator of the relation between perceived physical and psychological suffering of the care recipient and caregiver depression.
The effects of perceived physical suffering on depression were completely mediated through intrusive thoughts, and compassion moderated the relation between physical suffering and intrusive thoughts. Caregivers who had greater compassion reported more intrusive thoughts even when perceived physical suffering of the CR was low. For perceived psychological suffering, the effects of suffering on depression were partially mediated through intrusive thoughts.

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Reducing safety risk among underserved caregivers with an Alzheimer’s home safety program. (Aging & Mental Health, 2017, 21(9) p. 902-909)

Older adults living with Alzheimer’s disease (AD) experience more of the types of accidents and injuries prevalent among older adults. Relatively few studies specifically on safety risks have included older adults of color and tested interventions. This pilot study tested the feasibility and evaluability of educating Hispanic and African American caregivers of patients living with AD about reducing safety risks in their homes.
The results indicate a reduction in some safety risks compared to baseline and/or a no intervention group, respectively, including leaving patients at home alone part-time, getting lost, going outdoors alone less often, and giving themselves medicine.

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Positive psychology outcome measures for family caregivers of people living with dementia: a systematic review. (International Psychogeriatrics, 2017, 29(8) p. 1281-1296)

Family caregivers of people living with dementia can have both positive and negative experiences of caregiving. Despite this, existing outcome measures predominately focus on negative aspects of caregiving such as burden and depression.
There are some robust positive measures in existence for family caregivers of people living with dementia. However, lack of reporting of the psychometric properties hindered the quality assessment of some outcome measures identified in this review. Future research should aim to include positive outcome measures in interventional research to facilitate a greater understanding of the positive aspects of caregiving and how these contribute to well-being.

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‘I shouldn’t have had to push and fight’: health care experiences of persons with dementia and their caregivers in primary care. (Aging & Mental Health, 2017, 21(8) p. 797-804)

Most persons with dementia (PWD) receive the majority of their care from primary care providers (PCPs). A number of challenges have been identified with providing quality dementia care in primary care from the perspective of PCP. However, less is known of the primary care health care experience (HCE) of PWD and their caregivers.
The HCE of PWD and their caregivers is complex and a number of factors which are potentially modifiable by PCP may improve the HCE for the growing number of PWD in primary care. Understanding these experiences may help to identify strategies to improve care and patient and provider experiences.

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Outcome of a Targeted Nutritional Intervention Among Older Adults With Early-Stage Alzheimer’s Disease: The Nutrition Intervention Study. (Journal of Applied Gerontology, 2017, 36(7) p. 782-807)

A 6-month dietary intervention program was designed for community-dwelling older adults with Alzheimer’s disease.

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