Month: April 2018

Spared emotional perception in patients with Alzheimer’s disease is associated with negative caregiver outcomes (Aging & Mental Health, 2018, 22 (5) p. 595-602)

Caregivers (CGs) for patients with Alzheimer’s disease (AD) often experience negative mental health and relationship outcomes. Additionally, emotional perception abilities are often compromised in early AD; the relationships between these deficits and CG outcomes are unclear. The present study investigated the relationship between emotional perception abilities in AD participants and CG well-being.
The patient group performed significantly worse than older controls on measures of cognition and emotional perception. Several significant relationships emerged between AD participant emotional perception and CG outcomes. Higher CG depression was associated with greater overall emotional perception abilities.Caregiver burden was positively correlated with AD participants’ ability to label the emotional tones of voices. Relationship satisfaction was not significantly correlated with emotional perception.

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What Behavioral and Psychological Symptoms of Dementia Affect Caregiver Burnout? (Clinical Gerontologist, 2018, 41 (3) p. 249-254)

Patients’ irritability and aggression have been linked to caregiver depression, but the behaviors that most burden caregivers are not yet definitively identified. This study examines the connection between behavioral and psychological symptoms of dementia (BPSD) and the burnout of caregivers caring for home-dwelling elders with dementia symptoms in Japan.
Among the commonest symptoms, apathy, anxiety, and depression did not seriously aggravate caregiver burnout. Caregivers displayed higher burnout facing agitation/aggression, irritability, aberrant motor behavior, and hallucinations. Caregivers’ reported distress was surprisingly dissimilar to their burnout scores; patients’ delusions and anxiety led to higher distress reporting but not to burnout. Clinical Implications: Advance diagnosis of BPSD symptoms should be helpful to support nurses and caregivers of dementia patients. Particular support should be considered for caregivers and nurses of patients expressing aggression, irritability, abnormal motor behavior, and hallucination.

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Cognitive Impairment, Alzheimer’s Disease, and Other Dementias in the Lives of Lesbian, Gay, Bisexual and Transgender (LGBT) Older Adults and Their Caregivers: Needs and Competencies. Journal of Applied Gerontology, 2018, 37 (5) p. 545-569 )

Cognitive impairment, Alzheimer’s disease, and other dementias are important health concerns for older adults. As a marginalized and growing segment of the older adult population, lesbian, gay, bisexual, and transgender (LGBT) older adults face distinct risk factors related to cognitive impairment and dementias, including social isolation, discrimination, barriers to health care access, limited availability of and support for caregivers, and higher rates of certain chronic illnesses.

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I just can’t please them all and stay sane: Adult child caregivers’ experiences of family dynamics in care-giving for a parent with dementia in Australia. (Health & Social Care in the Community, 2018, 26 (3)

Family caregivers of people with dementia who live within the community often experience stress and poor quality of life due to their care-giving role. While there are many factors that affect this, one influential factor is the family context.
Four themes were identified: family expectations and caregivers’ lack of choice in adopting the care-giving role; denial and differential understandings of dementia among family members; differential beliefs and approaches to care-giving among family members; and communication breakdown between family members.

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The effects of work factors on nurses’ job satisfaction, quality of care and turnover intentions in oncology. (Journal of Advanced Nursing, 2018, 74 (5) p. 1208-1219)

This article examines the effects of perceived supervisor support, value congruence and hospital nurse staffing on nurses’ job satisfaction through the satisfaction of the three psychological needs for autonomy, competence and relatedness. Then, it examines the links between job satisfaction and quality of care as well as turnover intentions from the workplace.

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Work Life Quality, Healthy Work Environments, and Nurse Retention (Clinical Nurse Specialist, 2018, 32(3) p .111–113)

Understanding the quality of nursing work life is important to ensure nurses are retained and strategies developed to recruit more students to the profession. Quality of work life (QWL) refers to a work environment’s ability to satisfying professional and work-related experiences.
Many factors impact nurse’s QWL, including psychological empowerment and job satisfaction.

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Nurse turnover in the Kingdom of Saudi Arabia: An integrative review. (Journal of Nursing Management, 2018, Apr. E-pub)

Saudi Arabia is notably one of the nations with a health care system that is bombarded by high rates of turnover and turnover intention. Moreover, rapid population growth and the expansion of the health care system increase the demand on registered nurses in the kingdom.
The identified determinants of nurse turnover in the Saudi Arabian context included nurses’ demographics, satisfaction, leadership and management, and job-related factors.

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Retaining nurses in a changing health care environment: The role of job embeddedness and self-efficacy (Health Care Management Review, 2018, Apr. E-pub)

This article reports on a study with results that show that change-related self-efficacy is directly linked to turnover intentions, and the effects of job embeddedness on turnover intentions become fully manifest through change-related self-efficacy.
Improved nurse retention may lead to stable patient care and less disruption in service delivery. Improved retention also benefits health care organizations financially, as costs of replacing a nurse can exceed 100% of the salary for the position. Given the shortage of nurses in some geographic areas, retention remains an important goal.

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Registered nurses’ perceptions of safe care in overcrowded emergency departments. (Journal of Clinical Nursing, 2018, 27(5/6) e1061-e1067)

Extended length of stay and overcrowding in emergency departments are described internationally as one of the most comprehensive challenges of modern emergency care. An emergency department is not designed, equipped or staffed to provide care for prolonged periods of time. This context, combined with a high workload, poses a risk to patient safety, with additional medical errors and an increased number of adverse events.

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The nexus of nursing leadership and a culture of safer patient care. (Journal of Clinical Nursing, 2018, 27(5/6) p. 1287-1293)

Critical reports from the Institute of Medicine in 1999 and Francis QC report of 2013 indicate that healthcare organisations, inclusive of nursing leadership, were remiss or inconsistent in fostering a culture of safety. As nurses have the highest patient interaction, and leadership is discernible at all levels of nursing, nurse leaders are the nexus to influencing organisational culture towards safer practices. A culture of safety has been exposed as a major influence on patient safety practices, heavily influenced by leadership behaviours. The relationship between leadership and safety plays a pivotal role in creating positive safety outcomes for patient care.

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