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Nova AA, Declercq A, Heckman GA, Hirdes JP, McAiney C, De Lepeleire J. Exploring subjective quality-of-life indicators in long-term care facilities: a mixed-methods research protocol. BMJ Open 2024; 14:e087380. [PMID: 39013649 PMCID: PMC11253758 DOI: 10.1136/bmjopen-2024-087380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2024] [Accepted: 07/03/2024] [Indexed: 07/18/2024] Open
Abstract
INTRODUCTION Improving quality of life has become a priority in the long-term care (LTC) sector internationally. With development and implementation guidance, standardised quality-of-life monitoring tools based on valid, self-report surveys could be used more effectively to benefit LTC residents, families and organisations. This research will explore the potential for subjective quality-of-life indicators in the interRAI Self-Reported Quality of Life Survey for Long-Term Care Facilities (QoL-LTCF). METHODS AND ANALYSIS Guided by the Medical Research Council Framework, this research will entail a (1) modified Delphi study, (2) feasibility study and (3) realist synthesis. In study 1, we will evaluate the importance of statements and scales in the QoL-LTCF by administering Delphi surveys and focus groups to purposively recruited resident and family advisors, researchers, and LTC clinicians, staff, and leadership from international quality improvement organisations. In study 2, we will critically examine the feasibility and implications of risk-adjusting subjective quality-of-life indicators. Specifically, we will collect expert stakeholder perspectives with interviews and apply a risk-adjustment methodology to QoL-LTCF data. In study 3, we will iteratively review and synthesise literature, and consult with expert stakeholders to explore the implementation of quality-of-life indicators. ETHICS AND DISSEMINATION This study has received approval through a University of Waterloo Research Ethics Board and the Social and Societal Ethics Committee of KU Leuven. We will disseminate our findings in conferences, journal article publications and presentations for a variety of stakeholders.
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Affiliation(s)
- Amanda A Nova
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
- Doctoral School of Biomedical Sciences, KU Leuven, Leuven, Belgium
- LUCAS Centre for Care Research and Consultancy, KU Leuven, Leuven, Belgium
| | - Anja Declercq
- LUCAS Centre for Care Research and Consultancy, KU Leuven, Leuven, Belgium
- CESO Centre for Sociological Research, KU Leuven, Leuven, Belgium
| | - George A Heckman
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
- Schlegel-University of Waterloo Research Institute for Aging, Waterloo, Ontario, Canada
| | - John P Hirdes
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | - Carrie McAiney
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
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Mdoe MB, Mselle LT, Kibusi SM. An integrative review of home care recommendations for women after caesarean section. Nurs Open 2024; 11:e2145. [PMID: 38532272 PMCID: PMC10965751 DOI: 10.1002/nop2.2145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 10/25/2023] [Accepted: 03/04/2024] [Indexed: 03/28/2024] Open
Abstract
AIM To describe home-based care and practices recommended for mothers after caesarean section (CS), existing in the literature. DESIGN Systematic review. METHODS This integrative literature review was conducted by using Google Scholar, PubMed and Hinari databases from its inception to June 2021. The search included research articles, protocols and guidelines that describe home care practice after CS and assessed for their quality. Synthesis of recommendations from the included literature was classified based on the type of study design, and the review was guided by methodology registered in Prospero (ID CRD42021276905). RESULTS A total of 681 literatures were found, and 12 met the criteria. Recommended home care components were divided into four major categories; wound care practice (wound cleaning, drying and bandage change); nutrition (high-protein diet, vitamin C, fibre and balanced diet); exercise (pelvic floor muscle, walking and breathing exercise) and hygiene (bathing and wearing clean clothes). There was limited literature addressing the components of perineal care and home environment. Varying recommendations were found regarding wound cleaning and dressing in the studies done in low- and high-income countries.
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Affiliation(s)
- Mwajuma Bakari Mdoe
- Department of Clinical Nursing, School of Nursing and Public HealthUniversity of DodomaDodomaTanzania
- Department of Clinical Nursing, School of NursingMuhimbili University of Health and Allied SciencesDar es SalaamTanzania
| | - Lilian Teddy Mselle
- Department of Clinical Nursing, School of NursingMuhimbili University of Health and Allied SciencesDar es SalaamTanzania
| | - Stephen Mathew Kibusi
- Department of Public Health, School of Nursing and Public HealthUniversity of DodomaDodomaTanzania
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Magan KC, Ricci S, Hathaway E. Factors influencing baccalaureate nursing students' attitudes toward older adults: An integrative review. J Prof Nurs 2023; 47:1-8. [PMID: 37295907 PMCID: PMC10258890 DOI: 10.1016/j.profnurs.2023.03.012] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 03/17/2023] [Accepted: 03/21/2023] [Indexed: 06/12/2023]
Abstract
BACKGROUND With a rapidly growing population of older adults in the U.S., nurses are needed to provide quality gerontological nursing care. However, few nursing students plan to specialize in gerontological nursing and many relate their lack of interest in gerontological nursing to negative pre-existing attitudes toward older adults. PURPOSE An integrative review was conducted to examine factors associated with positive attitudes toward older adults in baccalaureate nursing students. METHODS A systematic database search was performed to identify eligible articles published between January 2012 and February 2022. Data were extracted, displayed in matrix format, and synthesized into themes. RESULTS Two overarching themes were identified as having a positive impact on students' attitudes toward older adults: past rewarding experiences with older adults and gerontology-focused teaching strategies, particularly service-learning projects and simulation. CONCLUSION Nurse educators can improve students' attitudes toward older adults by incorporating service-learning and simulation activities into nursing curriculum.
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Affiliation(s)
- Kristin Corey Magan
- College of Nursing, University of Rhode Island, Kingston, RI, United States.
| | - Stephanie Ricci
- College of Nursing, University of Rhode Island, Kingston, RI, United States
| | - Elizabeth Hathaway
- College of Nursing, University of Rhode Island, Kingston, RI, United States
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Hara K, Nakabe T, Tanaka M, Imanaka Y. Measuring the quality of life of long-term care service users in Japan: a cross-sectional questionnaire study. BMC Geriatr 2022; 22:955. [PMID: 36510174 PMCID: PMC9746158 DOI: 10.1186/s12877-022-03662-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 11/30/2022] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND In Japan's super-aging society, the number of long-term care service providers is increasing, and the quality of care is a matter of concern. One aspect of the quality of care is the user's quality of life. The questionnaires EQ-5D and WHO-5 are representative indicators of quality of life. Herein, we aimed to measure the quality of life in long-term care service users in Japan and to clarify the relationship between quality of life and the level of care required. METHODS A questionnaire study was conducted in 106 facilities of 22 corporations. In addition to the EQ-5D and WHO-5, sex, age, and the level of care required were assessed by descriptive statistics. Bonferroni's multiple comparison test was used to analyze each quality of life score, and the differences by sex and age were analyzed multiple regression analyses, with each quality of life score as the objective variable. RESULTS Of 4647 cases collected, 2830 were analyzed, with no missing data. Both indicators tended to be lower than the general older population. Those scores tended to be higher in females than males (EQ-5D: males, 0.58 ± 0.26; females, 0.60 ± 0.24; P = 0.06 and WHO-5: males, 13.8 ± 5.92; females 14.9 ± 5.70; P < 0.001). In terms of age, those under 65 years old with specific diseases had lower EQ-5D scores than those in other age groups (P < 0.001); however, WHO-5 scores did not differ by age. Multiple regression analysis showed a significant association between the EQ-5D score and level of care required, except for support-required level 1, which tended to worsen as the level of care required increased. Conversely, the WHO-5 score was significantly lower for care need levels 2, 4, and 5. CONCLUSIONS The quality of life of long-term care service users was worse than that of the general older population, it tended to be low among males and those under 65 years old with specific diseases. Furthermore, it gradually decreased as the level of care required increased. It is important to monitor users' quality of life as a quality indicator of care, to improve and manage it.
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Affiliation(s)
- Koji Hara
- grid.258799.80000 0004 0372 2033Department of Healthcare Economics and Quality Management, Graduate School of Medicine, Kyoto University, Yoshida Konoe-Cho, Sakyo-Ku, Kyoto City, 606-8501 Japan ,grid.268441.d0000 0001 1033 6139School of Economics and Business Administration, Yokohama City University, 22-2 Seto, Kanazawa, Yokohama, 236-0027 Japan
| | - Takayo Nakabe
- grid.258799.80000 0004 0372 2033Department of Healthcare Economics and Quality Management, Graduate School of Medicine, Kyoto University, Yoshida Konoe-Cho, Sakyo-Ku, Kyoto City, 606-8501 Japan ,grid.412708.80000 0004 1764 7572The Database Center of the National University Hospitals, Tokyo Central Hospital North F8, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655 Japan
| | - Masayuki Tanaka
- grid.258799.80000 0004 0372 2033Department of Healthcare Economics and Quality Management, Graduate School of Medicine, Kyoto University, Yoshida Konoe-Cho, Sakyo-Ku, Kyoto City, 606-8501 Japan
| | - Yuichi Imanaka
- grid.258799.80000 0004 0372 2033Department of Healthcare Economics and Quality Management, Graduate School of Medicine, Kyoto University, Yoshida Konoe-Cho, Sakyo-Ku, Kyoto City, 606-8501 Japan
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The impact of Neighbourhood Team Development on resident quality of life in long-term care. AGEING & SOCIETY 2022. [DOI: 10.1017/s0144686x22000174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Abstract
Long-term care (LTC) residents often experience poor quality of life (QOL). Culture change has been proposed as an approach to improve resident centredness in care, thereby aiming to enhance residents' QOL. This article reports on one of the findings of the implementation of an organisational culture change approach, Neighbourhood Team Development (NTD). A retrospective cohort design was used to explore resident QOL scores. The sample included 232 residents across six Ontario LTC homes. Quantitative data were collected through the Resident Assessment Instrument–Minimum Data Set 2.0 (RAI-MDS 2.0) and the interRAI Self-Report QOL Survey for Long Term Care Facilities (SQOL-LTCF). Results demonstrated that culture change interventions, such as NTD, improve residents' QOL scores (+3.5 points, p = 0.0034). This article also adds to knowledge on the use of the SQOL-LTCF as a standardised assessment tool to measure QOL in LTC, and provides rationale to include resident QOL as a key outcome measure in quality improvement initiatives and care modelling in LTC homes.
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Born Lopes P, Rodacki ALF, Wolf R, Fisher K, Bento PCB, Pereira G. Can Age Influence Functional Tests Differently to Predict Falls in Nursing Home and Community-Dwelling Older Adults? Exp Aging Res 2021; 47:192-202. [PMID: 33423605 DOI: 10.1080/0361073x.2020.1871277] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Aim: The aim of this cross-sectional study was to determine which functional tests are able to predict falls in nursing home residents (NHR) and community-dwelling (CDW) older adults grouped by age. Methods: Two hundred and fifty-two older adults were assessed in the following tests, Mini-Mental State Examination, anthropometric characteristics, fall history and functional tests. The participants were assigned to one of the following groups: Young Older Adults (YOA; 60-69 years, n = 102; 27.5% NHR), Old Older Adults (OOA; 70-79 years; n = 100; 23.5% NHR) and Very Older Adults (VOA, ≥80 years; n = 50; 52% NHR). Results: The five times sit-to-stand showed 1.41 odds to experience a fall in the NHR of the VOA. In the CDW, the handgrip strength score decreased the odds to fall occurrence (0.92 odds) in the YOA, while the low score in timed up and go test of the OOA showed 1.21 odds to experience a fall. Conclusions: Therefore, the five times sit-to-stand test can predict falls in NHR of VOA groups, while handgrip strength and timed up and go tests can predict falls in CDW of YOA and OOA groups, respectively.
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Affiliation(s)
- Paula Born Lopes
- Núcleo de Ciências Biologicas da Saúde, Positivo University , Curitiba, Brazil.,Physical Education Department, Federal University of Parana , Curitiba, Brazil
| | | | - Renata Wolf
- Physical Education Department, Federal University of Parana , Curitiba, Brazil
| | - Koren Fisher
- Department of Kinesiology, California State University, Fullerton , Fullerton, California, USA
| | | | - Gleber Pereira
- Physical Education Department, Federal University of Parana , Curitiba, Brazil
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The effects of insomnia on older adults’ quality of life and daily functioning: A mixed-methods study. Geriatr Nurs 2020; 41:832-838. [DOI: 10.1016/j.gerinurse.2020.05.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 05/12/2020] [Accepted: 05/14/2020] [Indexed: 11/21/2022]
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Hartmann CW, Mills WL, Pimentel CB, Palmer JA, Allen RS, Zhao S, Wewiorski NJ, Sullivan JL, Dillon K, Clark V, Berlowitz DR, Snow AL. Impact of Intervention to Improve Nursing Home Resident-Staff Interactions and Engagement. THE GERONTOLOGIST 2018; 58:e291-e301. [PMID: 29718195 DOI: 10.1093/geront/gny039] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2017] [Indexed: 12/26/2022] Open
Abstract
Background and Objectives For nursing home residents, positive interactions with staff and engagement in daily life contribute meaningfully to quality of life. We sought to improve these aspects of person-centered care in an opportunistic snowball sample of six Veterans Health Administration nursing homes (e.g., Community Living Centers-CLCs) using an intervention that targeted staff behavior change, focusing on improving interactions between residents and staff and thereby ultimately aiming to improve resident engagement. Research Design and Methods We grounded this mixed-methods study in the Capability, Opportunity, Motivation, Behavior (COM-B) model of behavior change. We implemented the intervention by (a) using a set of evidence-based practices for implementing quality improvement and (b) combining primarily CLC-based staff facilitation with some researcher-led facilitation. Validated resident and staff surveys and structured observations collected pre and post intervention, as well as semi-structured staff interviews conducted post intervention, helped assess intervention success. Results Sixty-two CLC residents and 308 staff members responded to the surveys. Researchers conducted 1,490 discrete observations. Intervention implementation was associated with increased staff communication with residents during the provision of direct care and decreased negative staff interactions with residents. In the 66 interviews, staff consistently credited the intervention with helping them (a) develop awareness of the importance of identifying opportunities for engagement and (b) act to improve the quality of interactions between residents and staff. Discussion and Implications The intervention proved feasible and influenced staff to make simple enhancements to their behaviors that improved resident-staff interactions and staff-assessed resident engagement.
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Affiliation(s)
- Christine W Hartmann
- Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts.,Department of Health Law, Policy and Management, School of Public Health, Boston University, Massachusetts
| | - Whitney L Mills
- Center for Innovation in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas.,Department of Medicine - Section of Health Services Research, Baylor College of Medicine, Houston, Texas
| | - Camilla B Pimentel
- New England Geriatric Research Education and Clinical Center, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts.,Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester
| | - Jennifer A Palmer
- Institute for Aging Research, Hebrew SeniorLife, Roslindale, Massachusetts
| | - Rebecca S Allen
- Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, Alabama.,Alabama Research Institute on Aging and the Department of Psychology, University of Alabama, Tuscaloosa
| | - Shibei Zhao
- Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts
| | - Nancy J Wewiorski
- Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts
| | - Jennifer L Sullivan
- Department of Health Law, Policy and Management, School of Public Health, Boston University, Massachusetts.,Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Massachusetts
| | - Kristen Dillon
- Hospice and Palliative Care, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts
| | - Valerie Clark
- Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts
| | - Dan R Berlowitz
- Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts.,Department of Health Law, Policy and Management, School of Public Health, Boston University, Massachusetts
| | - Andrea Lynn Snow
- Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, Alabama.,Alabama Research Institute on Aging and the Department of Psychology, University of Alabama, Tuscaloosa
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Sullivan L, Willis DG. Towards Changing the Long Term Care (LTC) Paradigm: Explicating the Concept of Thriving in Older Adults Living in LTC. Issues Ment Health Nurs 2018; 39:388-397. [PMID: 29319403 DOI: 10.1080/01612840.2017.1390021] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
A phenomenon of interest for nursing is the facilitation of humanistic health care experiences and quality of life (Willis, Grace, & Roy, 2008 ). Inquiry into the concept of thriving as it manifests in the older adult residing in long-term care aligns with this interest. Thriving has been described by scholars in various disciplines but no context-specific definition for the LTC resident currently exists. Contrary to the generally held negative view of LTC, there is emerging evidence that older adult LTC residents "do well" or thrive in this environment.
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Affiliation(s)
- Louise Sullivan
- a Department of Nursing , Salve Regina University , Newport , United States
| | - Danny G Willis
- b School of Nursing, University of Wisconsin Madison , Madison , United States
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Physical activity and physical fitness of nursing home residents with cognitive impairment: A pilot study. Exp Gerontol 2017; 100:63-69. [DOI: 10.1016/j.exger.2017.10.025] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Revised: 09/16/2017] [Accepted: 10/23/2017] [Indexed: 11/19/2022]
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Thurman W, Harrison TC, Blozis SA, Dionne-Vahalik M, Mead S. A Capabilities Approach to Environmental Impact on Nursing Home Resident Quality of Life. Res Gerontol Nurs 2017; 10:162-170. [PMID: 28742925 DOI: 10.3928/19404921-20170621-03] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Accepted: 06/15/2017] [Indexed: 02/07/2023]
Abstract
Nursing homes are the major provider of intermediate and long-term care outside of the hospital setting to individuals whose capacity for self-care is limited due to physical or cognitive impairments. Yet, despite their need for assistance, residents of nursing homes want to control their lives, set their routines, and do enjoyable things. The extent to which residents can maintain autonomy and dignity is important. The current study suggests an environmental gerontological framework, rooted in a capabilities approach, that can be used to consider environmental impact on quality of life in nursing homes. Using a cross-sectional survey of nursing home residents in Texas, environmental factors that might predict residents' quality of life as well as possible interactions of environmental factors and residents' characteristics that might predict well-being were examined. Environmental orientation and perception of social activities were important predictors of residents' quality of life, but geographic location and facility size were not important predictors. [Res Gerontol Nurs. 2017; 10(4):162-170.].
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Thomas LJ, Revell SH. Resilience in nursing students: An integrative review. NURSE EDUCATION TODAY 2016; 36:457-62. [PMID: 26549265 DOI: 10.1016/j.nedt.2015.10.016] [Citation(s) in RCA: 104] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Revised: 10/02/2015] [Accepted: 10/15/2015] [Indexed: 05/22/2023]
Abstract
OBJECTIVE The aim of this integrative review was to investigate the state of knowledge on resilience in nursing students. Specifically the authors sought to define and describe the concept, and identify factors that affect and evaluate strategies to promote resilience in nursing students. DESIGN Integrative literature review. DATA SOURCES Cumulative Index to Nursing and Allied Health (CINHAL), Education Resources Information Center (ERIC) and PsychINFO electronic databases were searched for publications between 1990 and 2014. Search terms included resilience, student, nurse, nursing student, hardiness, emotional resilience, research, resili*, and nurse*. REVIEW METHODS Whittemore and Knafl's integrative approach was utilized to conduct the methodological review. Each article was assessed with an appraisal tool. RESULTS The search resulted in the inclusion of nine articles. The majority of the literature utilized definitions of resilience from the discipline of psychology. One exception was a definition developed within nursing specific to nursing students. Factors that affect resilience were grouped into three themes: support, time, and empowerment. Strategies to promote resilience in nursing students were found in three of the nine articles, but their methods and findings were disparate. CONCLUSIONS This review provides information about the concept of resilience in nursing students. Faculty awareness of the importance of resilience in nursing students can better prepare students for the role of the professional nurse. Support from family, friends and faculty impact a student's resilience. Through closely working with students in advisement, the clinical arena and the classroom faculty can promote resilience.
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Affiliation(s)
- Lisa Jean Thomas
- Lawrence Memorial Regis College Nursing Program, 170 Governors Avenue, Medford MA 02155, United States; Doctoral Student University of Massachusetts Dartmouth, United States.
| | - Susan Hunter Revell
- University of Massachusetts Dartmouth, 285 Old Westport Rd, North Dartmouth, MA 02747, United States.
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Kehyayan V, Hirdes JP, Tyas SL, Stolee P. Predictors of Long-Term Care Facility Residents’ Self-Reported Quality of Life With Individual and Facility Characteristics in Canada. J Aging Health 2015; 28:503-29. [DOI: 10.1177/0898264315594138] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objective: Identify predictors of long-term care (LTC) facility residents’ self-reported quality of life (QoL). Method: QoL of a convenience sample of 928 residents from 48 volunteer LTC facilities across six Canadian provinces was assessed using the inter–Resident Assessment Instrument (interRAI) Self-Report Nursing Home Quality of Life Survey. Multivariate regression models were used to identify predictors. Results: In logistic regression modeling, residents who were religious and socially engaged, had a positive global disposition, or resided in rural, private, or municipal facilities were less likely to report low QoL. Those with post-secondary education and who were dependent on activities of daily living were more likely to report low QoL. These factors, except for religiosity and residence in municipal facilities, were significant in generalized estimating equation (GEE) modeling. Discussion: QoL is significantly associated with select resident and LTC facility characteristics with implications for improving residents’ QoL and LTC facility programming, and guiding future research and social policy development.
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